Canine Autoimmune Hemolytic Anemia (AIHA & IMHA) - Need advice asap, dog is dying...

Hi all, After lots of reading in these forums, I have contacted Dr. Dodds about my Bella but I'm reposting my email to her here in the hopes that one of you that has gone through this can help me. Thank you in advance for any and all insight and advice you can give me! --- I have a very sick dog at home and have been doing so much research online to try to come up with a solution that may save her life. I came across your name on a few forums and heard you could help. I hope this is the best way to contact you. We brought our boxer mix Bella to the vet last Friday and her PCV level was 7. She was acting fine but stumbled and lost control of her bladder, which alerted us, and the doctor said she was so sick that she didn't know how Bella walked through the door. They sent her to the emergency overnight clinic to give her a blood transfusion and her PCV level went up to a 12. She held steady at that level for a few days, then it started dropping again. As of yesterday, it was an 8. They have told us that she has nonregenerative anemia and have not found the underlying cause yet. They want to do another transfusion and a bone marrow test but since we already have $1000 in bills from the procedures so far, we can't afford either. We have considered allowing another transfusion to buy her some time but for us, it's an expensive gamble as the doctor says her body may destroy the cells again. She is currently on: Prednisone 20mg, twice daily Sucralfate 1gm, three times daily Doxycycline 100mg, twice daily Azathioprine 50mg, 1 a day for the first week, now 1/2 a day (since yesterday) for 2 weeks She is eating a mix of canned and dry food 3 times a day and has a very healthy appetite. She has gained about a pound since she went in initially last Friday. We adopted her from a shelter almost 3 months ago. She came from a neglectful home and never saw the vet that we know of until the week before we adopted her. She had her shots, was spayed, was diagnosed with mange caused by demodex mites and was put on Noromectin during that week. She was a healthy girl until we stopped the Noromectin. At that point, we started noticing that her eyes were getting less pink but we were dumb new dog owners and thought it was because she was indoors now instead of outdoors. In fact, she didn't show signs that she was feeling bad or was lethargic at all, but looking back I realize that she was and I didn't recognize it as such. We are desperate. We've only had her a short time but she is our baby and the thought of losing her is devastating. We don't have the money to keep trying new procedures that seem to be a shot in the dark to find the root cause, so I'm hoping your expertise can help us here so that we can do the procedures that will get to the bottom of this. She is very very sick and I don't know how much longer she'll hang in there. --- Please, if you have any suggestions, let me know. Thank you so much! Lisa

Lisa NC

Lisa, I'm so sorry. These diseases can be such a roller coaster ride. We ended up spending over $7,500 for the Clinic in Tustin and then $500.00 a month after. We are getting shut off notices which we had never had before. Do it again? YES! We love our fur babies don't we? I have no advice but will send Prayers your way. I hope for the best. Take Care.... Kathy

Kathy Calif.

Lisa, My dog had non regenerative anemia and survived. It was not easy but I had help. Please contact Dr. Jean Dodds. Use this email: hemopet @ hotmail.com (remove the spaces to use this address). You can copy and paste this message to us and send it to her. She will have some very good advice for you. my best patrice

Patrice NYS

Hi Lisa Very sorry to hear of your Bella's situation. Truth is we are all just dumb dog owners when we get here. You dog is also new to your home, so it is very difficult to say what is normal and abnormal. Hind sight is always easier, so please try to stop punishing yourself if you can. You obviously care a lot and are doing everything you can. Please post your Bella's weight. Doses are hard to read if we don't know the weight. Also if you can get the blood test results from your vet, please post them in detail here. I am not an expert in doses, but there are great people here who are. Money was a factor for me, so I won't suggest Cylcosporine outright, but the dose of prednisone is important as the Azathioprine won't take effect for awhile yet. From what I have seen about non-regenerative anemia here, cyclosporine may be the best thing for a faster response. There are also ways to fund your treatment if you can, but I am not an expert on that, however I know many here who have suggested options in the past. Non-regenerative can meant the attack is in the bone marrow and it does not necessarily mean cancer causing the bone marrow failure (bone test. The other common cause I have heard of is from tick born diseases and I see your dog is on Doxyciline which is used to treat it. Many here do not go for the bone marrow test, just treat to suppress the immune attack. Another transfusion may be your only choice to buy more time as some of these drugs take time to stop the attack and allow the bone marrow to start making new blood cells. It is the only way to get RBC's up immediately. And yes, depending on where the attack is it may not help for long, but there are no easy answers or easy solutions, unfortunately. Dr. Dodds has also donated blood to people on occasion from her blood bank so don't give up hope yet. She is an amazing person to have on your side, I just hope we can all help in time for you. Hoping and praying for the best for you and Bella, Richard & Dog Dylan

