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Old 20.08.2016, 21:00
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FIP or Lymphoma

I am posting an update on Pastel, under a new thread title that is more relevant to the topic.

Here the previous thread - if someone wants to read it:
Aarau (Oberentfelden) vs Zurich Tierspital

As I wrote it is impossible to make a diagnosis, since getting a sample of the fluids would possibly kill her.

I spoke with both vets. The one in Aarau thinks it is FIP, a virus disease with no cure.
The vet is Zurich thinks it is lymphoma - not a happy diagnosis either ...

She has been reacting very well to the steroids and we are continuing this for now. Of course I am concerned about the negative effects of the steroids, eg on the liver and I will give her some supplements to support the liver function.

My big question is if we should treat for lymphoma, which involved heavy (and expensive) medication, without knowing if she has it or not ...

We discussed this with the vet today and decided that as long there aren't any worsening signs we will not go that route.

But of course, if it turns out that she has lymphoma, then this would not be the right decision ...

I have to try to find peace with whatever decision I will make, but that is really not easy ...
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Old 20.08.2016, 21:04
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Re: FIP or Lymphoma

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I am posting an update on Pastel, under a new thread title that is more relevant to the topic.

Here the previous thread - if someone wants to read it:
Aarau (Oberentfelden) vs Zurich Tierspital

As I wrote it is impossible to make a diagnosis, since getting a sample of the fluids would possibly kill her.

I spoke with both vets. The one in Aarau thinks it is FIP, a virus disease with no cure.
The vet is Zurich thinks it is lymphoma - not a happy diagnosis either ...

She has been reacting very well to the steroids and we are continuing this for now. Of course I am concerned about the negative effects of the steroids, eg on the liver and I will give her some supplements to support the liver function.

My big question is if we should treat for lymphoma, which involved heavy (and expensive) medication, without knowing if she has it or not ...

We discussed this with the vet today and decided that as long there aren't any worsening signs we will not go that route.

But of course, if it turns out that she has lymphoma, then this would not be the right decision ...

I have to try to find peace with whatever decision I will make, but that is really not easy ...
I have no advice, unfortunately... but I didn't want to leave without saying how sorry I am for your incredibly hard time and that I wish you and Pastel the best. Take care!

Last edited by glowjupiter; 20.08.2016 at 21:50. Reason: typo
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Old 20.08.2016, 21:35
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Re: FIP or Lymphoma

Oh, what a difficult situation. It's so frustrating when the diagnosis is unclear.

I understand the concerns of side effects with steroid usage - but try not to add to your burdens by worrying too far ahead. With my elderly or critically ill mutts my rule has always been to treat the immediate primary condition, worry about potential side effects later. Bringing relief today is all that matters. We don't know what the future holds, so don't let thoughts of possibilities that may or may surface down the road cloud your focus on today.

I have used S-Adenosylmethionine (SAMe) to support one of mine when on long term steroid use, I believe there is a cat version. BUT I don't know if it is appropriate in the case of either conditions you suspect; this should be a discussion for your vet.

---

I know how very difficult this is, these are both 'head' and 'heart' decisions. But know that any decision made out of love for Pastel will indeed be the right one. Try to find peace in that...

---

As an aside...

Is the vet who is leaning towards lymphoma an oncologist? If not, and if you thought a third opinion might be of help - as opposed to further confusing the situation - perhaps a consultation with the good folks at the Animal Oncology and Imaging Center in Hünenberg ZG might be an option.

www.aoicenter.ch

I've spent a fair amount of time with the oncology team there - they have all been very approachable, very supportive.

It's possible that they might even simply review the tests and reports done to date, which would spare Pastel the stress of another exam. If you think another set of eyes might bring some clarity, perhaps an option.

---
You and Pastel will be in our thoughts. Thumbs pressed for good days, one day at a time.
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Old 21.08.2016, 00:41
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Re: FIP or Lymphoma

Thank you glowjupiter and Meloncolie for your concern.

Yes, I am trying to focus on her actual state and to recover from the shock of the diagnosis. I was not prepared for this - but of course no one ever is.

