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

[dlgegg at windstream.net]

I am not knowledgeable enough to say anything, best left to Amani.  I can pray for her.
----- Original Message -----
From: Deborah Whorley <mysrnt at gmail.com>
To: felvtalk at felineleukemia.org
Sent: Thu, 25 Jul 2019 02:59:27 -0400 (EDT)
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. - DebCBC (21Jul2019) NOTE: they did not repeat the analysis which, in hindsight, I should have insisted uponTest Result Flag Normal Range MeasureRBC 5.11  L         5.65 8.87        M/μLHCT 24.4 L         37.3 61.7 %HGB 7.8 L         13.1 20.5 g/dLMCV 47.7 L          61.6 73.5 fLMCH 15.3 L          21.2 25.9 pgMCHC 32.0          32.0 37.9         g/dLRDW 23.6 H          13.6 21.7 %%RETIC 0.2                 %RETIC 8.7 L          10.0 110.0         K/μLWBC * 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/μLBAND * SuspectedLYM * 0.88         1.05 5.10                K/μLMONO * 0.68         0.16 1.12         K/μLEOS * 0.01         0.06 1.23         K/μLBASO * 0.04         0.00 0.10         K/μLnRBC * SuspectedPLT * 182         148 484         K/μLMPV 17.6 H         8.7 13.2         fLPDW --.-- 9.1 19.4         fLPCT 0.320.14 0.46         %

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