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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">You can take your milk and dilute it with warm water and stir it around.
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Felvtalk [mailto:felvtalk-bounces@felineleukemia.org]
<b>On Behalf Of </b>Sherri Godschalk<br>
<b>Sent:</b> December-15-16 8:13 AM<br>
<b>To:</b> felvtalk@felineleukemia.org<br>
<b>Subject:</b> Re: [Felvtalk] FW: FW: Update on Bogey My FELV + Cat<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">Hi Amani. This morning’s urine was also pretty clear. I will pick up some baby food today. She isn’t refusing to eat. She just is really too weak. If I hold her
and let her lick it off my hand she does great. Almost a half of a 5.5 oz can already today. She has not vomited. I thought about milk but she has yet to have a bowel movement and I didn’t want to constipate her more. I think I will offer her some at next
feeding. I drink whole milk so I think I will pick up some Whiskas today too.<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">I was surprised that the vet told me to start the Winstrol again so soon. I thought that was not a good plan. <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">Thanks for the input Amani.<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">From:
</span></b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">Felvtalk <<a href="mailto:felvtalk-bounces@felineleukemia.org">felvtalk-bounces@felineleukemia.org</a>> on behalf of Amani Oakley <<a href="mailto:aoakley@oakleylegal.com">aoakley@oakleylegal.com</a>><br>
<b>Reply-To: </b><<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br>
<b>Date: </b>Thursday, December 15, 2016 at 7:42 AM<br>
<b>To: </b>"<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>" <<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br>
<b>Subject: </b>[Felvtalk] FW: FW: Update on Bogey My FELV + Cat<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Sherri</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">There isn’t any hurry to get her back on the Winstrol. I would wait. Her haematology numbers give you quite a significant cushion to rely upon. Winstrol likely
strains the liver, so you want the liver to rest for a while. </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">It sounds like she is better, though. I recommend baby food, which you can syringe feed into her. Keep up the feeding. It is good that the first urine was orange
but the next wasn’t. She is hopefully clearing out the bilirubin. I think fluids are important to help with that, too. Have you tried some very diluted milk or some Whiskas milk? That might encourage her to drink some more.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">From:</span></b><span lang="EN-US" style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> Felvtalk [<a href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b>Sherri Godschalk<br>
<b>Sent:</b> December-15-16 7:42 AM<br>
<b>To:</b> <a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] FW: Update on Bogey My FELV + Cat</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">Just a little update for any of you following Bogey’s progress here or others who find these posts helpful.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">First day home from hospital. She of course wasn’t interested in eating. But I would sit with her and she would lick Hill’s L/d and a/d from my finger. She ate
over a full can total. Every hour or so I gave her about a tablespoon. Alternating between the two. I also am giving her water and a few drops of Pedialite each time. The first time she urinated it was very orange about 2 pm. She didn’t urinate again until
last night around 10 and was clear. She actually went to her water dish last night and took a couple of laps. She is still weak and wobbly. But she know where things are. Still seems out of it though. I doubt that she slept at all while in the hospital so
I am just letting her rest. She is curled up on a bean bag chair right now with a heating pad on her.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">She isn’t suffering or getting worse.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">I have yet to start her back on the Winstrol but may do that today if the jaundice continues to show improvement. Might make her feel stronger.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">Thanks for reading.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">Sherri</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">From:
</span></b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">Felvtalk <<a href="mailto:felvtalk-bounces@felineleukemia.org">felvtalk-bounces@felineleukemia.org</a>> on behalf of Amani Oakley <<a href="mailto:aoakley@oakleylegal.com">aoakley@oakleylegal.com</a>><br>
<b>Reply-To: </b><<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br>
<b>Date: </b>Tuesday, December 13, 2016 at 9:21 PM<br>
<b>To: </b>"<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>" <<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br>
<b>Subject: </b>[Felvtalk] FW: Update on Bogey My FELV + Cat</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Sherri</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">The yellow discolouration takes a bit of time to ebb away. The more important indicator of how she is doing is that she is more steady on her feet and has an
interest in eating. She has clearly improved, so don’t let the yellow colour concern you. It should fade away on its own.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">After tonight, if she is as good as you saw her today, I would take her home. She needs to eat, and needs to be nudged to eat as much as possible. That will help
get rid of some of the bilirubin as some of it is excreted in feces. It will also improve her outlook on life if she is eating again.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Later on, you can follow up on the glucose. Glucose doesn’t just rise above the normal reference range with diabetes. Animals and people will have an elevated
glucose when the body is in crisis or in pain. Retest her at a time when she is feeling better. For the potassium (which is the “K” number) it is just barely low. I would not leave her at the vet’s or give her more fluids just for that.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">However, I would ask for her bloodwork to be retested after the fluids. Ideally, you should start to see the bilirubin, GGT and ALT dropping. The potassium may
also now be in the reference range, and let’s see what the glucose looks like.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">One key thing I was taught was that you treat the patient, not the numbers. I follow the lab numbers closely, but the more important thing, is how is she doing.
She is improving and hopefully will continue to do so. I think that a retest of her blood work should confirm that.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Take her home as soon as possible and give her some TLC!</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Was the can of salmon a can of catfood salmon or human food salmon? If catfood, I understand that there have been incidents of liver failure because of an additive/preservative
called ethoxyquin which is added to fish or fish meal. (Fish meal can also sometimes be contaminated with mycotoxins which might also have a deleterious effect on the liver.) That might also explain why the jaundice seemed to come on so suddenly after ingestion.
Do a Google search on the brand name and see if others have reported a problem. </span>
<span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Amani</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
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