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Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #185236
10/02/11 04:07 AM
10/02/11 04:07 AM
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Hollysmom Offline
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His blood is looking great, his HCT is almost normal. Steriods, at least on my girl were slowly tapered off as soon as his HCT and other blood levels stayed up for two weeks straight. Then we started tapering off the steriods weekly with a blood test each week to make sure nothing started going down again.
glad to see things are picking up and he is doing so well.

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #185242
10/02/11 04:12 AM
10/02/11 04:12 AM
Joined: Jan 2010
Posts: 19,513
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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This is great news smile

From last time:
Originally Posted By: kelso
The eh....His labs are not improved, in fact just a hair worse frown Still "pancytopenic" White blood cells (were actually normal last time), hemoglobin, and platlets are all low.
White blood cells 4.0 normal range (5.7-16.3), last week 5.7
Red Blood Cells 3.85 (5.5-8.5), last week 4.15
Hemoglobin 9.2 (12-18), last week 9.5
Hematocrit 29.4 (37-55), last week 29.7
Platlets 66 (164-510), last week it just said about 50-120


The report still commented that "neutrophils appear slightly toxic" but the neutrophils were in the normal range, absolute lymphocytes were low this week 840 (1000-4800) and last week they were high (4845).

The reticulocyte count was normal this time (1.0) so that may be good, hopefully means his bone marrow is responding. Last time it was 0.2



had to look these up: http://en.wikipedia.org/wiki/Rouleaux

That's great that the vaccine issue was approached! Your vet might require you to run titers in order to get an exemption letter. Most governments won't accept titers, just a letter. I would only titer if I were actually thinking about re-vaccinating, but you might not have a choice.

Such great news, I'm so relieved :whew:

LOL, yeah, I think the bed is a bit small rofl


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
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Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: MaxaLisa] #185252
10/02/11 04:42 AM
10/02/11 04:42 AM
Joined: Feb 2010
Posts: 1,490
Kansas
kelso Offline OP
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kelso  Offline OP
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Posts: 1,490
Kansas
Just wanted to say thank you again...to each and every one of you for reading and posting! I read them all and am very appreciative of every thought and comment.

I know I get off on tangents about labs and things often blush sorry about that. But what means the most is the great support from you all, very happy that Kelso has continued to improve! Can you tell laugh crazy

Hope everyone is enjoying a nice fall weekend. Will be looking forward to the fall smilies.


-Steph

GSD's
Allie, gotcha 7/2007
Riko z Vom Weberhaus, "Fez" 7/29/2012

forever our angels
Meeka, b. 10/31/1994-11/26/2006
Kelso, b. 9/3/2006-2/9/2012

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #185258
10/02/11 05:37 AM
10/02/11 05:37 AM
Joined: Jan 2010
Posts: 19,513
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Northern CA
Originally Posted By: kelso
Just wanted to say thank you again...to each and every one of you for reading and posting! I read them all and am very appreciative of every thought and comment.

I know I get off on tangents about labs and things often blush sorry about that. But what means the most is the great support from you all, very happy that Kelso has continued to improve! Can you tell laugh crazy

Hope everyone is enjoying a nice fall weekend. Will be looking forward to the fall smilies.


This forum is pretty great, isn't it?

Hey, I just looked up slippery elm (pouring over everything, looking for stuff for Max), and SE is a diuretic. I'm thinking that's not something that I would give a dog on high doses of pred? I've been giving Max part of an artichoke heart each morning, and he's just dripping stuff - turns out it's a diuretic too, aack! Not something that would be a huge concern for most dogs, but being on pred, I think I would opt for the pepcid.

Last edited by MaxaLisa; 10/02/11 05:38 AM.

MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: MaxaLisa] #185260
10/02/11 06:28 AM
10/02/11 06:28 AM
Joined: Feb 2010
Posts: 1,490
Kansas
kelso Offline OP
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kelso  Offline OP
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Kansas
great point. A diuretic would not be good. He is already drinking alot (as much as we will let him, try to put the water up when it gets later)...and the peeing....lord..I have mentioned the peeing right? 60 mg of pred a day and literally when I take him out to the bathroom he goes...I tell him to go again..and he goes...and then I tell him again and he goes.... again. So bathroom breaks have turned into make sure he goes three times. And then after we get inside... he has had 3 accidents in 2 weeks, feel bad for him. He hasn't gone in the house in years (the last time I remember is when he was 10 mo old and before that was 4 mo old or something) and he literally just stops and starts peeing right in front of us ...it is really odd. But the vet had warned us, and of course we do not get angry or anything.

