<div dir="ltr">Belinda,<div>Was Bailey diagnosed with kidney disease or did his bloodwork indicate that anything was amiss with his kidneys? I did come across Epogen in my research, but the doctor overseeing his care following the first transfusion insisted it's only for anemia resulting from renal disease and they wouldn't administer it to him because it could potentially cause a reaction. Not sure if I can convince a different doctor to try it, but I am curious as to whether or not it could work in cats with perfectly functioning kidneys.</div><div><br></div><div>Very sorry for your loss, btw. What a horrible disease this is.</div></div><div class="gmail_extra"><br><div class="gmail_quote">On Fri, Feb 27, 2015 at 3:41 PM, Belinda <span dir="ltr"><<a href="mailto:macat@bemikitties.com" target="_blank">macat@bemikitties.com</a>></span> wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div bgcolor="#FFFFFF" text="#000000">
When my Bailey was anemic and yes it was non regenerative
anemia, we tried Epogen, it kept his HCT within normal range, I have
also used Procrit, when my CRF kitty was anemic. My vet didn't
think it would do any good but I figured what did we have to lose
except his life .... he lived for months until the cancer we could
diagnose took him. We knew he had cancer but non of the tests or
ultra sounds gave us a definitive diagnosis. After he passed my vet
did a necropsy and he had pancreatic cancer which I suspected
because he didn't want to eat and sometimes his tube feedings seemed
to bother him.<br>
<br>
There is also something called Eprex, which I have not heard of or
used.<span class=""><br>
<br>
<br>
<div>On 2/27/2015 12:21 PM, Katherine K.
wrote:<br>
</div>
<blockquote type="cite">
<div class="gmail_extra"><br>
<div class="gmail_quote">On Fri, Feb 27, 2015 at 3:00 PM, N. E.
Juskowich <span dir="ltr"><<a href="mailto:nej917@gmail.com" target="_blank">nej917@gmail.com</a>></span>
wrote:<br>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div dir="ltr">Time is of the essence for us and I need to
know if there's something else that can be done for my
sweet little just-turned-one-year-old boy. He had a PCV
of 12% and received a blood transfusion, his PCV went up a
little, then back down, then up to 17% over the course of
24 hours. He was put on 7.5 mg. prednisone, 25 mg.
mycophenolate, 18.75 mg. plavix (to prevent clots from the
pred/mycophenolate combo), 25 mg. doxycycline (in case of
mycoplasma infection), and 5 mg. famotidine to prevent GI
issues from the pred.
<div><br>
</div>
<div>His anemia is currently non-regenerative with two
most likely potential causes: he was agglutination
positive, a sign of immune mediated red blood cell
destruction; he may have leukemia in the marrow. We did
not do a bone marrow aspirate because cancer would be
too advanced at this stage, the severe anemia indicating
this to be the case. The doctor said it could take a
few days of immunosuppressant therapy for the bone
marrow to respond. </div>
<div><br>
</div>
<div>Two days after the PCV of 17% we had a recheck and it
is now down to 14%. He is going to receive another
transfusion. </div>
<div><br>
</div>
<div>I need to know as quickly as possible: Is there
anything else that can be done at this stage? I was
looking into treatment with TCyte (LTCI), but my vet
said it would be a waste of time and money. I'd read on
a forum that a severely anemic felv kitty responded very
well to the drug and I would've been willing to give it
a shot. My vet is of the opinion that I should not have
bothered with this second transfusion (he had to go to
emergency hospital for it) and the TCyte is "hogwash".
I'm sitting here feeling hopeless and wondering if this
really is the end and what do I do now if he doesn't
respond to the transfusion. </div>
<div><br>
</div>
<div>Any advice would be greatly appreciated. No sugar
coating necessary, but please be gentle. If nothing can
be done, what can I do for him to keep him happy and
comfortable? Will he need euthanized or will he pass
peacefully?</div>
</div>
<br>
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Belinda
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