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Member Since:
22 April 2016
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22 April 2016 - 10:44 am
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Good afternoon everyone,

I don't know what to do anymore.  I have a 10 year old Great Dane that underwent amputation on March 17, 2015 and we were very lucky that the luck of the Irish had our backs...he surgery was amazingclap.  He had the leg removed...the only issue when they went into removing his leg - they found a mass in the back of his throat when trying to insert the breathing tube.  They took a sample of it along with the leg and sent it off to the lab to get further results.  

So they both came back as cancer.  I think that we were aware of the leg but not so much the throat.  Since his surgery - his leg and incision healed amazingly.  But now - he has starting to get small hard bumps all over his body.  I'm assuming this is related to the sarcoma spreading throughout the body.  Since the bumps have spread like wildfire he isn't walking so much as he was after his surgery.

We are now assisting him getting up and down and he refuses to go outside to use the potty.  He has had a few accidents with his poo, I think because of the amputation, but as for pee - we have mastered putting a bucket under him and he is now relieving himself that way.  He is eating and doing his business, when will I know when he is really starting to hurt him in the long run?

The oncologist only gave us weeks with him, possibly months.  WE made to the one month mark on the 17th.  He is showing no signs, but I'm not sure if it's more of a show for us or not.  Because my dog is an amazingly stoic dog and had rarely cried or showed pain for anything.  Even when puncture his side at daycare and bled all day or even when he got bloat.

I don't what I should be doing at this point, because I can't keep calling the vet every day giving them a daily update.  I know that I need to think of the realization that I will have to make that crappy decision.  But when do you know when it's the right time??  Every time I try to talk to my husband about it - he doesn't want to talk about it.  

I love my dog a great deal and have gone into financial burden to get his amputation done.  But I feel that I can't afford to keep trying to cure something that will NEVER go away.  How do I bring up the hospice aspect to my husband without starting a fight or just getting him to think about it, since we will have to go through soon.  sad I think that he might be in denial, because we struggled to get his amputation surgery done - only to find out that he has another cancer on top of the first one.  Neither one of us want him to suffer. 

On The Road


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22 April 2016 - 11:02 am
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mil0mum2006 said
I don't what I should be doing at this point, because I can't keep calling the vet every day giving them a daily update.  I know that I need to think of the realization that I will have to make that crappy decision.  But when do you know when it's the right time??  Every time I try to talk to my husband about it - he doesn't want to talk about it.  

I love my dog a great deal and have gone into financial burden to get his amputation done.  But I feel that I can't afford to keep trying to cure something that will NEVER go away.  How do I bring up the hospice aspect to my husband without starting a fight or just getting him to think about it, since we will have to go through soon.  sad I think that he might be in denial, because we struggled to get his amputation surgery done - only to find out that he has another cancer on top of the first one.  Neither one of us want him to suffer. 

I'm so very, very sorry. I know this is hard on the whole pack, especially with everything you've been through. I can't even imagine. I'll try to help as best as I can.

I hope you don't mind but I moved your post here since your questions are about end of life care.

First, what kind of secondary cancer is it? I'm not an oncologist but it doesn't sound like osteosarcoma to me. And how are the vets managing the cancer pain? What kinds of medications is he on? Prognoses are just best guesses really, and I hope he has way, way more time with you.

Second, as hard as it is, you and the husband must have a convo about end of life decisions. Waiting until the need is urgent is stressful, upsetting for everyone including your pup and in the end the cause of much guilt with the humans. It's not pretty so don't wait OK? I know it's SO hard. But I'd suggest calling a pawspice vet to come in as an unbiased 3rd party and discuss exactly what's going on and how you can both get on the same page about steps to keep him comfortable and have a peaceful transition. It's scary, but it can be done.

You can find a pawspice vet at the International Assn. of Animal Hospice and Palliative Care providers. They are much more adept than general practice vets at offering support during a time like this.

Sometimes it's very difficult to know when an animal's had enough. We used to think that everyone knows when it's time but truth be told animals are much better at hiding pain and discomfort than we ever thought. The reality is that we must be prepared to let them go before the pain is showing signs that it's unbearable. That's when it's too late.

I'm really, really sorry. The Tripawds Helpline is here to help anytime you need it OK? Keep us posted.

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

Virginia







Member Since:
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22 April 2016 - 11:31 am
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I jave to say, as serious as this post is, when I look at your dog's avatar picture it makes me smile. Such a great photo!. Is his name Milp?

I want to celebrate that Milo jas had a great lofe as a tripawd for over a year...a large dog...a "senior" dog....bloat...bypassing "statistics"...whooping butt for over a year!

