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CBC issues with Charlie after 1st round of Carboplatin
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Member Since:
7 June 2010
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9 July 2010 - 6:21 pm
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We took his CBC yesterday (a day shy of the two week mark after the first chemo tx) and I got the results this morning.

The one that really concerns me is the platelet count. It was slightly high before chemo (513) and yesterday was 60. Normal range should be 175-500 (or 164-510, depending on who you ask).

I am suppose to watch him for bleeding. Isn't this what Kensington just went through???

 

I am scared and nervous. If his platelet count isn't high again by the time we do the second tx (next Friday), I should probably not do it, right? I mean if it wipes out 450k platelets, that's a concern, right?

I don't know if I'm over dramatizing the situation or what. Anybody have this experience?

All other counts were in the normal limits. Slight decrease in WBC and slight increase in RBC & HCT.

 

Worried about my buddy,

VQ

"I don't know where I am."

My heart lives at Rainbow Bridge
Member Since:
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9 July 2010 - 6:43 pm
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It is only normal for you to worry about your buddy.  I think your vet will give you guidance with the blood counts, and hopefully Pam will jump in and give an opinion.  We never had a problem, but they watched Trouble's bloodwork closely and were prepared to postpone treatments if necessary. 

Don't forget chemo is not an absolute.  You can stop it any time you feel the risk is more than the help it provides.  That is the only reason I agreed to start the treatments for Trouble.  Trust your instincts, you know Charlie better than anyone else.

Good thoughts to you and Charlie.  This isn't the journey any of us want to be on, but together we can make it more bearable.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

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9 July 2010 - 7:34 pm
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We don't have any advice on platelets - Holly's wbc dropped several times, but they never mentioned platelet counts that I remember.  We'll keep Charlie in our hearts and prayers. We're all here for you.

Sending hugs,

Holly, Zuzu and Susan

Holly joined the world of tripawds on 12/29/2009. She has a big little sister, Zuzu, who idolizes Holly and tries to make all of her toys into tripawds in Holly's honor. And she's enjoying life one hop at a time!

http://anyemery.....ipawds.com

Wesley Chapel, FL
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9 July 2010 - 7:44 pm
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Hi Viking Queen,

If your sweetie's platlets aren't back to a reasonable # before the next chemo, I'm sure that they will wait... and maybe even skip a cycle until things go back up... Don't worry... It happens with people too... No one goes to the next cycle until their bloodwork is OK...

Hang in there!!!

Angel Jake and Wolfie's Mom

Jake, 10yr old golden retriever (fractured his front right leg on 9/1, bone biopsy revealed osteosarcoma on 9/10, amputation on 9/17) and his family Marguerite, Jacques and Wolfie, 5yr old german shepherd and the newest addition to the family, Nala, a 7mth old Bengal mix kittie. Jake lost his battle on 11/9/2009, almost 8 weeks after his surgery. We will never forget our sweet golden angel… http://jakesjou.....ipawds.com ….. CANCER SUCKS!

Member Since:
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9 July 2010 - 8:30 pm
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"Ah, crap" was the first thing that popped into my mind when I read this.  Hopefully the platelet count rebounds and all will be fine.  Your Vet would know more than I, of course, but stopping chemo is what I would do, if they feel this was caused by chemo and nothing else, just my opinion.  They will for sure wait until the levels are okay.  Talk with your Vet and follow your heart.

We dealt with low (basically no) platelets.  Harley was on a different chemo (CCNU/Lomustine), and we don't know if his platelet drop was caused by chemo (we opted not to do a bone marrow biopsy to find out).  Harley's platelet level did not drop to dangerously low levels until about 2 months after his last treatment, so our situation is/was a little different.

From what I was told, 60,000 is not dangerously, dangerously low.  You should not have spontaneous bleeding at that count (I believe we were told below 20,000 was when spontaneous bleeding was very likely), but you still need to be careful about bumps, cuts, etc … We were told to watch for nosebleeds, red spots in the whites of the eyes, bleeding gums, urine that appeared bloody, and stool that appeared to have blood in it.  (Again, I'm not a Vet, hopefully Pam will pop in and clarify if I am wrong … it seems numbers tend to be all over the place when you read online, our Vet has 200,000 as the low end of normal, btw.)

Again, we dealt with levels that machines could not read, and visual tests would estimate 4000 or even lower counts.  We never experienced any signs of bleeding.  I'm sure I annoyed the heck out of Harley constantly pulling on his eye lids to look at his eyes and looking in his mouth for bleeding signs.

