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NEED ADVICE - Amputate on 12 Year Old Samoyed with slight arthritis & overweight?
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Los Angeles
Member Since:
31 December 2015
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31 December 2015 - 9:59 am
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Would love some advice on whether or not to put our 12YO samoyed through a front-leg amputation and chemo. She was diagnosed last night with a fractured leg and osteosarcoma, and we need to make some tough decisions today.  

She's older, overweight and has had arthritis for about a year. Her chest Xrays are good (no sign of cancer in her lungs).  And yes, I know with this kind of aggressive cancer that it might have spread and it's just not showing up yet on her chest xrays.

But she still acts like a playfull puppy and has a hearty appetite.

Do I put her through the trauma of amputation and chemo to extend her life for hopefully another year or so, knowing that surgery and recovery will be risky? 

Or do I spare her the pain and let her go peacefully - knowing she had a really good 12 years (most Sammys live 12 - 14 years).

Confused and would love some advice.

On The Road


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31 December 2015 - 10:50 am
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karsha said
Confused and would love some advice.

You've come to the right place! What is your pups name?

Every dog is different. You will find many success stories of senior dogs and large/heavy pups adapting well to life on three legs, but only you and your vet can make the best decision regarding your Sammy. The age won't be a problem as much as the weight, but that can be managed with proper diet. And wonders can worked with a certified rehab vet to address arthritic issues. Recovery may be tough, but dogs are very resilient and the vast majority recovery quickly and adapt well—it's just a matter of how much time and effort you can put into reducing her weight and managing her rehabilitation.

One thing is certain; the tumor pain will only get worse, while recovery from surgery should only last a couple week.

Use the Advanced Search above to find topics addressing specific concerns, or search all blogs here . See Jerry's Required Reading List for LOTS of helpful links and feel free to call the Tripawds Helpline anytime.

Best wishes, please keep us posted.

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

Maryland
Member Since:
28 March 2015
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31 December 2015 - 11:23 am
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Hi There,

I'm so sorry you got this diagnosis because of a fracture. I would have been really traumatized by that myself, so it is no wonder you're feeling confused. 

It sounds like you have a good understanding of why we amputate---that we do it to relieve the pain, not cure the cancer. It is a tough decision to amputate, it seems so drastic. And the recovery period can be rough, with lots of ups and downs. But generally after 2-3 weeks the acute pain and discomfort of the surgery is gone and they just go back to being their old self. Most pups do really well on three legs. Things may be a bit slower but they can still pretty much do everything they did pre-amp. 

It is such a personal choice, and you know your dog better than anyone. But for us and our Ellie, the decision came down to whether we thought Ellie was done living. And she wasn't! We knew, like you, that we might only get a year. But a year in a dog's life is like a 70 yr old getting another 10. So we chose to take whatever time we could get. We don't regret it at all. She had almost 10 months of really good quality time. I wish it could have been more, sure. None of us ever gets as much time as we want. 

If you Samy is a "young-at-heart" 12 and the vet thinks she is a good candidate, it will probably surprise you how well she'll do after amputation. 

Denise, Bill and Angel Ellie.

Active 10+ Pyr mix suddenly came up lame with ACL tear in left rear leg. Scheduled for a TPLO but final pre-op x-rays indicated a small suspicious area, possibly OSA, which could have caused the ACL tear. Surgeon opened the knee for TPLO but found soft bone. Biopsy came back positive for OSA. Became a Tripawd 9/18/14. Carbo6 with Cerenia and Fluids. Pain free and living in the moment. Crossed the Bridge on 7/12/15 after probable spread of cancer to her cervical spine. A whole lifetime of memories squeezed into 10 months. Here's her story: Eloise

Virginia



Member Since:
22 February 2013
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31 December 2015 - 12:22 pm
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s.

You've gotten great insight and information from Donna and our Admi. Guy.

All.lf us here, like Donna mentioned, made the decision, in part, because our dogs let us know they weren't done living yet. You know your dog best. It sounds like she's looking forward to ore loving and spoiling without that painful leg.

If your vet thinks she's a good candidate and all jer work up looks good, all that's a real plus. Yes, weve had lots of senior dogs, lots of overweight dogs and dogs with arthritis. It is major surgery and it does have risks, regardless of the age of the dog. Recovery is usually pretty rough. It took me almost three weeks before I coukd say I did this FOR my Happy Hannah and not TO her!

A couple of dogs come to mind who had amputation in their senior years...Sam, Franklin, Shooter...all medium size dogs who were arou d 14. If I recall, Sam had arthritis too. Every single human k volved were glad they gave their dogs extended pain free time for more loving and spoiling and treats and tummy rubs.

In my Happy Hannah's case, she was a "chunky" girl, considered "mature" for a Bull Mastiff. She and I had THE most glorious extended bonus time of over one year and two months! She had four rounds of Carboplatin chemo and sailed through them

Stay connected! And whatever decision you make is the right decision because you obviously making it out of love for her! There are no wrong decisions and there is no judgment here. We all do the best we can for our dogs based on the Information we jave.

Please update when you can. We care. We understand.

Sending love

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!

