Thank you, Bob. Em ter, 11 de jun de 2019 às 12:31, ROBERT CHAPEL <bcha...@optonline.net> escreveu:
> I can't imagine anyone working harder to save a kittens life than you have > Patricia.... I'm sure we are ALL so sorry that it was not successful... > FeLV is such a terrible disease and your poor little girl has so many > complications... > Bob > > On June 11, 2019 at 10:56 AM felvtalk-requ...@felineleukemia.org wrote: > > > Send Felvtalk mailing list submissions to > felvtalk@felineleukemia.org > > To subscribe or unsubscribe via the World Wide Web, visit > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > or, via email, send a message with subject or body 'help' to > felvtalk-requ...@felineleukemia.org > > You can reach the person managing the list at > felvtalk-ow...@felineleukemia.org > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of Felvtalk digest..." > > > Today's Topics: > 1. Re: Rescued kitten felv + (Pam Doore) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Tue, 11 Jun 2019 10:55:23 -0400 > From: Pam Doore <thyme2s...@gmail.com> > To: felvtalk@felineleukemia.org > Subject: Re: [Felvtalk] Rescued kitten felv + > Message-ID: > <CA+-nMss0MKWsPUiV_q=0P8MgSktVcPjNzcem1O-y=bt0mbe...@mail.gmail.com> > Content-Type: text/plain; charset="utf-8" > > You have my deepest sympathy Patricia! I am so so sorry! > > ~~@~~~~~@~~~~~@~~~~~@~~~~~@~~~~ > > *Christ beside me, Christ before me, Christ behind me, Christ within me, > Christ beneath me, Christ above me. ? **St. Patrick* > > > > On Tue, Jun 11, 2019 at 10:34 AM Patricia Oliveira < > cinzaeamar...@gmail.com> > wrote: > > Yesterday hospital called me saying Nori could come home. I went there > after work and, while i waited for prescriptions, she started a seizure. > > Vet medicated her so that seizure didn?t complete (diazepam and mannitol). > > I stayed with her sometime, talked to her but i felt it was a farewell. > > When i arrive at home, vet called me to say Nori had a cardiopulmonary > arrest. They reanimated her but it could happen again. > > Less then 30 minutes later, they called me again to say Nori had passed > away. > > As always happens here, when a cat has seizures, brazilian veterinarians > says it is fip. > > I don?t know what she really had, i am very sorrow for didn?t bring her > home on sunday, when she was better. At least, she would have had one more > day at home, with sun bath and love. > > I want to thank all of you. You were the best support i could find for > Nori. > > Thank you very much. > > > > > Patr?cia > > Em ter, 11 de jun de 2019 ?s 00:22, Amani Oakley <aoak...@oakleylegal.com> > escreveu: > > >> We?re all pulling for Nori. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> * On Behalf Of > *Ardy > >> Robertson > >> *Sent:* June 10, 2019 11:21 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hello all ? I?m following Nori?s progress and please know, I?m keeping > >> her in my thoughts and prayers too, hoping the > Stanizolol/Doxy/Prednisolone > >> combo works for her. She has chosen her owners well, thank you for > taking > >> such good care of her. And thanks Amani for the good advice as always. > >> > >> Ardy > >> > >> > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Amani > >> Oakley > >> *Sent:* Saturday, June 8, 2019 9:23 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> One option is to ask your vet to show you how to give her subcutaneous > >> fluids, which I do all the time for my cats if needed. However, for > now, it > >> makes sense to leave her there I guess. I presume they are warming the > IV > >> fluids too, because again, with such a small kitten, it wouldn?t take > much > >> to chill her if the fluids are at room temperature or colder. > >> > >> > >> > >> I guess it?s just me. I am pretty adamant about taking home my cats > >> whenever possible, but I understand that Nori sounds like she needs some > >> extra help. I just find that the cats respond far better to personal > >> cuddling and love, and this makes them feel better, eat more, etc. > >> > >> > >> > >> Hopefully, she will feel better tomorrow. > >> > >> > >> > >> I?m crossing my fingers for you and Nori. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 8, 2019 9:53 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> She has fluids IV all the time and replenishment of potassium. Receives > >> external heating too. > >> > >> > >> > >> They monitor pressure (low sometimes), oxygenation, temperature and > heart > >> rate several times a day. > >> > >> I wish she could come home soon but she has been dehydrated even with > >> fluids IV. I don?t know if it is safe to bring her now. > >> > >> > >> > >> > >> > >> > >> > >> Em s?b, 8 de jun de 2019 ?s 22:03, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> Patricia > >> > >> > >> > >> I agree with you that it is too early to tell, but for sure it is good > >> news that the haematocrit is moving in the right direction. Very good > news > >> on the rosy gingiva. > >> > >> > >> > >> Rouleaux is likely only due to the transfusion. She appears to have had > a > >> bit of transfusion reaction, so the cells may be sticking to one > another as > >> a result. (Red cells in Rouleaux formation means that the look like a > stack > >> of coins ? one on top of the other. In humans, that presentation is > >> consistent with multiple myeloma. I don?t think it means anything right > now > >> other than the new red cells may be reacting a bit with her own cells). > >> > >> > >> > >> I think she is working through the transfusion reaction, so that is > >> likely why she is sleeping because you said that immediately after the > >> transfusion, she was active and eating on her own. > >> > >> > >> > >> Low platelets are consistent with the FeLV presentation and the impact > on > >> the bone marrow. Hopefully, the Stanozolol will help. I seem to recall > that > >> with my Zander, I had the red cell numbers recover first, before the > >> platelets recovered. > >> > >> > >> > >> I presume they have her on a heating pad to keep her body temperature > up. > >> > >> > >> > >> I suspect it might be premature to look at the neurology right now. She > >> is working through a lot, and is a tiny kitten. She needs to be given > time > >> to recover from the transfusion reaction, and to allow the good food and > >> medication to start to work. I don?t know how a neurological diagnosis > >> could help you now, and one would expect the neurologist will have a > >> difficult time seeing a true neurological deficit, with all the rest of > the > >> stuff happening. > >> > >> > >> > >> I would also suggest that at some point, it is better for her to be with > >> you at home. If they are not giving her anything like fluids, you might > >> consider taking her home with you. I know with Zander, he reacted most > >> strongly when I was there with him. I could get him to play a little bit > >> and that made him feel better, and of course, lots of cuddles and > kisses. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 8, 2019 8:52 PM > >> *To:* Sandra Wachtstetter <swacht1...@comcast.net>; > >> felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Thank you, Sandra :) > >> > >> > >> > >> I visited Nori today. The hospital is in another city so I can't go > there > >> every day. > >> > >> > >> > >> She is a rosy gingiva, but continues to sleep most of the time and with > a > >> low temperature. One of the veterinarians there thinks that temperature > is > >> lower because of malnutrition, she has almost no lean mass and no fat. > >> > >> > >> > >> Nori will go through the evaluation of a neurologist tomorrow. Some > >> hypotheses raised for this prostration are neurological, including a > >> possible hypoxia before the first transfusion when her hematocrit was > >> really low. > >> > >> > >> > >> Her blood work today is 30% hematocrit, the higher till now! So i think > >> red cells aren?t being destroyed anymore, is it right or is it early to > >> know? > >> > >> > >> > >> Some red cells in Rouleaux. Leukocytes are still high (> 26.000), low > >> platelets for the first time (92.000). > >> > >> > >> > >> Nori had an echocardiogram today too and it is ok. > >> > >> > >> > >> Thank you! > >> > >> > >> > >> Patr?cia > >> > >> > >> > >> Em s?b, 8 de jun de 2019 ?s 11:40, Sandra Wachtstetter < > >> swacht1...@comcast.net> escreveu: > >> > >> Hello Patricia, you may already be doing this - but if not, please take > a > >> copy of Amani's conversations for the vet to read - may help. > >> > >> Good luck - don't give up!! > >> > >> Sandt W > >> > >> > >> > >> On June 7, 2019 at 9:55 PM Patricia Oliveira <cinzaeamar...