On the Livestrong website, they had different food suggestions for people going through chemotherapy and dealing with low platelet levels.  Kale and brown rice were two things I added to Harley's food.  

http://www.live.....platelets/

http://www.live.....platelets/

 

There are certain mushrooms that can lower platelet levels in humans, just so you know if you are adding mushroom supplements to Charlie's diet now.

http://www.bloo.....telets.php

 

Also, an infrequent human side effect of Gabapentin is lowered platelet levels.  My understanding is Gabapentin is a drug that has not been used in animals for very long, and lowered platelet count is not listed for animals, but it is listed for humans, so we chose to not use it on Harley after his platelet levels dropped (we did use it at the very, very end, as we were not concerned with platelets at that time and just wanted to make sure he was comfortable).

Did you Vet check for tick diseases?  Or xray/ultrasound the spleen?  Or do they feel this is just a side effect of chemo and nothing else?  Sorry, I am rambling.

I pray this is just a bump in Charlie's road and the counts rebound quickly!  If you have any questions, feel free to PM me, I can tell you more about our experience or answer any questions, if you want.  I spent hours upon hours upon hours reading about platelets.  Again, I'm not a Vet, but I can certainly share with you what I learned.

Praying for Charlie!

Amputation on 11/10/09, due to Histiocytic Sarcoma in left elbow. Angel Harley earned his wings on 06/24/10.

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9 July 2010 - 8:50 pm
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I just clicked on the first link and "The Platelet Disorder Support Association lists whole grains among its most important foods for individuals with low platelet counts."

Read more: http://www.live.....z0tF9yNxGb

Sure, just when I switch him to a grain free diet!!! mad Maybe that's why...doh! I just gave him Arby's without the bun (4 weeks today since his surgery). Charlie = Atkins diet. laugh Svelt at 96.1 pounds.

 

I will talk to the vet again tomorrow. I talked to her about it today (she's my local vet and is getting the information from the U). The U stated that the level was okay with going ahead with another round, but not at anything lower than that.

 

Thanks for the support, everyone! Again, we (meaning me) would have been a complete disaster without this forum. (Cue the Support Tripawds! fund laughing )

 

"I don't know where I am."

Member Since:
22 December 2009
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9 July 2010 - 9:11 pm
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Viking Queen said:

I just clicked on the first link and "The Platelet Disorder Support Association lists whole grains among its most important foods for individuals with low platelet counts."

 


Yeah, the whole grain thing killed me, too.  I felt like a bad Mommy when I read it and beat myself up over it.  You just have to remind yourself that everything you have done was done out of love.  I was so mad at myself for feeding grains to Harley when I found out he had cancer, then when I found out he had low platelets, I was mad I wasn't feeding him grains!  Harley was basically on the Atkins Diet, and the Atkins Diet is not recommended for people with low platelets.  Argh!  It never, ever ends!  There is no one right answer.

Whatever you have done was done out of love (I still have to tell myself this).

Hoppy 4week Ampuversary, Charlie!

You'll be in my prayers tonight.  Hope you get good news & all your questions answered from your Vet tomorrow!

Amputation on 11/10/09, due to Histiocytic Sarcoma in left elbow. Angel Harley earned his wings on 06/24/10.

On The Road


Member Since:
24 September 2009
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9 July 2010 - 10:32 pm
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Gwen, you are so pawesome for sharing this info with Charlie's Mom, thank you so much for being there for her.

Ok, Tammy, breathe. Next Friday is a long way from today. Remember….one pawstep at a time. Worrying about things that haven't happened yet doesn't do any good. Be.  More. Dog. Look at Charlie….is he worried? Nah! Now wouldn't it be great to have the same attitude?

Do not lose yourselves in the past. Do not run after the future.

The past no longer is. The future has not yet come.

- Gautama Buddah

And about feeding the whole grains….try to consider the fact that the info is referring to people digestive systems not dogs. I'm not a vet, but I do know one things; dogs and people have different systems, and process food differently. Who knows how this would apply to a dog?

Please don't beat yourself up OK? You are doing the best you can with the information you have. I know it's soooo hard not to think that you've made wrong decisions, but please,  just keep telling yourself, there are no wrong decisions. Ok? Ok!

Keep us posted, we're thinking of you both and sending lotsa love.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

My heart lives at Rainbow Bridge
Member Since:
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10 July 2010 - 2:33 am
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I've said this many times, but we continually have new members so I will say it one more time because I think it is important.  Our vet was very specific about not wanting me to change diets until after the chemo was complete.  He did not want to have the possibility of the diet causing symptoms thrown into the mix and then try to decide if complications arose whether it was caused by the chemo or the diet.

Check with your vet prior to making any change during the chemo period.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

Member Since:
22 December 2009
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10 July 2010 - 6:42 am
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hugapitbull said:

I've said this many times, but we continually have new members so I will say it one more time because I think it is important.  Our vet was very specific about not wanting me to change diets until after the chemo was complete.  He did not want to have the possibility of the diet causing symptoms thrown into the mix and then try to decide if complications arose whether it was caused by the chemo or the diet.

