[Felvtalk] Chablis - seeking advise about giving Pred/Doxy/Winstrol with low WBC

[Deborah Whorley]

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/μL
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/μL

WBC  * 2.39           5.05 16.76          K/μL
%NEU  * 32.6                  %
%LYM  * 36.8                  %
%MONO * 28.5                  %
%EOS  * 0.4                  %
%BASO  * 1.7                  %
NEU  --.--  2.95 11.64          K/μL
BAND  * Suspected
LYM  * 0.88          1.05 5.10                K/μL
MONO  * 0.68          0.16 1.12 <x-apple-data-detectors://9>          K/μL
EOS  * 0.01          0.06 1.23          K/μL
BASO  * 0.04          0.00 0.10          K/μL
nRBC  * Suspected
PLT  * 182          148 484          K/μL
MPV  17.6  H          8.7 13.2          fL
PDW  --.--  9.1 19.4          fL
PCT  0.32 0.14 0.46          %
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