Linda and Bear Man
Member Since 2009
Last week: viewtopic.php?f=9&t=18832&p=186634#p186634
Thread on Health: viewtopic.php?f=28&t=19350
Most recent blood work results: https://docs.google.com/fileview?id=0Bw ... y=CJ38lKIC
Bear has reached the crossroad that I have been dreading. His bloodwork results from this week showed that his hematocrit has dropped to .19, which is the level at which his vet recommended that he start treatment with Darbepoietin. His thyroid has normalized, his kidney results have worsened as a result, and his pulse is still very high. The options for obtaining Darbepoietin are much more limited here in Canada than they are in the US. There seem to be some logistical problems with accurately measuring and delivering the correct dosage (see Health thread if interested in more detail). Bear's primary vet has been away recovering from surgery, but she is back in next week on limited hours, and I expect to discuss going ahead with the shots with her on Monday. While she has suggested quite a high starting dose, I have been researching various protocols, and find it unsettling that there is such a wide variation in approaches to dosing.
I consider this to be the start of a new, and possibly the final, leg of his journey. This is a treatment which could potentially give him a few more months of comfortable life, or which could have life threatening side effects. The alternative is to do nothing, and allow him to die of anemia. The options are not good, and I am finding it difficult to know what is right, if there is a "right" in this case. Bear has not had a good week. He is very tired and weak, and spends almost all of his time lying on the bathroom floor next to his water bowl and litter box. I have made a soft bed in that spot for him to lie on.
Sometimes Teddy shares the bathroom bed (clickable thumbnails):

And sometimes he doesn't:

Thread on Health: viewtopic.php?f=28&t=19350
Most recent blood work results: https://docs.google.com/fileview?id=0Bw ... y=CJ38lKIC
Bear has reached the crossroad that I have been dreading. His bloodwork results from this week showed that his hematocrit has dropped to .19, which is the level at which his vet recommended that he start treatment with Darbepoietin. His thyroid has normalized, his kidney results have worsened as a result, and his pulse is still very high. The options for obtaining Darbepoietin are much more limited here in Canada than they are in the US. There seem to be some logistical problems with accurately measuring and delivering the correct dosage (see Health thread if interested in more detail). Bear's primary vet has been away recovering from surgery, but she is back in next week on limited hours, and I expect to discuss going ahead with the shots with her on Monday. While she has suggested quite a high starting dose, I have been researching various protocols, and find it unsettling that there is such a wide variation in approaches to dosing.
I consider this to be the start of a new, and possibly the final, leg of his journey. This is a treatment which could potentially give him a few more months of comfortable life, or which could have life threatening side effects. The alternative is to do nothing, and allow him to die of anemia. The options are not good, and I am finding it difficult to know what is right, if there is a "right" in this case. Bear has not had a good week. He is very tired and weak, and spends almost all of his time lying on the bathroom floor next to his water bowl and litter box. I have made a soft bed in that spot for him to lie on.
Sometimes Teddy shares the bathroom bed (clickable thumbnails):

And sometimes he doesn't:
