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Caring for a Three Legged Dog or Cat

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Member Since:
13 October 2014
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13 October 2014 - 9:56 pm
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I am heartbroken. I am terrified. Everything is suddenly a nightmare. 

Based on all that I’ve read here so far, it’s a story quite familiar to most of you: my best friend, Sasha, developed a limp in her back left leg a little over a week ago. At first I wasn’t overly concerned and assumed that she might have pulled something on our bike ride a couple of days before. I fully expected it to resolve and it did, in fact, seem to get a little better on its own. Then, I noticed she was holding it up while she ate. I touched her leg and she yelped. Her vet couldn’t get her in for 3 days.

Her vet said it looked like it might be a fracture. Her leg was put in a cast and we were given Tramadol for pain. We went home in good spirits, thinking it would be a frustrating few weeks with the cast, but nothing unmanageable. This was last Thursday, the 9th of October. 

The call came early the next morning. The radiologist was concerned it might be a “cancerous lesion.” The shock set in immediately. I needed to get in with an orthopedic specialist right away. I could barely make sense of what I was being told, but three words seemed louder than the rest: osteosarcoma, amputation, chemotherapy.

The specialist couldn’t see her until today, Monday, the 13th, and I went through a miserable weekend with those three words on endless repeat in my head. I did a cursory online search and to my horror discovered the aggressive nature of this disease. I discovered Tripawds and delved panic-stricken into these forums in search of answers. I hoped for the best but prepared for the worst. Even without a definitive diagnosis, what I began to learn did not bode well. The median age of onset is 7 years. Sasha is 6 years, 8 months. This cancer typically strikes large and giant breeds. Sasha is a beautiful Alaskan Malamute, very tall, with large bone structure indicative of a timber wolf or two in her ancestry, or so I was told when she was younger. The usual initial symptom matched her own: the sudden onset of an inexplicable limp. 

I didn’t sleep much. I barely ate. Sasha did plenty of both. Aside from the cast, which annoys her, she is still her usual self. Perhaps a bit more lethargic than usual, but not much. I was giving her the Tramadol at night, but she never acted as though she really needed it.

The orthopedic surgeon confirmed this morning what I suspected but didn’t want to acknowledge: osteosarcoma. He recommended an amputation tomorrow, less than 9 hours from now, followed by a consultation in two weeks with an oncologist to discuss chemotherapy. 

After researching, here and elsewhere, I’ve decided to go through with the amputation. It's unbearable but I don’t want her to be in any pain and I want to eliminate the source of the cancer. The specialist x-rayed her chest and said he didn’t see anything glaring. I’m not having a biopsy done as I’ve read they are extremely uncomfortable. The specialist says he is 95% sure it is osteosarcoma and whatever else that is in the remaining 5% would also necessitate amputation. 

Despite all I’ve read to the contrary, I am terrified the surgery will dim her spirit and her zest for life. But the alternative is unthinkable, and this appears to be our only hope to preserve some quality of life. 

I think this has been the worst day of my life, but Tripawds is clearly an amazing community that I know will prove to be a valuable resource for Sasha and I. I am very worried about the recovery, the follow-up care, and the chemo. I’m sure I’ll need a lot of advice, and I know I’ve come to the right place.

On The Road


Member Since:
24 September 2009
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13 October 2014 - 10:27 pm
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Brandon we're so glad that you posted, and am very sorry about the diagnosis. You are in great company, we will be here for you on this journey.

You said some very important words here that you need to focus on, no matter how upset you are (believe me I totally know how upsetting this is):

she is still her usual self. Perhaps a bit more lethargic than usual, but not much.

See, Sasha just wants to feel better. She's not letting anything stop her from enjoying her life, or you. She doesn't care about statistics, or prognosis, or Dr. Google, or all that stuff, she just wants to get on with living! Remember that as you go through this journey with her. Try your best not to focus on the what-ifs and all the depressing things you read...she will be your teacher and show you that as awful as this diagnosis is, it can bring you so many gifts that will change your outlook on life for the better as long as you're open to receiving them from her. She will teach you that today is all that matters, that cancer or no cancer, this moment is a gift so why waste it worrying? Most of us here learned that our dogs and cats have so much more wisdom, so much more resiliency and courage than we ever thought possible!