Anyone (Hollysmom?) have advice on that? I try to take him out every hour (like a pup!) And we are crating him at night and when we are not home, he has had no accidents in his crate.


-Steph

GSD's
Allie, gotcha 7/2007
Riko z Vom Weberhaus, "Fez" 7/29/2012

forever our angels
Meeka, b. 10/31/1994-11/26/2006
Kelso, b. 9/3/2006-2/9/2012

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #185277
10/02/11 10:55 AM
10/02/11 10:55 AM
Joined: Feb 2010
Posts: 2,488
Central Florida
arycrest Offline
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arycrest  Offline
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Central Florida
Originally Posted By: kelso
great point. A diuretic would not be good. He is already drinking alot (as much as we will let him, try to put the water up when it gets later)...and the peeing....lord..I have mentioned the peeing right? 60 mg of pred a day and literally when I take him out to the bathroom he goes...I tell him to go again..and he goes...and then I tell him again and he goes.... again. So bathroom breaks have turned into make sure he goes three times. And then after we get inside... he has had 3 accidents in 2 weeks, feel bad for him. He hasn't gone in the house in years (the last time I remember is when he was 10 mo old and before that was 4 mo old or something) and he literally just stops and starts peeing right in front of us ...it is really odd. But the vet had warned us, and of course we do not get angry or anything.

Anyone (Hollysmom?) have advice on that? I try to take him out every hour (like a pup!) And we are crating him at night and when we are not home, he has had no accidents in his crate.
I've had the problem but never found a solution except to take them out a lot which you're already doing (having only three accidents in two weeks on this high dosage IMHO is fantastic). Sometimes it can even present problems on much much lower doses of Pred when dealing with elderly dogs and their weak bladders. My only advice is to keep on doing what you're doing and make sure you have a lot of Odo-Ban on hand for clean-up if there's an accident.


Gayle
Faith, Ledgie & Scooby
My Bridge Kids: Andy, Abbey, Tasha, Tex, Echo, Yukon, JR, Too, Niki, Bo, Ringer, Kelly, Honey, Mac, Slider & Bruiser
Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: arycrest] #185304
10/02/11 01:58 PM
10/02/11 01:58 PM
Joined: Jan 2010
Posts: 4,618
JeanKBBMMMAAN Offline
Rescues Rule Admin
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Awwwww, what a great smile! Thank you Kelso for posing. wub

With the pred, they pee. I was on it before, I had to go like I've never had to go in my life. A lot of pressure - think of when you were really little and were really into playing and then all of a sudden, because you weren't in tune with the pre-gotta go feeling - you had to get to a bathroom NOW. That's what it's like. laugh TMI? rofl

Anyway, you are doing what you can. You could get a belly band but probably not necessary. Mila on pred actually peed at the door - she couldn't wait for me to open it! Quincey was on huge doses and a puppy - he would not even know he had to go and would just start peeing. It's weird isn't it?

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: JeanKBBMMMAAN] #185308
10/02/11 02:07 PM
10/02/11 02:07 PM
Joined: Feb 2010
Posts: 4,962
Ohio
PositiveDog Online coffee
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PositiveDog  Online Coffee
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Ohio
Another note on the pepcid - it can cause weight loss. When my sister's aussie had auto-immune anemia and was on pepcid she suddenly began to lose weight.

My sis then learned that could be a side effect of the pepcid (and we joked we were going to eat pepcid like M&Ms.)

Mya is raw fed and she picked the weight back up once her anemia got better and meds were reduced. My sister also spent time daily getting her back in shape since her muscles and stamina were reduced during her illness.

By the way, Mya was never supposed to be able to do the things she used to - agility, herding etc according to the vet. Within 10 months she got her master agility title.

Kelso - so glad to see your health is on the rise! smile


Bonnie

With approval of my friends:

SamCat, 03/2011
Bennie the 12 1/2% GSD 02/2013

Seiko, Solo, Sophie, Skye and Buddy - bridge dogs who taught me so much
Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: PositiveDog] #185422
10/02/11 11:10 PM
10/02/11 11:10 PM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline

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So happy to hear the great news!

I didn't realize slippery elm was a diuretic. Interesting. Risa occasionally has some incontinence issues. I recently stopped giving her slippery elm and she hasn't been leaky since! Something to keep in mind for sure.


~Jamie~
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Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: DancingCavy] #185499
10/03/11 03:22 AM
10/03/11 03:22 AM
Joined: Sep 2011
Posts: 48
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Hollysmom Offline
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Yea, no diuretics during this type of stuff going on. His kidneys are working a bit overtime because of the steriods, they don't need anything else forcing them to work hard.
There really isn't much to do with the uncontrolled urination, the darn steriods make them drink like a fish and pee like a racehorse. As Kelso is weaned off them, the excess urination will start slowing down also.
I can tell you it does not affect them after they are off the steriods, there is not usually any lasting issues, once weaned off steriods, the excess water drinking, eating and peeing go back to normal.
You are doing great with Kelso and the problems associated with treatments that go on so long...

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: Hollysmom] #186287
10/06/11 08:01 PM
10/06/11 08:01 PM
Joined: Sep 2011
Posts: 48
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Hollysmom Offline
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Hollysmom  Offline
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Joined: Sep 2011
Posts: 48
How is Kelso doing? Any updates?

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: Hollysmom] #186514
10/08/11 03:32 AM
10/08/11 03:32 AM
Joined: Feb 2010
Posts: 1,490
Kansas
kelso Offline OP
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kelso  Offline OP
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Posts: 1,490
Kansas
Howdy again

Some more "eh" I guess?

He is still acting the same, a little zippy from the steroids but tires faster and just acts like a strange version of himself in general crazy So no change there at least! Glad he is happy smile For whatever reason, he LOVES his weekly vet visits. I am sure it has nothing to do with the fact that one of the techs has a soft spot for him and does tricks with him in the lobby for treats..lol. And he is not getting out of the house otherwise!

Labs are at a standstill, again some are a hair lower frown RBC slightly lower again along with the hematocrit, but not much. Hemoglobin up a hair.
I did notice they commented that the platlets appear "markedly" decreased, while last week it was "moderately." Ug. Not really sure how significant that is though as the values seem pretty approximate and it comments that they could be falsely decreased.

There was that first week that the labs did not change much, and then improved so I wonder if it takes 2 weeks for the labs to reflect what is going on each time?

So....our vet is sending us to the internist Tuesday at 1pm. Same place Dan took Meeka for her FHO and pyometra so we are familiar with the place at least, they have been very good in the past.

so that's it for now, thanks for hanging in there with us and reading, offering advice ect. Much appreciated.

Hope everyone has a good weekend. Leaves are starting to fall here so want to get some fall pics of the dogs this weekend playinleaves




-Steph

GSD's
Allie, gotcha 7/2007
Riko z Vom Weberhaus, "Fez" 7/29/2012

forever our angels
Meeka, b. 10/31/1994-11/26/2006
Kelso, b. 9/3/2006-2/9/2012

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #186515
10/08/11 03:34 AM
10/08/11 03:34 AM
Joined: Feb 2010
Posts: 1,490
Kansas
kelso Offline OP
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kelso  Offline OP
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Kansas
And thanks for the great tips and shared experiences Gayle, Jean, Bonnie and Hollysmom! smile


-Steph

GSD's
Allie, gotcha 7/2007
Riko z Vom Weberhaus, "Fez" 7/29/2012

forever our angels
Meeka, b. 10/31/1994-11/26/2006
Kelso, b. 9/3/2006-2/9/2012

Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: kelso] #186533
10/08/11 05:15 AM
10/08/11 05:15 AM
Joined: Feb 2010
Posts: 2,488
Central Florida
arycrest Offline
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Central Florida
hugging hugging hugging hugging hugging

Will be thinking of you and Kelso Tuesday!!! upsidedownleaf


Gayle
Faith, Ledgie & Scooby
My Bridge Kids: Andy, Abbey, Tasha, Tex, Echo, Yukon, JR, Too, Niki, Bo, Ringer, Kelly, Honey, Mac, Slider & Bruiser
Re: Kelso is sick :( -anemia/recent DHLPP.. [Re: arycrest] #186540
10/08/11 07:26 AM
10/08/11 07:26 AM
Joined: May 2010
Posts: 8,875
Queensland. Australia
bianca Offline
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Queensland. Australia
Adding my thoughts for some answers on Tuesday! And a gentle pat for Kelso hugging


Molly Moo (aka The Piranha, 4 legged mouth) GSD (31/10/09)
Cooper GSD (The Gremlin) 19/10/11
Texas - Tabby cat (Feb 1996-2013) Run free sweet Teppie
Paris - Tabby cat (Feb 1996-2013) Run free my beautiful girl.
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