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Topics - Bbell

#1
Hi Everyone,

My girl Bluebell was diagnosed late 2015 \ 2016 with IMHA, after a battle we got that under control. Approximately a year later we had weaned off all meds, but this only lasted 1 week. Early 2017 she relapsed / developed IMT. This is where we have been since. Yoyo-ing numbers and no successful weaning protocol. Last wobble was at Xmas, a change in cocktail of drugs (swapped out Atopica for Leflunomide) saw a huge rise in platelet numbers but since then a constant gradual decrease. We are currently at 80.

She isn't crashing (partly because the vet and I are catching any anomalies in behaviour / readings early) but isnt getting better either. They seem reluctant to take her spleen out but I wonder if this might have to be our next step?

She is definately not adhering to normal protocol and so 2 years on we're still on Prednisone, with all its horrid side effects.

Any advice or thoughts greatfully recieved xx


#2
Hello. Bluebell was diagnosed a year ago but has relapsed this week ... these are notes from today ... Has anyone experienced anything similar? x

Bluebell is still at the RVC and the lady rang me (she had a strong french accent - it's bad enough understanding the jargon in English! :) she said that generally BB is OK, her PVC is 54, but that she is bleeding from her bottom probably due to new drugs :( they checked and are not worried about anemia. The bruising on her tummy is also getting better and no new/other bruises or bleeds. They believe this to be a gastro upset so will try immunoglobins (?) to coat the platelets causing less irritation in the gut. If this doesn't work she mentioned a drug that can also be taken by humans to produce more platelets but it's very expensiv (can't remember the name) I think this is all as I understood it ...
UPDATE A FEW HOURS AFTER: They just called again ... she has now more bleeding and bruising in her legs and tummy, they are growingly concerned and will do 3 more things straight away (excuse my spelling) 1. IVIT immunoglobin to stop further destruction of platelets (this is the expensive one £400 / 450 per bottle (she needs 2) 2. Trinoclimic Acid to keep the clots in place (this was the human one?) and 3. Desopresin, a hormone to release platelets. They say though that she is fairly cheery