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

---- 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,(  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.
> 
> 
> 
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