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It's the same vet who managed Isis' case when she was in with ketosis, so she's more emergency focused and couldn't give me too much detail on oncology.
They ran a PARR test, which is a PCR antibody test to look for cellular markers for lymphoma, because the cell samples from the splenic aspirates were slightly suspicious (as in, if you're worried about lymphoma, test further; if not, carry on). They took splenic aspirates because there was a bit of thickening in her intestinal wall, which could have been IBS or lymphoma.
They found B cell clones consistent with lymphoma. That's a bit of good news, because T cell (aka blastic) lymphoma is Bad News. It's probably small cell, but onc would be able to give us better details on that and whether we should pursue further testing.
In her favor as well is that it (as of right now, according to the ICU vet) seems to be early stage. If it were later stage, the splenic aspirates would have been more than "slightly suspicious." She's also happy, eating and not throwing up, so there's not a tumor blocking her gut.
However, as an eternal pessimist, I'm not letting my hopes get up too high until we talk to onc and see how treatment goes. I'm not paying for class yet (I have until 3/3), and I'm not ruling out the necessity of canceling our vacation.
We got an appointment at 11 am Monday. It should take 60-90 minutes of talking with the oncologist (note: bring extra kleenex), then Isis stays the rest of the day for further testing as needed. They said she should be able to come home between 4 and 6 pm.
I'm not going in to work today. I woke up shivering under my covers and in GI distress at 2 am, and it hasn't gotten any better. Been drinking tea and trying to eat frosted mini wheats, because I'm hungry, but when I swallow, I feel ill. I'll finish this tea and lie down some more.
They ran a PARR test, which is a PCR antibody test to look for cellular markers for lymphoma, because the cell samples from the splenic aspirates were slightly suspicious (as in, if you're worried about lymphoma, test further; if not, carry on). They took splenic aspirates because there was a bit of thickening in her intestinal wall, which could have been IBS or lymphoma.
They found B cell clones consistent with lymphoma. That's a bit of good news, because T cell (aka blastic) lymphoma is Bad News. It's probably small cell, but onc would be able to give us better details on that and whether we should pursue further testing.
In her favor as well is that it (as of right now, according to the ICU vet) seems to be early stage. If it were later stage, the splenic aspirates would have been more than "slightly suspicious." She's also happy, eating and not throwing up, so there's not a tumor blocking her gut.
However, as an eternal pessimist, I'm not letting my hopes get up too high until we talk to onc and see how treatment goes. I'm not paying for class yet (I have until 3/3), and I'm not ruling out the necessity of canceling our vacation.
We got an appointment at 11 am Monday. It should take 60-90 minutes of talking with the oncologist (note: bring extra kleenex), then Isis stays the rest of the day for further testing as needed. They said she should be able to come home between 4 and 6 pm.
I'm not going in to work today. I woke up shivering under my covers and in GI distress at 2 am, and it hasn't gotten any better. Been drinking tea and trying to eat frosted mini wheats, because I'm hungry, but when I swallow, I feel ill. I'll finish this tea and lie down some more.
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Date: 2010-01-28 09:08 pm (UTC)From:I was really hoping for a different diagnosis (such as infection). I think I've decided to start an aggressive program of making Mina as happy as I can. It should work well with whatever treatment options the vets suggest. I figure that a good mood isn't as significant toward outcome as chemo or other such factors, but a good mood does help, even if it's only a little. So, let's give her all the help we can, and this way also she's getting as much happiness into her life as we can squeeze in.
Lao-Tzu is significantly exceeding expectations. He may well end up being an outlier (I so hope so). I really hope Mina can too.
*sighs* They are really good cats. At least for the most part. This really isn't the diagnosis I wanted.
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Date: 2010-01-28 09:20 pm (UTC)From: