Caring for a Three Legged Dog or Cat
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Hi, my name is Gerry and my best friend is a Siberian Husky named Dakota that just turned 11. We live just north of Boston. On September 14’th Dakota came in from going pee and within minutes began crying out in pain like I have never heard and holding his paw off the ground – it lasted for what seemed an eternity while I tried to comfort him and call the vet to tell them I was coming in. My local vet started with thinking lime disease and prescribed mega doses of doxycycline & anti-inflammatory. Over the next few days, and after ruling out lime disease, she seemed to be trying different things and saying it may be severe arthritis. After switching meds a couple times Dakota could not keep food down and was not getting better - the vet said to stop all meds for 2 days and then start again. I trust my vet but my best friend comes first so I called the best place I could think of, Angel memorial hospital in Boston.
Today is September 25, 2009 and we just got back from Angel Memorial hospital in Boston this afternoon with an initial diagnosis of a cancer in the nerve tissue under Dakota’s armpit. The orthopedic surgeon that saw Dakota said that this is the cause of the limp and will continue to get worse and is very painful. The options presented to me are to put my best friend down or amputate the leg. They suggested an MRI to confirm the initial diagnosis – I said to schedule it asap. Right now I am simply devastated and spent the afternoon by Dakota’s side – confused, shocked and just a complete mess.
I stumbled upon this website and am simply amazed that there are people out there that are facing similar challenges and decisions like I am now facing – I feel very fortunate to have found you all. It seems that most of the posters on this website are struggling with bone cancer – but this is not the same thing from what I can understand. I am not even sure what she called the cancer because when she told me the options I had I immediately fell into a state of shock and everything else turned into a blur.
I am posting this now in hopes that someone could give me some advice, information or thoughts on what I should do? I obviously love my best friend and the last thing in the world I want is to cause him any more pain. I am struggling with the thought of amputating his front leg and causing him to have a difficult life ahead – am I being selfish? Any information or thoughts would be MOST appreciated as I try to understand what is happening and work through this to make the right decision. What are the questions I need answered from the doctor? Please help!?
Hi Gerry,
Glad you found us, so sorry you needed to! And way to go getting the second opinion!! It's sadly very common for limps caused by cancer to go undiagnosed for a long while as the vets try treating arthritis or tendonitis or any number of things - so way to be proactive.
Results vary, but if other health issues don't get in the way, going by reading the experiences of others here for months now, and my own experience wth my best buddy, Yoda, amputation will not prevent your dog from living a happy, full, pain-free life. It shoud, rather, make it possible for him to do so again.
Now, I don't know anything about the cancer Dakota has (I feel like I barely know anything about the cancer Yoda has), but maybe factors you'll want to find out/consider are survival time statistics and whether more painful tumors are likely. With osteosarcoma (bone cancer), it's pretty rare for another tumor to grow in the bone elsewhere after the primary tumor is removed - usually the next phase is that it goes to the lungs, though that can usually be delayed a good long while with chemo or even slowed down after they appear with various treatments. So you'll probably want to ask about what's recommended after amputation in Dakota's case. Also, if Dakota has any pre-existing health issues, ask if and how those might complicate having the amputation. Those are the questions that first came to my mind after reading your post. I'm sure you'll get other good suggestions from other people.
The three weeks after the amputation are pretty intense, but more manageable than I expected. But then Yoda didn't have any complications, such as an infection. But infections are treatable. Certainly try to get as much time off of work as you can for the first two weeks, but Dakota will do a lot of sleeping, so it's very okay if you can't be with him 24/7. The tricky part about being gone can just be making sure he's not going to be able to mess with his incision site, but there are many ways to deal with that which people here will share. And your vet should advise you on that as well.
