20061117
Original sender: Eric----
I spoke with Dr. Goldkamp at UF this afternoon and went over JJ’s lab results. She has compared them with the last set of results and finds that they are improved in a couple of areas and stable everywhere else. She is a bit concerned that the Petsmart vet commented that his blood was watery. It turns out that his HCT (hematocrit) is at 28.3 percent and that that is below the normal canine range of 37.0 - 55.0 but some distance from the point where a transfusion would be indicated. She suggests having some blood spun down to get PCV and Total Solids readings.
It turns out Dr. Goldkamp has not been reading along at http://jjstatus.blogspot.com and did not know that he has been interested in food. She commented that it was a good sign and suggested we try substituting low protein foods gradually in an effort to outsmart him into eating stuff good for his kidneys. When I finished laughing (outsmart a Cattle Dog, yeah right!) I said that we would continue the KD in the syringe and experiment with different choices orally.
She discounted my theory (see 20061116 paragraph 3 (Nerd side note: if you put the date in yyyymmdd format when you name a document it will sort into chronological order making it easier to find what you’re looking for in a crowded folder)) that his eating binge Tuesday night caused him to not be interested in food until very late Wednesday. She doesn’t think that the changes in blood values happen so quickly in relation to specific individual meals to make such a connection.
Dr. Goldkamp would like to see him in 3 to 4 weeks to do a more complete follow up and to convert his feeding tube into a low profile model that won’t require the extensive bandaging.
Dr Goldkamp seemed to make a point that JJ’s values may never improve. Dr. Wallace was a bit more optimistic (Hey the BUN came down 25% and everything else is holding steady, let’s see what happens) though did not offer any other prognosis (okay, so thousands of miles and the ramblings of a worried guardian tend to complicate the picture).
I will continue to stop in wherever I find a scale and chart his weight progress. I don’t know if I will be able to wait a month to look at more blood work so I may do that sooner and then hit the fax machine.
Thanks for all of your support. Sorry about the nerd tidbit, I couldn’t help it.
I spoke with Dr. Goldkamp at UF this afternoon and went over JJ’s lab results. She has compared them with the last set of results and finds that they are improved in a couple of areas and stable everywhere else. She is a bit concerned that the Petsmart vet commented that his blood was watery. It turns out that his HCT (hematocrit) is at 28.3 percent and that that is below the normal canine range of 37.0 - 55.0 but some distance from the point where a transfusion would be indicated. She suggests having some blood spun down to get PCV and Total Solids readings.
It turns out Dr. Goldkamp has not been reading along at http://jjstatus.blogspot.com and did not know that he has been interested in food. She commented that it was a good sign and suggested we try substituting low protein foods gradually in an effort to outsmart him into eating stuff good for his kidneys. When I finished laughing (outsmart a Cattle Dog, yeah right!) I said that we would continue the KD in the syringe and experiment with different choices orally.
She discounted my theory (see 20061116 paragraph 3 (Nerd side note: if you put the date in yyyymmdd format when you name a document it will sort into chronological order making it easier to find what you’re looking for in a crowded folder)) that his eating binge Tuesday night caused him to not be interested in food until very late Wednesday. She doesn’t think that the changes in blood values happen so quickly in relation to specific individual meals to make such a connection.
Dr. Goldkamp would like to see him in 3 to 4 weeks to do a more complete follow up and to convert his feeding tube into a low profile model that won’t require the extensive bandaging.
Dr Goldkamp seemed to make a point that JJ’s values may never improve. Dr. Wallace was a bit more optimistic (Hey the BUN came down 25% and everything else is holding steady, let’s see what happens) though did not offer any other prognosis (okay, so thousands of miles and the ramblings of a worried guardian tend to complicate the picture).
I will continue to stop in wherever I find a scale and chart his weight progress. I don’t know if I will be able to wait a month to look at more blood work so I may do that sooner and then hit the fax machine.
Thanks for all of your support. Sorry about the nerd tidbit, I couldn’t help it.
posted by Elf at 2:26 PM
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