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Pyelonephritis: a kidney infection. Literally, pus in the kidneys (see a very early post of mine). I treated two such cases in the last two weeks. These were very sick cats, clinically affected with laboratory values consistent with pyelo (that's what we call if for short). Often, these cats don't read the textbook, but both of these did. Both were painful on kidney palpation, their total white blood cell counts were significantly increased, with mostly the neutrophil component increased, most consistent with infection. Their kidney values, notably the blood urea nitrogen (BUN) and creatinine were significantly affected, indicative of decreased...

Enjoying NYC

Having metamorphosed from a rather melancholic state, like a butterfly emerging from the cocoon, I sense a feeling of "newness" in the air. I am lighter, fresher, though my flying apparatus are internal, psychological, and likely ephemeral.The previous routine is over, and have since received my scores. While incapable of undoing the fall, the step out of bounds, or the stumble, I am training that they should not recur.Red Hook, in Brooklyn is an incredible neighborhood. I have the famous Fairway Market less than a five-minute walk away. With a short promenade just by the water, I frequently go out for a stroll, to gaze out at the harbour,...
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