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Faced with tough decision (newbie)
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24 February 2011
9:02 pm
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22 February 2011
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Me again.  So for peace of mind, we brought Chuck to an oncologist earlier today, was at a pretty big place.   He felt from x-rays that the tumor was I think he termed it "productive" growth.  Something like that, where it wasn't destroying the bone enormously, which is why the dog can still use the leg.  In fact, the last couple days he's actually been running around a bit, which is weird.  Anyway, he said the liver numbers were some alkaline level, which he thought was caused by the tumor itself.  Also felt that he would be fine with 3 legs, better that it was a rear leg going, and was surprised at how lively the dog is right now as it is. He may be a bit overweight, but he's strong as an ox, and when a squirrel was sighted, before this tumor, quite fast.

So the next step were chest x-rays, which they did right there, without tranquilizing at all.  And to our surprise, they were deemed clear.  So now the next decision is to see whether to go forward with amputation and chemo.  Ballpark figure he gave was like 4-5K for surgery and 3K for chemo.  Said doing nothing or amputation only, on average they make it 4 or 5 months.  With chemo, average is one year.  Now outside those big time costs, our worry is still that we do all this and he doesn't last much longer after that.  But the dr. was very helpful and we have to decide by early next week what to do.  Thanks all.

24 February 2011
9:40 pm
littlemanjake
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I'm glad you were able to get a second opinion. While the statistics with or without chemo are never hopeful, the reality is often different. Every dog does not receive chemo. No one can accurately predict an individuals outcome. There are many dogs on both sides of the treatment spectrum who do well, & just as many who, sadly, don't. Amputation will relieve Chuck's pain, which will only become unbearable.

Was Chuck worked up for Cushing's disease? While an elevated alkaline phosphatase can be a prognosticator in OSA, I believe it can be elevated w/Cushing's.

Good Luck with your decision.

Cynthia

24 February 2011
9:42 pm
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It's all about quality of life, not quantity. Best of luck with whatever you decide. Thanks for the update.

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

25 February 2011
3:52 am
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While I understand your concerns, as Jerry said, it is quality of life not quantity. We have just picked our dog Toby up today from the hospital after his amputation. He is doing amazingly well. We agonized about what to do. Whether to do nothing, or to give bone strengthening drugs, which are available here in the UK, not sure about the US, or to amputate. Toby is a very large dog and quite old for a giant breed, but the idea of levaing him in excruciating pain and constantly worrying if the next jump will break his leg was for us purgatory. So we made a decision to amputate. Toby, like most dogs, is a member of the family and he was relying on my judgement to make a decision in his best interest. For us, it was to amputate. In the end you must do what you feel is best for your dog.  This group is extremely supportive and helpful, they gave me strength to move forward and I am sure they will be there for you also.
25 February 2011
3:06 pm
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You betcha...no matter what we'll be here for you.

Try to remember that statistics are just medians, they don't apply to every single dog and they are often wrong, for better or worse. As Cynthia said, many dogs don't do chemo and blow those numbers off the charts (like me...I didn't have chemo and made it 2 years!). So while it's important to think of the median survial times also remember that all dogs are different.

If the vet thinks he's a good candidate, that's fantastic. Can you commit to helping him lose weight though? I mean really commit...dropping those extra pounds will be critical.

Now, it's time to have that talk with your pal and ask him if he can do this. Let us know what he says!

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

25 February 2011
5:34 pm
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The oncologist said there wasn't overwhelming reason to test for Cushing's. 

By the way, some people are telling me 4-5K for the surgery/biopsy is pretty high.  Does that sound right?  I thought it was closer to 1500-2000.  I don't have the time/energy to shop around a ton, but if a comparable vet hospital is several thousand left, that would be very beneficial to us. 

What's the best way to lose weight?  He has been getting only omega-3 treats and carrots lately, and we give him rawhides to chew because he's obsessed with them.  He's also eaten Beneful healthy weight practically his whole life.  He got a lot of excercise before this happened.