What people often report after amputation is that their dog is fairly active the first day or two home from the hospital (most vets will keep them two or three days, I think) - to the point of being troublemakers, some of them - and then crash and act more like dogs who have just had major surgery should and do a lot of sleeping. It seems to be that the heavy-duty painkillers they get initially often keep them fairly anxious for a few days, but they wear off and they're able to catch up on sleeping and healing then (and the pain should be manageable on less meds, like Tramadol or Rimadyl). Yoda did a lot of vocalizing (crying/whining) for the first couple days he was home (and the two days he was with the vet), which he never does, because of the pain meds he had. When those faded, his vocalizing stopped (though staring into space and turning in circles lasted another couple days). It's hard not to worry in those cases that they're not crying from pain, but Yoda's surgeon showed me how to gently pat Yoda's incision site and if he didn't react and his heart rate didn't go up, he said I could trust that Yoda wasn't in need of more painkillers. Constipation is often an issue after an amputation, but your vet can recommend solutions such as feeding Dakota pumpkin, or chicken with rice, etc. Yoda's surgeon ordered that Yoda be in a furniture-less room, or crated (but Yoda wasn't crate-trained), for the first two weeks to minimize the chances of him tearing his incision by getting on furniture or otherwise being too active. Had to stay with my parents for those two weeks in order to have a room like that, but they were willing and it was a great comfort that Yoda wouldn't be alone as long when I had to go to work. The first two weeks, going out to the bathroom and coming back in will probably be the extent of Dakota's exercise - though sometimes they'll push you pretty hard to let them do more! Yoda's surgeon recommended just out to the bathroom and back in for the first two weeks and then a very gradual increase of walking time, but Yoda fought me pretty hard to go further faster. This, however, resulted in very short walks (two to three houses away) that took a very long time, because on the way back it would be evident that I let him go to far and we would need to take 4 or 5 rests on the way back.
So those are the highlights of what I remember from Yoda's recovery period - to give you an idea what to expect. Now for the fun part, telling you what I got to see after Yoda recovered! Yoda was back at the dog park a month after his amputation. Unfortunately, on his very first trip back he confirmed for me that, yes, he would still be able to mount other dogs, at least if they were very low to the ground - congratulations Yoda, you can still embarrass your mom at the park! He played chase with other dogs that first day without any hesitation and we have had excellent, regular trips to the dog parks in our area ever since. Yoda also became suddenly much better at catching tennis balls in the air - an unexpected post-amp talent. He lost his hesitation about getting in the car, which inexplicably began over a year ago (guess he felt the tumor well before the limp began). And, on our walks through the neighborhood, Yoda was suddenly dragging me over to visit with any neighbors who were out and about, rather than the other way around. So in some ways, I can argue that Yoda is living an even fuller life since his amputation than he was before.
Yoda re-mastered just about every physical activity (stairs, running, etc.) in less than two months (I think it was like a month and a half). The only thing that took him longer was chasing his tail - for some reason that took him three months on the dot. He hasn't caught a rabbit in the yard (he has caught 4 or more in the 3 years I've had him), but I actively thwart his efforts, and he has come very close even then, so I am going to assume he could still do that too. Yoda does seem to have been above the average as far as activity/exercise level post-amputation from what others have said. He's always been a skinny, athletic boy, which the vet said would make him a good candidate for adjusting quickly and he certainly did.
I am so so so so glad that Yoda had his amputation. It was such a rotten couple of months that he limped and limped and the vet couldn't figure out why and I had to keep him from playing and running, so being able to have these past 3 1/2 months of Yoda being able to be active and do all his favorite things again has been such a gift!
Good luck with your decision. It's clear you love Dakota dearly, so you'll do the best you possibly can for him, whatever that may be.
I hope my response wasn't too jumbled or rambly. Yoda's not doing so great tonight, so, rather than sleeping, I'm up keeping watch per the ER vet's instructions, to see if he needs to go in for emergency care or if he's going to be able to get some sleep at home tonight first and then we can have him seen by oncology when they get in in the morning. So far, it looks like waiting til morning was the right choice, he's sleeping now. I realize though, that I may not be fully coherent.
Yoda&Mom united: 9/5/06 …….… Yoda&Leg separated: 6/5/09……… Yoda&Leg reunited: 10/14/09 ……… ……………….………….………….……. Yoda&Mom NEVER separated! …………………….….……....….…… Though Spirit Yoda currently free-lances as a rabbit hunting instructor for tripawds nationwide
Gerry:
Welcome to the group. I'm so sorry you have to meet everybody this way. I have an Alaskan Malamute with OSA, rear leg amputation. (Yay, artic dogs!) She does extremely well. We were very lucky, after we got through the initial few weeks, Tika did incredible and we do not regret amputation at all. I was very scared to go through with it, but this site helped me realized that I am making Tika's life better.