Check with your vet prior to making any change during the chemo period.


 

Great advice, as always.

I just wanted to throw out stuff to you, so you could talk to your Vet about it; I guess I should have clarified that we did speak to our Vet before changing things, and you should too.  But I also found it much more reassuring to do my own research, find information, and then speak to my Vet about it, and have him help me weed through and understand what I found.  I felt better when I had as much information as I could find.  It wasn't meant to scare or upset you.

Also, we were dealing with much lower platelet levels.  And, yes, the links provided above are for human websites, but our thinking was if it is true for humans, it may be true for dogs.  We were at the point of, if it is not going to hurt, there is no reason not to try it.  Again, much lower counts than you, but wanted you to have the info, so you could speak to your Vet, if you wanted.  This was just our experience.

Hopefully Charlie's levels rebound quickly and this will all be moot.

Amputation on 11/10/09, due to Histiocytic Sarcoma in left elbow. Angel Harley earned his wings on 06/24/10.

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10 July 2010 - 9:05 am
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Again, you guys rock!

The irony of this situation is I am an accountant by trade. Seeing a skewed number throws up red flags, especially when I can't audit the numbers to figure out what is going on!

I feel much better today. The number just threw me off. I'm thinking peanut butter sandwiches on whole grain bread (a personal favorite of Charlie's!) until we puke. We haven't been doing strict adherence as evidenced by camping last weekend we went to McDonalds and Charlie got the McDouble with the bun. Oh, and of course Thursday we went to the coffee shop = bone, bank = bone, and vet = bone.

See this wasn't so much a bump in the road for Charlie as it was a bump in the road for me. laugh

Okay, so 20 years of recovery (maybe dogs should be sponsors given that they follow these everyday!), here is what is applicable:

Let go and let G*d (or Dog)

One day at a time

Easy does it

KISS (Keep it Simple, Stupid)

And the one you guys keep reminding me of: If you have one foot in yesterday and one foot in tomorrow, all you are doing is peeing on today! (Although I'm sure Charlie would be proud of my marking ability)

 

So, since we weren't able to go to the Madison party (car and logistics issues), we are off to hit garage sales. Charlie can't resist a good garage sale! "Oh, that looks like a great blanket! Buy it! Buy it!"

 

Thanks again for easing the stress!

"I don't know where I am."


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22 August 2008
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10 July 2010 - 9:15 am
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Tazzie always had low platelet counts after carboplatin; one time she even went to 25,000.  She never had any problems or bleeding and she always rebounded prior to the next injection.  What Kensington went through is very rare!

Pam

Madison, WI
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5 December 2009
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10 July 2010 - 11:42 am
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We missed you, but we're counting you anyway Charlie!  You're still getting added to my Tripawds donation pledge tally.  Now boot those  platelets of yours back up!!!

By the way, you and anyone else can feel free to propose a tripawd pawty date in the Madison at anytime that you might like to come and we'll do everything possible to show up, and when possible, we'll advertise as much as we can too (for all the good that does whatever - haha).  And now that Gerry has made vast progress on his car riding (which hopefully won't be destroyed by our vacation journey all the way to VA) we are totally up for doing our best to travel to pawties elsewhere in the midwest as well.  Though we will be out of town on vacation starting next week for a bit - rhoooohooooooo!!!!!!!! way-cool

Now Charlie, you've got an important job ahead - getting good test results next time!  Eye on the prize.  Both for your mommy Tammy and for Spirit Harley's mom Gwen.  They both could use a break with some pawesome hoppy news, ok?  You can do it, pup!  Platelets, platelets, platelets!!!

 

Gerry has been a tripawd since 12/16/2009.

He was a shelter dog with a mysterious past and an irrepairable knee injury.

Videos and pics of Gerry's pawesomeness can be found at: http://gerry.tripawds.com

On The Road


Member Since:
24 September 2009
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10 July 2010 - 1:54 pm
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hugapitbull said:

Our vet was very specific about not wanting me to change diets until after the chemo was complete.


 

That's really sound advice. It's so hard though, not to panic and try to immediately start giving them the best foods we can. I know my Mom did that as soon as she found out I was sick. But yeah, the advice is very good.

And Tammy, I LOVE your sayings:

  • Let go and let G*d (or Dog)
  • One day at a time
  • Easy does it
  • KISS (Keep it Simple, Stupid)
  • And the one you guys keep reminding me of: If you have one foot in
    yesterday and one foot in tomorrow, all you are doing is peeing on
    today! 

These need to be on a t-shirt!

It's hard not to get down on ourselves when we learn that maybe our way of doing things isn't so great. But we can't do that. When you're battling cancer, why waste precious time shouldding all over ourselves?! That's such a human thing.

 

 

 

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

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