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1 year post op blood work questions
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6 July 2018 - 10:49 pm
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Hello. 

Not sure if anyone or a doc can weigh in...

Cashew is a Shiba Inu Mix tripawd about 16 mos. post amputation from GSW, was 4-6 mos. when shot. She is now about 21 mos. old.

Her labs have twice come back high lymphocytes (WBC), high phosphorous and hypothyroid. I am obviously concerned. They were not way out of range, but were clinically significant. We have repeat labs (third time) in a week or so. 

Would greatly appreciate any help or extra thoughts or if anyone saw out of range labs for awhile after surgery. 

Cashew, “ShuShu”, stray shot in Armenia (where this is sport!).  Lost left forelimb at 4-6 mos. old as a result of GSW. Adopted at 19 mos. in May 2018. Currently Working hard at PT. 

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8 July 2018 - 9:19 pm
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This has nothing to do with the surgery.  High lymphocytes are not that significant unless the total WBC is high.  How high is the phosphorus?  At 2 yrs of age that is rarely significant unless the dog also has kidney issues.  A low T4 may or may not be significant but if the free T4 is low and the dog has clinical sign then it might need to be treated.   Can you post a copy of the lab results?

Pam

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8 July 2018 - 9:29 pm
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Thank u for response!

I don’t know how to upload them but I can list them.

May 08-2018

Total WBC 15.4

Lymphocyte 6.735

Phosphorous 6.5

No thyroid issue appeared during this test

May 19-2018

Total WBC 14.7

Lymphocyte 5.586

Phosphorous 5.8 (actually in range) 

Total T4 .9 (sxs lethargy and excessive rear shedding)

Her repeat panel is 7-19-18. 

As a result of both of these tests and her clinical picture and Armenian descent she was tested for Chagas at Texas A&M ( negative) and PCR tic testing (negative for all)

Cashew, “ShuShu”, stray shot in Armenia (where this is sport!).  Lost left forelimb at 4-6 mos. old as a result of GSW. Adopted at 19 mos. in May 2018. Currently Working hard at PT. 

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9 July 2018 - 8:12 am
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Her total WBC is not elevated so I would not worry about the lymphocytes at this point; some dogs just run higher.  If she had a fever or was otherwise sick it might be more significant.  I would not worry about the phosphorus.  When you recheck her next month I would make sure to add a free T4 to the panel.

Pam

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9 July 2018 - 8:14 am
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heartThank you. This is the direct feedback that I needed. I will def run Free T4 at her recheck. Thank you 🙂 So much. 

Cashew, “ShuShu”, stray shot in Armenia (where this is sport!).  Lost left forelimb at 4-6 mos. old as a result of GSW. Adopted at 19 mos. in May 2018. Currently Working hard at PT. 

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