My vet told me, dogs are on/off switches, it's all about being in pain, or not. If they are not in pain anymore, they aren't going to worry too much about a missing appendage, they get around just fine.
Nowadays, it's funny to see how many people don't notice that she's an amputee! They always ask why she's limping or if she's hurt. Then we gently point out that she's a TriPawd and they gasp and say, BUT SHE DOES SO WELL! We humans, we just don't get it. I guess it's because we are mere mortals who are relegated to wandering around on two legs.
I'm sure you are tearing up the internet like all of us do. That will probably help you develop your questions. Ours was mainly post-operative care and fighting the spread of the cancer. It's a very scary time for you, I know, but these babies of ours just will amaze you with their resiliance and strength.
As for questions:
1. Will Dakota need any chemotherapy? (most dogs take it really well)
2. What are the chances of the cancer spreading? What can be done to slow the chances?
3. Is the tumor benign or malignant? (that's usually found out post-op biopsy)
Take a moment to look at the videos of the tripawds, they are a pretty happy crew! Also, if you can search for the story of Calpurnia the wonder sled dog on this site, you'll find she's an inspiration.
Good luck! Tika sends a malamute roo out to Dakota.
--Kim and Tika
Kim and Spirit Tika http://www.tika.....ogspot.com
Hello Gerry. We feel for you and Dakota, but are glad you found us here in Tripawds Community.
There is plenty of discussion throughout these forums of synovial cell sarcoma, spindle cell, hemangio sarcoma, and nerve sheath tumor, among others. Any of those sound familiar? Try the search function if you can remember what the vet called Dakota's daignosis.
You may also find Jerry's posts answering top dog cancer amputation questions helpful. And many have found relief from angst about such difficult decisions about amputation in the book Without Regret
.Tika brought up a good point, especially considering all the costs you may soon be facing. Rather than an MRI to confirm the diagnosis, I might suggest confirming that the cancer has not yet spread to the lungs or elsewhere.
Best wishes with your decisions, we look forward to hearing more about Dakota.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
I'm sorry that you and Dakota are going through such a difficult time. I don't know anything about the kind of cancer that Dakota has so I cannot offer any advice on that. Emily is a five year old doberman mix rear leg amputee (four months ago). She recovered very quickly from her surgery. Like Yoda's mom I had to go back to work right after the surgery. My husband took one day off but then had to go back to work too. Emily was alone with our choc. lab, Bentley. (We made sure Bentley was gentle with her first, but he is a real sweetie so we weren't worried.) To keep Emily from bothering her incision she had to wear her cone while we were gone.
Every dog is different and recovery will be different but it sounds like you don't have much of a choice. We didn't feel like we did either. Amputation removes the cause of the pain. Period. I think Yodas mom is right though about asking about prognosis of Dakota's kind of cancer.
Once again. I am sorry you have need for this site None of us wanted it but all of us are glad it is here. Dakota will be in my prayers.
Debra & Emily
Debra & Emily, a five year old doberman mix, who was diagnosed with an osteosaecoma. She had a right rear leg amputation on May 19, 2009. On November 10, 2009 she earned her wings and regained her fourth leg.
First off I wanted to say thank you to all of you that have posted. I continue to be amazed that this site is here and you are all so supportive. I wish I did not have to meet you all under these circumstances but regardless I am fortunate to have found you. Sorry for the delay in getting back to you all but I had to work today (need money for all that is coming)
I have an update of information. The condition the surgeon thinks Dakota has is called “nerve root tumor” and she expects to confirm this on Tuesday with the MRI (she said these are usually cancerous if this is what it is). I believe (from research so far) that this is the same as the “nerve sheath tumor” referenced by Admin. The Dr said that it is generally malignant but is a very slow growth type of tumor and is not the type that tends to spread to lungs, liver, etc. if it is not already spread into the spinal area. I asked what the odds are of Dakota suffering a repeat of this cancer if we were to go through with the surgery and she said that she would not expect it in his lifetime (I think this means that it will return in time but likely not before Dakota lives his full life). She did caution that we have to see the MRI to confirm all this, and see where it is currently located, and then make the decision at that time.