Richard Burnaby

Lisa, Your vet did to Bella exactly what my vet did 10 years ago for my rescue dog who came down with AIHA this year, 9 years later. Shortly after we got her (wild for 2 months); spayed, vaccinations (she may already have been vaccinated as a pup, don't know) and toxin for Mange (Noromectin). In Dylan's case it did not cause the problem then, but I believe set her up for the the immune system to be able to become confused and attack her later when triggered. This is a common theory still in human autoimmune disorders. Unfortunately vaccines are never tested against many of these other treatments, but it may be the cause of the problem and not a tick born problem. Vaccines and other toxins are known to trigger AIHA/IMHA. Was Bella tested for Tick born disease? Prednisone is likely causing the increased apatite. Lot's of drinking and peeing too? Any aggression? All of these are good signs she is reacting to prednisone at least. Richard and Dog Dylan

Richard Burnaby

We are praying for you and Bella. Yes, this is a costly disease to fight, but some us are going out on a limb for our furbabies. Hope is not lost, as long as they are breathing and they are willing to live. My Tori is one of those...but no matter what we do, some just lose the "fight". I have just emailed Dr Dobbs, today as my girl has taken a turn and needs extra help. My vet is willing to work with Dr Dobbs and that is a big PLUS! Sometimes it is a team effort. Love your Bella and treat her with lots of patience and kindness. I understand that this condition does not cause pain for our pets and that has been somewhat of a relief for us "doggie lovers". Praying for miracles of healing for all the furbabies! Blessings, Cindi & Tori (fighting ITP)

Cindi FL

Thank you all so much for the quick responses! It has truly been a roller coaster this last week. Our emotions are so high and I feel so helpless. I wanted to answer all of your questions, so here goes... Patrice, thank you! I have emailed Dr. Dobbs this afternoon and am waiting to hear back. I am anxious to hear her response and will talk with the vet when we see her tomorrow about possibly working together. Richard, Bella is 45 pounds. I don't have the test results but will see if I can get those tomorrow so I can post them. These are the things I know: I know she's been tested twice to see if her cells are regenerating, once right after the transfusion and once again later last week. Both tests showed they were not (this may be reticulocyte count? not sure...). She is heartworm negative and does not have lyme disease. Her organs are functioning just fine and don't appear to be damaged at all. They put her on Doxycycline as a preventive, I think, just in case it was something that could be killed off with the antibiotic. She is eating, drinking and peeing a lot, but no aggression at all. She has gained 1 pound this week (and she had lost weight previously from being sick). I will post more detailed info tomorrow... Cindi and Kathy, thank you for your kind words! Cindi, your response about this not being painful has put me more at ease. I've been so worried about her because I don't want her to suffer. This makes me feel better. Lisa

Lisa NC

Lisa, I don't have too much to add except that I am sending prayers and thoughts out for you and Bella. Take care penny