25 February 2011
6:04 pm
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trek78 said:

...people are telling me 4-5K for the surgery/biopsy is pretty high.  Does that sound right?

Check out this topic to see what others have paid:

Tips & Resources: costs of amputation and chemotherapy what did you pay

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

2 March 2011
8:39 pm
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We're bringing our dog in tomorrow for the surgery.  Hoping all goes well and he recovers swiftly.  Biggest uncertainty right away is how he'll do alone while we're at work next week.

2 March 2011
8:42 pm
Mount Pleasant, Ia
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do you work far from home? I went home and checked on Cooper everyday at lunch time for the first couple of weeks.

Coopsdad/ Kenneth Blackburn

http://cooper.t.....ipawds.com

the monkeydogs only THINK they have invaded the tripawd state

2 March 2011
8:50 pm
In your heart, where I belong.
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I'm glad you've decided what to do, because the unknown is always really uncomfortable. I'm glad you've decided to give Chuck a chance, too.

If you can't come home at lunch to check on him, is there someone nearby who can help with that? Is there a neighborhood kid old enough to trust with the job? Maybe you could pay them a little and they could take Chuck out to potty and give him his pain meds. If you have neighbors, they may surprise you and pitch in willingly. I know I would, if I were your neighbor.

Good luck tomorrow and please post back to let us know how he's doing.

Shari and Dakota

From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.

Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/

2 March 2011
8:54 pm
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Best wishes for a complete speedy recovery. Please keep us posted.

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

2 March 2011
9:21 pm
Las Vegas, Nevada
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Wishing you all the best tomorrow.  Let us know when he's okay!

Her Retired AvatarComet - 1999 to 2011

She departed us unexpectedly  January 23, 2011 at the age of 12 1/2.

She was born with a deformed front leg and a tripawd all of her life.

5 March 2011
8:43 pm
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Came through surgery fine, no complications.  Was on high dose of whatever pain killer they use Thurs and Fri.  This afternoon we went to see him.  Underside is pretty red, has lot of swelling, etc., looks like a lot of white blubber.  But he was acting pretty normal just winded and tired.  However, he hasn't gotten around very well at all.  They're using a sling on him, but he only goes a few feet before tiring.  So he's spending night 3 there still.  He ate a little bit more today.  I think he needs to have the meds come down more, and hopefully he'll be able to walk more.  We got a cheap stretch of rug for the distance of his bed (an actual baby mattress - used them for years) and the door.  Someone gave us a fold-out ramp.  Might bring him home tomorrow, not sure.  Really it depends on whether he can even stand up long enough to go to the bathroom.  I mean, we can help him up and maybe up the ramps over the stairs, whatever.  But if he can't stand to do #'s 1/2, don't know what we can do with him until he can.  I know many here have written that the first two weeks are rough, but I'd think he has to be able to stand and walk more than 10 feet so he can relieve himself.

5 March 2011
9:16 pm
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I'm so happy Chuck made it through surgery ok! I was wondering about him.

My dog only had his leg amputated 3 weeks ago, so we're very new on this path. However, I used a sling on him for the first several days as he was also very wobbly. Because my Dakota was not lame before, he has had a harder time learning to use his body differently. Toileting was something that seemed hard for him at first, but only for a couple of days. I would help him out with the sling and then remove it and he would go wherever I picked. And honestly, they can't hold it in forever.

I think that--for Dakota, anyway--a couple of successes helps confidence. I also think you have to act like it's no big deal. Chuck will look to his pack leaders for...leadership! If you act like he's up to the task, then he won't think there's a problem.

Chuck may actually do better once you have him home. I think many dogs are just so uncomfortable being away from home that they appear more helpless than they are.

Please keep us all posted.

Shari and Dakota

 

From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.

Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/

6 March 2011
12:25 pm
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Thanks for the update. We hope chuck has a quick complete recovery and are looking forward to hearing about his progress.

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

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