Well, it's late so I'm going to sign off but I will be thinking of you tomorrow. We all will. Please feel free to stop by the chat room , I'll be in and out throughout the afternoon and during the evenings it's a good bet that you'll find at least a few folks in there OK? We had a big group in there tonight, I'm sorry we missed you. But stick around, keep us posted and let us know how it goes. She sounds like she's got a great team on her side, so breathe, things will get better!

Oh, do check out Jerry's Required Reading List and the Tripawds e-books if you haven't already, lots of insight to occupy your mind while you wait tomorrow.

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

Virginia







Member Since:
22 February 2013
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13 October 2014 - 11:09 pm
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Sasha is a beautiful, beautiful girl!

I'm really sorry you have to be here, butmthere is no better place to be right now!!!

We understand the fear, the panic, the uncertainty, and the depth of love younhave for Sasha like no onenelse can!

We also understand how relieved you will be when surgery is over and your Sasha is home and on the road to recovery!! Recovery is no picnic. General k y, not always, larger dogs take a bit longer. My Happy Hannah, a Bull Mastiff, took about three weeks before her sparkle started coming back. And it came back bigger and brighter than ever before!

I know your head is spinning right now and you are probably sick with worry about the "what ifs"!

A few things to help keep your head straight and focused on being fully present with Sasha........

NO cat or dog has a time frame stamped on their butts! "Statistics" are must broad guidelines...each dog is an individual. A dog named Bart lived over four years after his amputation and diagnosis! Jackson is getting ready to celebrate his two hear "ampuversary" We have a cat here named Jill who will soon be celebrating her two year ampuversary!

Try and keep things chunked down for now. Prepare for the surgery as best you can, then deal with recovery, then decide on treatment plan.

THE MOST IMPORTANT THING YOU CAN DO FOR YOURSELF AND SASHA RIGHT NOW IS.........FROM THIS POINT FORWARD, LET NOTHING ROB YOU OF YOUR TIME TOGETHER!!!!!

BE M ORE DOG....BE JUST LIKE SASHA....living in the moment and enjoying just being with you!

And get ready for a bond deeper than you could ever imagine...EVER! You will be giving Sasha more loving and more spoiling than you ever thought possible!

This whole journey is about quality. Dogs don t give a rip about statistics! They just want to live each moment to the fullest pain free and by your side! Besides, in doggy years, six months isnover three years!

When you go pick Sasha up, don t even look at her incision. Just look into her drugged eyes snd praise her and tell her what a good girl she is!! She'll be so happyy to see you!

Stay connected to usps. You are not alone, okay? Come to us with any questions...or just to vent! This is the best site in the world for support and knformation!

Take some deep breaths and know that all is well in Sasha's world!!!

Sally and Alumni Happy Hannah and Merry Myrtle 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:
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14 October 2014 - 4:44 am
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So sorry for you and Sasha. We all know what a kick in the gut the diagnosis is.  Live in the moment and take it one day at a time.  This is the best resource that you could have found. Use us for anything, questions, venting that is what we are here for. You and Sasha are no alone.  Be happy that you do not have to wait a long time agonizing about your decision. Sasha will be out of surgery before you know it. Rest up and continue your research to help you when she gets home. Keep us posted.

Laurie

Member Since:
2 October 2014
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14 October 2014 - 4:48 am
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It sounds like such a horrible time over the last week - I hope the amputation goes well, the recovery is swift and successful and Sasha is back to being a happy dog again soon. Look after yourself too - I have learned very quickly that it is up to the human to carry the worry, stress, and sadness for both human and dog... and it isn't easy when you can't ask Sasha how she's feeling, or explain to her what is happening and that she will be okay. My thoughts really are with you, and I hope you will have some great news for us before too long.

