I don't have enough experience to really offer advice, Amani seems to have
some great suggestions for you! I just wanted to let you know we are here
for you and rooting for a treatable condition and a full recovery for
little Annie. Please keep us updated!

On Wed, May 31, 2017, 7:47 PM Amani Oakley <aoak...@oakleylegal.com> wrote:

> I don't have a lot to go on, but based on the results, and the physical
> finding of a painful kidney, it might be a kidney infection gone septic.
> The total white cell count is low, which may occur when the white cells
> migrate out of blood circulation to move towards an area of infection in
> the tissues. You have given a low neutrophil count, but I would also be
> interested in what is the percentage of neutrophils. If it is a bacterial
> infection, I would expect a higher than normal percentage of neutrophils.
> Also, I would be looking for a left shift in the neutrophils. Did they
> report any immature neutrophils like band cells? Any other neutrophil
> abnormalities such as toxic granulation?
>
> The first thing I would focus on is ensuring sufficient hydration. Keep up
> with the subcutaneous fluids at home. Also, oxygen would help since you
> want to keep the cells well-perfused and with the dehydration and drop of
> red cells (though they aren't too low), and oxygen needed at the clinic,
> you should give her some more if you have a source of it at home. I am
> concerned that she isn't already on doxycycline. I would perhaps ask the
> vet to consider intravenous antibiotics, to get the antibiotics levels to
> go up faster than orally, and then you can give her the oral antibiotics.
> If it is a kidney infection, fluid replacement and antibiotic therapy is
> likely far more important than food intake right now.
>
> It isn't clear that this is an infection, but it might be. Was she tested
> for vital signs? Did she have temperature, and possibly elevated heart
> rate. It seems that she certainly would have had a reduced blood pressure,
> which again is consistent with sepsis from an infection, but isn't the only
> thing that might cause that.
>
> I don't think this is a Winstrol situation just yet. I think instead that
> a combination of broad spectrum antibiotics along with some
> prednisone/prednisolone might be the better approach.
>
> However, given that there is no definitive diagnosis yet, you need to
> watch her closely. If there isn't an improvement fairly quickly on the
> antibiotics, your vet will probably be considering other explanations.
>
> Amani
>
> -----Original Message-----
> From: Felvtalk [mailto:felvtalk-boun...@felineleukemia.org] On Behalf Of
> dlg...@windstream.net
> Sent: May-31-17 5:52 PM
> To: felv
> Subject: [Felvtalk] Annie
>
> We just got back from the vet and Annie is not in good shape.  She stopped
> eating this am.  I did get some broth from Mackeral down her, but no
> soloids.  The vet has ordered Doxy formulated so it will be liquid.  She
> will get it 2 times daily.  I have told her about Winstrol and she read up
> on it and is willing to get it for us is needed.  She had to try 3 times
> for blood.  It came out so slowely and started clotting too fast to to the
> tests.  She is also dehydrated so gave sub q fluids and gave me more to
> bring home.  She also had to give her some oxygen for 5 minutes, her brain
> was not getting enough.  After 5 min, she bounced back.  Dr. Said she was
> stressed by the exam.
> Bloodwork:  RBC  - LOW 4.78
>                    HCT - LOW  23.7
>                    HGB - LOW  8.4
>                    RETC HIGH  62.7
>                    WBC LOW  4.54
>                    NEU LOW  2.41
>
>                   BUN HIGH  59
>                   ALKP  LOW  10
>                   TBIL  HIGH  1.5
> EVERYTHING ELSE IS IN NORMAL RANGE.
> sHE ALSO SAID ONE KIDNY SEEMS ENLARGED AND SLIGHTLY FIRM AND SHE CRIED
> WHEN SHE APPLIED PRESSURE TO THAT AREA.
> sHE HAS ALSO LOST WEIGHT, DOWN FROM 6.6 LAST VISIT.  wE HAD STARTED HER ON
> KITTNE FOOD TO BRING HER WEIGHT UP AND SHE HAD BEEN EATING UNTIL THIS AM.
> i JUST RECEIVED A SHIPMENT OF BLUE BUFFALO CANNED FOOD AND I PLAN TO START
> HER ON THAT MIXED WITH WARM WATER.  AT LEAST SHE GETS SOME NOURISHMENT FROM
> THE LIQUID.  i ALSO HAVE A TANK OF OXYGEN LEFT FROM MY FATHER THAT i CAN
> GIVE HER SOME IS SHE NEEDS IT.
>
> aNY SUGGESTIONS?  SHE WILL GO ALONG WITH ANY RECOMMENDATIONS.  sO NICE TO
> HAVE A VET LIKE THAT.
>
>
>
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