<font color='black' size='2' face='arial'>Thank you Margo. I thought it would not be a good idea, and will cancel the appointment. Also will discuss the the length of time for the Orbax.
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<div>Nancy<br>
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<div style="font-family:arial,helvetica;font-size:10pt;color:black">-----Original Message-----<br>
From: Margo <toomanykitties2@earthlink.net><br>
To: felvtalk <felvtalk@felineleukemia.org><br>
Sent: Tue, Dec 1, 2015 2:14 pm<br>
Subject: Re: [Felvtalk] FW: Kit<br>
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<div style="font-size: 13px;color: rgb(0, 0, 0);font-family: arial,sans-serif;">I'd also suggest you hold off on the spay for now, stress is your biggest enemy. Blood loss in a cat spay is almost non-existent, but the stress may cause a relapse. <br>
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The only test for "hemobart" seems to be a PCR. I can't get onto the website, but I think you said she's on Orbax, which is a quinolone, and should be effective against it as well. It does need to be given for three weeks (I do six) so check with your Vet. no need to test if you're already treating :)<br>
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HTH,<br>
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Margo<br>
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<br>
From: Amani Oakley
<br>
Sent: Dec 1, 2015 1:28 PM
<br>
To: "<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>"
<br>
Subject: [Felvtalk] FW: Kit
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I would hold off on the spaying for now. She is in a vulnerable state and doesn’t need the additional stress of surgery (and blood loss). I suspect that the lymph
nodes will start going down as she gets on top of the infection. I’m not sure about testing for Haemobartonella but I guess if it were me, I would do it just in case, so at least I know what I am up against. Haemobartonella is often present with FeLV and can
exacerbate the symptoms or even make a previously asymptomatic cat, symptomatic. It also worsens anemia, lethargy and lack of appetite and can be treated with antibiotics, so if it is present, why not deal with it. It would probably assist in improving the
clinical picture. On the other hand, when I treated Zander for FeLV, I had him on doxycycline anyway, so that is the treatment for Haemobartonella, so even if you don’t test, if you have your cat on something which will address it if it is there, then maybe
you don’t need the actual lab test to be run.</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani</span></div>
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<div class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US"> Felvtalk [<a target="_blank" href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b>Nancy Wizner<br>
<b>Sent:</b> December-01-15 4:17 AM<br>
<b>To:</b> <a target="_blank" href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] Kit</span></div>
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<div class="MsoNormal">Yes you have helped a ton! Thank you. I think question # 4 is should she be tested for hemobart even though she is not infested? I did put the Advantage II on a couple days ago. Oh and one more question- she has an appt on the 14th
to be spayed. Should I cancell this? Also will ask vet on Saturday. Her lymph nodes are swollen. </div>
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<div class="MsoNormal">Thank you! Nancy<br>
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Sent from my iPhone</div>
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On Nov 30, 2015, at 8:07 PM, Amani Oakley <<a target="_blank" href="mailto:aoakley@oakleylegal.com">aoakley@oakleylegal.com</a>> wrote:</div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Hi Nancy</span></div>
<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span></div>
<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I will answer the questions I can.</span></div>
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<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">You can use Epogen or Darbeopoetin to increase red cell production but I have no direct experience with either. However, first, I think that the Winstrol acts
on the precursor cells in the bone marrow that produce red cells, white cells and platelets, and that is why all these cell lines respond to the Winstrol – not just red cell production. Secondly, if the FeLV has had its effect on the bone marrow, making it
hypocellular. It is theorized that the virus blocks the stem cells in the bone marrow and they therefore cannot differentiate into the various cell components of blood (white cells, red cells, platelets). If that has happened, then no amount of erythropoietin-type
derivatives will help since erythropoietin is produced in the renal adrenal glands and the erythropoietin tells the bone marrow to produce red cells but the bone marrow cannot because it has been left depleted of the precursor cells that make the red cells.
The problem with erythropoietin mimics is also that the body stops producing its own erythropoietin if it detects enough circulating in the system, so you may end up causing a worse situation by actually depressing natural erythropoietin production. You don’t
get any of those problems with the WInstrol.</span></div>
<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">No – Winstrol doesn’t cause the body to respond by producing antibodies against the medication.</span></div>
<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Yes – the 1 mg tablets, 2 times a day, are for cats of all weights. If it is a very small kitten, you could try 0.5 mg 2 times a day though I never found it
necessary to use such a low dose. If the cat is in really bad shape and you need to “jump start” the process quickly (eg – severe anemia, significantly reduced appetite, difficulty breathing because of the anemia), I would start with 2 mg 2 times a day until
you start getting a response, either with improved appetite or lab results show an increase in red cell or other cell line counts.</span></div>
<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">4.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I am not sure if there is a question here.
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<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I don’t think Winstrol causes itching – not in my experience in any event.</span></div>
<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">6.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Definitely, if she has worms, they are a drain on her system and certain worms drop red cell counts but I don’t think round worms do that (but I haven’t checked
into that recently).</span></div>
<div class="MsoListParagraph" style="text-indent:-18.0pt;mso-list:l0 level1 lfo2"><span style="mso-list:Ignore">7.<span style="font:7.0pt "Times New Roman"">
</span></span><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">A slight temperature is okay for a while but it is the rest of the stuff that comes with the temperature, like loss of appetite and lethargy, which you have
to watch for.</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">I hope some of this helps.</span></div>
<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span></div>
<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani</span></div>
<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span></div>
<div class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US"> Felvtalk [<a target="_blank" href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b><a target="_blank" href="mailto:gidget43@aol.com">gidget43@aol.com</a><br>
<b>Sent:</b> November-30-15 7:18 PM<br>
<b>To:</b> <a target="_blank" href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] Kit</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Lance, a friend told me about this test. Hardy RL. She told me to have the vet take it as it will tell what stage she is in. Takes about 10 days to get results.
Maybe it goes by another name? Ironically, the vet took it on her own. I never had to ask for it. I have messaged my friend to find out more.
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Also, Lance, I wanted to let you know that I am the founder and Admin of FELINE CHRONIC KIDNEY DISEASE (all caps) on Facebook. I have almost 1, 670 members. I
can certainly help out here with those whose cats have this problem too. </span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">I have many questions. Hope you don't mind, as I am in learning stages. So here I go:</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">1) I see Winstrol listed as the primary treatment for anemia. Can you also use Epogen or Darbeopoetin? </span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">2) Can one develop antibodies with Winstrol? I have heard of this med, but don't know much about it </span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">3) Also, I see you recommend 1 mg tablets. Is this for cats of all weights?</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">4) Kit has fleas. I put Advantage II for kittens on her yesterday.She seems to be itching a bit more. Unless it's my paranoid self. I have heard alot about
the Hemobart test, but I don't think she is infested. Will have a good look though. </span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">5) Could FeLV cause itching?</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">6) She also has round worms, which I gave her a dewormer 2 days ago. Could this bring blood work down?</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">7) Her temp is holding around 101.2 ~ 102.2. This is ok? She is no longer on Onsior.</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">I am doing alot of reading now and hope you don't mind all the questions, as I'm sure I will have more</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Thx, Lance.</span></div>
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<div class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:black">Nancy</span></div>
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