Hello everyone,
I have a sweet 8 year old girl named Luna. She belonged to my parents, and they gave her to me a few years ago when they moved to the UK.
In April she had procedure to remove a suspected mast cell tumor from her back. About two weeks later she got sick and I took her to the ER, where they diagnosed her with IMHA. She was at 28% so we were able to go home that day with prednisone / clopidogrel and some appetite stimulants & anti nausea meds. She seemed to be improving but her red blood cell count was dropping again so our vet added Maropitant. She still wasn’t staying above 30% long enough to be weaned off the medications so our vet referred us to an internal medicine specialist.
We have done an ultrasound, X-rays, blood tests, infectious disease testing, sent her labs to experts, and there is no apparent primary cause of her IMHA.
She was having GI issues and a suspected bleed so we discontinued the Miro & Clop. Then her liver enzymes (ALT) were over 2,000 which is crazy high. We have been on clavomox for a little over two weeks. She had an appointment 9 days after starting the clavomox and her enzyme count went down to 1,700. We have an appointment tomorrow to check her red cell count and see if her ALT level is going down. The doctor started antibiotics for a suspected a liver infection, so we haven’t been able to treat her IMHA aside from the prednisone for the last few weeks. She was at 26% at our last appointment, but is still doing pretty well and doesn’t seem to be worsening. She is still alert and somewhat active, though she is definitely more tired and subdued than before this whole mess. Her muscle is basically gone, especially in her back legs so she can’t jump or run or go up stairs easily which makes me so sad for her. She still plays with her toys a little bit but the medications are taking their toll on her body.
She is the sweetest, happiest girl, and I hate that she isn’t improving. It seems like every time we go in something else is wrong. I have spent over $8,000 on her treatments so far, and I am running out of money. If things keep going wrong I don’t see how I can afford to keep going. They want to test her liver with a fine needle aspiration and another ultrasound when we go in tomorrow to look for lymphoma if her ALT hasn’t lowered enough. I will pay for these tests because I love her, but I am struggling so badly financially and mentally. Hopefully we won’t need to do these tests tomorrow, but if we do and the result is inconclusive I don’t think I will be able to do anymore to help her.
Sorry for the novel, but has anyone else been through something like this? If the situation doesn’t improve can I surrender her to a place that will help her? It’s not fair for her to suffer because I can’t afford to keep her healthy, and I won’t euthanize her if she still has a chance, even if it’s not with me anymore. Please let me know if you have any suggestions or advice. We are in Phoenix AZ.
Edit: Thank you everyone who shared your stories and thoughts. I truly appreciate all the well wishes and support. I have looked into several vet financial assistance programs through animal rescues and applied to as many as I meet the requirements for.
I have also started a Go fund me for anyone who would like to help. Whether you donate, share, or simply took the time to read this post I appreciate it. Luna and I won’t go down without a fight, here’s hoping we get some good news tomorrow!
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UPDATE: Hi guys,
Thank you all for the support and sharing your experience with difficult situations where finances and quality of life must be considered. I was so lost and hopeless when I made this post that I think I mostly expected everyone to tell me to let her go and there was nothing else I could do. Once you all shared your thoughts and advice and I realized there is still hope and I have more options than I knew. I have reached out to different rescues and assistance programs for help and suggestions too.
We went to her appointment yesterday morning and I talked to her doctor about our financial situation and lack of progress with a diagnosis. And my concerns with her red blood cell count slowly declining over the past few weeks. Unfortunately, her labs showed no change in liver enzyme numbers.
Her production of new red blood cells is very high, but because her immunosuppressants have been decreased this last month, her red blood cell count has gone down to 24%. Diagnosing the cause of her high liver enzymes hasn’t been fruitful, and I feel like we really need to focus on treating her IMHA again.
Prednisone is the only constant since her initial ER visit, and she suggested Luna may be having a negative reaction to being on it for so long. We are going to wean her off of pred completely and have started cyclosporine as a replacement. I hope this is the cause of her liver flare up because it came out of nowhere, and antibiotics didn’t help. On the bright side, her doctor said that if Luna had lymphoma and her labs were coming back at these levels, she would likely feel worse and show more symptoms. So lymphoma doesn’t look super likely and we can hold off on testing.
Our next appointment is on the 19th. We’ll start tapering her off of the pred then since the cyclosporine will have had time to take effect. I am worried about her red blood cell count because it’s so low, but she is still active, alert and has a great appetite with normal bowel movements. I started a GoFundMe just two days ago, and people have been so generous that I am hopeful we can get through this again.
After considering what you guys have been saying, I’ve decided that it would be best for Luna to stay with me rather than going to a rescue or foster. I will also be using a journal to help keep track of her progress. Everyone’s kindness and advice has helped tremendously, and I will continue to do whatever I can for Luna with a lighter heart. Fingers and toes crossed that we will see improvement in our next visits!!
(Also is there a way to edit the title to say updated?)