C10013402 / invoice 10000

All blood results emailed to O(MC)Spoke to David- eating chicken well but, but just licking the gravy of the wet GI foodSeemed to perk up within 24 hours of giving first dose of predHe loves RC s/o sachets so he weill try this and see if this helps appetiteAlso will collect Mirtax=- to have 1/8 tablet every3d and assess response (warned can make vocal and restless, don't give at night!)(KB)David called back and requested more pred - said he forgot to ask MC for some

IDEXXH Spec fPL= 13.8 (0.0 - 4.4) ug/L HIGHMale o calledeven without nausea meds he's still eating but not well - will lick gravy but not eat solidsOwner asked about going back on pred to increase appetite(MC)All results now in.Renal and hepatic values unremarkable.Mildly reduced PO4 and total protein both consistent with chronic enteropathy, as is low B12.Elevated folate possible bacterial dysbiosis, NB white cells all well normalPLI elevated consistent with likely chronic active pancreatitis- likely assoc with IBDNB hyperglycaemia likely stress related, but need care with glucocorticoids.Discussed with David- plan is to restart pred 5mg daily and follow up chat on Tuesdya.If still not eating very well then consider course of metronidazole for possible dysbiosis and consider appetite stimulantNB is giving the Zofran wafers fineOK to email all results to O- will do on Monday or Tuesday

Report:VETNOSTICSHb 131 g/L (96-161) WBC 8.2 x10^9/L (3.6-14.0)RCC 8.1 x10^12/L (6.7-11.6) Neut 5.0 x10^9/L (1.8-9.6)Hct 0.37 (0.30-0.48) Lymp 1.7 x10^9/L (0.7-6.2)MCV 46 fL (37-50) Mono 0.2 x10^9/L (< 0.8)MCH 16 pg (12-17) Eos 1.1 x10^9/L (0.1-1.2)MCHC 356 g/L (313-360) Baso 0.1 x10^9/L (< 0.2)Plat 215 x10^9/L (161-513)RET-He 15.8 pg (12.6-21.1)Red cells : Normal.White cells : Normal.Platelets : Normal.Bruce DuffVeterinary PathologistReport:VITAMIN B12 AND FOLATE STUDIESVitamin B12 244 pmol/L (107-1272)Serum Folate > 54.0* nmol/L (22.0-48.9)VETNOSTICS COMMENTIncreased folate level (?bacterial dysbiosis).TOTAL T4Total T4 23 nmol/L (18-45)