Hey Caroline,

I'm glad to hear that your vet is using Epogen. 
That's probably one of the most, if not the most,
effective drugs in treating anemia.  I am surprised
that she didn't just remove the leg itself instead of
just the tumor (I know that sounds callous, but
considering the alternative, I'd vote to remove the
leg).  I don't know what the stats are on tumors
coming back after surgery in felines, but I am
guessing it's fairly high.  The yahoo lymphoma group
might have a better knowledge of this, and actual
scenarios similar to Monkee's if you want to check
them out.   Does your vet say what type of cancer
Monkee had, based on a biopsy after the surgery? 
That's important to know also.  In fact, that probably
should have been known before the chemo was given,
because the type of chemo is based on the type of
cancer, but I'm not sure how I know that, so it might
not be right.  Also, we don't see a lot of cancer in
the limbs from FeLV, at least not here.  It's more in
the lungs, and stomach, so I was surprised when you
mentioned Monkee's leg.  It makes me wonder if Monkee
didn't have Injection Site Sarcoma or Vaccine
Associated Sarcoma (VAS).  Has Monkee received
vaccines where the cancer was located?  Sarcoma
(fibrosarcoma) is a different form of cancer from
lymphoma, if I'm not mistaken.

If your vet feels there is time for the Epogen to
work, then the HCT count is probably not too low. 
That's a good thing.  It's when the HCT is around 7-9
or lower when we see a lot of our furbabies often lose
their battles to the anemia.  And if Monkee is FeLV+,
then it's entirely possible that the cancer is
unrelated based on where it was, and that the stress
of the surgery is what is causing the FeLV to kick in,
surpressing the immune system, thus the anemia.  The
two most important things in caring for FeLV+
furbabies are a good diet with supplements, and a
stress free environment.   You might consider starting
Monkee on lysine, which is an immune system
supplement.  If you do, post here so you can get the
specifics, because there are just a few guidelines to
follow.  There are other supplements too.

You are right about the veterinary world not knowing
much about FeLV.  It's kind of like AIDS in that it's
a fairly 'new' disease, or newly diagnosed.  There are
still so many, too many, unanswered questions about
FeLV.  The scary thing is I feel strongly that WE here
are figuring out some things through trial and error
before the veterinary community is!!!  Or at least
making it known.  For instance, a lot of vets have no
idea what ImmunoRegulin (IR) is, but a lot of people
use it to combat feline fevers and to fight FeLV. 
Even the Best Friends Animal Sanctuary gives sub-M
injections of the IR once a month to their furbabies
in Casa de Calmar, the FeLV sanctuary.  It's really
scary how little the general veterinary population
knows about new developments.  Which makes me wonder
about human doctors!  lol.  My own vet was overdosing
my hyperthyroid cat, even after I told him the
information I had learned from the hyperT group, which
was to start at a certain dose, but he insisted that
this other dose was the standard.  And guess what, my
cat had really bad side effects.  When we restarted
her on the meds at the lower dose, lo and behold, she
fared just fine on the meds, even with an increase at
a later date.  I even wrote a letter to one of the
professors at Texas A&M University about the Tapazole
overdosing world wide (learned from all the members
who've experienced it on the hyper T site).  He called
me and assured me that they do teach the lower dosing.
 So I think in general there is a lack of
communication between the universities (those that do
the research) and the vets who are already practicing.
 That is why one of the most important thing anyone
can do for their pets is to do their own research in a
very discerning way, and see what options they have,
rather than lean only on the knowledge their vet has,
which can never be omniscient.  I'm glad you are doing
that for Monkee.  Sadly, so many do not.  I will say
we probably are the best source of info. on FeLV you
will find.  A lot of people here have already done a
lot of research on the net and brought it here and
it's archived if you ever want to go through the
archives and search using various keywords.  Here is
the link to the most recent posts:
http://www.mail-archive.com/felvtalk%40felineleukemia.org/.
 You will muddle through a lot of posts, but will find
valuable info.  I have a sick kitty manual that I've
been working on also that I have not updated in a
year, and I need to update that and get it out to the
members soon.  I may work on that today and get it out
to you asap.

Please post after you've visited your vet.  I hope the
Epogen is working.  Anemia can be horrible (I lost my
Cricket to it), but it's wonderful when it's reversed,
which we have seen happen here!!!

Best wishes for a lucrative vet visit today!
:)
Wendy

"Never doubt that a small group of thoughtful committed citizens can change the 
world - indeed it is the only thing that ever has!"     ~~~ Margaret Meade ~~~



       
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