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Great Pyrenees Osteosarcoma
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Member Since:
20 November 2016
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21 November 2016 - 5:49 am
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Hello, a friend told me about this site.  My approximately 6 year old Great Pyrenees (Bond) was diagnosed with osteosarcoma on his front left "wrist" on Friday.  Our regular vet said the normal course of treatmental is amputation and chemo.  I'll be talking with an oncologist or two today to schedule a consult.  

I have a few dozen questions.  Is it safe to have our regular vet do the amputation surgery?  Does a dog have to stay overnight following the surgery?  My regular vet doesn't have emergency care, so my boy would be alone overnight.  :'(  If an overnight stay is required, would it be better to have the surgery done at a vet hospital with 24 hour service (this about triples the cost)?

We live in a 3 level townhome with hardwood floors.  We will be moving into the garage on the ground level for a few weeks post amputation surgery.  I purchased a BuddyRest orthopedic bed and a EzyDog harness to keep Bond comfortable and able to move post surgery.

What chemo drugs have others dog been given for osteosarcoma?  I'm heartbroken reading all the information on osteosarcoma and long term prognosis.  Bond saw me through my own cancer battles and I'll be he for him through his.  Does anyone know the approximate cost of amputation surgery and chemo?  I just started back to work after a period of unemployment, so the financial strain is going to hurt but we'll make it happen.

Thanks in advance for your thoughts,

Jenn and Bond

On The Road


Member Since:
24 September 2009
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21 November 2016 - 11:20 am
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Hi Jenn and Bond, welcome. I'm on my phone now but wanted to get your post approved so others can see it. I'll return shortly to give my thoughts but in the meantime check out Jerry's Required Reading List and the Tripawds Start Page for insights. Back in a bit! 

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

Member Since:
14 February 2016
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21 November 2016 - 11:35 am
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Hi, and sorry you and Bond got such bad news.   In terms of the surgery, I would want to make sure that the surgeon had done amputations before - some of the emergency vets are better in this regard, especially if they have a surgical and oncological arm.  You want someone experienced.   And, it is major surgery, so Bond should not be left alone overnight the day of.   Either get him somewhere with 24 hour care, or bring him home.   (The latter is hard, but do-able). 

Great idea moving downstairs.   Many dogs learn to do stairs again, but Bond will likely not be able to do so immediately (although we do have some miracle dogs like Pofi who were doing stairs again almost immediately).   Make sure that you have good traction on all hard wood or tile surfaces - industrial floor mats or yoga mats work great.

There is a thread somewhere, I think under Tips and Resources, called something like what did you pay or what did it cost.   A number of people have added their costs for amputation and chemo there.   Although costs differ by where you live and the type of facility you go to, you should be able to get some general information there.  

My Otis had four rounds of carboplatin, which he tolerated well.   Some dogs have six - just depends on the protocol their oncologist follows.   (But for now, focus on the amputation, and the next two weeks of recovery - you can decide on chemo later).

This community is a great place - so feel free to reach out with any questions or concerns.

Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016.  Four rounds of carboplatin completed in April, 2016.  Lung mets August 25, 2016.  Said goodbye too soon on September 4, 2016.   Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.  

Wherever they are, they are together.

Minneapolis, MN
Member Since:
23 April 2016
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21 November 2016 - 11:37 am
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So sorry you need the expertise of this community, but so glad you were pointed here.  This community has great tribal knowledge and offers first rate support.

On the surgery questions - that first night can be rough - many of us had dogs stay overnight one or two or even more in a hospital setting.  I personally would rather my dog come home (and some do) that first night than be in a vet's office without staff.  I had friends who had had amps done in vet's offices without overnight care and like I said, that first night was pretty rough on everyone.  Pofi stayed two nights in an ICU - it does add substantially to the cost, but the MRI he needed prior to surgery (different cancer - not osteo) had left him really, really in pain and he didn't even come home after that procedure.  He really needed expert pain management .

Overnight care is not absolutely required, but of course, nice to have.  There is much you can do to prepare for Bond coming home that night if needed, and having a clear plan for his pain management would be first and foremost.

This forum topic, Cost of Amputation and Chemo, is extensive - members detailing their costs in the area they live in and indicating whether a clinic or specialty hospital.  You can even search to look for locations near you.  Where are you located?  Is there a specialty hospital nearby?  