(By the way, despite having a deep-seated aversion to exercise, I have found recently that doing stomach crunches, and stretches, and yoga-like strength exercises are one of the few ways I can release the tension that grips me when I am stressed and sad about my dog. Perhaps it will help you, too.)

Take care

Bec

New York, NY
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14 October 2014 - 8:11 am
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Hi Brandon,

Welcome to our little family - I am so sorry you have to join us here - but so glad you found us!  I truly, as many of us do, know the emotions you are feeling.  It's quite a shock huh?  I thought I was bringing in my kitty for an infection on her toe and then all of a sudden in waives I was hearing, bone cancer, amputation, chemotherapy....it can be quite daunting.  But then I found tripawds and it helps...a LOT.

We're here for support, answers, anything you need right now.  Definitely stop by the chat room if you get a chance. 

Wishing you the best for an easy surgery and recovery - keep us posted!!

 

xoxo,

Erica & Tripawd kitty Jill

Jill is a 9-year-old tuxedo kitty. She was diagnosed with Osteosarcoma in June 2012 on her toe in her right hind leg. Her leg was amputated on 12/12/12 and she completed four rounds of chemo (2 of Carbo, 2 of Doxy) in April 2013. "Like" Jill's facebook page: https://www.fac.....tty?ref=hl Proud member of the WINTER WARRIORS!!!! Her blog can be read at http://jillsjou.....ipawds.com. xoxo

Martinsburg, WV
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3 June 2014
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14 October 2014 - 8:15 am
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I'm so sorry to hear about Sasha and her diagnosis.  If I read your posting correctly it sounds like she'll be having her surgery today.  I just want to send you both positive thoughts for a safe surgery and speedy recovery.

Like others have said this community is great at lending advice and support.  We're all here to help you both through this difficult journey but know that Sasha will be free of pain from the cancer after the procedure.

Sahana and her Angel Leland

Leland

November 17, 2009 - June 30, 2014

May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!

Westminster, MD
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14 October 2014 - 8:58 am
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Hi Brandon and sweet Sasha,

So sorry you are starting this scary and stressful journey, but you have found the right place to help you through it.....many of us have already been down this road and many more still fighting very successfully. You sound like you have done your homework with all these decisions, and any decision you make will be the right one. Sasha sounds like a wonderful furry companion, and you will definitely have her best interest at heart.

We are all here to help you in any way, the support is like no other with tons of experience and knowledge. 

Keeping you and Sasha in my thoughts and prayers as you begin this new challenge, but one that can be kicked in the butt!

Bonnie & Angel Polly

Los Angeles, CA
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14 October 2014 - 10:58 am
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Welcome to our family ... we are all here for you. I know how those words can shock your core. My girl, Shelby, didn't have bone cancer but another kind of cancer. At first when she broke her leg, we thought it was cancer and all those fears / feelings came back when reading your post.

Like others have said, the recovery is hard but Sasha won't be in pain. She will be so relieved to be free of that painful leg. Just love on her and treat her normal and surround her with positive energy.

Stay close to us and ask us anything ... we are here for you.

 

Alison with the Spirit of Shelby fur-ever in her heart 

Shelby Lynne; Jack Russell/Shiba Inu mix. Proud member of the April Angels of 2014.

October 15, 2000 to April 8, 2014

Our story: Broke rear leg in June 2013 - non-conclusive results for cancer so leg was plated and pinned. Enlarged spleen in September 2013 and had it removed and was diagnosed with Hemangiosarcoma and started chemotherapy. Became a Tripawd January 8th, 2014 and definitive Hemangiosarcoma diagnosis. Three major surgeries in 7 months and Shelby took them all like a champ only to lose her battle to cancer in her brain. We had 8 amazing extra months together and no regrets. #shelbystrong #loveofmylife

Virginia
Member Since:
14 March 2014
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14 October 2014 - 11:27 am
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Welcome, Brandon, and so sorry about Sasha's diagnosis. You've gotten great advice from so many already, and we're all hoping that Sasha will breeze through surgery. Do you know what pain meds she will be on after discharge? Also, you may want to think about an inflatable cone or comfy cone instead of the plastic one from the vet.

