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Caring for a Three Legged Dog or Cat

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9 1/2 year old Saint Bernard newly diagnosed
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15 June 2023
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31 August 2023 - 4:35 pm
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Thanks everyone.  As always, the support is really helpful.  As is the validation that I’m not crazy for being upset with how that was handled.  

i did meet with the new oncologist on Monday. She seems knowledgeable but has zero experience with the ELIAS vaccine.  I don’t have much of a choice but to move forward with her though.  I did get the impression that she is going to be relying on the vet techs that have worked with ELIAS for several years, with ELIAS itself, and with other departments within the hospital.  For example, the Apheresis that was performed yesterday was done by another department within the hospital that normally works with the machine.  So it wasn’t the oncologist overseeing it. 

Ophelia was exhausted after the Apheresis yesterday but seems to have handled it well.  We were there for 8 hours and she came out with her neck shaved and a large pink wrap around her neck where they had inserted a catheter into her jugular vein. She seems fine today though.  Next step is for the T cells to be enhanced by the lab and then put back into her body next Wednesday.  

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31 August 2023 - 4:36 pm
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Oh!  And forgot to mention that the new oncologist wanted to do chest x-rays on Monday, which we did, and the results show that Ophelia’s lungs are still clear.  So very excited about that!  

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Virginia



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31 August 2023 - 7:55 pm
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Cannot imagine how exhausting that day was for both of you. I'm really glad that she was able to recover relatively quickly by the next day..  All paws crossed that she continues good quality through out all this treatment.

And it's wonderful news that the x-rays were clear!  YAY!!!

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie 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!

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3 September 2023 - 7:09 pm
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Oh wow just saw your pupdate: YAY FOR CLEAR X-RAYS!!!

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I'm so glad Ophelia handled the treatment so well. She still doing alright? I hope so!

And it sounds like you are feeling OK about the oncologist? The effort that everyone at the practice is making to help her get up to speed with the vaccine sounds like the sign of a cohesive team. Together, they, you, and Ophelia are moving the vaccine treatment forward so even more dogs can beat cancer!

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4 September 2023 - 11:13 am
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A lot to catch up on here!  I loved all of the videos.  It sounds like it was a frustrating situation with being assigned a new oncologist.  I’m glad her procedure went smoothly!  It sounds like that was the major item left in the process?  
And great news on the clear chest xrays!  I have seen people in dog bone cancer groups on Facebook talking about Fidocure…have only seen positive things.  

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12 September 2023 - 3:11 pm
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As always, thanks to everyone for the support.  

Ophelia update.  She had her “enhanced” T-Cells re-infused into her blood this past Wednesday. These are the cells of the immune system, a type of white blood cell, that were removed through the Apheresis process that she was performed a week prior.  

While expected, the re-infusion made Ophelia pretty sick for about 36 hours.  It caused her immune system to overreact which caused her to have a decent fever (nothing too concerning though). They let me take her home about 12 hours after the procedure, once the fever was on its way down. She then just slept for about a day. Didn’t move from one spot for about 12 hours at one point. I kept taking her temp ever few hours just to make sure that the fever didn’t return.

Once feeling better, however, i had to begin giving her these subcutaneous injections. It’s a series of five given every 48 hours.  They’re meant to stimulate the immune system after the final step of the immunotherapy.  We are two injections into it with the third later today. Unfortunately these make Ophelia feel kind of crummy for about 12 hours.  So it’s been up and down with how’s she’s felt for the last 6 days and expected to continue for the next 6.  Then we are DONE with the immunotherapy and hope that it does its thing.  And also hoping that she goes back to feeling well generally. 

i am having FIDOCURE analyze the tissue from her tumor for specific mutations which could be treated with other drugs specific to those mutations.  The sample was sent by the lab to Fidocure about a week ago so I’m awaiting results. I’m not sure if I’ll follow through with the recommended treatment if there is one. It really just depends on what the recommendation is.  I don’t want to do something that is going to make her sick all of the time. So we shall see on this.  

I am also considering switching oncologists now that the immunotherapy is completed.  The vet hospital that i chose is in Boulder, CO, is about 45 minutes from me.  If you’ve kept up with Ophelia’s story, you may recall that I took her to see another oncologist about five weeks ago who was recommended by a research vet at CSU who i had emailed. Turns out they’re married but that isn’t all that relevant. Lol. I did really like her (this other oncologist) and she seems very knowledgeable on newer treatments and research, which is pretty important to me. Plus she is only 15 minutes from me.  I’m also still irritated with the vet hospital in Boulder for how they handled the switch in oncologists midway through Ophelia’s treatment.  Even though i do like the new onco that they assigned, she isn’t as experienced as the one that I’m considering switching to. 

Ophelia continues to receive bi-weekly acupuncture treatments at home from a holistic vet. I wrote about this before. I’m mainly doing this to establish a good relationship between this vet and Ophelia.  This vet will come to the home to euthanize when that time eventually comes.  So far Ophelia really likes her. 