Penny Lytle Creek Calif

Hi Lisa, How is Bella doing? Any Change? Hopefully you see some stabilization soon. We do see many dogs get more than one transfusion and handle it just fine. I have been told of people who have as many as 9 (never seen anyone doing that though). I could not afford it at all, so I am very grateful that prednisone stopped the attack in Dylan. Initially they called her poorly-regenerative, but she went from a low PCV of 8 or so to 39 in 2 weeks. So they were wrong about that. Her attack was on mature Red Blood Cells though. I suspect Bella's attack is on immature cells, or precursor cells, which is why you don't see reticulocytes. This means the attack must be stopped deeper in the body (bone marrow likely), then RBC's can be made. They must mature. IF the prednisone stops the attack soon, another transfusion may buy enough time. Most cases I have seen in my short time here (since March) only need a second transfusion. Have you heard from Dr. Dodds? She knows this disease better than most. It looks like the prednisone dose is sufficient, although we do see double that dose. I was directed to use twice that, but would not do so again if my dog relapses. Double was way too much and I am certain 1 mg/lb/day (split in 2) would have been sufficient. I wish the world would be honest about the things we give to our dogs. Vaccines are useful, but have risks. Vets tell us they are safe and that there are no risks or problems, which is either naive, or a lie. They trigger many bad reactions and should never be combined with other medication, nor likely even given when sick with anything. Every vet should know this by now (I did a long time ago and none of my other 3 dogs have been vaccinated the old way, but all are vaccinated). Anesthetic is not free from trouble (people in surgery still do die from it regularly) and certainly neither is the treatment for Mange. Then they are combined with vaccines which contain other toxic "adjuncts" to make them work better. This is a toxic soup never tested before the vaccines are released for use. From what I have learned recently, more testing is done on canine vaccines than human vaccines though. So my point is that there is nothing you could have done to see it and prevent it other than knowing these things in advance and that is the responsibility of your vet to inform you of risk. Its called making an "informed decision" or "informed consent." Unfortunately they are also fed a lot of propaganda, and most only know what they deal with most often unfortunately. We all talk about the roller coaster ride, so try to stay calm, hug Bella a lot, keep an eye on her. Being strong for her will help her. Dogs are amazing fighters. I twice had talks with Dylan about letting go if she had to and really thought I was going to lose her, but they don't give up. So you don't have to either, but being positive and reassuring will be best for Bella to help her fight. Ask any question here anytime, we all care to help. Hoping Bell is okay. Richard and Dog Dylan

Richard Burnaby

Unfortunately some dogs take longer to respond to the meds. We saw no increase in Cookie aside from the transfusion for the first week, but some dogs take several transfusions and several weeks before they increase. Certainly cancer is a possibility. I would absolutely recommend a multivitamin. I think they're like a jumpstart for the bone marrow. The fact that she is still eating, at 8 PCV, is a great sign so keep crossing your fingers that she'll turn out just fine. But don't let her stay that low for too long, because her body will start to fail.

Monet Sammamish

My dog was just diagnosed with Auto Immune Hemolytic anemia, regenerative, I came across this board looking for info actually. She weighs 29lbs and started off with 15mg (now at 10mg) prednisone, and Cyclosporine 50mg every 12 hrs. She had been on Sucralfate for stomach issues, but the Internal Medicine vet pulled her off of it because she said it could interfere with the medicine she needed for the anemia thing.

Darina CA

I am so sorry Bella has been diagnosed with AIHA, please don't give up there is hope! If you have time go back and read all the success stories, they will certainly show you that many dogs can and do survive this disease and go on to live normal lives. If Bella is not on aspirins please please ask you vet about adding aspirins to her bill regiment. There is chance of blot clots forming and the aspirins will help reduce this risk. Eating is a terrific sign and it sounds like Bella is going to be a fighter. http://www.cloudnet.com/~jdickson/successstories.htm Sending prayers Cheryl & Ginger

Cheryl & Ginger Pinevile PA

Hi Lisa, Are other cell types low at all, Platelets, White Blood Cells? This also makes a different probably in understanding what is going on. Clots are not a worry if it is just Red Blood Cells impacted. But this is not clear yet from what you have told us so far. I suspect they may be since they often are when destruction is earlier in development. Hang in there, Richard & Dog Dylan

Richard Burnaby

We took Bella to the doctor this morning and her PCV is at a 7. They are going to do a blood test today to make sure her organs are still in good shape and if they are, they will do another blood transfusion today. They are hopeful for her since she is eating well, is wagging her tail and responding to people. She gained .6 pounds since her last weigh-in this Sunday. I did hear back from Dr. Dodds. She gave me some documentation to pass along to the doctor, so I did that this morning as well. When we left, the doctor was reading over it. Dr. Dodds recommended Cyclosporine and Thyroxine for her. The doc seemed hesitant on the Thyroxine as she had never heard of it before being used to treat IMHA, but she's considering switching her to the Cyclosporine. She said she needed to do more research in addition to observing Bella to make a decision. Unfortunately, as the doctor and I talked about all of our options, I was pretty emotional when I left and completely forgot to ask for her test results so far. :( I'll get them this evening when I pick her up. A few days ago, the doctor mentioned that her white blood cells were not low, but I don't think she's mentioned platelets. Richard, you are right in that her attack is on the immature cells. I was worried sick about her yesterday. I work from home, so I watch her all day. I sometimes feel like she's just knocking on death's door and that there's no hope, but after reading your responses and talking with the doctor today, I know she's a fighter and I have to be strong. The doctor said she is a true fighter and they're not giving up yet. Thank you all again! I'll post more hopefully this afternoon. :) Lisa