Lisa and Angel Pofi

Lisa, Minneapolis

On October 27, 2016, nearly 6 months after amputation, and 18 months since his cancer likely started, we lost Pofi to a recurrence of Soft Tissue Sarcoma in his spine quite suddenly.  His canine sister also succumbed to cancer on March 1, 2019 - we lavished her with our love in the interim, but life was never quite the same without her only real canine friend. Cliff kitty had to leave us, too, suddenly, in August 2019. Lucia kitty grieved all these losses, but helped us welcome two new Lurchers into our home and our lives, Shae and Barley.

Blog: Pofi, Peripheral Nerve Sheath Tumor Amputation

Member Since:
4 October 2016
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21 November 2016 - 2:38 pm
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Hi Jenn and Bond, welcome to our group although sorry about the circumstances. 

Has your regular vet done a lot of amputations? If not, I would for sure go to a specialist - a surgeon who has done at least 50 of these surgeries. Don't feel rude asking them about their experience. It's your baby! I would also spring for the overnight stay. Comfort and pain management is crucial in that first 24 hours and best to have trained techs there keeping an eye on things. 

As for chemo, Chance and I aren't going that route. We are doing holistic. If you end up not deciding to do chemo and have any questions please let me know and I'm happy to help you. Chance had his front right amp on October 12th. 

I know this costs a ton of money. I put it on all my credit cards stretched out. My kind father helped me pay for a portion of the surgery. And I am a musician and sold some of my records to offset some of the costs. Get creative! I know it's a lot of money but I think it's worth spending. Chance is SO much happier now that he is free of his painful leg. 

Also don't go down the 'prognosis' rabbit hole. I was the same way when I first arrived here at the forum and felt so sad and hopeless. But like many others here will tell you, none of us knows how long we have regardless of what treatment options we choose. Many babies on here have beat the odds. The important thing is to get rid of that yucky cancer in the leg and go from there. Read and be informed but as you read, don't apply everything you read to you and Bond -- Bond is unique. Stay positive for him and tell him how brave and awesome and strong he is! Every day! heartheartheart

On The Road


Member Since:
24 September 2009
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21 November 2016 - 8:20 pm
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Whew, finally had a chance to come here and comment! OK so here are my thoughts on your questions. Take them for what it's worth, I'm not a vet...

Is it safe to have our regular vet do the amputation surgery?  

It depends. As Chancey's people said, I would want to know how many amputations your vet performs each year. I'd also want to know if they follow current anesthesia pain management guidelines. Here are posts about choosing your vet for surgery:

Why Your Pet Should See an AAHA Accredited Vet

How to Choose a Veterinarian for Amputation Surgery

Does a dog have to stay overnight following the surgery?  My regular vet doesn't have emergency care, so my boy would be alone overnight.  :'(  

It's a good idea to have the patient monitored overnight. Many people have brought their Tripawd home the same day, but it's not easy. It's not impossible either, so where money is an extreme concern, it's far better to bring the new Tripawd home than leave them alone overnight. I would not leave my animal alone overnight without 24/hr supervision after a major surgery like this. Here's why:

http://tripawds.....pervision/

If an overnight stay is required, would it be better to have the surgery done at a vet hospital with 24 hour service (this about triples the cost)?

If you aren't comfortable bringing your dog home the same day, you can transfer from your vet clinic to a 24/hr care facility, then take your pup back to the regular vet the next day. Most dogs go home the day after surgery, some need more time though, so you'd have to be prepared for a few trips if that's the case with yours.

What chemo drugs have others dog been given for osteosarcoma?

Standard treatment is 4-6 rounds of carboplatin. Here's a good post about what to ask your oncologist:

http://tripawds.....ncologist/

Let us know how the consults turn out this week OK? Hope this helps.

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

Melbourne, AUS
Member Since:
31 August 2016
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21 November 2016 - 11:31 pm
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Sorry to hear about your bad news! Luckily you've found this great site to assist with everything!

My dog had a regular vet, one who we had never met and was new to the clinic do the surgery (back leg of a chihuahua x jack), we did book in with the vet we'd seen regularly at the clinic who said he was experienced in the surgery, but for whatever reason he wasn't there. The surgery was a great success. But as others said, if your vet does not have experience a specialist might be a better option. Other things to consider are what emergency and monitoring devices the clinic has. 

Our regular vet wasn't 24 hour either, and we had the same problem of figuring out where to do the surgery, whether she should be alone overnight afterwards (I didn't want this at all!). We transferred our dog to the 24 hour vet when the regular clinic was closing for the night, and to save on costs we used a 'babysitter' package where the dog is monitored by nurses and only seen my a vet if something goes wrong, and they'll always try to contact you before this. This might be a good option if a similar package is available. Otherwise I'd look into the pro's and con's of taking your dog home on the same day. Leaving them their overnight is a big risk - chances are your dog would be fine, but the question is would you be able to cope with it if something went wrong and it would have been fine if people were there.

