04/29 Jasper amps 269 (blood work update)

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Heather and Jasper

Heather and Jasper

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Yesterday's condo

He seems to be feeling a little better. Still no more vomiting since Tuesday afternoon, just ate 20ml of FF/tuna water soup. He drank some tuna water on his own last night. :-D :-D :-D

He's moving around better today (just managed to jump into Eric's computer chair)

should be getting the test results in today. my German vet friend won't be able to go with me, she's got a prior appointment, but she said she would go over the blood work results with me and check him out herself.



gonna go make myself some noodles before anyone notices how far out of date my ss is....
 
Re: 04/29 Jasper amps 269

Heather,

Sorry to hear that Jasper is not feeling well. Good luck with the vet visit and I hope he is feeling better soon. It is so hard when they are sick. I'm glad he has you. He must be lovin the attention.

I'll check out later to see how he makes out.

Thinking of you guys.

jan and sara
 
Re: 04/29 Jasper amps 269 +3 80

vet appt in an hour and a half, will get results then.

WCF, yes I saw Monique's offer, but my vet friend said I can call her also, she is just not able to go with me.
 
Re: 04/29 Jasper amps 269

Sending good vet report vibes & tons of snowflakes to our dear Jasper--Thinking of you so much-HUGs from Us~!!
 
Re: 04/29 Jasper amps 269

Just caught up on Per, ((((hugs)))). I hope the appointment is going well.

Let us know when you get home k?

(((Heather, Eric, Per)))
 
Re: 04/29 Jasper amps 269

Keeping you and Per in my thoughts and prayers today, hope everything goes well.
 
Re: 04/29 Jasper amps 269

vet update:

here are the results to Per's bloodwork taken on Tuesday Jasper's blood work (don't have scanner, I had to type them in... )

Iron is low, protein is high, some liver problems. he's dehydrated so for now it's 50ml NaCl sq three times daily (my poor baby)

He seems to be feeling a little better. he sat in a sunbeam for the first time since Saturday today and seemed to enjoy it.
 
hi heather. happy to hear jasper seems to be feeling a little better. i don't want to comment on the b/w results because i'm just not qualified, but i did put out a few calls for help to those who offered insight into alex's recent labs. i'm sure you'll get some excellent feedback.
(((hugs)))
 
I can't comment on the bloodwork, but I can say that SQuids seemed to help Shadoe alot!
While she did not like getting them much, I guess they felt uncomfortable, she did seem to perk up after receiving them, almost like a plant after being watered. I gave her 100ml once a day, so maybe smaller amounts more often is a more manageable way.
I hope all works out and Jasper starts to perk up more and feel better soon.
 
Heather:

Per's protein and albumin are both within the normal lab ranges.

He's slightly hypocalemic (low calcium) and he's definately anemic. Did the vet give you any iron supplements or anything to address the liver values that are off?

Did you happen to send a PM to Jess and ask her to take a look? I don't know how available Jojo is.
 
Sienne and Gabby said:
Heather:

Per's protein and albumin are both within the normal lab ranges.

He's slightly hypocalemic (low calcium) and he's definately anemic. Did the vet give you any iron supplements or anything to address the liver values that are off?

Did you happen to send a PM to Jess and ask her to take a look? I don't know how available Jojo is.
Click to expand...

He got an iron shot at the vets today, and a homeopathic shot as well (my german vet friend said that is normal treatment here). I've been talking to jojo via FB PM and Monique and have sent them copies of the blood work I'll pm jess and see if she can take a look also. thanks :)
 
Heather,
Glad to see that you have excellent eyes to look at Jasper's bloodwork. You know your in good hands. Nice to hear that he was feeling a little better and enjoyed his sunbeam. They do love there beams, and I love watching them soaking them in. I'm sure the fluids helped. Hope he continues to feel better.
You are both in my thoughts.
jan and sara
 
jojo and i were talking. she suggested adding "calorie count" lines to jasper's spreadsheet like we had lynee/max do when max was being tube fed: http://spreadsheets.google.com/pub?key=pJQhoF5eu2c0z6GypqD-uRQ.

since food is like medicine for the liver, it'll be a good idea to keep track of exactly how many calories jasper is consuming. jojo told me to make sure alex consumed 1.5 times her normal calorie intake when she was so sick last month.

since i doubt the foods available in germany are listed on binky's food charts, you might have to make some phone calls and/or search the web for the amount of calories you're feeding. from jojo... and i quote, "tell heather i said she has to do it." lol!
seriously, i know first hand how hard force feeding is, but jasper's liver needs the increased calories to heal.
 