Lisa NC

Just heard back from the doctor... Bella's organs look good, so they are preparing her for a second blood transfusion now. They are also starting her on Cyclosporine today. Thank you for the continued thoughts and prayers. Lisa

Lisa NC

Good news Lisa. Every little step forward is good step. There will be steps back too, but keep up the great work and I am glad to hear your willingness to fight is taking over. I am glad your vets are not giving up. Anemia is probably one of the most peaceful ways to go so giving up need not be an option. Your dog will choose when this is and Dr. Dodds also says, NEVER give up and she doesn't! Dr. Dodds has seen thousands of cases and is a leading researcher on blood and Thyroid. She is doing many things that vets are only beginning to learn about, but that I have read about and also followed now in my new dogs. For example, her new vaccination protocols are developed to help prevent diseases like this as unnecessary over vaccination and boosting is a big problem. I have absolutely no doubt of this. Misdiagnosis of thyroid issues, which accompany AIHA is also a big problem and she has recently published a great book on, which I had to get and read, despite Dylan not having a thyroid issue. Doctors often measure only a substance called T4, but the only way to know if there is true thyroid function is with a full thyroid panel. Most cases of Autoimmune Thyroiditis have normal T4 when the active component, T3, converted from T4, is low. Her protocol to add thyroxine to stimulate blood cell production works in many and really has very little drawback, unlike all the other meds. Hopefully your Doctor adds it soon, but adding cyclosporine is good step for you too. Cheers Lisa, you are doing a great job and if Bella can pull through she will. More prayers and good luck, Richard and Dog Dylan.

Richard Burnaby

Lisa, I'm so sorry you are going through this with your Bella! We have a little Pomeranian fighting it right now too. Just so you know, Bentley was considered Non-Regenerative for a couple of weeks....we did a bone marrow aspiration to rule out cancers because his baby cells were so low in number (all clear) Then all of a sudden, his marrow kicked in and now he is regenerating beautifully. He is on Prednisone, Cyclosporine, and Mycophenolate....it took him SEVERAL weeks to respond to the meds. Monet is right, some dogs take a long time. We had to do two transfusions to boost him during that time. Don't give up hope!! My specialist too just stopped the Sucralfate in case it was preventing absorption....Bentley is on Pepcid A/C to prevent stomach issues. If we see any GI bleeding/issues we will start the Sucralfate again. This IS very much a roller coaster....just try to take it a minute at a time, and like Richard said, post numbers if you can. Understanding those can be a big help to owners. Keeping you and Bella in our thoughts and prayers today! Sally and Mr. B

Sally Louisiana

Hi Lisa Sounds like Bella might have PRCA(pure red cell aplasia) same as my beagle Nollaig who I want to reassure you is still here today happy and healthy and she got it on 16th February 2009(oh how I remember that awaful day.... if you search back the archive in 2009 you will be able to read her story.In PRCA it is in the bone marrow that the precursor red cells are affected....Nollaig's pcv dropped an average of 4/5 % a week as opposed to in aiha in the bloodstream where the cells drop faster.If you want email me and I can give you more detail of her story drugs tried etc etc...and what worked for her in the end. Def get her on thyroxine firstly for now...Nollaig still on that to this day...Dr Dodds helped Nollaig too Kathleen and Nollaig xx

Kathleen North Ayrshire

Lisa, Bella is a fighter and your vet is willing to work with Dr. Dodds. These are great prerequisites to fight this battle. I would try and talk to your vet about the thyroxine. Dr. Dodds recommended the same to treat my dog. I was reluctant and wanted to test him first. I could have saved that money, Dr. Dodds was right on the dot, he was hypothyroid. We gave thyroxine and at that point he took a turn for the better. Of course it could have been something else, but I am sure it helped. Good luck and best wishes to you and Bella, Brigitte

Brigitte BC

We got some encouraging news tonight! Bella had her transfusion yesterday and her PCV was up to a 12 from a 7 the day before. This evening, they checked her PCV again and it was up to a 14! We are so thrilled! A small, but positive, sign. We are talking with the vet tomorrow as she still wants to do the bone marrow aspiration. Since funds are definitely an issue right now, I asked her if our money was better spent buying the Cyclosporine or going with the bone marrow aspiration and she suggested the latter. They want to do it this week, and we're meeting with her to talk about the risks tomorrow. Although at first the vet seemed eager to read the materials I gave her from Dr. Dodds, she doesn't seem as eager with her suggested protocol now so we're just taking it one day at a time. But this latest news is promising. It was the first thing that made us smile since this whole ordeal began. I'll keep you all posted. Thank you so much for all of your help! Lisa

