I posted seeking advice about my 4 yo hound mix on Sunday night and Dr. Magnifico responded. She asked that I keep her posted and with that, I’m hoping for some more advice. Roscoe had his follow up with our regular vet this afternoon and while his ALT levels have come down some (it was 786 on Sunday, 660 today and he started on Denamarin on Sunday night) his platelets have also dropped more (they were 114 on Sunday, 93 today) which is obviously concerning.
Some additional bloodwork levels to note –
RBC Sunday 8.99, today 9.46
Hematocrit Sunday 63.6, today 66.0
Hemoglobin Sunday 22.2, today 23.1
MPV Sunday 14.9, today 14.8
Reticulocytes on Sunday were 44.1 (within normal range) today they are high 127.7
Lymphocytes on Sunday were 1.20 (within normal range) today they are low 0.96
At our regular vet today, they tested him for Heartworm, Erlichia, Lyme & Anaplasma – all were negative. He is vaccinated for Leptosporosis, which is why I’m assuming they didn’t test for it today? The vet did say today that tick born infections can take awhile to show up, so he is proactively prescribing doxycycline which we are starting today.
Physical examination was normal at both the ER on Sunday night and our regular vet today. Regular vet suggested that he needs an abdominal ultrasound to look at his liver and spleen; they have someone that comes to the office every 2 weeks to provide this service, they will be in office on Thursday and are going to try to fit us in. I did call Jarrettsville Vet as well as Airpark Animal Hospital (we live in Northern Carroll County) to see about the possibility of getting an ultrasound sooner than Thursday (assuming that our regular vet is even able to get him in then) – neither had any availability sooner.
I’m just trying to wrap my head around this and prepare myself for what to expect next. Roscoe has been completely healthy up until this point. Other than a little more tired than usual, he is still behaving normally right now. Is there anything I should be asking for, or doing?
This boy is so incredibly special to us and has always been so full of life and love, I’m really struggling right now.