Glad you're getting some great advice here, Heather! Hopefully Jasper will feel better and better each day.
 
Hi Heather & Jasper, Stu and I are sending more healing vines and hoping that the fluids and food will help Jasper a lot. It's good that you have so much expert advice. All good wishes,

Ella & Stu
 
Hi Heather

I'm sorry to hear Jasper's not well. Can you find anotehr translation for "segmentkernige"? I'm not sure what it means; the list is of different types of blood cells and one is listed as segmented. I think it just means the percentage of regular neutrophils but I want to be sure.

I'm very puzzled by the low iron. Was there any other word but "iron"? Nothing like total, or serum? The iron level seems just too low to make sense--I don't think the result is trustworthy, to be honest. There should be blood cell changes with severe iron deficiency and I don't see evidence of that; the cat's not even anemic. The iron shot he got today shouldn't be harmful but I'd retest the iron before further supplementation as iron supplementation can be over-done.

The magnesium isn't worrisome to me. The calcium is slightly off but a plain serum calcium isn't the best means to measure it; if this persists or is dramatically lower on the repeat test, you need to do a special ionized calcium test to investigate further. Hypocalcemia can be a sign of disease. Mild hypocalcemia can also occur with pancreatitis, although again I wouldn't put my apples in that cart based on a single minor change in the serum calcium.

His lymphocytes (a type of white blood cell) are low though in cats this is often associated with stress. It's a little lower than I'd like for a stress response, however, so it's also something to keep an eye on and to ask your vet about.

The liver values are elevated but not nearly into scary range yet. It could reflect the lack of proper food intake (i.e., early hepatic lipidosis) but spikes in ALT in particular can also be from the liver taking a "hit", usually from an ascending (up from the GI tract) infection, local inflammation (such as bad pancreatitis), or ingestion of something toxic like bad food, a non-food item or an actual toxin. I assume he has not gotten into anything? He is on no new medications, and does not go outside?


So about the vomiting -- were any x=rays done? Ultrasound? Is his abdomen tender? Is he pooping normally? Is he nauseous? With prolonged vomiting we have to worry about more serious causes. Was there any testing done other than bloodwork?

Four days is a long time for bad GI upset to carry on. I think he needs more diagnostics (imaging, if he hasn't had any yet); it's time to get to the bottom of this and treat the primary cause. He may need a feeding tube if this doesn't resolve quickly.

Hope this helps, please feel free to respond with questions.
 
Sending TONS of snowflakes & Healing Vines to Jasper again to speed his healing--And to you Heather-BIG HUGS~!! LL style :YMHUG: :YMHUG: :YMHUG:
 
jess, from heather's 4/27 post: viewtopic.php?f=9&t=13057

***Update, back from vet***

X-Rays show the lining of the stomach are inflamed, the vet I saw today feels thats the cause for the bloody vomit today.
She thinks he might be having problems with his kidneys, took blood for BW, we'll get the results back from that on Thursday. (
Click to expand...

... When I took Azy in for his weekly visit, Herr Dr ... took a look at Per's X-ray's from earlier in the day, and he thinks that there is fluid in chest cavity and that it doesn't look good.
Click to expand...
 
Thanks Choy-Foong. Heather gave me a little synopsis in the PM so I didn't check the "prequels" to this post so I didn't know about the fluid in the chest.

Heather, was it an x=ray or an ultrasound? I don't know how the lining of the stomach could look inflamed on x-ray; maybe she said that because of the bloody vomit.

Did she say the fluid was in the lungs or in the chest? Did they tap the chest to get a sample of the fluid? I am confused on the story now.