Lisa NC

Lisa, So glad that Bella is doing better! Mr. Bentley also had a bone marrow test, as he was non-regenerative at first. His results were ok....it took him awhile, but he is making baby cells just fine now! He was put on Cyclo soon after the bone marrow test. We also did thyroid panel on Mr. B....he was low only in T4, which is common with sick dogs and is called Euthyroid Sick Syndrome. His other levels were fine. For B, the thyroid meds weren't necessary, as it wasn't true hypothyroidism. I think the full panel is a great thought, if you can do it. Just keep supporting your Bella while the meds start working!! Sometimes it takes a few transfusions to buy them some time. Sending you both big hugs, Sally and Bentley

Sally Louisiana

Lisa, Praying for the Best for you and your Bella!

Kathy Calif.

Lisa, My advice - for what it's worth - is to put off the bone marrow aspiration, especially if money is a factor and you have to make the choice of that versus cyclosporine. The vet wanted to do an aspiration on my Beau and I refused -- not necessarily because of the money but due to my desire to not put him through the procedure. Many others on this and other forums have also declined this procedure due to its invasiveness. The cyclosporine could have an immediate effect. Not so much the aspiration results as a determination of non-regeneration can change. If it's cancer they are trying to rule out, I believe there may be more less-invasive cost-effective ways of ruling out that diagnosis. Saying prayers for you and Bella! Stay strong, and above all -- keep hope! Many of our dogs have overcome this battle! All the best, Sharon

Sharon PA

Can I just say that the bone marrow aspiration vet did on Nollaig was inconclusive(very common) and as my vet said(after he had done the procedure right enough!) no matter what it had shown (myelofibrosis for example) we will treat Nollaig the way we're doing now anyway so it's not really going to change anything so don't worry that it's inconclusive....so I thought it was really a waste of time and esp if money is a worry then it might be best to use that to try different drugs etc... I would ask them how results of bone marrow biopsy will change their treatment of Millie will it differ from current and if it could prove inconclusive? Please you have to tell your vet about this forum and how many dogs have been saved through listening to Dr Dodds. Kathleen and Nollaig

Kathleen North Ayrshire

That's a great point and a great question to ask - how will the test results change the course of Bella's treatment? We're meeting with the doc at lunchtime today, and I'll definitely ask that question. I'll also ask about less invasive measures to test for cancer. Thank you for the ideas!

Lisa NC

Sorry Lisa I said Millie and Not Bella I am getting mixed up with Lu's thread on here about her dog Millie!Let us know how meeting with doc goes today, please read my post on Lu's thread where I talk about my vet not listening to Dr Dodds due to his ego in the end I had to stand up and demand that they try other drugs....please be Bella's voice and it is you paying the bills not the vet! Has Bella got AIHA or PRCA? Kathleen and Nollaig

Kathleen North Ayrshire

Hi, I have a lot of experience dealing with Doctor's and vets and the one thing I see a lot is what I call the "God Complex". If I can't fix it, sorry, no one can. This is utter hogwash!!!! This disease is difficult and complex and so much is just purely unknown. There are many people, like Dr. Dodd's who have their eyes open and are always learning and see literally thousands of cases yearly!!! She volunteers her time freely for so many! Even if it is not Dr. Dodds, some specialist somewhere likely knows more than the local vet who has seen a few cases annually if that. This has to be a team effort. Vets have to be open to new ideas and new knowledge. Close mindedness and God Complexes will kill your dog! They MUST rely on you for help too to make better decisions for your dogs. The solution in these cases where a vet is closed minded, or suffering from ego problems, is to make you think it is hopeless and you should euthanize your dog. This is rubbish! Not that you want your dog to pass, but anemia is no different than euthanasia so if the time comes, it comes. You don't have to give up and hurry it along in any way. Praying for you all, praying for your vets to see the light, ask for help, open their eyes to knew knowledge, put in effort and try something. Often cancer is fatal so testing for cancer can be a big waste of money. So you know they have cancer? When my dog Jagger died (I think from Cancer, but euthanized - I had no choice), I could have done more ultrasound and a bunch of tests to learn it was cancer or heart disease. This knowledge would not help us stop the bleeding that was crushing her heart. I had no choice and did not spend $3000 more just to find out she would die either way. We could not save her. My vet informed me of the tests, but agreed with my decision not to go on. Best of luck all, wish all vets were great vets, but they are not. Richard and Dog Dylan PS. This is all opinion, but it is based on plenty of real observation and pretty obvious to me.

