[Felvtalk] Chablis - seeking advise about giving Pred/Doxy/Winstrol with low WBC
Deborah Whorley
mysrnt at gmail.com
Fri Jul 26 10:42:41 CDT 2019
Amani - have you ever received any feedback from others who have tried your
protocol and what their results were? Repeating labs this morning and will
present your protocol and history to see if she will let us try.
Thanks,
Deb
On Thu, Jul 25, 2019 at 10:45 <felvtalk-request at felineleukemia.org> wrote:
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> 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 <aoakley at oakleylegal.com>
> To: "felvtalk at felineleukemia.org" <felvtalk at felineleukemia.org>
> Subject: Re: [Felvtalk] Chablis - seeking advise about giving
> Pred/Doxy/Winstrol with low WBC
> Message-ID:
> <E0C1DFB06E10174B9D4AE353A62CECE303A5715321 at 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-bounces at felineleukemia.org> On Behalf Of Deborah
> Whorley
> Sent: July 25, 2019 2:59 AM
> To: felvtalk at 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 %
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