? 1/18 Bronx's bloodwork & urinalysis

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Bronx's dad (GA), Jan 18, 2018.

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  1. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Everything looked good with the blood work except for the low lymphocytes. @Wendy&Neko can this have something to do with the SRT? Amylase was also high, but no concern from the vet but she seemed kinda clueless about Acromegly & SRT. (This was the first time with a different vet, "main" vet was out that day)

    Vet said there was blood in the urine but she had no concerns because they drew the urine from a needle and this can be normal due to blood from the needle??? I never heard this before @Marje and Gracie

    No idea why no tT4 test, I will call them back tomorrow
    On a positive note....first time ever no glucose in the urine!:cat:
     
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  2. Christie & Maverick

    Christie & Maverick Well-Known Member

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    Yay! No glucose! Years ago, with my old girl who had CRF, I recall reading that it is possible to get blood in a urine sample when they use a needle inserted into the bladder (cystocentesis), which is supposed to be the best way to collect a sterile sample. I'm sure Marje can elaborate, but here's my reference point http://www.felinecrf.org/diagnosis_urinalysis.htm#cystocentesis

    Extra chin scritches for Bronx, hope the vet visit wasn't too stressful.
     
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  3. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    And they did allow me to shoot Adequan via subQ at home instead of him going in twice a week for 4 weeks for an IM injection. Hope it helps his arthritis.
     
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  4. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    My vetty has said it's not unusual to have a very small amount of blood in the urine from the needle stick.

    I'm so glad you can do the Adequan at home! Prayers it helps with Bronx's arthritis...we had very good luck with it here.
     
  5. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    "Obtaining a urine sample via cystocentesis (a needle into the bladder) may sometimes cause blood in the urine." I feel better now about that, thanks so much!
     
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  6. Christie & Maverick

    Christie & Maverick Well-Known Member

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    That is definitely a win, glad the vet saw it your way ;), I sure hope it gives Bronx some relief. He's in great hands :):cat:
     
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  7. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    They wouldn't write me a script though since it is for dogs, had to buy it from them. But so happy no need to bring him in twice a week! I did drop the bottle, hopefully it isn't as sensitive as insulin as far as bubbles go. Did read that it doesn't have to be refrigerated.
     
  8. Christie & Maverick

    Christie & Maverick Well-Known Member

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    You're welcome :). I think also probably your vet wasn't concerned because there were no other issues in the urine sample which would make them think there was another reason for blood in urine, like a UTI for example. Disclaimer, I'm making dinner, so I haven't actually looked at the test results :rolleyes:.
     
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  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Neko never had low lymphocytes until her kidney disease was fairly well along. They didn't go down as a result of SRT. Was the vet concerned at all about it? I would definitely hound them about the T4 test. CSU suggested I get that tested every theee months for the first year after SRT.

    Paws crossed the Adequan provides some relief.

    You didn't ask, but I'd like to see more consistent dosing. It's really hard to figure out what the dose should be when you are jumping around. And with those 40's he's been giving you, I would step up the testing. The SRT impact can come in waves, requiring more vigilance.
     
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  10. Marje and Gracie

    Marje and Gracie Senior Member Moderator

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    Most of his labs look pretty good! I agree with Wendy that I’d be keeping an eye on his tT4 as he’s over 12 years old and he said creeping up on the “gray” area. Anything over 2.5 in a cat over 10 is suspect.

    The amylase doesn’t bother me. What does your vet say about the low lymphocytes? Cats on steroids or where too much cortisol is produced by the adrenals can have low lymphocytes.

    And, as you’ve read and others have posted, blood can occur in the urine if cystocentesis was done.

    The one thing that I would have checked is the 2+ protein. Since that didn’t run an MA, it’s hard to say what might be going on but considering his acro, I would ask the vet if there is still any urine left to do a urine protein:creatinine ratio. If there’s not enough urine, if you can take in a sample, I’d have it checked out. If he has proteinuria, he’ll need to be treated for it.
     
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  11. LizzieInTexas

    LizzieInTexas Well-Known Member

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    Yay for Bronx. Dad is doing a fabulous job :). I believe that the t4 can still be run if the lab still has the blood samples. I know they can with certain things but not sure about the t4.

    Thrilled for you and Bronx. :bighug:
     
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  12. Alicia & Maggie (GA)

    Alicia & Maggie (GA) Well-Known Member

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    Glad you got the OK to do the Adequan yourself and hope it makes a big difference for Bronx.
     
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  13. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    I learned something new today about the blood in the urine sample. Hope you can still have the t4 ran without another stick to Bronx.
     
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  14. Pamela & Amethyst

    Pamela & Amethyst Well-Known Member

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  15. MJW

    MJW Well-Known Member

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    First time ever no glucose in the urine? Wow. That is quite a victory. You have dealt with a lot. Congratulations.
     
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  16. Amy&TrixieCat

    Amy&TrixieCat Well-Known Member

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    Of course this is a completely bogus excuse - many of us have had scripts for cats filled through online pharmacies that are much cheaper than our local vets. But, at least he is letting you do the shots at home.

    There are two versions of Adequan - equine and canine. The canine contains a preservative, so it doesn't need to be refrigerated. The equine does not contain the preservative, so it does need to be refrigerated. The preservative is the only difference between the two. I always found the equine version to be cheaper, so that's what I've used. I know you're getting the Adequan from your vet right now....but this is just a little tidbit in case he decides to let you order it online instead at some point in the future!
     
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  17. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Well, I really meant first time no glucose since his dx in 11/2016 :cat:
     
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  18. MJW

    MJW Well-Known Member

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    My vet was going to sell me Adequan from China. I forget the brand name. I ordered the original "Canine Adequan" from a pharmacy. I think one vial is about $75, more expensive than the imported stuff. I would be annoyed with a vet who wouldn't write me a prescription. Of course I was annoyed when my vet wouldn't write me a prescription for R week before last, but it turned out I didn't need one.
     
  19. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Great info, I will hound them again after this bottle starts getting low
     
  20. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    They charged me $138 for 5ml which works out to 12.5 shots
     
  21. Ella & Rusty & Stu(GA)

    Ella & Rusty & Stu(GA) Well-Known Member

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    Hi Paul, I just read this good report on Bronx and want to congratulate you on your stellar care of him. I hope the new meds will do their thing.
    Blood in the urine after the needle draw is common. Rusty has had it many times. It goes away right away.

    Thanks for your concern for Rusty.
     
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  22. MJW

    MJW Well-Known Member

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    RIPOFF!!! $66.49 today for a 5ml vial at kvsupply.com
    There was a shortage last summer and pharmacies were selling vials about to expire. You always have to check on that.
     
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