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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">The darned message BOUNCED AGAIN!!!!<o:p></o:p></span></p>
<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">Sherri, this was my response to you from yesterday, but I don’t think it posted and the annoying message about my message being reviewed, ended up stuck in my
Junk Mail, where I didn’t see it.<o:p></o:p></span></p>
<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>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"><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""> Amani Oakley
<br>
<b>Sent:</b> January-05-17 9:23 PM<br>
<b>To:</b> 'felvtalk@felineleukemia.org'<br>
<b>Subject:</b> RE: [Felvtalk] FW: Greetings & Bogey's Doc Visit<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Nah – WE were awfully lucky to have Zander, and I sure do miss my little angel. We loved him so very very much.<o:p></o:p></span></p>
<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>
<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">P.S. – with the Winstrol, I was very lucky to be able to get it in pill form. The compounding pharmacy my vets used, makes it in pretty small pills that very
easily dissolve. Perhaps you can speak with your vet about getting it in a 1 mg pill form. It is a lot easier than the capsules. With respect to the Doxycycline, I recently learned (to my very great surprise) that the same Doxycycline we use on cats (and on
people for that matter) is sold in powdered packages for use for fish and birds in 100 mg amounts. It is the self-same stuff, and you don’t need a prescription to buy it. It already comes completely powdered, so if you are going to grind it down anyway, you
might consider that option.<o:p></o:p></span></p>
<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">P.P.S – you have lost significant ground on the haematology front from where you were in December. Perhaps consider starting Bogey back up on 2 mg 2x a day for
2 or 3 days or so, and then dropping down to 1mg 2x a day.<o:p></o:p></span></p>
<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"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D"><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 [<a href="mailto:felvtalk-bounces@felineleukemia.org">mailto:felvtalk-bounces@felineleukemia.org</a>]
<b>On Behalf Of </b>Sherri Godschalk<br>
<b>Sent:</b> January-05-17 9:24 PM<br>
<b>To:</b> <a href="mailto:felvtalk@felineleukemia.org">felvtalk@felineleukemia.org</a><br>
<b>Subject:</b> Re: [Felvtalk] FW: Greetings & Bogey's Doc Visit<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">I was leaning that way Amani and you just cemented it for me. I am just going to dump that powder down the middle the best I can and give her half AM and half
PM. I think I will do the same with the Pred (split the pill). 5mg at once seems like a lot for this little cat. (6lb 5oz). She may feel better having it that way anyway. <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"><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 to say, I have trouble getting Bogey to take that Doxy. It must really taste bad. I am going to try to crush it and put it in ice cream or yogurt this
time around. I also feel that the dose she is on for that is high. 25mg twice a day. They cut the pills poorly the first time around and the “parts” were smaller. When they refilled, they had the 100mg cut in actual quarters and she took ill shortly after
we started her back on it in December. <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"><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">My hope is that Bogey will be able to come off the meds for some periods like your Zander did. I thought I was getting better at noticing pinkness in gums and
nose but clearly I haven’t mastered that yet. I looked at her gums today and they looked awfully pink compared to 4 months ago. I tried to get her to sit still while I took a pic of them for reference…gonna have to get another pair of hands for that kind of
photography. :-) <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"><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">We are about 4.5 months into this treatment. I hope that by restarting the regiment of meds, with some changes, her numbers will come up to where they were in
December. I think we were really making progress.<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"><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">Yea I don’t understand the “icteric” either. Just gonna accept that something looked off to the tech and trust the results. (and you)<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"><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">Your Zander…was a lucky little boy to have you!<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"><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, January 5, 2017 at 8:47 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] FW: Greetings & Bogey's Doc Visit<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"><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">I would suggest 1 mg 2x a day then, Sherri. I had Zander on 2 mg 2x a day but only right at the start for a month or so to “kickstart” the process because his
haematocrit was soooo low. I think the usually recommended dose for Winstrol for cats is 1 mg twice a day. I gave Zander his pills all at once – prednisone, Winstrol and Doxycycline. I suspect that the problems you encountered are far more likely to be related
to the higher Winstrol dose than the staggering of the medication. </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">Now that you have clarified the dosing for Bogey, I think that the problem was the high dosing of the Stanazolol. I think if you drop it by half, and keep everything
else the same, you might get a better response. Frankly, though, it is the very fact that the numbers tumble every time the meds are pulled, that convinces me that it is definitely the meds that are making such a significant difference in the levels. I really
found, with Zander, that it took more than 10 months before the numbers would “stick” – ie – when I discontinued the meds, that the numbers wouldn’t start to immediately decline, and I was testing him weekly. I could always see an immediate reaction in the
blood work, if I pulled him off the Winstrol.</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">With Zander, after the 10 month period, I was able to wean him down, but that probably took another 6 months or more. Thereafter, I watched him like a hawk, and
any time I saw his gums or ears fading in colour (and I got pretty good at seeing it, as you might imagine) I would put him back on the meds for a 6-8 week course, and that tended to straighten him back up 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">I don’t know what to make of the description of icteric, because, like I said, the only way serum would become icteric is from an elevated bilirubin count, and
the bilirubin was completely normal. However, even if the tech mixed up the description, that doesn’t mean the lab results are mixed up. The latest results are awfully close to the results from before December, so I wouldn’t assume they belong to another cat.
Determining if a sample is icteric simply requires the tech to hold up the tube and look at the colour of the serum. It is possible she wrote down icteric on this sample, but it was another sample which was icteric. I am fairly confident that the serum was
not icteric, though.</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="font-size:10.5pt;font-family:"Calibri","sans-serif";color:black">
<o:p></o:p></span></p>
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