Our surgery (including post op care and follow ups) cost about $2500 AUD, and $500 for the overnight care, $150 for new rugs, new harness and new bed. This was after $1000 for the biopsy. So about $3000 US dollars all up - lucky we didn't need chemo. I'm sure others can indicate the costs of that. 

Best of luck with your decision and try not to stress about the prognosis. Just enjoy everyday with your boy and live life to the fullest - thats all he wants to do and all he wants from you heart. It is a heart breaking time, but a brave face is best for him. 

London, UK


Member Since:
15 December 2015
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23 November 2016 - 5:40 am
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Hi Jenn and Bond, and welcome!

You've had some great advice above and I'm not sure there's much for me to add, so really just wanted to offer solidarity and support. 

We're here for you!

Meg, Clare and Elsie Pie xxx

Ruby, Staffy, born June 2022, became a Tripawd, 23 November 2023, adopted 12 January 2024.

Also Angel Tripawd Meg (aka The Megastar), who died in April 2023, aged 14, after seven glorious years on three, and Angel Staffies Pie and Bille. In the pawprints of giants...

The Amazing Adventures of Ruby Tuesday 

My Life as a Megastar

Scotland, ON
Member Since:
24 August 2016
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24 November 2016 - 2:14 pm
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Hi Jenn and Bond

My sweet Bruce (also 6) had his left rear leg amputated on August 31, his surgery was performed by our regular vet, for three reason 1) she was experienced with amputation 2) cost 3) she knows Bruce, she knows how important a part of our family he is and she adores him. The down side was that the clinic does not have overnight staff, we did bring him home the same day, and yes, it was frightening, but in the end everything was fine, he was restless the first night and I did sleep on the floor with him, the second night I was able to sleep on the couch and he slept on the floor beside me and he had a much more restful night.

A couple of days before surgery we got him a halter and tried to get him used to wearing it (he hated it), now every time he sees his harness he gets excited because it means he's going out in the car and he sits and waits patiently while I get him into it. We also covered our wood floor with a variety of non slip rugs and yoga mats and he has been able to get around really well.

On December 5th Bruce will have his final (4th) round of carboplatin, he has not had any real side effects from the treatment aside from being tired for a couple of days after each one, and his white cell count has been low after each and we had to go from 21 days between treatments to 24 days between treatments because of this. Because of his low white cells, he did pick up an infection in his chest which has since cleared up, the upside of that was we did an additional chest x-ray between his 2nd and 3rd treatments and so far his lungs are completely clear and he has been feeling great ever since that nasty leg was removed.

We are in Canada so I'm not sure the costs are relevant, other than to say by having our vet do the amputation and sending the tumor to pathology the  cost was $1400 as opposed to the cancer center cost which would have been $4,500. The chemo is being done at the cancer centre and is 4 treatments x $450/per treatment.

You and Bond will be in my thoughts and prayers as you go through this journey.

Hugs

Tracy & Bruce

Livermore, CA




Member Since:
18 October 2009
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24 November 2016 - 4:42 pm
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Hi and welcome. I'm sorry you are dealing with cancer in your big boy.

I think one of the most important things is that you have confidence in your vet- whether you are dealing with an ear infection or an amputation.  I love and respect the fact that my primary vet will tell me when things are outside of her comfort level and/or skill level.  She told me that Maggie would need an amputation and immediately said that it was not something she could do.  Now that I have been through one amputation (Maggie) and two knee surgeries (quad pug Obie) as well as some pug specific surgeries I realize how important it is to have a qualified, experienced surgeon.  I have been fortunate also that I have been able to make the finances work.

I know this is an overwhelming time- stay connected as there is a ton of experience and support here.

Let us know how the consults go.

Karen and the Spirit Pug Girls

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

Member Since:
16 November 2016
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24 November 2016 - 6:22 pm
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Hi! I'm at home with my two-day tripawd for the first time. She had her rear leg amputated and was also diagnosed with osteosarcoma almost a month ago. We are very anxious about her pain and simply getting her out to potty! It all makes us wonder if we are doing the right thing for her. These comments are all very reassuring! Thank you for asking! Hope you Bond is doing well! Just wanted you to know that you're not alone tonight!

Livermore, CA




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18 October 2009
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24 November 2016 - 8:54 pm
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Hello and welcome kburrell, your future posts will not have to wait for approval.

Please consider starting your own topic to introduce your girl and tell us about your journey.

Karen and the Spirit Pug Girls

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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