Well, I don't know what to say (other than Thank You all again!). Tuxie gained weight over the week - he's up to 8 pounds again. Still looking real skinny, but not just skin and bones anymore.
The problem is his red blood cell count. It fell from last week's 22 to 18. Doc is real pleased he's still eating and gaining weight - if that keeps up, it's possible for him to live his life at this anemic level IF
his bone marrow keeps working the little that it is. Since he's got no known disease, no known parasites, no known nothing, there's really nothing more to do. The "super specialists" have already been consulted, and we've already tried everything they've suggested. From test results (having to do with protein counts, platellete counts, etc.), it appears the only real problem now is that his bone marrow isn't producing red blood cells like it should be. Doc is real disappointed about that (he's not the only one!). He said that right now his bone marrow production should be in "overdrive," and he was really expecting a hematocrit reading of 25 or better. But Tuxie has developed an immunity to the Epogen, so that's not an option to help stimulate red blood cell production.
It simply appears to be some sort of genetic problem.
All we can do is hope he keeps eating, and hope his bone marrow keeps working, at least this little bit. Doc says it is possible for him to live indefinitely in this very anemic state, though if the count falls much below 14/15 for any period of time, he doubts he'd be able to survive that. He won't be an active kitty, but he's in no pain, and can enjoy his naps in the sun, pets and brushes when he wants them, and treats (which right now is boiled chicken, boiled shrimp, and babyfood chicken, turkey, beef and lamb). We are not to encourage him playing at all - and though we're not to stress him out by isolating him, we're to do what we can to keep the other cats from bothering him.
So, for right now Tuxie's weathered the storm. But it's still cloudy, and it may just stay that way indefinitely. Doc wants to see him next week, but at this point knowing his hematocrit doesn't help change any diagnosis or treatment, so we'll see - we may be ending even the weekly vet visits.
I'm praying for Tuxie's bone marrow to start functioning normally again. That's the next miracle he needs! They say cats have nine lives - I don't know what count we're up to with Tuxie, but I sure hope there's at least one more left for our little wonderful guy!