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Caring for a Three Legged Dog or Cat

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Blood work after Chemo
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Member Since:
27 February 2015
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1 April 2015 - 2:16 pm
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 Hi

Borris started chemo on March 11th.  All went well with no noticeable side effects.  We had to go back for blood work 12 to 14 days after so our appointment was for March 25th.  The oncologist informed me he would be on vacation and that the tech would be able to take care of us and he was leaving notes for her in case the white cell count was off.  White and red cell count was fine.  Platelets however were moderately low. Borris seems fine.  No signs of bruisng, bleeding etc.  Tech told me to watch him this week, we are back in tomorrow morning for blood tests and second round of chemo.

Before I go to his appointment tomorrow, I just want to know, has anyone else experienced this?  What are my options tomorrow?  Do we do second round if blood work is good and back to normal? Or is that asking for more problems?  I know the vet will have answers tomorrow, he is back from vacation,  however,  I always like to have the right questions to ask him, so I would appreciate any feedback anyone else may have.  Was the count low just because it was 12 to 14 days after?  Does everyone else do bloodwork 12 to 14 days after, or just before the next chemo treatment?  If we had not done the blood test, I would not suspect anything was wrong. Borris is doing well.  We go for 2 walks a day and we are going further each time.  His appetite is good.  I am feeding him Pulsar Fish, no grain.  This food has a very low glycemic index.  He also gets Flex All Joint Support biscuits and Benny Bully beef liver treats.

Any suggestions would be welcome.  (Borris is a ten year old harlequin great dane, rear leg amputation due to osteosarcoma, February 17th.)

Darlene

New York, NY
Member Since:
3 December 2012
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1 April 2015 - 2:31 pm
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Hi Darlene-

After Jill's first round of chemo, we did bloodwork the day her second round of chemo was supposed to happen (3 weeks later) - I was SHOCKED when Jill's bloodwork came back and her whiteblood cells/neutrophils were EXTREMELY low.  She was showing NO signs of anything - she was a happy, healthy kitty.  We had to wait and re book chemo for two weeks later and at that time, her bloodwork was all fine.

From that time on, I always brought her to the vet 3 days prior to chemo to do the bloodwork.  That way, I wouldn't show up with her for chemo only to be told she wouldn't be able to have treatment that day.  She had to have chemo postponed twice due to low neutrophils, and both times I was surprised - you would never have known anything was "wrong" with her.

It's now two years post amputation for Jill and she is doing great :)

Keep us posted!!

Jill is a 9-year-old tuxedo kitty. She was diagnosed with Osteosarcoma in June 2012 on her toe in her right hind leg. Her leg was amputated on 12/12/12 and she completed four rounds of chemo (2 of Carbo, 2 of Doxy) in April 2013. "Like" Jill's facebook page: https://www.fac.....tty?ref=hl Proud member of the WINTER WARRIORS!!!! Her blog can be read at http://jillsjou.....ipawds.com. xoxo

New York, NY
Member Since:
3 December 2012
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1 April 2015 - 2:32 pm
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Also, I'm in chat right now if you want to discuss further :)

Jill is a 9-year-old tuxedo kitty. She was diagnosed with Osteosarcoma in June 2012 on her toe in her right hind leg. Her leg was amputated on 12/12/12 and she completed four rounds of chemo (2 of Carbo, 2 of Doxy) in April 2013. "Like" Jill's facebook page: https://www.fac.....tty?ref=hl Proud member of the WINTER WARRIORS!!!! Her blog can be read at http://jillsjou.....ipawds.com. xoxo

Raleigh, NC
Member Since:
29 April 2013
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1 April 2015 - 3:13 pm
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Nixon's WBC was always low after chemo and I think we had to postpone 3 out of 5 treatments because of this.  I'm pretty sure the first two rounds of chemo had us check his blood 2 weeks after as well as the day of his chemo.  His chemo was supposed to be every 3 weeks but it was often every 4 weeks.  The last round, I did chest xrays too.  If there had been mets, I would have not gone through with it.  As it is now, we're 10 days away from being 24 months post amp so it worked.

Michigan
Member Since:
2 April 2013
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1 April 2015 - 5:00 pm
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Murphy did a different type of chemo for his cancer, so his cbc was a week after treatment and on the day of treatment.

A lot of people talk about their pets being treated with steroids, like prednisone, and that's usually what people are treated with to improve their platelet count.  So I would ask if that might be an option, especially if they're really low.  Although a side effect of steroids is that they drink a lot of water, therefore they pee a lot..and I mean a lot!  lol

Donna

Donna, Glenn & Murphy 

Murphy had his right front leg amputated due to histiocytic sarcoma at 7 years old. He survived 4 years, 2 months & 1 week, only to be taken by hemangiosarcoma at 11 1/2 years 6/12/17  
Read about Murphy's Life on Three Legs

Donna.png

Rio de Janeiro, Brazil
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17 May 2014
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1 April 2015 - 5:33 pm
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Johnnie had blood work only before each chemo treatment.  His WBC from round 2 to round 3 went down a lot, but after this, I believe because of the supplements, he was able to maintain good rates and we didn't have to reschedule any chemo.

I believe this all depends on the oncovet.  Each one has a different M.O.

Our awesome Golden Boy was diagnosed for OSA in April 2014 in the proximal humerus, front-leg amp on 05/20/2014. Finished chemo (Carbo6) on 07/10/2014. Ongoing treatment: acupuncture + K-9 Immunity Plus ( 3chews) and home-cooked no-grain diet.   Stopped Apocaps because of liver issues.   Liver issues: controlling altered enzymes with SAM-e and Milk Thistle.  October 17:  started having seizures.  Taking fenobarbital for seizures.  April 18: started prednisone.


Member Since:
22 August 2008
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1 April 2015 - 6:56 pm
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Some oncologists will do an initial CBC 10-14 days after chemo to see if WBC is low.  This is rare with carboplatin but more common with Adriamycin.  Platelets often go low and usually is no big deal.  Tazzie's platelets would sometimes go as low as 26,000 but her oncologist told me not to delay the treatments and she never had any bleeding episodes.  After that first time I just checked a CBC every 3 weeks right before I gave her the chemo injection just to make sure the white cells (specifically neutrophils) were okay.

Pam

Member Since:
4 December 2013
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1 April 2015 - 9:07 pm
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I was fortunate to not have CBC variation with my girls IV chemo. she was on carboplatin and doxi alternation every 3 weeks for the max dosage plus another 2 dosages . But I was told that her platelets could drop a couple days after chemo and her gums could look a bit pale not to be alarmed. Which is why they recheck the same day of every IV infusion. I opted out of any steroid they often give dex as counter for any allergic reaction, but I opted out of it as I felt it could supress her immune system more and she had a wierd rxn to predisone when she younger. She did fine with out it, I just gave benedryl to counter act any allergic rxn. As long as the #'s bounce back, I wouldnt worry too much. Platelets can fluxuate alot before it will show physical signs. Good luck.

Angel Neka

7/4/2003-4/5/2016

2.5yr 3x cancer warrior survivor

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