We are here for you and we also jave a helpline..844 TRIPAWDS. We are listening and we undersand the need to talk things out.

There my be some palliative care thi gs that can be done to help Milo continue to be comfortable. Perhaps a dose of Tramadol once or twice a day. Ask the vet about Rimadyl in case he is having arthritis or stiff joints. You may also try gentle massage before trying to get him to stand. Is it possible, without causing any stress to Milo, to have a lump aspirated? Is it possible the lumps are allergy related? Is it possible that Benadryl would help? Just throwing a bunch of stuff out there.

How will you know when it's time? That is soooo tough and such an individual assessment. No one knows your dog like you do. I know there are lots of "signs" you are supposed to look for, but on this journey nothing seems to fit neatly on a "check off list". Every dog's definition of qua is different. Some don't care if they eat mich, just as long as they can enjoy tummy rubs outside in the sun. Some dogs find more "quality" in eating than they do tummy rubs!

Other than helping him with his "potty functions", he seems comfortable, is that right? He's eating and drinking on his own? How about "attitude"? Does he still wag, seem engaged and alert?

Regardless, continue to love in the moment..stay in the pre s ent with Milo. Clearly Milo doesn't give a rip about timeframes or statistics, so take his lead. Perhaps there are still things that can be done for comfort. Perhaps with a little extended "quality" time your husband can wrap his head around the thought of, at some point, giving him the "gift" of any easy transition at home..

Holding you in our thoughts. Stay connected. In the meantime, SPOIL, SPOIL, SPOIL! A scoop of ice cream, a steak and cheeseburger...all good "heal" foods! 🙂

Love

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!


Member Since:
22 April 2016
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22 April 2016 - 12:47 pm
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jerry said

mil0mum2006 said
I don't what I should be doing at this point, because I can't keep calling the vet every day giving them a daily update.  I know that I need to think of the realization that I will have to make that crappy decision.  But when do you know when it's the right time??  Every time I try to talk to my husband about it - he doesn't want to talk about it.  

I love my dog a great deal and have gone into financial burden to get his amputation done.  But I feel that I can't afford to keep trying to cure something that will NEVER go away.  How do I bring up the hospice aspect to my husband without starting a fight or just getting him to think about it, since we will have to go through soon.  sad I think that he might be in denial, because we struggled to get his amputation surgery done - only to find out that he has another cancer on top of the first one.  Neither one of us want him to suffer. 

I'm so very, very sorry. I know this is hard on the whole pack, especially with everything you've been through. I can't even imagine. I'll try to help as best as I can.

I hope you don't mind but I moved your post here since your questions are about end of life care.

First, what kind of secondary cancer is it? I'm not an oncologist but it doesn't sound like osteosarcoma to me. And how are the vets managing the cancer pain? What kinds of medications is he on? Prognoses are just best guesses really, and I hope he has way, way more time with you.

Second, as hard as it is, you and the husband must have a convo about end of life decisions. Waiting until the need is urgent is stressful, upsetting for everyone including your pup and in the end the cause of much guilt with the humans. It's not pretty so don't wait OK? I know it's SO hard. But I'd suggest calling a pawspice vet to come in as an unbiased 3rd party and discuss exactly what's going on and how you can both get on the same page about steps to keep him comfortable and have a peaceful transition. It's scary, but it can be done.

You can find a pawspice vet at the International Assn. of Animal Hospice and Palliative Care providers. They are much more adept than general practice vets at offering support during a time like this.

Sometimes it's very difficult to know when an animal's had enough. We used to think that everyone knows when it's time but truth be told animals are much better at hiding pain and discomfort than we ever thought. The reality is that we must be prepared to let them go before the pain is showing signs that it's unbearable. That's when it's too late.

I'm really, really sorry. The Tripawds Helpline is here to help anytime you need it OK? Keep us posted.

Thank you - it's very hard on all of us that love him dearly.  

Yes the osteosarcoma was in his leg and this growth that they found in the throat was another cancer but they didn't tell me exactly what cancer type it was.  In order for me to find out the exact name - i would have had to give them another $150.  

he is currently on a regime of getting his meloxicam, Gabapentin and Tramadol is the regime.  He only gets his meloxicam in the morning the rest 3 x a day.  