I did ask about chemo and she said that I would have to speak with her on Monday as the oncologist was not in today and she would need to speak with her about that. She did say something along the lines of the amputation usually being the correct path to remove the likelihood of it returning anytime soon and maybe some chemo – but again would need to confirm on Monday.
I did forget to ask her about a chest Xray to confirm there is not yet any other cancer in the lungs etc. and will do that Monday when I speak with her again. There is sooo much to cover and I am trying to be a good dad and make sure I compile all the information so I can make an informed decision. The Dr said that she is expecting to call me immediately after the MRI on Tuesday with the results and look for me to MAYBE make a decision at that time about the surgery to get it all done in one session and while Dakota is still under anesthesia. I am VERY apprehensive and scared! I’m not sure I can make the decision. I keep reading the posts here and blogs and all the articles and I honestly can’t seem to find anyone that regrets the decision? Is this right? Are you all happy with the decisions you have made? I love my lil guy very very much and my PRIMARY concern is Always “his happiness”. I’m not looking for you to make me promises, just to maybe reassure me that an 11 year old dog (granted he acts 5) will come back and be happy after all is done.
I will write more later as I am going to the store to get some of that “taste of the wild” dog food as it seems to be the best food - short of homemade (from what I have read) and I want to make sure Dakota has everything he needs!
Thank you all again so much for your posts – I can’t tell you how helpful it is to have you here to communicate with and support me in my decision making. I am still a mess but trying to be strong for my best friend.
Gerry..
Gerry,
Please do keep us informed. We have all been where you are and know how hard it is. You love Dakota and know him the best. You will make the right decision.
Debra & Emily
Debra & Emily, a five year old doberman mix, who was diagnosed with an osteosaecoma. She had a right rear leg amputation on May 19, 2009. On November 10, 2009 she earned her wings and regained her fourth leg.
Gerry, when Oslo was diagnosed with osteosarcoma, we took 10 days to cope about the whole situation. I could not agree to any decision. My mind was a real mess. But then I felt deep in my heart as well as in my head what I thought would be the best for him. Take your time to look for infomations and trust yourself.
Suzanne
gerryuml said:
I keep reading the posts here and blogs and all the articles and I honestly can’t seem to find anyone that regrets the decision? Is this right? Are you all happy with the decisions you have made?
Yes. I'm happy with the decision to amputate. Cemil was diagnosed with osteosarcoma; I wasn't sure what to do but my vet advised that I not make a decision for at least 2 or 3 days while I did research. My research brought me here, my decision was to eliminate the pain and prolong the life, and for us, it has worked out well so far. Tomorrow will be Cemil's 8 month ampuversary, so he has beat the statistical odds. His was the left-front leg.
We have had a good 8 months and I have been exposed to many critical life-lessons--I can't say I've learned them, but I'm much farther than I was at the beginning. Each time you hear them reiterated with a new member, they sink in one more layer. I don't know what the future holds, but I'm happy with what has happened so far.
I don't know anything about the type of cancer Dakota may have, but my options were the same: Get rid of the pain, or end it by putting the dog down. I opted to get rid of the pain and keep the dog. I would say, ask Dakota what his wishes are.
I can tell you that most of the dogs here bounce back very well after surgery (after the two-weeks-from-hell recovery period) and adjust to three legs nicely. A few don't. Look through Dakota's eyes into his heart and let him tell you what to do. Also look at the videos of tripawds playing and swimming and doing what dogs do. The three-legged thing is much more significant to people than to dogs.
You're at the most difficult place (making a decision). If you opt for surgery, the two-week recovery period will likely be difficult too, but afterward, you can relax and enjoy your dog for the time you have left, maximizing each moment. That's one of the lessons from all this.
Keep asking questions, keep venting...we're here to help you.
Mary and Cemil
Cemil and mom Mary, Mujde and Radzi….appreciating and enjoying Today
As always, thank you for the replies – hearing from you all is like hearing from a supportive friend – it goes a long way.
I continue to dig up information on Dakota’s condition and will certainly post it here. If nothing else maybe it will help someone else who will face the same life-changing challenges as I am. I have been looking for an alternative to the amputation but am not having a lot of luck.
