<html><head></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; color: rgb(0, 0, 0); font-size: 14px; font-family: Calibri, sans-serif;"><div>Just a little update for any of you following Bogey’s progress here or others who find these posts helpful.</div><div><br></div><div>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.</div><div><br></div><div>She isn’t suffering or getting worse.</div><div><br></div><div>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.</div><div><br></div><div>Thanks for reading.</div><div><br></div><div>Sherri</div><div><br></div><span id="OLK_SRC_BODY_SECTION"><div style="font-family:Calibri; font-size:11pt; text-align:left; color:black; BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 0in; PADDING-LEFT: 0in; PADDING-RIGHT: 0in; BORDER-TOP: #b5c4df 1pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 3pt"><span style="font-weight:bold">From: </span> 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><span style="font-weight:bold">Reply-To: </span> <<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br><span style="font-weight:bold">Date: </span> Tuesday, December 13, 2016 at 9:21 PM<br><span style="font-weight:bold">To: </span> "<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>" <<a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a>><br><span style="font-weight:bold">Subject: </span> [Felvtalk] FW: Update on Bogey My FELV + Cat<br></div><div><br></div><div xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><meta name="Generator" content="Microsoft Word 14 (filtered medium)"><style><!--
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</o:shapelayout></xml><![endif]--><div lang="EN-CA" link="blue" vlink="purple"><div class="WordSection1"><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Sherri<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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.<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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.<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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.<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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.<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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.<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Take her home as soon as possible and give her some TLC!<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">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. <o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Amani<o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"><o:p> </o:p></span></p><div><div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm"><p class="MsoNormal"><b><span lang="EN-US" style="font-size: 10pt; font-family: Tahoma, sans-serif;">From:</span></b><span lang="EN-US" style="font-size: 10pt; font-family: Tahoma, sans-serif;"> 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-13-16 8:26 PM<br><b>To:</b> <a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br><b>Subject:</b> Re: [Felvtalk] Update on Bogey My FELV + Cat<o:p></o:p></span></p></div></div><p class="MsoNormal"><o:p> </o:p></p><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">Amani,<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">I noticed the glucose right away. I had a diabetic dog that required insulin twice a day and so that number stuck out. I believe these tests were before the IV.
I didn’t look at the bag closely that they were giving her but I think it was Dextrose. I will ask him about that tomorrow. With this jaundice…is the fact that it really hasn’t gotten any better an indicator that she isn’t any better? Or does that take a
while to return to normal? I will also ask him about the potassium. Is that the K number?<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">She had an interest in a can of salmon that I opened on Saturday. So I sat aside a little for her and fed it to her bits at a time for a couple of days before
this all happened. I told the vet about it. She never had salmon before. He didn’t think that was anything.<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">The doxy clearly made a huge difference. Around the house here, she just came alive after the first week of being on it. That tip, and the doc finally agreeing
to prescribe it…saved her life I believe. Thank you so much.<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">I don’t think they are giving her one other than that bag of fluid. He really didn’t want to do anything and I actually begged him to hospitalize her and give
her a chance. I am sure he thought her blood tests would show the very worst.<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;">Thanks for the feedback on these test results Amani. I feel a little hopeful tonight. She is never very comfortable at the Vet’s office. She is looking for a
way to escape normally or someplace to hide. Once she gets home she is fine. She hates her cage. But when I sat her on the floor to let her try to walk a little she headed straight for it. I think she would like to come home.<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm"><p class="MsoNormal"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif; color: black;">From:
</span></b><span style="font-size: 11pt; 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 7:47 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>Re: [Felvtalk] Update on Bogey My FELV + Cat<o:p></o:p></span></p></div><div><p class="MsoNormal"><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p> </o:p></span></p></div><div><div><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Sherri</span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">The results aren’t that bad at all. I have seen Total Billirubins (TBili) in the thousands and the babies/humans and animals survived. The liver enzymes are barely
budged. They are wee bit up but again, I have seen them in the thousands with no effect on the cats. There may have been a gallbladder blockage or something like that, (though I don’t know if cats get these). This may have been washed out by the fluids she
is getting.</span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Your explanation regarding adding the Doxycycline explains everything. What I have repeatedly said in this forum is that you need the combination of Winstrol
to up the cell production and Doxycycline to retard the reproduction of the viruses. You can see the difference in the results once the Doxycycline was added at the end of October.</span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">I am hoping that Bogey is out of the woods now. I don’t think that either the Doxy or the Winstrol are the culprit here. The Winstrol is likely getting the liver
enzymes to increase a bit but only a very small bit. The ALT and GGT are the only ones a bit elevated, but again, I have seen these in the thousands – especially the ALT.
</span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">I do notice however that her potassium is a bit low (I hope they were giving her some potassium in the fluids) and her glucose is a bit high. Did they give her
dextrose?</span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style="color:black"><o:p></o:p></span></p><p class="MsoNormal"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Amani</span><span style="font-size: 10.5pt; font-family: Calibri, sans-serif; color: black;"><o:p></o:p></span></p></div></div></div></div></div>
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