The downloadable ebooks will be an invaluable resource for you when you prepare to bring her home, and this community has so many stories and resources, and wonderful people to help.

Hang in there, and keep us posted!

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

Livermore, CA




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18 October 2009
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14 October 2014 - 12:49 pm
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Welcome Brandon and Sasha.

I'm sorry cancer has brought you here.  We dealt with a different kind of cancer, but the shock of the diagnosis and recommended treatment is the same.

My little pug Maggie was a stubborn thing who did not like changes to her very comfortable routine.  She was quite unhappy after her surgery- for weeks! No medical complications- she just didn't like her new circumstances.  I was sure I had made the wrong decision for her. But once she got used to things she hopped happily through life for almost 4 years.  Maggie was also a left rear amp.

I can't say that Mag had exactly a zest for life- but she was quite fond of food and naps big-grin.  I bet Sasha will be surprising you with how well she adapts and how quickly she gets used to her new normal.  Don't get discouraged if she has some down days during her recovery- it's normal.  You are doing the right thing by taking away her pain and giving her a chance at more quality time with you.

A couple things to remember-

Sasha doesn't know she has cancer- she will look to you to be a strong pack leader and let her know everything is OK.

 

You are not doing this TO her, you are doing it FOR her.  Bone pain is terrible, and she already has a fracture. The only way to get rid of the pain is to get rid of the leg.  No matter how much time she has with you (hopefully lots and lots) the time will be quality, pain free time.

 

Dogs can't tell time or read a calendar.  Don't focus on the stats and prognosis' (I know it's hard not to, I did for awhile).  Make every day Sasha's best day- each day is a lifetime for our pups.

 

Karen and Spirit Maggie

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

Orrtanna Pa.
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25 January 2014
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14 October 2014 - 2:08 pm
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Brandon, welcome to Tripawds. I too am sorry about the news you have received. It is a kick in the gut that completely takes your breath away. Just try not to let it steal your time away from your girl. I tended to dwell on the negatives a bit and probably cried in front of my boy too much. One suggestion I have that may be helpful is, take a canvas grocery bag and cut the sides of it out. It can then be placed under her tummy like a sling and you use the handles to assist her walking. The first 2 weeks can be a bit much and I think we all at one point probably questioned if we did or were doing the right thing. I was like you, I just wanted the leg off. Wanted the cancer away. Keep us posted on her recovery and please don't be afraid to ask questions. I think we have seen and heard just about everything here. Lori and TY

TY GUY, Best Black Lab ever! Diagnosed  and had amp in January, 2014. Kicked MRSA's butt. Earned his angel wings on April 16, 2014. Run Free my boy and don't forget a shoe. Ty is a proud member of the " April Angels". Ty sent us Daryl, a Tripawd rescue in Sept. of 2016. Daryl is 5 +or -. We are also Pawrents to Chandler, a Border Collie mix who is 15 and 1/2, Lucy, a Corgi who is 7, 2 minis, 2 horses, and a feisty cat named Zoe. Zoe had a non skeletal Osteosarcoma removed in July 2015. No Chemo, she was at least 16. She is going strong although she is now completely blind. She is now close to 20 and her hobbies are eating and sleeping in front of her personal heater. 

Rio de Janeiro, Brazil
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17 May 2014
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14 October 2014 - 6:37 pm
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Welcome, Brandon and Sasha.  You have found the right place to be at this moment.

The diagnosis of OSA and its follow-up, amputation, is a punch in the stomach.  Glad to know you already have a diagnosis and are going forward quickly with the surgery.   

My suggestion: read all you can on the subject, read older posts, order Dr. Dressler's book , and prepare your home for welcoming Sasha. You will need a harness to take her around.  No more regular leashes.  