Lastly, i received Ophelia’s new prosthetic leg today from the company 3D Pets. Just in time for her appointment with a sports rehab vet on Thursday.  I had made this appointment back in early August specifically with the prosthetic leg in mind. The hope is that this vet can work with Ophelia to help her learn to use, and be comfortable with, the new leg.  

I did put the prosthetic leg harness on Ophelia today without the leg attached, and will do so tomorrow as well.  The goal is to get her used to the harness first before introducing the actual leg.  I’ll post a video below.  

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12 September 2023 - 3:29 pm
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Thanks so much for the Orphelia update!  It sounds like you’ve had a lot going on.  I had no idea the ELIAS vaccine procedure was so involved.  It sounds like she’s almost finished with the whole process though so I’m sure that will be a relief.  I think it’s a very well thought out plan to have that particular vet doing her acupuncture at your house…ingenious really.   I wonder if I could find someone in my area to do the same.  We do have a holistic practice 5 minutes away and I actually take one of my other dogs there for the water treadmill, acupuncture etc.  I had thought about taking Honor.  It had actually been part of my plan, but then I found we were already going to the vet more frequently than I had anticipated so put that on hold.  If I could find someone who could come to the house for it though (who also does euthanasia) that would be ideal since I’m a little worried how having Lap of Love vet come who he doesn’t know would actually go.  I truly think you’ve made such great, well thought out decisions for her.  

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12 September 2023 - 4:46 pm
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Thank you.  Luckily i came to know this particular holistic vet when Ophelia’s sister lost the use of her back legs and began to have seizures.  I was trying to manage her pain and acupuncture was part of that.  Ultimately she didn’t euthanize Lola (the other dog) because she died in her sleep, but that was my plan with her also.  

We have a company that will come to the home to do euthanasia here in Denver called Caring Pathways.  I’ve heard nothing but good things about them.  It just seems a bit impersonal to me.  My hope is that Ophelia won’t be scared or anxious at all because she will know Dr Becca (the holistic vet) and think that it’s just a routine acupuncture appointment. But, the  “Best laid schemes of mice and men often go awry”…. So hoping nothing happens that changes this plan like it did with Lola. 

i bet that you can find one if you call around enough.  🤷🏻‍♂️ 

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12 September 2023 - 4:50 pm
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Some videos of Ophelia:

One from our Vail trip that i didn’t include last time. It’s so impressive how well that she manages so many steps.  

One at the park from last week where she’s being goofy and not wanting to leave.  ♥️ 

A couple with her new prosethic leg harness on for the first time! 

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Virginia



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12 September 2023 - 5:59 pm
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Well 'bout time we got our Ophelia video fix!  We love seeing  our beautiful  cuddly  girl♥️

I know you, and Ophelia  too, cannot wait until the treatment is finished.  I'm so sorry all th9s has   been hard on her.  Hopefully once all thos is done she can be Vet free and  have 100% quality  24/7!

Thank for the videos!  The one of her getting tummy rubs while relaxing and not wanted to move....priceless.  Love this girl!!♥️

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie 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!

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12 September 2023 - 6:23 pm
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That was amazing watching her go up all those stairs!  I may have asked this before but is that a support brace you have on her front leg?  Was it custom?  Do you think it helps?  Wondering if I should get something similar for Honor’s good front leg.

Looking forward to seeing how things go with the prosthetic! 

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12 September 2023 - 7:49 pm
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Good to hear your news. I've been wondering how Ophelia is doing, but i see you two have been doing a lot. And the possibility of an excellent oncologist right near home! In helping me understand what gives me pause about OSU, all a very nice but rather random assortment of doctors/residents/techs, Nicky's therapist used the term "continuity of care". If you can find someone really good who can provide that, you have the best of both worlds.

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13 September 2023 - 12:37 am
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@Suzanne, yes, I would have preferred continuity of care but since we have to change oncologists mid-treatment due to circumstances, I’m not sure what i gain by staying with the new one that they gave us.  She’s super nice and seems to know what she’s doing, but it’s far away. And the one that I’m considering, who did evaluate Ophelia as part of a second opinion, is close and far more experienced. 

@Sally - haha.  Sorry for the delay in the video postings.  I’d post them every day if i had time.  I’m really proud of her.  She has no clue how brave she has been and how hard that she has worked. 

@Eustacia - it is a brace that is meant to protect the joints and ligaments in the leg. The rehab doc that saw her now long after amputation said that they will eventually develop issues on that remaining front leg over time.  Is it working?  Well, i can’t say for certain. Time will tell. But i can tell that it does support that carpal/wrist joint. I don’t make her where it every day. She doesn’t love it. 

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13 September 2023 - 10:36 am
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 Ophelia's so strong. We're impressed with her stair climbing! I keep watching your video to see how she manages it. Yes, the nearby doctor is the one I was thinking of as able to provide both expertise and continuity going forward. I wish we had that option here.

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16 September 2023 - 5:36 pm
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We took Ophelia’s prosthetic leg for spin out to the park today!  This is the first time that she’s really worked with it other than some balancing exercises the past couple of days.  I think that she’s getting the hang of it!  

Then she was wiped out and being a ham by the creek.  😂

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