Reduced red blood count and high white blood count they’re staying its cancer

[Vally]

Just double checking, we’re talking 37.6 to 35.

[Patrice]

Mel,
I really would like to see the reticulocyte value before I say anything. Your vet is failing to request this on the CBC and it is critical to know. Unless he has some other resource where he has received this information, it leads me to believe he doesn’t have a good understanding of regenerative vs non-regenerative anemia.

The Sept CBC does have a high neutrophil count but as I said before it’s not any higher than in other dogs that have recovered.

There is a condition called anemia of chronic disease that can lead to a low grade non-regenerative anemia and has signs of inflammatory responses that might have these high neutrophil counts. This is hard to explain. I would really need to see a chemistry screen to evaluate the body health of organs etc to determine if there is another problem occuring. Has your vet done this test at any point?
My best Patrice

[Mel]

Value, yes 37.6 to 35. His breathing has become quite laboured over the past couple days and I could see a very slight decrease in energy on walks (still far ahead of me and trying to chase squirrels, if you didnt know him you wouldn’t have noticed the drop). I was actually expecting the decrease and was happy that it wasnt more.

We did do a chem screen a few weeks ago, let me find it. There was only two abnormal numbers, the liver was high and one other thing that escaped me.

[Mel]

I looked at the chem screen the retic count is not on there. I will request it next visit.

The other high value is glucose

[Mel]

Our vet called as he ismt happy with his he is responding and she spoke with an internal medinice doc who suggested retic count so saved me from having to do it. Scheduled for monday

[Patrice]

That’s interesting. I’m not sure exactly what you wrote but it seems like someone other than me is complaining that the reticulocyte count has not been done yet. Or was done but never showed up in any of your paperwork. Am I correct?
my best, patrice

[Vally]

That’s good Mel, that test answers an important question.