@gmail.com> > >> wrote: > >> > >> Nori did not want to eat by herself so they are syringing food. They > >> started another medication for nausea, although she does not vomit, they > >> think that may be why she does not eat. > >> > >> > >> > >> Blood work showed changes in neutrophils (bizarre core?), veternary says > >> it can be from leukemia. > >> > >> > >> > >> The result of this transfusion was not as good as the other time :( > >> > >> > >> > >> i?ll talk to veterinary tomorrow morning again. > >> > >> > >> > >> thank you! > >> > >> > >> > >> Patr?cia > >> > >> > >> > >> > >> > >> > >> > >> Em sex, 7 de jun de 2019 ?s 16:13, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> Still sounds more like a transfusion reaction than anything with the > meds. > >> > >> > >> > >> Hang in there. See what the afternoon labs show. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 7, 2019 1:44 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi, Amani > >> > >> > >> > >> Nori is receiving doxy+prenisolone+stanazolol even in the hospital. > >> > >> > >> > >> I know it can be a reaction but i thought higher dose of prednisolone > >> would prevent hemolysis. > >> > >> > >> > >> I also know it's normal for part of the red blood cells to be cleared > >> right after the transfusion, but i don?t remember if it was icteric > plasma > >> on last one. > >> > >> > >> > >> I was hopefull she would come back home tomorrow, now i don?t know if it > >> will be possible. > >> > >> > >> > >> Today she must have am echocardiogram too because x-ray showed an > >> enlarged heart. > >> > >> > >> > >> Thank you! > >> > >> > >> > >> > >> > >> > >> > >> Em sex, 7 de jun de 2019 ?s 14:18, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> Hi Patricia > >> > >> > >> > >> The Stanozolol often has a side-effect of elevating liver enzymes, > though > >> I cannot remember if it also increased bilirubin (which would be what > would > >> cause the icteric observation of the plasma). However, hang in there. > If it > >> is the Stanozolol, my experience is that the liver enzymes drop right > back > >> to normal, shortly after it is discontinued, and there is no lasting > damage > >> to the liver. For now, what you have described (low temp and slightly > lower > >> heart rate) seems more likely to be related to the transfusion itself, > >> rather than anything else going on. > >> > >> > >> > >> It is also possible that with the additional transfusion, there is a > >> higher than normal red cell destruction going on, which would be another > >> explanation for the increased icterus in the blood (which will also > show as > >> an increase in bilirubin). Elevated bilirubin can often be caused by a > >> reaction to a blood transfusion. If the high bilirubin is the indirect > or > >> the unconjugated portion, it is related to red cell break down. The > direct > >> bilirubin (conjugated portion) is related to liver function. The lab > >> results are usually broken down to Total bilirubin and Direct bilirubin. > >> The indirect portion is obtained by subtracting the direct amount from > the > >> total amount. > >> > >> > >> > >> I myself went through the pressure of the vets wanting me to discontinue > >> the Stanozolol because of abnormal liver enzymes. My logic was that > there > >> was nothing else. If I discontinued the Stanozolol, my cat would die, > >> period. I continued and found that in the end, the liver enzymes > normalized > >> on their own, even though I had Zander on almost continuous Stanozolol > for > >> close to two years. > >> > >> > >> > >> I know that you know that you are only temporarily helping Nori with > >> blood transfusions, and the virus is still attacking cells, etc. In my > >> opinion ? and mine alone ? my experience and research leads me to the > >> conclusion that the combination of Doxycycline/Prednisone/Stanozolol > worked > >> to not only boost the red cell production, but I believe that the > >> Doxycyline assisted in keeping the viruses from properly reproducing. > >> > >> > >> > >> However, anticipate that when the vet gets back the second set of blood > >> work, she may well try to tell you to discontinue the Stanozolol. > >> > >> > >> > >> Amani > >> > >> > >> > >> > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 7, 2019 12:53 