I am trying to look into my heart and not be selfish at the same time – I know I am a mess right now but I feel deep down inside that I have to give it all I can for him because I know that is exactly what he would do for me. I think that a large part of the problem is that my family (parents, sisters, brothers) is negative regarding an amputation and does not see YOU – they do not see all these success stories and caring people that have given their time, love, money and soul to their pets and succeeded in giving their companions a second chance. They just keep talking about how hard a life he will have and difficult it will be for him to do anything. My mind keeps going back and forth on the decision but at the end of the day I feel like I would be letting him down if I did not try – I find myself thinking that I can always put him down later if that is what is needed but I can’t always go back, fight for him and give him a second chance.
Sorry for rambling – I am still trying to put everything together and the MRI on Tuesday will certainly be a part of my decision making process.
I am thinking that I will want to take a couple days after the MRI results to make a final decision. Do you think it is too stressful on Dakota to have to go back under for surgery a week after he was under for the MRI? I just am not sure that come Tuesday – if the Dr calls and says it is operable that I will be ready to say “do it”
Someone needs to warn pet owners that ‘being strong’ is way way way more difficult than it sounds!
Wow!! Does this sound familiar!! Our family wasn't too supportive either, but like you in our heart we had to try. My husband went through some major medical issues, and while he went through them Shilo never left his side. Except to go potty she would run right back in, jump into bed, and lay back on him until she nursed him back to health. How can anyone put a price tag on that?? It is more unconditional love then most people in the world today. I can tell you will make the right choice for Dakota.
We all have went through the painful struggle of what is the best for our loved one and amputation does sound extreme. It is truely the kindest thing you can do vs. the pain.
Do you think it is too stressful on Dakota to have to go back under for surgery a week after he was under for the MRI?
No.. Shilo was put under for an aspiration and x-rays on a Friday and went to surgery 4 days later. I would have done the amputation the same day if I could have convienced them. Once we decided we wanted it off before it could spread somewhere else as cancer has a horrible reputation of doing.. 
Shiloe and I wish you and Dakota the very best!! Be strong, as Dakota will need you...
Shilo diagnosed with osteosarcoma 9/4/2009, amputation 9/9/2009. ShiloAnne lost her battle 11/23/2009 where she regained her fourth leg and is patiently waiting for her parents to join her. We will always love you baby girl.
Hi Gerry
Glad you found this website group and have been getting loads of feedback. Dakota's cancer sounds very different than the type found in most of our dogs. But it is great that it sounds like a slow-growing cancer that is unlikely to show up or spread within his lifetime. Wow! Most of us can only dream of that. But I understand that depends on the results of the MRI, and wish you all the best with that. You will have lots of tripawds rooting (and malamute tripawds rooing) for Dakota that day.
How is Dakota's general mobility and health? You probably already mentioned these points, but I am just asking things that might help you guess how he will do following amputation. Does he have arthritis or other medical (kidney or liver, etc) issues?
Most of our dogs do well as 3-leggeds, although some bounce back more quickly than others. Young and small dogs seem to bounce back the quickest. My dog was a little slow on the uptake, but has been getting stronger every day (we are around 9 weeks now). We hang out at the dog parks and swim (until the water freezes), although we can't walk miles. But I'd have to say he is as happy as ever, but I probably do more to make sure that is the case.
My dog Tazzie has had a busy summer when it comes to anesthetic and surgery: June 1, general anesthetic for torsion emergency; ~July 5, a lump removed from a leg with a sedative, supposedly benign but it was not sent to the lab; July 15, amputation for OSA; last week, another lump removed with a general. So he has not had two general anesthetics only one week apart, but has still had a few. But ask your vet if that is safe. It might be just as safe as keeping him under for longer, but I don't think any of us can comment on that one (except for the vets).
If the cancer has not spread, it sounds as though your choice is either amputation or putting him down when the pain gets too bad. That was the choice for most of us. Given how happy and healthy (generally speaking, apart from the cancer) most of our dogs are, the latter usually does not seem like an option. Given your prognosis is promising, it sounds as though you might have even more time to look forward to than most OSA dogs.
Good for you for taking Dakota to the hospital. It can take a long time for vets to diagnose these things.