Schofield, WI
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13 August 2015
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31 December 2015 - 2:45 pm
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So sorry you are here and having to make that decision.  As others have told you we know this will probably not cure our furfaces.  We based our decision on how full of life was our boy?  In spite of the pain of walking he still wanted to eat, get belly rubs and be happy in life.  So we proceeded with the amp to get him out of pain and did 4 treatments of chemo.  We had our amp on Sept 1st and Max is back to enjoying his life.  He doesn't do everything he used to do but does do most things.  He's a very long legged German Sheperd who has one speed which is fast.  Does he sometimes fall?  Yep but he gets right back up and keeps on with whatever he was doing.  We're hopeful we get much more time with him but if and when the mets come we are ready to deal with that too.  We've gotten ready by taking each today we've already gotten and lived it fully with him.  You know your dog the best.  Any decision you make based on love and conferring with the vet will be the right one.  We will support whatever decision you make.  We all know the place you're at right now and have been there ourselves.  We get it.  Please keep us posted.  Hugs!

Linda & Max

Los Angeles
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4 January 2016 - 10:40 pm
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Wow! I am blown away by how kind and supportive everyone has been. THANK YOU from the bottom of my heart. We decided to do the amputation on New Year's Eve. Muji came home on Saturday. It's been a rough few days (she's fallen a few times and the scream/crying just KILLS me) - but overall, she seems to be doing pretty well. I'm going to search the other message boards, but any tips on how to "remind" her about her surtures  (there have been a few times when she rolled over on them when repositioning in her crate). Or is that just part of the process?

And any tips on chemo? We've had an oncology consult - but will likely be switching to a different oncologist referred to us by a friend who's a vet surgeon. And any tips on getting the costs down? I feel badly for even asking - I know what I signed up for when we made this decision - but any advice would be greatly appreciated. And yes - I have VPI insurance but I think I'll likely get about $1500 back and that's a drop in the bucket compared to what I've got in terms of bills coming my way. (But it's worth it for Muji.)

Thank you!!

Michigan
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2 April 2013
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5 January 2016 - 10:43 am
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The first couple of weeks are the hardest.  What did Muji come home on for pain?  Murphy came home on Tramadol, Rimadyl & Gabapentin.  We made sure to give him his medications evenly spaced around the clock for good pain management .  The Gabapentin is great for nerve pain.  You can also apply an ice pack a couple times a day to the incision for about 10 minutes or so.  And massage around the area to help re-absorb the extra fluids.  Murphy took a little bit of time before he laid on the side with the incision, and we didn't crate him, we just mostly kept him contained in the family room.

As far as chemo goes, not everyone chooses to go with chemo.  A lot of people choose to do surgery and then that's it.  The type of chemo depends on the type of cancer.  Murphy had histiocytic sarcoma, so he had 6 doses of CCNU, which is a pill.  He got a dose every 3 weeks, with blood work done then and a CBC done a week after (at our regular vet since the oncologist is 1 1/2 hour drive away).  He might have had a little bit of nausea on the 1st day, but not much, hard to say, though, since he was also medicated at the vet and we had a long drive home, so it was probably just a combination of things.  Other than that, he didn't really have any side-effects from the chemo.

Donna

Donna, Glenn & Murphy 

Murphy had his right front leg amputated due to histiocytic sarcoma at 7 years old. He survived 4 years, 2 months & 1 week, only to be taken by hemangiosarcoma at 11 1/2 years 6/12/17  
Read about Murphy's Life on Three Legs

Donna.png

On The Road


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5 January 2016 - 11:35 am
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So glad Muji is home and recovering!

Donna's insight is spot-on. To add to it I would just say that the best way to "remind" her about her incision and new gait is to carefully monitor her activity so she doesn't do risky things like climb steps, hop onto furniture and only walk on floors with traction /throw rugs. So I guess it's more about us reminding ourselves about their Tripawdness so they don't get injured.

And again Donna's correct, not everyone does chemo. We opted out for Jerry, who had osteo as well, and he lived 2 years beyond his amputation. Not every dog will of course, but with or without chemo that disease is a crapshoot, you never know.

Never ever feel badly about asking your vet to work with you on price, they understand completely. If chemo isn't an option you may want to ask about metronomics , it's an at-home chemo you can read about by clicking on the link.

Let us know if you have any questions OK? And don't forget the Tripawds Helpline is always available too.

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

Los Angeles
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31 December 2015
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5 January 2016 - 5:47 pm
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Jerry / Donna - Thanks so much for the response.  As always, this forum is such a source of comfort and information.

Donna - Muji is on Tramadol and Metacam.  I'll ask about Gabapenten.

And Jerry - After diving deeper into your "required reading list" last night, I think I figured out that Muji is actually suffering from phantom pain (again, your site is AMAZING).  Will ask my doctor about this, since it sounds like other meds might help there, too.

The great news is that she's eating like a horse and is peeing and pooping regularly (sorry if that's TMI).  And we made it through the night last night without any incidences - so we're feeling optimistic!

Karsha

On The Road


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5 January 2016 - 8:38 pm
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Wow she's doing great!

Never fear talking about gross things here, we've seen it all and it doesn't bother us one bit, really.

The Gabapentin should help if it is phantom pain . Let us know what the vet says OK?

Here's to another great day ahead.

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

Virginia



Member Since:
22 February 2013
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6 January 2016 - 9:43 pm
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YAAAAAAAAAY FOR .MUJIwinker

And YAY for pooping and peeing! Not TMI at all! We celebrate everything around here!! It sounds like Muji is really aheaq of the curve!! Sometimes there are ups and downs the first couple of weeks, so don't let that alarm you.

Looking forward to more great updates! Can't wait to see some pictures of the adorable Muji!

Hugs to all!

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!

Virginia



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26 January 2016 - 9:23 pm
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How is Muji doing?

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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