Don't try to anticipate too many things.  At this moment, the issue is the post-op and getting Sasha through this first phase.  Once she is cleared of stitches, staples, and is hopping around, comes the second part, which is the post-op treatment.

Let us know how the surgery went and how she is reacting.

regards,

Daniela & Johnnie

Our awesome Golden Boy was diagnosed for OSA in April 2014 in the proximal humerus, front-leg amp on 05/20/2014. Finished chemo (Carbo6) on 07/10/2014. Ongoing treatment: acupuncture + K-9 Immunity Plus ( 3chews) and home-cooked no-grain diet.   Stopped Apocaps because of liver issues.   Liver issues: controlling altered enzymes with SAM-e and Milk Thistle.  October 17:  started having seizures.  Taking fenobarbital for seizures.  April 18: started prednisone.


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13 October 2014
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14 October 2014 - 9:55 pm
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Thank you to everyone for your kind words. Yesterday was one of the worst days of my life and these messages of encouragement are invaluable. As terrible as this is to go through, there’s comfort in knowing we’re not going through it alone. I can’t express my gratitude enough. 

The nurse who scrubbed in for Sasha’s surgery called me about 3:45PM to let me know it was over and that it had gone well with no complications. She said Sasha had woken up quietly, which was a good thing, and that she would be on an IV and monitored throughout the night. She said they had given her hydromorphone before the surgery and that so far she hadn’t needed anything else for pain, but that they would give her pain medicine as soon as she showed any sign of needing it, or at 6PM (whichever came first), and then pain medicine after that every 6 hours. 

She told me that her temperature was a little low (97.7 as opposed to the ideal 102), but that this was due to the anesthesia and higher, actually, thanks to her thick coat, than most dogs post-surgery. They were blowing warm air into her blankets to raise her temperature (she said Sasha was enjoying this) and that they’d stop once her temperature reached 99 degrees. 

The nurse said they were going to try to get her up and moving a little bit at 8PM. This sounded really early to me but she said it’s important to get her moving as soon as possible to help with the stiffness after surgery and because movement is good for the surgical site — that it will help the body to absorb fluids in that area. 

She told me that they would be sending me home with Tramadol, Rimadyl, and an antibiotic. Fortunately I had the wherewithal enough to mention Gabapentin, having read here that some felt this might help, or prevent, any “phantom pain ” that could occur. The nurse said I should mention it to the doctor but that she was confident he would feel that it was unwarranted and that her pain would be well-controlled on the Tramadol and Rimadyl. She said that these dogs never cease to amaze her and that I would be equally amazed at how quickly Sasha would most likely adapt. She assured me that Sasha would be monitored 24/7 and that they were available by phone for a status update to ease my mind anytime of the night. 

The doctor called me shortly afterward. He also told me that surgery went very well. Probably the best news I received all day was that both he and the radiologist felt her chest X-rays were normal. This is good because, as I understand it, spread to the lungs is what we will be begin to battle with chemotherapy in two weeks. I’ve read of some Tripawds here who started chemo only a few days after surgery. I don’t want Sasha’s system overwhelmed, but I am concerned about waiting two weeks. I am eager to start the battle (and win the war) against whatever microscopic cancerous cells are in her body right now. The surgeon said he would speak to the oncologist but that it was perfectly standard and acceptable to wait two weeks after surgery before beginning a chemo regimen on a dog with no visible metastasis, to allow the incision to heal and decrease the risk of infection. One surprise was that he said he was “sending that part of the tibia” to pathology and that he would have the results next week. I wasn’t expecting this, since I opted for no biopsy. I am realistic enough that I’m not hoping for the 5% chance it’s not osteosarcoma, but based on what I’ve read, should a potential clinical trial become available in the future, a “definitive diagnosis” often seems to be a prerequisite. 

