Tuesday, September 5, 2017

Cookie's Rabies Booster and Latest Blood Work

So it's been a couple of weeks since Cookie's rabies booster, and everything seems good. It looks like I can relax for another three years unless the Rabies Challenge brings some legislative changes. But I doubt any kind of legislative process would work that fast.


The hospital we selected here includes a wellness exam as part of the package.


That is a good thing especially as many owners would never show up for one unless they had to come in for boosters. Sad but true. In fact, it is still an excuse many veterinarians give for insisting on doing boosters every year. Which kind of cancels the benefits of the exam.

We do wellness exams twice a year but much later in the fall. This was too early, but since I wanted to make sure we're vaccinating a healthy dog, I decided to go through the whole shebang and even added a quick blood panel to it too.

Quite often a blood panel springs some surprises.


Sometimes a value out of range means something important, sometimes it's just an accident or a coincidence, such as when Cookie's kidney values showed up off the charts, and yet a follow-up urinalysis and re-test confirmed she was just stressed and dehydrated.

This time, we were spared of such surprises, which I appreciated.

Cookie's bloodwork looked good.


No scares with kidney values, and no scares with liver values. Not only the numbers themselves looked good but also compared to past test results. I keep an eye on trends as well because that can tell you something might be going on even before something creeps up in the above or below normal part of the chart.

The hospital included a sheet with information on how to understand the blood work.


Very nice touch, I think that is a great idea. Not everybody has spent as much time analyzing their dog's labs as I have and being able to find out what the various values mean is very helpful.

The only value that was just above normal were Cookie's eosinophils. These are normally elevated either from allergies or parasites. Cookie isn't showing any signs of allergies. She did have tapeworm once, which was treated. It seems, though, that her eosinophils are always about the same, always just above normal.

We will be checking her stool again to see whether she's got some cooties.


I don't want to deworm a dog who doesn't have any worms. But I don't want to have a parasite plantation in Cookie's gut either.

It is possible that the slightly above normal is normal for her but before we jump to any conclusions, we are going to make sure that's all that is.

Because he chose this route, what we had done was their in-house blood panel which doesn't include SDMA.


That is a new, "fancy" test for kidney function that is supposed to detect kidney problems long before the standard BUN and Creatinine testing. Creatinine levels don't show a problem until about 75% of kidney function has been lost. SDMA is supposed to detect problems 17 months ahead of that.

We have done SDMA twice so far and going to repeat next spring again. Not much to go on in terms of a trend but it's been within normal.

Any of you had SDMA help discover kidney problems long before Creatinine went up?



