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Caring for a Three Legged Dog or Cat

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New diagnosis of (probable) Osteosarcoma with lung metastasis
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Member Since:
2 June 2012
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2 June 2012 - 1:41 pm
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Hi all,

 

Background: Charlie is a 12 year old beagle.  On May 26th, 2012 (his 12th birthday) I brought him to the vet for lameness in his front left leg that had gotten progressively worse, going from a barely noticeable limp to non-weight bearing lameness over a two week period. After a physical examination where he found no swelling or obvious fractures/tumors, he suggested Rimadyl and rest, but gave me the option of radiographs to rule out a tumor, fracture, etc.  I went with the Rimadyl as a first step.  Over the next couple of days, things seemed about the same-no obvious improvement but not getting worse either-then on the third day, I came home and Charlie's leg was swollen and upon closer inspection, black and blue from bruising.  To the emergency vet we went. Results of blood tests showed pretty low platelet count and slightly (barely above normal range) elevated ALP levels. Chest and leg radiographs showed what appears to be a bone tumor on his humerus and "extensive" metastasis in his lungs.  

 

Based on his age and the extent of the metastasis, my vet gave him a poor prognosis and recommended simple pain management with Rimadyl and Tramadol until he no longer has an acceptable quality of life.  I am pretty devastated by all of this. I have found nothing in my own research that gives me any more hope. Everything that I have read indicates a very poor prognosis for Charlie.  

 

I guess what I am looking for here is advice on how to proceed from anyone that may have gone through something similar.  I am pretty sure that I am at least going to consult with a veterinary oncologist to see if he is even a candidate for amputation and chemotherapy, but finances are an issue for me too. I can get some help from my family, but unfortunately spending 10s of thousands of dollars is not an option. And I don't want to put Charlie through intense treatments if they won't substantially improve his quality of life.  

 

Any advice and/or information would be greatly appreciated.  Thank you.  

Las Vegas, Nevada
Member Since:
14 August 2009
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2 June 2012 - 3:24 pm
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I'm so very sorry you find yourself here with us.  And I'm just so utterly sorry the cancer has metastasized in Charlie.  What a terrible, terrible blow.

I wished I could give you hope with some happiness but when the cancer has spread to the lungs, most vets won't operate because it is late stage cancer.  And the saddest part of all, is how incredibly painful bone cancer is.  It's unbearable pain.  With the leg attached, there is tremendous suffering.  I'm so sorry.

Others may have suggestions on how to keep him comfortable.  But if it were me, I'd opt for prednisone and a serious pain relieving narcotic  at this stage (not tramadol since it is not that potent).  I'm not a vet, but it's what I would want.

I'm so very, very sorry.

We are here to help if you need anything.  Give Charlie an ear scratch from us.

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.

San Diego, CA
Member Since:
29 October 2010
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2 June 2012 - 3:32 pm
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Hello to you and Charlie - I'm so sorry you had to find us here. We had a beagle that we lost to a tumor on her heart a few years ago, so I have a huge soft spot for beagles.

Meeting with an oncologist is a good idea. Amp will take the pain away from the leg, but you will probably want to discuss with the onc just how "extensive" the lung mets are. Most dogs have "micromets" at the time of amp - not visible on an Xray but there nevertheless. It's my understanding that the location of the mets is a big factor in how much longevity a dog can have with mets. We've had some senior dogs do well here after amp, but I honestly don't know if any of them had "extensive" mets at the time of opting for the surgery.

I'm sorry I don't have better words of wisdom or advice. Bone cancer is unfortunately aggressive. There are some supplement options (artemisinin is one) but I think an appointment with an oncologist is the next step before you make any decisions. Take everything into account when you make your decision - the onc's advice, Charlie's zest for living, your finances (yes! It's definitely ok to let your finance impact the decision - Charley would not want you to be deeply in debt and stressed out!). You will make the right decision because you love Charlie. There are no wrong decisions.

Hang in there and keep us posted.
Jackie, Angel Abby's mom

Abby: Aug 1, 2009 – Jan 10, 2012. Our beautiful rescue pup lived LARGE with osteosarcoma for 15 months – half her way-too-short life. I think our "halflistic" approach (mixing traditional meds + supplements) helped her thrive. (PM me for details. I'm happy to help.) She had lung mets for over a year. They took her from us in the end, but they cannot take her spirit! She will live forever in our hearts. She loved the beach and giving kisses and going to In-N-Out for a Flying Dutchman. Tripawds blog, and a more detailed blog here. Please also check out my novel, What the Dog Ate. Now also in paperback! Purchase it at Amazon via Tripawds and help support Tripawds!

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