Monday, March 23, 2009

another PCV drop, transfusion, TLI results

her blood draw on the 24th of january revealed only a 17% (down from 26% 3 weeks earlier)
the next week on the 31st she was down to 15%
this was pretty devastating as she had been holding in the mid 20's for a long long while.
we had to transfuse her on february 3rd and 2 weeks later her PCV only revealed a 16%
this was her 9th blood transfusion and first since 2007...
very sad that we could potentially be back to that.
on the 14th i upped her prednisone from 2.5mg EOD to 5mg EOD.
(the standard processing supplements were started on the 3rd of feb.)

the daily problem i wrestled with was that i couldn't continue 'being patient' when sway was just wasting away in front of me...
my vets did not think she had EPI but i wanted to officially test her for it as i just needed to know one way or the other,
...sway is such a champ and loving life thru such multi-faceted dire conditions, but her anorexia is just a daily devastation.

on february 21 she was given a 3-part blood test (trypsin-like immunoreact) to confirm-deny an EPI diagnosis.
when the results came back the numbers showed it was not EPI, however the folate portion did officially diagnose sway with SIBO...
this is all so frustrating.
i was positive this was what was co-affecting my girl (in combo with AIHA) - i'm still quite confused that the numbers came back the way they did.
...almost in the exact opposite direction of an EPI diagnosis, instead showing borderline pancreatitis or renal dysfunction.

click here for her TLI results

i am going to keep her on the pancreatic enzymes for now, as i hope they are helping in digestion.
she is still on her weekly steroid injection.
i've also re-started the b12 and iron injections that she was getting every 3 weeks thruout most of 2008.
this time i'm giving b12 injections every week and phasing down in 6 week intervals.
iron staying tri-weekly.

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