Thanks Amani. Good advice, hopefully my vet will agree. Deb
On Thu, Jul 25, 2019 at 10:45 <felvtalk-requ...@felineleukemia.org> wrote: > Send Felvtalk mailing list submissions to > felvtalk@felineleukemia.org > > To subscribe or unsubscribe via the World Wide Web, visit > > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > or, via email, send a message with subject or body 'help' to > felvtalk-requ...@felineleukemia.org > > You can reach the person managing the list at > felvtalk-ow...@felineleukemia.org > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of Felvtalk digest..." > > > Today's Topics: > > 1. Re: Chablis - seeking advise about giving Pred/Doxy/Winstrol > with low WBC (Amani Oakley) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Thu, 25 Jul 2019 16:45:12 +0000 > From: Amani Oakley <aoak...@oakleylegal.com> > To: "felvtalk@felineleukemia.org" <felvtalk@felineleukemia.org> > Subject: Re: [Felvtalk] Chablis - seeking advise about giving > Pred/Doxy/Winstrol with low WBC > Message-ID: > <E0C1DFB06E10174B9D4AE353A62CECE303A5715321@OAKLEYSRV.oakley.local > > > Content-Type: text/plain; charset="utf-8" > > Hi Deborah > > The CBC results are unusual. There is some anemia going on, and there is > the low white cell count. There is also an elevated monocyte count. > > Most people are aware that white cells go up with an infection, but they > can also go quite low with an infection ? often if there is a focal area of > inflammation/infection and white cells are moving out of the circulatory > system to go to the site of infection in the tissues. My worry is that > there ma be a source of infection somewhere. Monocytes can be elevated with > a chronic infection as well. > > If it were my cat, I think I might ask the vets to give more in the way of > antibiotics, with a broad enough spectrum to cover Gram positive and Gram > negative organisms. I think I might insist on using Doxycycline along with > another antibiotic, because the Doxycycline also has an effect on some more > unusual organisms like some parasites and some viruses even. I think I > would also try the Winstrol if it were me. Winstrol has an excellent > enhancing effect on appetite, and may also help with the anemia. I myself > wouldn?t be that worried about the prednisone/prednisolone but it probably > wouldn?t hurt to hold off on that one and see if you get some improvement > on the Doxycycline/Other Antibiotic/Winstrol combination. > > Amani > > From: Felvtalk <felvtalk-boun...@felineleukemia.org> On Behalf Of Deborah > Whorley > Sent: July 25, 2019 2:59 AM > To: felvtalk@felineleukemia.org > Subject: [Felvtalk] Chablis - seeking advise about giving > Pred/Doxy/Winstrol with low WBC > > Hi - one of my FeLV+ cats, Chablis (F, 5 yrs), has been dealing with > constipation since Jan of this year. Last week she stopped eating like she > does when she is ?backed up? but 100 cc SQ fluids didn?t resolve the issue > as it normally does. She also started wheezing Sat eve. I ended up with > her in the emergency clinic on Sun and to my surprise her CBC was terrible > (see below). Radiograph revealed no constipation or obvious masses in > lungs/abdomen. ER vet, and my vet the next day, reluctant to give pred due > to low WBC. Treating dehydration and inappetance with SQ fluids and > mertazapine. ER vet also gave Convenia "just in case?. Going back on Fri to > my vet for another CBC. Have been following this group for several years > and want to try Amani?s treatment protocol, but does low WBC contraindicate > giving prepnisolone and/or Winstrol? Thanks in advance for any advise. - Deb > > CBC (21Jul2019) > NOTE: they did not repeat the analysis which, in hindsight, I should have > insisted upon > > Test Result Flag Normal Range Measure > RBC 5.11 L 5.65 8.87 M/?L > HCT 24.4 L 37.3 61.7 % > HGB 7.8 L 13.1 20.5 > g/dL > MCV 47.7 L 61.6 73.5 fL > MCH 15.3 L 21.2 25.9 pg > MCHC 32.0 32.0 37.9 > g/dL > RDW 23.6 H 13.6 21.7 % > %RETIC 0.2 > % > RETIC 8.7 L 10.0 110.0 > K/?L > > WBC * 2.39 5.05 16.76 K/?L > %NEU * 32.6 > % > %LYM * 36.8 > % > %MONO * 28.5 > % > %EOS * 0.4 > % > %BASO * 1.7 > % > NEU --.-- 2.95 11.64 K/?L > BAND * Suspected > LYM * 0.88 1.05 5.10 K/?L > MONO * 0.68 0.16 > 1.12<x-apple-data-detectors://9> K/?L > EOS * 0.01 0.06 1.23 K/?L > BASO * 0.04 0.00 0.10 K/?L > nRBC * Suspected > PLT * 182 148 484 K/?L > MPV 17.6 H 8.7 13.2 fL > PDW --.-- 9.1 19.4 > fL > PCT 0.32 0.14 0.46 % > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: < > http://felineleukemia.org/pipermail/felvtalk_felineleukemia.org/attachments/20190725/c8de4846/attachment.html > > > > ------------------------------ > > Subject: Digest Footer > > _______________________________________________ > Felvtalk mailing list > Felvtalk@felineleukemia.org > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > > ------------------------------ > > End of Felvtalk Digest, Vol 56, Issue 2 > *************************************** >
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