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Hi Ruth,
it sounds that Nula is in excellent hands and you have lots of reasons to be positive about her treatment and the outcome. Nula is hanging in and you will see that once she is home with you, she will improve by leaps and bounds.
One thing I know about transfusions, my knowledge is not scientific as Patrices :) the donor should be at least 50 pounds. I doubt if that would be the case for Nula’s litter mate.
Best wishes, thinking of you and Nula,
Brigitte
Hi Ruth
You are GREAT! You are doing a fantastic job at making sure Nula gets the care she needs. I am very pleased to hear that there is another steroid now – it would help if we knew exactly what they are giving her & in what doses etc, but it sounds much better on the treatment point of view. Promise not to laugh at me – I couldn’t get to sleep because I was thinking about Nula!
Many vets forget that only small (frequent if necessary) transfusions should be given to bring the PCV up to approximately 25, otherwise the body will not start to produce it’s own red cells again as it thinks it has enough. I was also thinking last night that transfusions can sometimes cause a drop in platelets in people, so I would imagine the same applies to dogs. Do you know if her platelets were low before the first transfusion? I know this must seem very complicated & worrying for you. Don’t forget you can order crossmatched blood & blood products from
http://www.petbloodbankuk.org/about-us/
That is the safest way to do it, unless her litter mate is an exact match, which is not always the case. We have information on blood transfusions on this site – when you get a minute, have a look at
https://www.secondchanceaihadogs.com/AIHA_Terms/transfusion/
You can print off any of the information in the AIHA Terms section & take it to the vets if you want.
If you can get as much information as possible from the vets, it would help us to help you more.
In the meantime, I am sending you my best thoughts – please know I am thinking about you & Nula all the time. She sounds like such a little fighter too. Keep us up-to-date with any news when you can. She really needs to be in hospital until she is stabilised – it is impossible for you to look after her at home while she is like this, so don’t be tempted to bring her home too early – and DON’T feel guilty about having to leave her there.
Big Hugs from Sheena, Worzel & Ollie
Patrice – that would be a great question to ask about the pred – very interesting point. I’ve always wondered about the every other day logic – maybe there is a good reason. Ollie also had his rabies jab Tuesday & sends his sympathies to Cassie as he has to put up with the looking at gums treatment too. He was not feeling good in the evening & yesterday, but is perky again today. He needs to lose a couple of kilos too – greedy boy! Hope Cassie’s toe is OK – why do they have to worry us so much? I have a supply of odd socks (the twin of the ones the sock monster eats in the washing machine) for Worzel’s regular foot injuries. I have never known a dog to cut his feet so often & I have no idea how he does it!
Hi Vally
You BRAVE girl. That funny lad of yours is such a wind-up merchant – I bet he knows you are watching him! Wishing you luck with dropping the dose & hope the weather cools off a bit too – it really bothers them. The massage must have done you the world of good – you deserve it so much after all this stress.
Right, now Bingo, I wan’t some lively antics from you to make your Mum happy & give us all a good laugh.
All our best wishes & hugs to Bingo from Sheena, Worzel & Fatty
Hi Tara
So HAPPY to hear Diablo is stable now – crossing everything that he is on the mend now. Don’t you dare feel guilty about thinking about yourself & your boy – you have had such a rough & stressful time. I bet he looks even more handsome after his beauty treatment!
Every time Worzel throws up or gets diarrhea, I panic a bit too! It’s only natural to worry that it’s something sinister when they have been so ill before.
Look after yourselves & let us know how things are going when you can.
Loads of love & hugs, Sheena, Worzel & Ollie too.
Hi Ruth
Thicko here didn’t realise you were in the UK! Sorry. I am in France, by the way, but used to live near Oxford. I got in contact with Mary through a friend in Cambridge (who works at MRC) believe it or not!
Here is a UK bloodbank link
http://www.petbloodbankuk.org/about-us/
I saw a lady on The One Show with a very beautiful standard poodle who had survived AIHA thanks to many transfusions (Ithink about 12 or so) & the bloodbank was also featured on the programme.
As you say, this is even more rare in the UK, probably because we don’t have so many ticks & tick-borne diseases there, but sadly that also makes it rare for the vets to have come across it before. I’m sorry to be so hard on you about this, but it is VERY important that they add another longer acting immuno-suppressant immediately – Prednisolone on it’s own is not enough. Also treat with high dose doxycycline (or other appropriate antibiotic) if there is the slightest suspicion of an infection. I know it’s late now over there, but I would ask you to mention these things strongly to your vet as soon as you can. Maybe they are doing these things already, but you need to be sure for the sake of Nula making a good recovery. Be polite, but firm. I have had to do this over something & it is not easy, but any good vet should always welcome advice. We can provide you with veterinary research links if you need to back this treatment protocol advice up. I don’t want to make you more stressed, but I would never forgive myself for not pushing you to do this urgently.
Quick word on Oxyglobin – it doesn’t last long but buys time for a good cross match. It must never be used for dogs with Erlichiosis (which is a tick borne disease which can be transmitted by sheep ticks the UK) unless there is absolutely no alternative. It is also only for treatment of anaemia & will not help the platelet level.
I am so glad Samantha is with us – she of all people can reassure you that Nula can fight this – please keep positive – the early days are frightening & the worst time. Please be really positive in front of Nula too – they feed from our emotions & if you are confident, she will feel better too!
Try & get some rest too – I expect you are completely worn out with the worry. Apologies for pushing you so hard on this – someone on here did this for me & am eternally grateful to her.
Thinking of you & sending all our best wishes
Sheena, Worzel & Ollie
xxx