The plan is that she will spend tonight and tomorrow night in the hospital and that I’ll pick her up Thursday after work. I’m off work on Friday and can spend the long weekend at her side. They said I could come by and visit her after work tomorrow, which I will do. 

The nurse I spoke with said they would teach me how to “sling walk her.” I mentioned that some of the specialty harnesses I’ve looked up (thanks to links on Tripawd, such as the Web Master harness ) advise that they not be used until after the staples or stitches are out. The nurse said Sasha’s stitches are on her hip, so she shouldn’t be bothered by any kind of harness. But on such short notice, Lori and TY’s suggestion above to take a canvas grocery bag and cut the sides out of it sounds like a perfect idea and is definitely something I’ll procure tomorrow. Unfortunately, I live on the second floor of an apartment complex. But my parents (I’m 29 years old) spent their day clearing out my old bedroom on their first floor. There is a two-door closet in that bedroom my mom cleared out where Sasha can recuperate. We figured this sort of semi-enclosed area would make her feel secure after reading that dogs recovering from surgery are much like dogs about to give birth who “nest.” I’ll bring her bed over tomorrow (it’s pretty thick sturdy foam but old and has seen better days — I’m researching the best options for a replacement). I’ll be able to sleep on an air mattress just a few feet away and we can take it easy this weekend. 

I went to PetsMart and was really glad to find one of those inflatable donut collars which I’m going to take to Sasha tomorrow to replace the cone I’m sure she has now. It looks so much more comfortable, will obscure her view less, and make it much easier to eat and drink, I hope. 

I just stared at the vitamins and supplements aisle for a while. I had no idea what to get or what she will need. I want to fight this cancer but I just need to get myself educated on the best things for her. I ended up just getting some fish oil with omega 3 since I know it’s more important than ever to protect her joints. I wanted to get some joint-specific supplement with glucosamine and chondroitin, but I didn’t know what the best brand is. I have a lot to learn. I did the same in the food aisle. I know she needs the highest quality food. There are so many options and I know low-carb grain-free is important, but it’s just overwhelming. I want to make the right decision. 

I called for a status update about two hours ago, around 8:30PM. They said she is still resting and that she isn’t yet willing to move around at all. They moved her from a smaller enclosure to a larger enclosure and being able to stretch out seems to have made her much more comfortable. They are going to try again to take her out around 2AM. 

I just want to reiterate to everyone how grateful I am for the kind words, the advice, the empathy, and the positive thoughts thrown our way. Everyone I know has circled around me with more love and support than I ever imagined. Add to this all your support, the kindness of strangers, and I really do feel a small bit of relief that the surgery is over and that now we can focus on getting better, being strong, and enjoying every moment of life as it happens. 

My mom started crying today and said that I am a boy who loves his dog who has had to make a man’s decision. I feel I made the only decision there was to make. I’m ready to get Sasha home, help her recover, get her pain-free, and make each day better than the last. 

On The Road


Member Since:
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14 October 2014 - 10:30 pm
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Brandon this is great that she made it through, congratulations! That is HUGE and yes, you  made it through too! See we knew you could do it!

My thoughts while reading about all the care she is getting were "WOW!" That's super devoted staff and doctors, Sasha is getting all the attention and safety monitoring she needs for a great recovery.

About the pain meds: some vets are very up on pain management and some not so much but in general they still do an adequate job managing it. We were only given Tramadol & a NSAID and that was fine, everything worked out, but many vets are now prescribing more because of recent veterinary pain management advances. Try not to worry too much and play it by ear, she may not need the Gaba but good job on starting the convo with the vet just in case.

As for chemo; most vets are sticking to the traditional ten days to two weeks out to begin treatment but a newer protocol that some are now doing is to start ASAP after surgery. It all depends on what methods a vet is comfortable with, and what you are too. Either way if you're going to do chemo statistically she has a greater chance of longevity so go with what you and your vet feel good about doing, everything will be fine.

Hang in there and try not to worry too much, I have a feeling you'll be amazed at her courage and strength. Good job Dad!

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

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