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. 
> 
> 
> 
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