I know that it's something that needs to be discussed but really hard.  Because we got the amputation done thinking it was the only battle we had to worry about - now that we have another cancer to worry about.  I think that my husband doesn't want to let go and honestly - don't blame him.  We will definitely are going to try to talk this weekend about it - because I have a stupid work trip next week and will be gone the whole entire week.  Which my anxiety levels have gone up greatly over this!! My daughter told me that I shouldn't worry because Milo loves me very much and he wouldn't leave this Earth without me being there.

that is the goal to not have him suffer longer than he has.  He is such an amazing goofy oversize lovebug.

thank you for the kind words and advice.  smiley


Member Since:
22 April 2016
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22 April 2016 - 12:56 pm
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benny55 said
I jave to say, as serious as this post is, when I look at your dog's avatar picture it makes me smile. Such a great photo!. Is his name Milp?

I want to celebrate that Milo jas had a great lofe as a tripawd for over a year...a large dog...a "senior" dog....bloat...bypassing "statistics"...whooping butt for over a year!

We are here for you and we also jave a helpline..844 TRIPAWDS. We are listening and we undersand the need to talk things out.

There my be some palliative care thi gs that can be done to help Milo continue to be comfortable. Perhaps a dose of Tramadol once or twice a day. Ask the vet about Rimadyl in case he is having arthritis or stiff joints. You may also try gentle massage before trying to get him to stand. Is it possible, without causing any stress to Milo, to have a lump aspirated? Is it possible the lumps are allergy related? Is it possible that Benadryl would help? Just throwing a bunch of stuff out there.

How will you know when it's time? That is soooo tough and such an individual assessment. No one knows your dog like you do. I know there are lots of "signs" you are supposed to look for, but on this journey nothing seems to fit neatly on a "check off list". Every dog's definition of qua is different. Some don't care if they eat mich, just as long as they can enjoy tummy rubs outside in the sun. Some dogs find more "quality" in eating than they do tummy rubs!

Other than helping him with his "potty functions", he seems comfortable, is that right? He's eating and drinking on his own? How about "attitude"? Does he still wag, seem engaged and alert?

Regardless, continue to love in the moment..stay in the pre s ent with Milo. Clearly Milo doesn't give a rip about timeframes or statistics, so take his lead. Perhaps there are still things that can be done for comfort. Perhaps with a little extended "quality" time your husband can wrap his head around the thought of, at some point, giving him the "gift" of any easy transition at home..

Holding you in our thoughts. Stay connected. In the meantime, SPOIL, SPOIL, SPOIL! A scoop of ice cream, a steak and cheeseburger...all good "heal" foods! 🙂

Love

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Thank you - his name is Milo. big-grin

Yes has really been the champ on all accounts of his life and I can't stay that he hasn't been spoiled all along that way.  

We are currently giving him Tramadol 3 times a day and we also give him Gabapentin and some meloxicam in the morning.  There are so many small lumps all over his body.  They are the size of peas.  some have rupture that we have put some antibiotic ointment on.  I'm not sure the bumps are allergy related - the Vet never really suggested that - I should ask. Good question!! 

that is the problem - he enjoys our company all the time.  He loves being around us as we love being around him.  

He is definitely eating and drinking on his own.  As for the potty - doesn't seem to uncomfortable about it.  But he does feel a little bad that he is peeing inside I think.  Unfortunately that is the only thing that I can't say that he does much - wag his tail.  His tail has pretty much turned his balancing pole since he lost his leg.  

I'm going to try to talk to him again this weekend about it - since I'm have a work trip all next week and won't be home.  

but SPOILING is something that I am doing and will continue to do!! big-blinkThey do not call Milo, Glass Puppies for nothing.  

Thank you so much - I'm so happy that I have gotten some great responds and appreciate the support - I kind of felt alone and in despair not knowing what I should do or handle it.

Virginia







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22 April 2016 - 11:41 pm
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Makes sense that his tail is more of a balancing pole now as opposed ro a "tail that wags the dog".....now it balances the dog!

One thing that might be helpful in having the "conversation" is to let your husband know you just want to have a plan in place when the time comes in the future...not necessarily anytime soon...just down the road in the future.

I think anytime a trip away is involved when our dogs are having "issues" , it just heightens our stress level and makes us more fearful than we would normally be. I love what yiur daughter said about Milo not leaving this earth if you aren't there! Very wise daughter!!

Just curious about something. Is it possible that the pain meds xoukd be causing some of his mobility issues? If he's not really showing any signs of lain, maybe you could talk to the vet about skipping the middle dose of Tramadol to see if it makes him seem stronger. Just throwing stuff out there...............

Nope, you sure aren't alone! Your tripawd family is with you always!

((((((((((((((((((((((HUGS))))))))))))))))))))))))

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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