Chelsea got her first ImmunoRegulin shot yesterday. She also had blood drawn, after which she collapsed but later revived. She is still eating but is very weak. Below are the results of her bloodwork, it doesn't look good at all at this point. I'm giving her pet tinic, oral interferon and a product called Feline Immune System Support from Standard Process. The bloodwork showed no Hemobart, should I still ask for Doxycycline? My vet really isn't comfortable with Epogen, is there anything that I can tell him to change his mind?

From: Online Manager <[EMAIL PROTECTED]>
Subject: Marshfield Laboratory Results
Date: Sat, 15 Apr 2006 22:31:56 -0500
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Name:    CHRISTMAN, FELINE CHELSEA (DEANNE)  ID #: 3181189CA
Species: FELINE                             Accn#: 82653812
Age:     12 months Approximate                DOB: 04/15/2005 Approximate
Patient Location: SLENN                    Gender: Female

Veterinarian: RICHARD SLENN
Breed: Domestic Short Hair

FLAG - TEST ----------------------------- RESULTS -- UNITS --- REF RANGE --

Hemogram-CleVet (CLVCLT) Collection: 04/15/06  13:00
*L Red Blood Cell Count 1.41 x10^6/uL (5.80 - 11.00)
   *L  Hemoglobin                            2.8    g/dL      (8.6 - 16.0)
          *Result verified by repeat analysis. BLM 04/15/06 22:50
*L Hematocrit 9.6 % (28.0 - 47.0)
          *Result verified by repeat analysis. BLM 04/15/06 22:50
H Mean Corpuscular Volume 68.0 fL (37.7 - 50.0) H Mean Corpuscular Hemoglob 19.7 pg (12.3 - 17.2) L Mean Corpuscular Hgb Conc 29.0 g/dL (31.1 - 36.0) Red Cell Distribution Wid 19.6 % (17.0 - 24.0)
       Platelet Count                          *    x10^3/uL  (160 - 660)
          * PLT estimate from smear appears to be 100,000 - 175,000 /uL.
       White Blood Cell Count                5.6    x10^3/uL  (3.7 - 20.5)
Seg. Neutrophil Absolute 1.96 x10^3/uL (1.30 - 15.70) Banded Neutrophil Absolut 0.00 x10^3/uL (0.00 - 0.30) Lymphocyte Absolute # 3.36 x10^3/uL (1.00 - 7.90) Act Lymphocyte Absolute # 0.00 x10^3/uL (0.00 - 0.10) Monocyte Absolute # 0.17 x10^3/uL (0.00 - 1.00) Eosinophil Absolute # 0.11 x10^3/uL (0.10 - 2.00) Basophil Absolute # 0.00 x10^3/uL (0.00 - 0.10) Other Absolute # 0.00 x10^3/uL (0.00 - 0.00) Blast Absolute # 0.00 x10^3/uL (0.00 - 0.00) Promyelocyte Absolute # 0.00 x10^3/uL (0.00 - 0.00) Myelocyte Absolute # 0.00 x10^3/uL (0.00 - 0.00) Metamyelocyte Absolute # 0.00 x10^3/uL (0.00 - 0.00)

*Pathologist review. Result to follow in 1-2 days. 04/15/06 22:47

                                 FINAL Report
       Marshfield Laboratories 1000 N. Oak Avenue, Marshfield WI 54449

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Name:    CHRISTMAN, FELINE CHELSEA (DEANNE)  ID #: 3181189CA
Species: FELINE                             Accn#: 82653812
Age:     12 months Approximate                DOB: 04/15/2005 Approximate
Patient Location: SLENN                    Gender: Female
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FLAG - TEST ----------------------------- RESULTS -- UNITS --- REF RANGE --

Differential-CleVet (CLVDIF) Collection: 04/15/06  13:00
       Segmented Neutrophils                  35    %
       Lymphocytes                            60    %
       Monocytes                               3    %
       Eosinophils                             2    %
       Polychromatophilia                     1+
   *H  Nucleated Red Blood Cells               6    /100WBC   (0 - 0)

          No Mycoplasma haemofelis (formerly Hemobartonella felis) seen.
           LJM 04/15/06 23:30
*RBC agglutination may falsely decrease RBC number and increase MCV and MCH.
             RBC appear agglutinated.

From: Belinda <[EMAIL PROTECTED]>
Reply-To: felvtalk@felineleukemia.org
To: felvtalk@felineleukemia.org
Subject: Re: ImmunoRegulin for Chelsea?
Date: Fri, 14 Apr 2006 17:00:06 -0700

First thing is to determine what is causing the anemia, giving doxy even when hemobart isn't found is a good idea, hemo is VERY hard to detect and the doxy will almost always take care of it and won't hurt Chelsea if she doesn't have hemo but will save her life if she does.

Blood transfusions, and epogen depending onwhat is causing the anemia can really help. Also vitamin B complex and folic acid are needed to build blood. Prednisolone can help if it is similar to what Bailey has.

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   Belinda
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