WCF and Meowzi said:
jess, from heather's 4/27 post: viewtopic.php?f=9&t=13057

***Update, back from vet***

X-Rays show the lining of the stomach are inflamed, the vet I saw today feels thats the cause for the bloody vomit today.
She thinks he might be having problems with his kidneys, took blood for BW, we'll get the results back from that on Thursday. (
Click to expand...

... When I took Azy in for his weekly visit, Herr Dr ... took a look at Per's X-ray's from earlier in the day, and he thinks that there is fluid in chest cavity and that it doesn't look good.
Click to expand...
Click to expand...
 
from what i can gather, x-rays were not done at first visit with herr dr (heather's in germany), the regular vet. then there was bloody vomit, and at subsequent visit with a different vet, a lady, x-rays were taken. that's the first quote i copied.

at the third vet visit, herr dr took a look at the x-rays the lady vet took, and commented about *possible* fluids in chest. that's the second quote in my post.

adding to the confusion, i believe heather's struggling with some language difficulty since the vets speak all or mostly german.
 
Can you find anotehr translation for "segmentkernige"? I'm not sure what it means; the list is of different types of blood cells and one is listed as segmented. I think it just means the percentage of regular neutrophils but I want to be sure.
Click to expand...

Segmented neutrophiles (granulocytes), typically elevated in infections, acidosis, inflamation, stress, after heavy excercise, smoking, intoxication, toxins, and certain medications (ie. cortisone)

Stabkernige= bands (banded neutrophiles)-immature white blood cells

both of these counts are normal in the absolute count.

Lymphocytopenia is associated with corticosteroid use, infections with HIV and other viral, bacterial, and fungal agents, malnutrition, stress or heavy physical exercise (due to cortisol release) and other medications.

Eisen is Iron or total serum iron, seems quite low usually due to blood loss, malnutrition, poor absorbtion (intestinal problems), pregnancy, medications that interffer with iron absorbtion.

Liver enzymes are only mildly elevated (malnutrition) as well as the kidney values are sugesstive of dehydration. High calcium is often seen in cobination with high magnesium, magnesium is secreted by the kidneys high levels are usually caused by poor kidney function and increased intake of magnesium. Other factors are DKA, medications, adrenal insufficiency.
 
Monique & Spooky said:
Can you find anotehr translation for "segmentkernige"? I'm not sure what it means; the list is of different types of blood cells and one is listed as segmented. I think it just means the percentage of regular neutrophils but I want to be sure.
Click to expand...

Segmented neutrophiles (granulocytes), typically elevated in infections, acidosis, inflamation, stress, after heavy excercise, smoking, intoxication, toxins, and certain medications (ie. cortisone)
Click to expand...

Thanks Monique, that's what I thought, that it must mean mature cells vs bands.

Lymphocytopenia is associated with corticosteroid use, infections with HIV and other viral, bacterial, and fungal agents, malnutrition, stress or heavy physical exercise (due to cortisol release) and other medications.
Click to expand...

Cats are famous for stress lymphopenia; dogs not so much. I know you are a human pathologist (right?), I didn't realize humans could also have a stress-related lymphopenia, that's interesting.
 
Cats are famous for stress lymphopenia; dogs not so much. I know you are a human pathologist (right?), I didn't realize humans could also have a stress-related lymphopenia, that's interesting.
Click to expand...

Yup, of course humans can have stress :mrgreen: the cause of the reduced lymphocyctes (and other typical abnormalties eg. raised glucose) is caused by increased levels of cortisol (a stress hormone). Obviously most humans don't experience extreme "vet" or doctor stress and the effects are not immediate it's usually long term stress, or heavy physical activity such as athletes. This is the reason why people who are under stress for a period of time often get sick more frequently because thier immune function is comprimised slightly making them more vunerable to "germs".

magnesium is secreted by the kidneys high levels are usually caused by poor kidney function and increased intake of magnesium. Other factors are DKA, medications, adrenal insufficiency.
Click to expand...

Obviously that should say magnesium is EXCRETED (filtered) by the kidneys :roll: So poor kidney function ( or dehydration which makes the kidneys job harder because they have limited water to work with) means the levels of some electrolytes which are normally tightly controlled by the kidneys will go whacky when they can't be excreted properly.
 
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