Richard Burnaby

Ask your vet: So what will we do if we learn it is cancer? How can we stop it? How will we treat it? If they don't know, or the answer is vague and very low likelihood and costly or they will then want to give up? Make YOUR decision. It is YOUR decision. Richard and Dylan (paws crossed for you all)

Richard Burnaby

I would say the cyclo too, before a bone marrow aspiration. Make sure Bella you ask for vet about putting Bella on a low dose aspirin and if not you may want to insist. Blood clots are common in AIHA dogs. Cheryl & Ginger

Cheryl & Ginger Pineville PA

If Bella does have AIHA(red cells attacked in circulation) as opposed to say pure red cell aplasia(PRCA) a non regenerative anaemia in the bone marrow then a low dose aspirin is indeed required to prevent fatal blood clots but in Nollaig's case of PRCA she did not have to go on aspirin as abnormal clotting not an issue for prca dogs as the issue is in the bone marrow so destroyed red cells do not build up in circulation causing clots.They should know whether it's AIHA or PRCA from her blood they dont need a bone marrow biopsy to determine that....do you know the type Bella has Lisa?

Kathleen North Ayrshire

I was faced with allowing a bone marrow biopsy and in the end, it was probably not what I should have bothered to have done. It only showed us what we already knew, Chance was not making any cells in his marrow. So diagnostically it got us no closer to a valid treatment. After contacting Dr. Dodds, she said that in these cases of autoimmune destruction of the precursor cells in the marrow, beginning the treatment immediately is often the best approach because you will either have success very quickly or not. If after several weeks of aggressive treatment there are no results then you can discuss doing a bone marrow biopsy to find other possible diagnostics. And there can be other reasons for bone marrow failure. Some of them may not respond well to treatment such as exposure to heavy metals. If your car fails and you take it to a shop, you want them to fix it. If they tell you they first need to remove the engine to find the problem, wouldn't you find that a little extreme? Especially if it was simply that you ran out of gas. Start with the most obvious and easiest approach and progress from there. But many dogs can have this very serious destruction of precursor cells in the marrow. Possibly more than have any other causes for bone marrow failure. Luckily, with dogs, as opposed to humans, there are less restrictions on how we treat them. We can forgo some complex diagnostic testing and try a treatment that has been clinically shown to be effective. Do you understand this difference? This flies in the face of conventional medicine and some academics may find Dr. Dodds a rogue for approaching treatment this way. I am very scientific minded, but I have learned with time that clinical experience is worth its weight in gold. Sometimes treating dogs can come down to a simple matter of how much money do I have to spend on this? There is no shame in looking at that, esp if you have a family to support. So the good thing about approaching treatment in this way is that it can be cost effective. These are only *my* experiences and opinions and no one should make decisions without thoroughly discussing it with their own vet. You may certainly disagree with me and I accept that. There are many ways to look at this. my best patrice

Patrice NYS

Hi Lisa Just wondering how you got on regarding meeting about the bone marrow biopsy for Bella and also how is she doing just now? any more increase in pcv?... I do hope so! Have you been told you it's PRCA(pure red cell aplasia) basically failure of bone marrow to produce red cells I ask because that is what Nollaig had so I can help you a great deal in this disease as I went through it for over 8 months before her pcv even held and then it's taken 2 years to gradually get Nollaig's pcv back up to within normal range again so a long hard slog but definitely worth it and the vets were astonished how she did it but she did so there's always hope!! Kathleen and Nollaig

Kathleen North Ayrshire

Lisa~ We did not do the bone marrow test on Tori and went with adding Cyclosporine. Each dog is different and you will need to do what you think is best for your pet. That's what's so good about this group, we share info and then discuss it with our vets and are better able to make the best informed decisions for our pets. Praying for the best plan of treatment for your girl, Bella. Blessings, Cindi * Tori (Evans Syndrone)

Cindi FL

This thread was discussed between 19/09/2011 and 25/09/2011

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