Rosie eats more (Day 34)

So the prognosis is terribly poor, but Rosie seems to be feeling better.

Last night, it must have been in the middle of the night (I don’t have a clock in the room), Rosie asked for food TWICE and she ate quite a bit. It’s definitely more than before.

This morning, she ate on her own again. All three times, it’s kibble.

386927a0-5e0a-4555-83aa-95381fcb14a9 Capture

Tiger seems to be saying something here.

Animals cope with whatever condition they are in. They accept or maybe there is nothing they can do about it, so they live with it.

It is we who will relentlessly try everything possible to help them and that’s because we think we can.

I consulted a holistic pharmacist today on what can be done for cholestasis. As the vets say, there is really nothing to lose at this point. Just try.

Neutering aid for 5 cats in Kuala Lumpur (Amelia Aesha Nathan’s)

We have sponsored RM300 for the neutering of these 5 cats (2 females, 3 males).

My name is Amelia and I emailed you before on September 15th, 2016 regarding my 5 cats.
I have spayed the 5 of them on the 12th of March 2017 and attached are the collages of their before and after pictures.
* For Zara, Daisy and Sundae, the picture was taken about 6 days after the surgery as they were very agitated and I did not want to upset them further. For the rest, it was right after coming home after surgery on the same day. Before pictures were all taken before going to be neutered on the same day.
Here are the backgrounds for each animal.
Daisy (female cat)
Daisy was rescued along with her mother, Zara, and her two brothers, Denis and Timidy as a young kitten (about 1 1/2 weeks old). They were going to be kicked out to the streets from an apartment’s compound in KL.
I was going to find her a new loving home however I just found out that she has FIV even though I gave her all the vaccinations she needed. So, I will be keeping her as I am afraid that her new owners will not give her the necessary extra care she requires.
Zara (female cat)
Zara was rescued along with her three babies (about 1 1/2 weeks old), Denis, Daisy and Timidy. They were going to be kicked out to the streets from an apartment’s compound in KL.
I will be finding her a new loving home if she is confirmed to be healthy after she has been tested again for any illnesses.
Denis (male cat)

Denis was rescued along with his mother, Zara, his sister, Daisy and brother, Timidy as a young kitten (about 1 1/2 weeks old). They were going to be kicked out to the streets from an apartment’s in KL.
I will be finding him a new loving home if he is confirmed to be healthy after he has been tested again for any illnesses.
Timidy (male cat)

Timidy was rescued along with his mother, Zara, his brother, Denis and sister, Daisy as a young kitten (about 1 1/2 weeks old). They were going to be kicked out to the streets from an apartment’s compound in KL.
I will be finding him a new loving home if he is confirmed to be healthy after he has been tested again for any illnesses.
Sundae (male cat)
Sundae was rescued by my sister in front of a restaurant near her university in Kuala Lumpur as a young kitten, covered in ants. We nursed him back to health and plan to keep him with us.
We are constantly rescuing animals and deal with all kinds of problems with them like cancer, FIV, skin diseases, allergies, etc. and this has become financially difficult for us (my family and I) and therefore I am applying for the financial aid.
I hope to hear back from you soon. :)
Amelia Aesha Nathan
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Neutering aid for 4 dogs in Rawang (Danny Lee Choon Kuan’s)

We have sponsored RM400 for the spaying of these 4 dogs.


Morning Dr Chan,
Application for spaying and neutering aid of rm400.00.
We managed to trapped these 4 dogs in Rawang. Wenny Voon Mei Lan have been feeding them there.
These dogs will be release back to their area and Wenny will continue to feed them there.
Thank you
Danny Lee

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Neutering aid for 1 dog in Kuala Lumpur (Lieu Yei Ming’s)

We have sponsored RM100 for the spaying of this dog.

lieu yei ming march 21

Neutering aid for 1 cat in Sentul (Suhanizah bt Zohani’s)

We have sponsored RM60 for the spaying of this cat.

From: zsuhanizah
Date: 2017-03-23 12:46 GMT+08:00
Subject: Subsidi Pemandulan
To: Chan Kah Yein <>

Selamat Sejahtera Dr Chan,
Saya Suhanizah dari Sentul. Gambar yang disertakan sekali adalah Bebot, betina berusia lingkungan 1 tahun.
Bebot dijumpai jatuh dari tingkat 5 bangunan dalam 5 bulan lepas. Saksi meminta saya merawat, katanya pada mulanya, dia terdengar Bebot bising di tingkat 5 seakan bergaduh. 15 minit kemudian, saksi yg sama berada di ground floor ternampak dia terlantar tidak bergerak. Jadi, dia yakin Bebot terjatuh dari tingkat tersebut. Akibat dari insiden tersebut, Bebot lumpuh.
Sebelum bawa ke klinik ini, saya telah bertanya kepada dua klinik lain untuk pemandulannya, tetapi dua doktor tersebut tidak mahu ambil risiko kerana Bebot lumpuh, dan keduanya meminta melalui proses x-ray. Akhirnya, saya terpaksa membawa ke Klinik ini untuk dia divaksin dan dimandulkan.
Bebot akan terus saya bela memandangkan dia perlu dipakaikan lampin pakai buang selalu. Harap permohonan subsidi ini diterima.
Terima kasih Dr Chan.
suhanizah march 23

Neutering aid for 1 cat in Puchong (Lina Wong Li Ngar’s)

We have sponsored RM60 for the spaying of this cat.

From: Lina W
Date: Thu, Mar 23, 2017 at 5:59 PM
Subject: Spaying aid for Samhwa
To: Chan Kah Yein <>

Hi Dr. Chan,

I would like to apply for spaying subsidy for Samhwa. She was found outside a food court in Puchong and one stall owner informed that she is being fed by workers there. She is now released back to the original place.
Please see attached photo.
Thank you.
Wong Li Ngar Lina
lina wong li ngar march 23

Two hobo bags sold!

We’ve sold these two hobo bags!

hobo bags

Thank you, Connie and Selina!

My mum sewed these bags after one of our readers gave us the fabulous idea!

Hobo bags are priced at RM100 each (by donation). The measurements are:

Base: 5 in
Width: 17 in
Height of bag: 12 in
Total vertical length of bag: 34 in

Each bag has a lining, so it’s double-layered. We can make them reversible too, so you get two bags in one!

If you are interested to order, please write to me at for enquiries. We have plenty of cloth for you to choose from.

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Each bag is foldable too!

Thank you for your kind support!

Rosie’s blood test results (Day 33)

This morning, after feeding Rosie her two meals, I drove to the clinic (by myself, without Rosie) to get yesterday’s blood test results. I had to wait almost two hours because the results were not in yet.

When I finally got the piece of paper, I was already prepared for the worst, but I still had a shock of my life.

The readings are….I don’t know, off the charts?

Her alkaline phosphatase, total bilirubin, GGT, AST and ALT have all increased tremendously, and it points to the fact that Rosie’s liver disease has progressively worsened.

It’s a chronic disease and it is gradually worsening.

The AST is now 506 (previously gone down to 134) and the ALT is 801 now (when we first started treatment it was 640, then 409 and later, 261, but now it’s 801). However, the vet had warned me that steroids can cause the ALT to shoot up so we don’t know if this increase is due to the steroids, or the degree of liver damage is just increasing with more blockages. From the swelling of the liver, it looks like there are more blockages and more liver damage now.

The marker that tells a more accurate story would be the total bilirubin. It has been increasing progressively from 205 to 217 and now, to 320. And this is despite the fact that Rosie has just started to turn a wee bit pinkish (she is not as yellow-orange as during the height of her down period). We thought the bilirubin level will drop, but no, the numbers show otherwise. My only one consolation is that one of the vets did tell me that sometimes, the bilirubin level takes a week to show the drop (if at all there is any drop).

So, what the numbers tell is that Rosie’s liver disease is progressively worsening. What we can do now is to provide palliative and supportive treatment and care, which is what we are already doing. The senior vet said that maybe it is with all these supportive treatment (supplements, etc) that Rosie is feeling better now. And maybe if we hadn’t done all this, the readings would be even worse.

Indeed, clinically, Rosie appears to be much better – she is more willing to eat, she walks around, grooms herself, doesn’t hide under the bed all day.  She even comes down from upstairs to greet us when we come home.

I asked the vet if we should stop the steroids since the steroids is making the ALT reading sky-high. The vet explained the steroids has this “feel good” effect and usually, even humans with cancer, take steroids.

So, we will continue with the steroids. All other supplements are to be continued, but we can consider stopping the antibiotics one by one. Doxy can be stopped first. We are keeping the Baytril because if Rosie’s cholestasis is due to a bacterial infection, then Baytril is the antibiotic for it.

The vet mentioned that we do not know exactly what caused Rosie’s liver to be damaged. He did not rule out cancer even though cancer was not detected in the ultrasound. Ultrasound has its limitations and only certain cancers can be seen. It is too dangerous to do a biopsy to investigate further. Poking in a needle may puncture the bile ducts and cause more damage. Rosie may not be able to take anaesthesia too.

One consolation, though, Rosie’s kidney readings are all okay.

So, as for her liver condition and the general decline, we are left with only one option – continue the supplements and TCM.

And live in the present moment. Accept what is, and do the best we can.


Rosie is brighter and more alert than she was previously.

She likes being massaged.


After getting the blood test results, I drove back and took Rosie to the vet’s for an EPO injection. Her PCV (or HCT) is low, which indicates anaemia. Her RBC is also low. Rosie’s HCT reading is 20.2 (normal range is 27 to 47). Let’s hope the EPO works. EPO has to be given 3 times, on alternate days (every two days). So, we will be going to the vet’s on Saturday and Monday to complete the treatment.

Erythropoietin (also known as EPO) is a growth factor that stimulates the production of red blood cells. Most of the cells in the blood are red blood cells, whose main function is to carry oxygen throughout the body. Erythropoietin is used to treat anemia resulting from kidney failure or cancer treatment.

We also did today’s subcut at the clinic.

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Back from the vet’s and happily grooming herself.

Animals live in the present moment and that is a good thing.

As long as Rosie feels good enough (whether it’s the steroids, all the supplements or the fluids), it’s good enough. The numbers tell a different story, but what is more important is that Rosie feels good enough.

Found Golden Retrievers in Persiaran Kewajiban Subang Jaya (Parimalam Krishnamurthy’s)

If you have any helpful information regarding these dogs, please contact Mr Parimalam directly. Thank you.

Parimalam Krishnamurthy

A pair of golden retrievers was wandering along persiaran kewajipan roundabout at 7:40am today morning. We decided to rescue them and brought back to our home.

Sent them to DoDo Pets grommers as they were dirty and smells bad.

Please do help them find their home. My current dog is so jealous.

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