Re: [Felvtalk] Annie

[Ardy Robertson]

I'm so very sorry about Annie.. it's so hard to lose them but she was so
fortunate to have you!
Ardy


-Original Message-
From: Felvtalk [mailto:felvtalk-boun...@felineleukemia.org] On Behalf Of
dlg...@windstream.net
Sent: Wednesday, May 31, 2017 9:07 PM
To: felvtalk@felineleukemia.org
Subject: Re: [Felvtalk] Annie

I have known all along that I would loose her one day, but it still hurts.
She did have 8 years with me so I have that to be thankful for.  She joins a
growing list of furbabies that have crossed over the bridge.  Now she will
be in pain no longer.

 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.
> 
> 
> 
> ___
> Felvtalk mailing list
> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org
> 

Re: [Felvtalk] Annie...

[ROBERT CHAPEL]

I would not be giving up on Annie by any means...  As Amani points out 
her blood values are not at a critical phase... she has some signs of a 
possible infection that could respond to ABX treatment and you could, of 
course be pleasantly surprised at her ability to rally...   Thiis is not 
to suggest that your concerns are unfounded...  with my own luck of late 
I could easily find myself assuming that a FeLV cat of mine was on his 
or her way out if they had even a URI.   This time around I'm 
fostering a cat with Terminal Cancer because I feel HE stands a better 
chance of surviving  : ) I'm gratified that there are many in this 
forum who have managed to keep their FeLV charges alive for multiple 
years and the cumulative knowledge we all gain will help us down the 
line to brighten the prospects for more of these kitties down the 
line  I'm rooting for Annie to make comeback..

Bob

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Re: [Felvtalk] Annie

[Katherine K.]

Hugs to you as you remember your dear sweet girl Annie. I am so sorry for
your loss. She was cherished and loved, and will live on in your memories.

On Thu, Jun 1, 2017 at 8:07 AM, kat <merrykatme...@email.com> wrote:

> Thank you for loving her for the time she was with you.  It never feels
> like it is long enough.
>
> Sleep soft, dear Annie...
>
> Kat (Mew Jersey)
>
> *Sent:* Wednesday, May 31, 2017 at 10:06 PM
> *From:* dlg...@windstream.net
> *To:* felvtalk@felineleukemia.org
> *Subject:* Re: [Felvtalk] Annie
> I have known all along that I would loose her one day, but it still hurts.
> She did have 8 years with me so I have that to be thankful for. She joins a
> growing list of furbabies that have crossed over the bridge. Now she will
> be in pain no longer.
>
>
> ___
> Felvtalk mailing list
> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org
>
>
___
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Re: [Felvtalk] Annie

[kat]

Thank you for loving her for the time she was with you.  It never feels like it is long enough.

 

Sleep soft, dear Annie...

 

Kat (Mew Jersey)

 

Sent: Wednesday, May 31, 2017 at 10:06 PM
From: dlg...@windstream.net
To: felvtalk@felineleukemia.org
Subject: Re: [Felvtalk] Annie

I have known all along that I would loose her one day, but it still hurts. She did have 8 years with me so I have that to be thankful for. She joins a growing list of furbabies that have crossed over the bridge. Now she will be in pain no longer.
 




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Re: [Felvtalk] Annie

[Sandy]

Oh my - stunned and I'm so sorry 

Sandy W 

- Original Message -

From: dlg...@windstream.net 
To: felvtalk@felineleukemia.org 
Sent: Wednesday, May 31, 2017 10:06:50 PM 
Subject: Re: [Felvtalk] Annie 

I have known all along that I would loose her one day, but it still hurts. She 
did have 8 years with me so I have that to be thankful for. She joins a growing 
list of furbabies that have crossed over the bridge. Now she will be in pain no 
longer. 

 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. 
> 
> 
> 
> ___ 
> Felvtalk mailing list 
> Felvtalk@felineleukemia.org 
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org 
> 
> _

Re: [Felvtalk] Annie

[dlgegg]

I have known all along that I would loose her one day, but it still hurts.  She 
did have 8 years with me so I have that to be thankful for.  She joins a 
growing list of furbabies that have crossed over the bridge.  Now she will be 
in pain no longer.

 Amani Oakley  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.
> 
> 
> 
> ___
> Felvtalk mailing list
> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org
> 
> ___
> Felvtalk mailing list
> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org


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Re: [Felvtalk] Annie

[dlgegg]

THANK YOU FOR CONFIRMING THAT WE ARE ON THE RIGHT TRACK IT MEANS A LOT TO ME.

 Amani Oakley  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,(  WAS 99.9)
 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  THAT IS WHAT THE DR. THINKS AND WE CAN DO THAT 
> TOMORROW WHEN i GO IN TO GET THE dOXY). 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.  i LIKE HER 
> APPROACH TO THIS AND THE FACT THAT SHE IS WILLING TO DO THE WINSTROL GIVES ME 
> HOPE.  aNNIE IS 10 YEARS OLD AND THE VET SAID THAT THIS IS AGE WHEN FELV 
> BEGINS TO TAKE IT'S TOLL.
> 
> 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.
> 
> 
> 
> ___
> Felvtalk mailing list
> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org
> 
> ___
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> Felvtalk@felineleukemia.org
> http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org

Re: [Felvtalk] Annie

[Sheri Burbridge]

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  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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Re: [Felvtalk] Annie

[Amani Oakley]

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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