My main concern now is his lack of mobility. About a month into his front leg lameness he seemed to lose a lot of the mobility in his rear legs. The local vet consulted and ortho and they said that most likely he had spinal cord swelling from an ongoing Anaplasma/Ehrlichia infection which he was being treated for with Doxycycline so they added a steroid (Prednisolone) but there was little or no sustained improvement and his liver was reacting poorly to the steroid so after quite a few weeks he was taken off of it.

He really only walks a few steps with the occasional 10 meter walk a couple times a day. Here are a couple short videos that I managed to shoot before he stopped walking.

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Sorry for the delayed posting. Bruno has been getting better with his potty situation and is now at the point where he is almost pooping each time we go outside for our morning and evening garden time. He does not poop on the new grass but he has peed on it once or twice, mostly he lays on the grass looking around at the birds and watching the neighborhood people go by and then he gets up and crosses the road to the overgrown lot and poops over there. At least his potty is normal now.

We went for his 30 day follow up with oncology (8am) and surgery (9am) on Wednesday which was a local holiday but they made the appointments a month ago and said the hospital would be open as usual. Well, as it turned out, the oncology department was closed but the receptionist never mentioned that and sent us to the waiting room with a queue number 7. They started calling out numbers and after 6 jumped to 8 and then 9 so I grabbed an intern and asked what was going on and she then told me oncology was closed. Not what I wanted to hear after 3 hours in the car leaving home at 4am to get there for this appointment.

By then it was 9am so I went to the surgery department and found the doctor who did his amputation to see what was going on. The intern had already told her the situation so she said lets do the surgical follow up and she would try to find someone from oncology who was doing clinic duty. So she checked his wound and I recapped all of the complications that we had. She was very happy with his wound and then got to the biopsy results for the humerus mass and the 2 lymph nodes that were removed during the amputation. The biopsy on the humerus mass was osteosarcoma vs chondrosarcoma that was indicated on the first biopsy before his surgery. Also the lymph nodes both indicated metastatic osteosarcoma. The doctor said that Bruno looked well and that she was sorry about the biopsy and then sent me down to the clinic to meet the oncologist.

This oncologist was a new face to me, I had not seen here in Oncology during any of the previous visits. She went over the biopsy results again and did a quick exam of Bruno. She did not say much so I started asking how the first biopsy was positive for chondrosarcoma but now they are saying osteosarcoma and she said that it definitely was osteosarcoma so I started asking about Carboplatin chemo as it was an option with the OSA but not with CSA and she said that it would probably prolong his survival by 3 months give or take. I asked about metronomic therapy and she said they can do that too and the results are about the same as conventional chemo but without the side effects. Without further treatment she gave him about 6 months survival as he has it confirmed in the lymph nodes, his vertebra and left scapula had lytic lesions on the CT scan and most likely the lung nodules are mets too.

She started the blood work to prepare for metronomic therapy starting on Tuesday next week and apparently it is all tablet based so I would administer it to him myself at home. At least that was a good thing to add to the no chemo side effects.

Since Wednesday I have been PM-ing with Dr Pam and she does not think that the metronomic or chemo therapy would help much at this point so I just made the decision to not do chemo or metronomic therapies and do my best to keep him comfortable until the bone mets become painful or the lung mets start to affect him.

Sorry that I did not have a better update for you all.

Yeah there is no "running around" going on here. At most he takes 5-10 hops on his own or with me helping him with the mobility harness he can double that.

We really have not been able to do any strength building exercises as just the basic movements have been a challenge. I will try to get him to do puppy push ups as a starter and see how that goes. When he has been in the pool he has only done a few 20 seconds expeditions from one side to the other with lots of assistance. The beach was mostly just laying in 6 inches of water and playing with his tennis ball.