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi, Amani! > >> > >> > >> > >> Nori got another transfusion last night, hematocrit was 11.9 before it. > >> > >> > >> > >> Today morning, i talk to the hospital's veterinarian, she said > hematocrit > >> went to 29 and Nori was fine, all normal parameters and eating by > herself > >> again. > >> > >> > >> > >> But plasma was intensely icteric. I think this means red cells being > >> destroyed, isn't it? > >> > >> > >> > >> About one hour ago, veterinarian said Nori was with low temperature and > >> heart rate slightly lower than normal. She was waiting the new blood > work. > >> In the morning, it was done only hematocrit, not complete blood work. > >> > >> > >> > >> i am worried again. > >> > >> > >> > >> Thank you, > >> > >> > >> > >> Patr?cia > >> > >> > >> > >> Em ter, 4 de jun de 2019 ?s 23:46, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> I would be leery of the going the route suggested by the vet at this > >> juncture. I seriously seriously doubt if the erythropoietin will help. > See > >> my earlier where I explain why. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 4, 2019 8:53 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi, Lorraine > >> > >> > >> > >> Veterinary wants to increase prednisolone to immunosuppressive dose and > >> add erythropoietin. She thinks it is immune-mediated anemia and > >> not mycoplasma. > >> > >> > >> > >> Nori is receiving 1,2 mg prednisolone, twice a day. She weighs only 1 > >> kg. > >> > >> > >> > >> We did x-ray today too. No visible tumor but we found a > >> possible cardiopathy ("Increased globular-looking heart silhouette"). > >> > >> > >> > >> :( > >> > >> > >> > >> > >> > >> > >> > >> Em ter, 4 de jun de 2019 ?s 20:50, Lorraine Johnston < > >> johnston1...@comcast.net> escreveu: > >> > >> Patricia, > >> > >> > >> > >> I would go with the transfusion and also start erythropoietin. > >> Stanozolol is supposed to stimulate erythropoietin production, but she > >> might need a boost of the ready-made drug just to keep her alive until > then. > >> > >> > >> > >> - Lorraine > >> > >> > >> > >> "Sometimes it is the people no one can imagine anything of who do the > >> things no one can imagine." - Alan Turing > >> > >> > >> > >> *From:* Felvtalk [mailto:felvtalk-boun...@felineleukemia.org] *On > Behalf > >> Of *Patricia Oliveira > >> *Sent:* Tuesday, June 4, 2019 6:34 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi, > >> > >> > >> > >> We did another blood work today, her hematocrit is 13% now :( > >> > >> > >> > >> She is very sleepy but responsive when i talk to her. > >> > >> > >> > >> I don?t know if i can wait some more days to see if stanozolol is > >> working. Or maybe it would be better get another transfusion right now. > >> > >> > >> > >> Today, vet talk about erythropoietin. Do you know if it can be used with > >> stanozolol? > >> > >> > >> > >> Thank you, > >> > >> > >> > >> Patr?cia > >> > >> > >> > >> Em s?b, 1 de jun de 2019 ?s 14:44, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> Hi Patricia ? I gave all the pills together, morning and evening, except > >> for the metoclopramide which was given ? or so before meals. The rest I > >> gave with the meals. I didn?t observe a problem with giving them > together. > >> > >> > >> > >> You might also try baby food to get Nori to eat. Get the pureed kind > >> (beef or chicken with or without vegetables), so it can be sucked up > into a > >> syringe. If my Zander wasn?t eating (and he wasn?t at the start of the > >> medication regime), then I would use a syringe to get the baby food into > >> him. Baby food is easy to digest and has good things in it. I would > target > >> ? say ? five 3 cc syringe-fulls at each feeding. I would boost the > number > >> of syringe-fulls if possible. Eventually, Zander started eating the baby > >> food on his own, and then I graduated to moist food, and really, > anything > >> he wanted until he put the weight back on. > >> > >> > >> > >> I had a look at the picture you sent and Nori is adorable. I am crossing > >> my fingers for you and for Nori. Keep us updated on her progress. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* June 1, 2019 12:36 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* Re: [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi, Amani! > >> > >> > >> > >> Thanky you very much for you email! > >> > >> > >> > >> Nori was discharged from the hospital yesterday night. She is eating > baby > >> dry food. I tried canned but she didn?t accept so weel. > >> > >> > >> > >> Today i bought other kinds of canned, i'll try them hoping she likes > some > >> one. > >> > >> > >> > >> Compound pharmacy must delivery stanozolol today. > >> > >> > >> > >> Are there any precautions regarding medication schedules? Close or far > to > >> doxy, for example? > >> > >> > >> > >> This is Nori: > >> https://catsnecropolis.blogspot.com/2019/06/nori-teve-alta.html > >> < > https://catsnecropolis.blogspot.com/2019/06/nori-teve-alta.html?fbclid=IwAR0cXMedtfi73B81pJI7QiYGwRTJf9VJp-JN7S_Tstb0ANeg0Hm4ObtFH_A > > > >> > >> > >> > >> > >> > >> Thank you! > >> > >> > >> > >> Patr?cia > >> > >> > >> > >> Em qui, 30 de mai de 2019 ?s 20:52, Amani Oakley < > aoak...@oakleylegal.com> > >> escreveu: > >> > >> Sorry Patricia ? after going on and on in my last email, I realized I > >> hadn?t actually answered your question. I think you can probably use the > >> stanozolol with the Doxycycline, without the prednisone, but prednisone > >> itself has properties which help to boost red cell production. Try it > out, > >> keep close tabs on the haematology results and see if you are getting a > >> good response on just Doxycycline and the Stanozolol. If not, add the > >> prednisone. You may find that this combination assists with the FIP as > >> well, as per my previous email. > >> > >> > >> > >> Amani > >> > >> > >> > >> *From:* Felvtalk <felvtalk-boun...@felineleukemia.org> *On Behalf Of > *Patricia > >> Oliveira > >> *Sent:* May 30, 2019 12:56 PM > >> *To:* felvtalk@felineleukemia.org > >> *Subject:* [Felvtalk] Rescued kitten felv + > >> > >> > >> > >> Hi from Brazil, > >> > >> > >> > >> I rescued a very weak, dehydrated, extremely thin kitten. > >> > >> > >> She's hospitalized now. Her hematocrit was 8, had blood transfusion > which > >> raised hematocrit to 22, now it is 19. Low reticulocyte count. > >> > >> She has difficulty walking, which we can not define if it is just > >> weakness or neurological. Already had a seizure. > >> > >> She also have changes in her kidneys. It has been tested and is felv + > >> > >> She is receiving doxy and the hospital vets would like to include > >> prednisolone. > >> > >> However, as it is not possible yet to rule out PIF, and the medication I > >> could use in the case of PIF does not work if the cat received > >> prednisolone, I am trying to avoid it. > >> > >> The veterinarian agreed to prescribe stanozolol. > >> > >> Can it be used without prednisolone, only with doxy she is already > >> receiving? > >> > >> Thank you! > >> > >> > >> > >> Patr?cia > >> > >> _______________________________________________ > >> Felvtalk mailing list > >> Felvtalk@felineleukemia.org > >> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > >> > >> _______________________________________________ > >> Felvtalk mailing list > >> Felvtalk@felineleukemia.org > >> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > >> > >> _______________________________________________ > >> Felvtalk mailing list > >> Felvtalk@felineleukemia.org > >> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > >> > >> _______________________________________________ > >> Felvtalk mailing list > >> Felvtalk@felineleukemia.org > >> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > >> > > _______________________________________________ > Felvtalk mailing list > Felvtalk@felineleukemia.org > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: < > http://felineleukemia.org/pipermail/felvtalk_felineleukemia.org/attachments/20190611/b723ef5c/attachment.html > > > > ------------------------------ > > Subject: Digest Footer > > _______________________________________________ > Felvtalk mailing list > Felvtalk@felineleukemia.org > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > > ------------------------------ > > End of Felvtalk Digest, Vol 55, Issue 26 > **************************************** > > _______________________________________________ > Felvtalk mailing list > Felvtalk@felineleukemia.org > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org >
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