Thinking of you and Squirt!!! Kim and Annie
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Thinking of you and Squirt!!! Kim and Annie
Hi Leslie,
Sending good thoughts for you and Squirt!!:):)
Tight hugs for you and your little squirt.
Luv ya bunches. Xo Jeanette
Licks, Princess
Well, my elation over the first lab report was short-lived...it was what they called a "mini in-house panel" and it's results were vastly different from those Dr. Nelson got when he ran a CBC.
Here are the results (all) from the first panel:
July 7, 4:40pm
ALKP 184 U/L 23-212
AKT 101 U/L 10-100
BUN 19 mg/dL 7-27
CREA 1.1 mg/dL 0.5-1.8
GLU 112 mg/dL 70-143
TP 8.5 g/dL 5.2-8.2
These are the results on the same values from the second panel:
July 9, 9:59am
ALKP *** 339 U/L 20-150
ALT*** 140 U/L 10-118
BUN 14 MG/DL 7-25
CREA 0.8 MG/DL 0.3-1.4
GLU 97 MG/DL 60-110
TP 7.8 G/DL 5.4-8.2
Not sure what would cause such a difference in less than 48 hrs, but there it is. Based on the second panel, her liver values have risen from her last CBC, not returned to normal as I had thought based on the first panel. geez.....
There are other values that are out of whack but these are the ones that I can compare across the two panels so I posted them first. I will try to get the rest soon. Her calcium is quite high, as are retics (?), grans (?), and neut (?).
They also ran a "Buffy Coat Profile" (?); that profile along with the hematology results concluded "Borderline Thrombocytosis"...:eek::eek::eek: BLOOD CLOTS!!!! :eek::eek::eek:
I am running out of time at the moment so will briefly say that Dr. Nelson sees Cushing's indications where I haven't...(so perhaps I am more than the Queen of Guilt...perhaps I have become the Monarch of Dumbassity as well)...will discuss these with you later!
Hugs,
Leslie and Squirt
I'm thinking the rise in her ALP and ALT was stress...don't know if the Rimadyl would of raised the liver enzymes, but I am sure stress would have...Squirt missed her mommy and with them poking and prodding her for the Xrays, well, up goes the stress hormone...cortisol!!
This article is pretty informative about ALP and it says:http://www.vetconnect.com.au/5min/data/01880189.htmQuote:
ALP is found in many tissues, including the liver, bone, intestine, placenta, and kidneys.
The serum activity of ALP is much lower in cats than in dogs. The half-life is much shorter in cats (6 hours in cats versus 3 days in dogs),
So, I'm thinking in another 3-4 days her liver enzymes will fall back to the normal ranges.
Love and hugs,
Lori
Thanks, Lori. Dr. Nelson has me really concerned about the Cushing's now...I have felt really good about it as I have seen no changes in signs or behavior. Well, her behavior has changed since April, but our whole lives have been in chaos since then so changes were not unexpected nor in my mind unexplained. The mention of thrombocytosis scared the crap outta me, tho. :eek::(
For today, she is still on restricted movement, being carried everywhere, which she sees as no more than her due as Queen of Dogdom. :D;) Dr. Nelson also wants her to have 15-20cc of Pedialyte 4X a day until we see Dr. Dew. She was a bit dehydrated plus he said the Pedialyte will help flush the liver and kidneys. She must recognize her need for it because she drinks her water with it in it with no problems. But I can see where that will get old for her and I will need to encourage her to drink it after a day or so. :p
I am doing my best to take it one minute at a time and try to focus on the leg right now. Once that is over, we can start addressing these other problems...if they still present as they are now.
So far, I still like Dr. Nelson and he seems to have a fair grasp on Cushing's, including Atypical, tho he isn't very supportive of my Holistic views. :rolleyes::p One of the things we will "talk about later"! ;) He is in for a surprise with the diet he was talking about tho... LOL
Hugs,
Leslie and Squirt
OH! about the Rimadyl...I didn't give it to her...just couldn't do it even in light of the first liver values. When Dr. Nelson asked what meds she had already been given and I told him I hadn't started the Rimadyl, and had no plans to, his response was, "Oh, good! I was going to tell you to throw those away. Your baby does not need NSAIDS." :D
Ok...here are all the results from Dr. Nelson yesterday; CBC and Hematology results....
Vetscan VS2
Comprehensive Diagnostic
ALB 4.4 2.5-4.4 G/DL
ALP 339 20-150 U/L
ALT 140 10-118 U/L
AMY 917 200-1200 U/L
TBIL 0.3 0.1-0.6 MG/DL
BUN 14 7-25 MG/Dl
CA 12.3 8.6-11.8 MG/DL
PHOS 3.8 2.9-6.6 MG/DL
CRE 0.8 0.3-1.4 MG/DL
GLU 97 60-110 MG/DL
NA+ 148 138-160 MMOL/L
K+ 4.6 3.7-5.8 MMOL/L
TP 7.8 5.4-8.2 G/DL
GLOB 3.4 2.3-5.2 G/DL
QC “OK”
HEM 0 LIP 1+ ICT 0
Hematology Results
HCT = 45.8% 37.0-55.0
HGB = 14.1 g/dl 12.0-18.0
MCHC = 30.8 g/dl 30.0-36.9
WBC = 14.2 x10(9)/L 6.0-16.9
GRANS = 11.6 x10(9)/L 3.3-12.0
%GRANS = 82%
NEUT – 10.7 x10(9)/L 2.8-10.5
EOS – 0.9 x10(9)/L 0.5-1.5
L/M = 2.6 x10(9)/L 1.1-6.3
%L/M = 18%
PLT = 745 x10(9)/L 175-500
Retics – 0.3%
GENERAL HEMATOLOGIC REMINDERS:
Borderline Thrombocytosis
I typed these up just as they appeared so there is no uniformity between the two...sorry. Any help in interpretation will be most appreciated!
Hugs,
Leslie and Squirt
Hi Leslie
With an IMHA pup I should be able to interpret your results but I will leave these up to Debbie as she is way more qualified than me!!!
What I will say ... is that we placed Flynn on low dose aspirin to pre-empt the possibility of blood clots as this appears to the number one reason why IMHA dogs do not survive. Flynn (who is now about 22- 23kg) takes 1/8 low dose asprin tablet (tablet is 75mg). There are other medical products that can be taken to thin the blood as well which may be more suitable for Squirt's weight (I would not want to try and cut a tablet smaller than an eigth as the tablets we use are so small!).
All the best
Angela and Flynn
Thrombocytosis (or thrombocythemia) is the presence of high platelet counts in the blood. Platelets are cells that form clots and are needed to prevent excessive bleeding.
http://www.broadwayvh.com/site/view/...scriptions.pmlQuote:
The platelet count is quite elevated. Platelets are cells in the blood which are responsible for forming blood clots. Non-pathological reasons for the platelets to be elevated include recent excitement or exercise causing splenic contraction, severe dehydration, or it being secondary to a pet having no spleen or during late pregnancy.
Dr. Nelson is aware that Squirt does not have a spleen, right?