I will check the use of S-Adenosylmethionine (SAMe) with my vet, thank you for mentioning it.

And consulting with the Animal Oncology and Imaging Center could be an option, but not going there. Without a car, it is just too much.
Even though I was impressed with the vet in Aarau, I can not imagine going back for follow up.

I actually called him for a second opinion about the treatment options. He took time to go over the case and discuss everything and thanked me for keeping him informed, and said that he would welcome further updates. Really nice of him!
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Old 21.08.2016, 11:31
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Re: FIP or Lymphoma

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And consulting with the Animal Oncology and Imaging Center could be an option, but not going there. Without a car, it is just too much.
Even though I was impressed with the vet in Aarau, I can not imagine going back for follow up.
Sorry, I wasn't clear - your vet could simply send the existing test results to AOIC for review, you would not have to travel at all. My vet has done this a few times when initial readings were inconclusive.

---

Sending all sorts of positive thoughts Pastel's way, and hoping for the best.

Last edited by meloncollie; 21.08.2016 at 15:09.
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Old 21.08.2016, 15:47
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Re: FIP or Lymphoma

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Sorry, I wasn't clear - your vet could simply send the existing test results to AOIC for review, you would not have to travel at all. My vet has done this a few times when initial readings were inconclusive.
yes, that is also how I understood it (partly)

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Sending all sorts of positive thoughts Pastel's way, and hoping for the best.
Many thanks!
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Old 11.10.2016, 21:58
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Re: FIP or Lymphoma

How's Pastel?
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Old 12.10.2016, 01:20
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Re: FIP or Lymphoma

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How's Pastel?
Dear Glowjupiter,
Thank you for keeping her in your mind and for asking.

I was going to wait on more month to give an update - once we would take her off medication, if possible.

She doing very well. The steroids have been helping her improve greatly!

If it was not for the looseness of her tendons when she is lying and her front paws sliding on the floor when she is sitting on her butt, she seems pretty normal.

She is back on my bed at night, climbs on the tree and scratches it to "make her nails".

And her appetite is great - but this is certainly also due to the steroids.

We have been reducing the dosage constantly. She is now on 1x 3 drops every 3rd day - from 2x 4 drops every day. And so far so good.
Will go to 1x 3 drops every 4th day for 2-3 weeks and then try to stop completely and see.

This withing the next 4 weeks, or maybe later, after my return from a trip I have to make in November.

So, let's keep our paws crossed!
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Old 15.10.2016, 16:29
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Re: FIP or Lymphoma

So glad to hear this, Swissnyc.

I'm confident that Pastel will celebrate a steroid-free Christmas/Hanukkah/other holiday.

Sure she knows this as well - and is prepping her nails so as to perfect them for the occasion. Perhaps EF should put together a collection for some giftwrap on which she can perfect her methods.


Keeping everything crossed!!!
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Old 15.10.2016, 23:47
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Re: FIP or Lymphoma

Dear Glowjupiter,

Thank you so much for your wonderful and kind words.

Just spoke to the vet today, we'll keep her 1 week longer on actual dosage and see if we can reduce it.
Up till now, there have a been a constant improvement, but we may have reached a plateau. And as long as she is not regressing, I think we'll keep it that way.

I will keep you posted.

And thank you for the gift-wrap idea, but my little lady scratches only vertical items - unlike my boy who scratches only horizontal surfaces ...

Last edited by swissnyc; 16.10.2016 at 01:46.
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Old 16.10.2016, 00:34
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Re: FIP or Lymphoma

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Dear Glowjupiter,

Thank you so much for your wonderful and kind words.

Just spoke to the vet today, we'll keep her 1 week longer on actual dosage and see if we can reduce it.
Up till now, there have a been a constant improvement, but we may have reached a plateau. And as long as she is not regressing, I think we'll keep it that way.

I will keep you posted.
Happy news!

Quote:
And thank you for the gift-wrap idea, but my little lady scratches only vertical items - unlike my boy that scratches only horizontal surfaces ...
Then we'll just have to gift-wrap a virtual scratching post for your little furball.
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