Simone Update 9/5

Simone isn't so good. Her revised diagnosis as of this morning is Evans Syndrome (a combination of immune mediated thrombocytopenia and hemolytic anemia), which means that her immune system is now attacking both platelets and RBCs. Her RBC count this morning was 33, and it's supposed to be 42-47. She's got pale gums and is panting hard and is lethargic. She had X-rays this morning to look for masses/tumors; fortunately, it didn't appear that there were any. The vet says cancer can't be ruled out, but at least there were no abnormalities other than an enlarged liver, which we understand is to be expected with all of the drugs she is on. We're starting her on a heavy duty immunosuppressant this afternoon (coupled with an antibiotic to help her fight off infection) and hoping she responds. We're not ready to think about where we'll be if she doesn't.


The new pill regimen

We're doing okay. Worried, but okay. Simone isn't herself, but perks up when offered a treat or cookie. So, needless to say, she's getting whatever she wants!