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Spence said:
Sorry to hear the bad news about your cat's condition. I hope she recovers regardless of the prognosis. Nutritionally, things can raise red blood cells. Iron, folate and b12 are the main red blood cell producers in the body. Hypoxia also induces high production of them through a reaction in the kidneys, That could explain why dehydration was a problem. Anyway, I hope that can help, and I pray she gets better.

Her blood work showed only highly elevated levels of red blood cells with everything else being normal.  That's why they aren't saying it could be anything else in relation to the blood cell count.