Susan and Tazzie
Hi Gerry - yep, this is probably the hardest decision to make. We all understand what you're going through. Zeus was my best friend, my teacher, my hero and my soulmate...I know how you feel about Dakota.
When I found out about Zeus (10 year old golden retriever at the time) with OS, I was obviously devastated too...didn't know what to do, how cruel would this be to do to him? Am I being selfish? It is just time to let him go? There were members of my family and close friends as well that were shocked that I would even THINK about amputation - "he won't do well", "he will be depressed", "how could you actually do that to him?"
I didn't find this site until after the amputation...thank GOD my 2 best friends are Vets and they, along with Zeus' oncologist assured me that he would do well. I found out the initial diagnosis on a Thursday night, I had confirmation on a Friday and I took the weekend to make the decision. Finally, when I still wasn't sure (on Sunday), I asked Zeus what he wanted to do...I was snuggling with him and talking to him trying to explain everything and when I said to him, "I don't know what YOU want me to do"...he jumped off the bed, grabbed his favorite toy and whipped it around, chased his tail and ran to the window and started barking out the window, then looked back at me as if to say, "I want to live Mom...not done here yet!". So...off on this amazing journey we went. I scheduled the surgery on Monday for that Wednesday and trusted my gut and Zeus' response. I asked those who were still critical not to vocalize their opinion anymore, that I didn't need the negativity and if need be, we would just "catch up later" when we were through recovery. Boy were they shocked with how well he did!
I had 17 more months of wonderful life with my boy. He did AMAZING as a tripawd and cancer survivor. He chased the ball, went on walks (though not as long as he used to), he loved to run in the woods, chew on sticks, he chased his tail, played with his brother, and gave me the continued unconditional love that he always had. I can honestly say that he was a HAPPY, HAPPY boy...all his pictures that I have prove it to me over and over and over again. I have NO regrets whatsoever and I know I am a better person in so many ways because of hopping this journey with him.
I lost him recently to kidney failure. We never had lung mets or any other complications. It was 17 months of pure enjoyment, love and lessons from the best teacher that I ever had. I have NO REGRETS.
I always did have in the back of my mind that IF Zeus didn't do well as a tripawd or with chemo or anything else, I could let him go at that time, but I had to try...and it paid off.
This is a decision that only you and Dakota can make - make it together from your heart and that place of "knowing" that we all have and need to tap into when faced with decisions like this. Jerry's place is a testament that our fur kids are hoppy on 3 legs - PAIN FREE. We wouldn't all be here encouraging others and getting the word out if it weren't the case...I know it's hard to visualize it and that is where the faith comes into play.
We are praying for you and sending pawsitive energy your way. Whatever decision YOU AND DAKOTA make, it will be the right one.
Please keep us posted
Heather and Spirit Zeus
Heather and Spirit Zeus - Our life changing journey…from the earth to the heavens…one day at a time…always together
You are going through the most terrifying time, and most of us have been there too. Do your research, trust you vet to lead you, talk to Dakota, and make your decision based on what is best for Dakota. No one knows him as you do, so no one is better equipped to make the decision for him.
This is not an easy time. Trouble was diagnosed on a Monday late afternoon, had a second opinion consult late afternoon Tuesday, and was in surgery Wednesday morning. Let me tell you, when I dropped her off Wednesday morning all I could do was pray we were doing the right thing. The consulting (and now treating) vet assured us the only way to stop the pain was to remove the leg. He also stressed it was the chance she needed for extending her life.
The vet kept in contact with my husband Wednesday morning as he did pre-op x-rays, he lead us through each decision we needed to make and made sure we understood what our options were every step of the way.
Trouble's recovery was pretty mild compared to some. Whether or not we made the right choice with the amputation has never been an issue for us. We know we did what we could to give her a chance. We are not 10 months post amputation and she is a happy, happy old lady.
Best of luck to you as you struggle through this. Trust yourself. You can do this.
Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul. Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.
My 2 cents now -- Jack was hiking (though a shorter one than normal) 3 weeks post rear leg amputation. 4 weeks post op was swimming, running, chasing his tennis balls and teaching me lesson upon lesson!
Listen to Dakota and follow your gut. You will know what to do.
Kristen and Angel Jack
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