Related articles:
From The End Of A Lead Line To Casa Jasmine: Meet Cookie, Our New Adoptee
And So It Begins Again(?) Our First Health-Related Heart Attack With Cookie 
I Didn't Know I Could Fly: Why Cookie Wears A Harness Instead Of A Collar
C.E.T. Oral Hygiene Chews For Dogs CAN Be A Choking Hazzard 
Our First Health-Related Heart Attack With Cookie: The Knee Or The Foot?
Creative Solutions And An Incidental Product Review
Too Young For Pot: Cookie's Snack With A Side Of Hydrogen Peroxide  
Taming Of The Wild Beast: Cookie's Transition To Civilization  
Staying On Top Of The Ears: Cookie Is Not Impressed  
Putting The Easy Back Into Walking
Cookie's Ears Are Still Not Happy 
The Threat Of The Bulge Is Always Lurking 
Today Is Cookie's Three-Months Adoptoversary  
Cookie Meets The Electric Horse Fence And Her First Chiropractic Adjustment  
Why Examine Your Dog's Vomit? 
Why Is That Leg Still Not Happy? Cookie's Leg Keeps Getting Sore 
Cookie Too Is Insured With Trupanion
Does Being Insured Mean Being Covered? Our First Claim With Trupanion
Is Cookie's Leg Finally Getting Better?
Is Cookie Going To Be Another Medical Challenge Or Are We Looking Too Closely? 
The Project That Is Cookie: Pancreatitis Up Close And Personal  
Pancreatitis: Cookie’s Blood Work   
Another Belly Upset: Pancreatitis Again Or Not?  
Happy Birthday, Cookie 
Incontinence? Cookie's Mysterious Leaks 
Who's Training Whom? Stick And Treat 
Don't Just Stand There, Do Something? Cookie's Mysterious Bumps 
Cookie's Mysterious Bumps Update
One Vomit, No Vomit 
Happy One-Year Adoptoversary, Cookie!
Cookie's Leaks Are Back: Garden Variety Incontinence Or Not?
Cookie's Leaks Update 
Don't Panic, Don't Panic: Know What Your Job Is 
The Continuing Saga Of Cookie's Leeks: Trying Chiropractic Approach 
Cookie's Minor Eye Irritation
Regular Wellness Exam: Cookie's ALT Was Elevated 
Cookie's Plantar Paw Pad Injury 
How Far To Take It When The Dog Isn't Sick?
Cookie Has Tapeworm Infection 
Cookie's Elevated ALT: The Ultrasound and Cytology  
Cookie's ALT Update
The Importance of Observation: Cookie's Chiropractic Adjustment
Sometimes You Don't Even Know What You're Looking at: Cookie's Scary "We Have No Idea What that Was" 
Living with an Incontinent Dog 
Summer Dangers: Cookie Gets Stung by a Bald-faced Hornet 
To Breathe or Not To Breathe: Cookie's Hind Legs Transiently Fail to Work (Again)
Figuring out What Might Be Going on with Cookie's Legs: The Process 
Figuring out What Might Be Going on with Cookie's Legs: The Diagnosis 
Cookie's Iliopsoas Injury Treatment: Trazodone  
Cookie's Iliopsoas Injury Treatment: Other Medications 
Cookie's Iliopsoas Injury Treatment: Laser, Hydrotherapy, and Chiropractic 
Cookie's Recovery from Iliopsoas Injury: ToeGrips 
It Never Rains ... Cookie's New Injury 
Mixed Emotions: When What You Should Do Might Not Be What You Should Do for Your Dog 
Cookie's New Injury Update 
Cookie's Iliopsoas Injury: The Symptoms 
Cookie's Iliopsoas Injury: Battling the Zoomies 
Cookie's Muscle Injuries: What Else Is Going On?
Theory and Actual Decisions for an Actual Dog Aren't the Same Thing: Cookie's Knee Injury
Does Your Vet Listen to You? Cookie's Post-Sedation Complications
Would I Ever Treat a Symptom Directly? 
Platelet-Rich Plasma (PRP) Treatment for Cookie's Bad Knee(s)
Platelet-Rich Plasma (PRP) for Cookie's Bad Cruciate Update 
Injury or Surgery Recovery: Mishaps versus Setbacks 
See Something, Do Something: Cookie's Lumpectomy 
Cookie's Lumpectomy Update 
Using Pressure Pads to Evaluate Lameness in Dogs: My Observations
Cookie's Musculoskeletal Challenges: What Supplements Am I Using?
Cookie's Musculoskeletal Challenges: Restricted Activity and Weight Management
Cookie's PRP Treatment for Partial Cruciate Tear: Update
Has Your Dog's Physical Therapist Taken Dog Training Classes? 
Cookie's PRP Treatment for Partial Cruciate Tear Update and Considering the Future
Cookie's PRP Treatment for Partial Cruciate (CCL/ACL) Tear and Leg Circumference
Cookie's Wellness Exam
Ticked Off at the Tick Situation: What Do You Use for Tick Prevention?
Ticked Off at the Tick Situation: The Verdict Is In (for Now)
Cookie's Annual Heartworm and Tick-Borne Diseases Test
One Yelp, No Yelp. But Two?
One Yelp, No Yelp - Update
Cookie's Rabies Booster




Do you have a story to share?

Your story can help others, maybe even save a life!


What were the first signs you noticed? How did your dog get diagnosed? What treatment did/didn't work for you? What was your experience with your vet(s)? How did you cope with the challenges?

Email me, I'll be happy to hear from you.




Symptoms to Watch for in Your Dog now available in paperback and Kindle. Each chapter includes notes on when it is an emergency.

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