Caring for a Three Legged Dog or Cat
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I was asked to start a new topic with more details, and I also want to send a special shout out to Xanderdane and Malachi (and Josh) who are just a couple of days behind Ajax in this process ...
ALL GOOD NEWS ON OUR FRONT! Ajax's recovery has confirmed that amputation was absolutely the right decision, though if you search back you will see that we had a very hard time with the decision and gave serious consideration to doing radiation in the hopes of giving him a couple more years on 4 legs.
History: Ajax was diagnosed with chondrosarcoma in his rear leg in mid May. The prognosis was good (take tumor out, do some radiation) until we did the CT scan which a) showed the only surgical option that would get sufficient margins was amputation, due to the location of the tumor near the knee; and b) showed "spots" that were probably benign, and another tumor that was probably benign, in the chest. As the chondrosarcoma in the leg was diagnosed from an excisional biopsy at "stage 1" the recommendation was to wait a month and do another CT to make sure the spots in the chest were not mets.
One month CT clear, no mets, benign tumor (thymoma) in chest taken out and confirmed benign.
Amputation: Surgery was last Monday, so we are now 9 DAYS POST AMP AND DOING GREAT. We haven't needed a sling or anything, nor have we given him any tramadol after the fentanyl patches came off. One of the residents (he was operated on at a teaching hospital) gave us this great trick for taking off the fentanyl patches - she said rub a Qtip with rubbing alcohol around the edges - we did this and they came right off, Ajax didn't even notice.
He zooms everywhere, but we had a couple of wipeouts on slippery floors in the beginning. My advice is cover the floors because fewer wipeouts means he'll build confidence faster. See Home Depot suggestions posted on one of my other topics.
I'm still working on the running everywhere issues, I'll let folks know how that goes. Meanwhile, we've all been sleeping on the floor together. Mom's neck is getting a little tired of this, so Mom and Dad together put Ajax up on the bed last night (his preferred spot) but quickly decided that it was too soon. The big circle he needs to take now to do his 3 circles before settling makes Mom feel like he's going to fall off the bed, though Ajax would clearly solve that problem by pushing Mom off the bed instead ... either way, we're hanging on the floor for a few more days.
We went out across the street yesterday for a while, and sat on a bench by the small park around the Museum of Natural History so he could watch people go by. He was tired, but happy. City dog needs stimulation!
Ajax has always been a very good example of the principle of conservation of energy, so we are not having too much trouble containing him. He seems to know he's a little tired, and he's good to go out and chase a little puppy tail, but he's pretty much willing to rest.
Last night we got back the pathology reports from the leg which was amputated. Short version: all good.
Long version (in case it will help anyone know what questions to ask):
- tumor confirmed to be chondrosarcoma as original biopsy showed
- although it was not specifically staged, they agree that the tumor is grade 1
- no sign of necrosis in surrounding tissue (this means that the cancer did not eat up more tissue around the tumor, which means less spreading and less chance of an invisible metastasis somewhere)
- tumor characterized as "differentiated" (again, this is predictor of metastasis - "differentiated" is good, means less chance of spread)
- under microscopic examination, mitotic index was determined to be less than 1 - this is very good, very low chance of any mets. (the pre-surgery biopsy had it at 3; the vets tell us that any result less than 10 is good)
- pathology showed no lymph node involvement
Sorry for the long post! Thanks everyone for your support. I'll keep posting until the 2 week period as we recover ....
Great report and history! Thanks for posting and happy Ajax is doing so great!!!
Tracy, Maggie's Mom
Maggie was amputated for soft tissue sarcoma 10-20-09
Maggie lost her battle with kidney disease on 8-24-13
Great news. Keep making me smile with these great updates Ajax. You are doing so good, Yay to you.
Jo Ann & Tasha
Tasha 8 years old, First cancer diagnosis 6/26/09, Last cancer diagnosis 9/26/09, Amputation 10/01/09, Loving our girl moment by moment.
Tasha lost her battle and became my Angel on May 4 2011. Forever in my heart….
I keep seeing the ice cream reference! The last 2 months have certainly meant ice cream for mom ...is everyone just referring to ice cream as a nice treat or is there an ice cream secret?
Ajax is a Lab so pretty much everything is a treat. I don't think he's missed a meal except the morning before anesthesia. That being said, pre-surgery there was steak, sushi, chicken and salmon off the grill. We have never found anything he WON"T eat except:
1) citrus; 2) olives; and 3) almonds. (of course steering clear of grapes, tomatoes, chocolate etc.)
Perhaps we will all have a bowl of ice cream this evening!
Great update! Yay Ajax!
No secret to ice cream that I know of other than it just makes everything better
Catie -
Birthday – November 4 2003
Amputation – January 13 2010
Crossed the Bridge – June 2 2011
kazy55 said:
Perhaps we will all have a bowl of ice cream this evening!
Yum! Don't miss the healthy frozen treat recipes submitted by mebers for the Tripawds Nurtrition blog.
Thank you for sharing these details. We look forward to following Ajax's recovery.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Did someone say Ice Cream???? I'm lickin' my chops! I bet there's some fancy-schmancy ice cream in New York!
My advice is cover the floorsbecause fewer wipeouts means he'll build confidence faster.
I waited 8 years before the big light bulb went off in my head to do this! But keep in mind, I was THE only one that had a 3-legged dog on earth (or so I thought)! I just knew I was a genious for thinking it up after watching Tumbelina take nose drives on the tile for 8 years!
Comet - 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.
Thanks for the shout out. Malachi is doing great. They wanted to keep another day so the drains could stay in longer, but I did get to visit him today which was great. He should be coming home tomorrow...and Malachi's pre surgery meal was steak too...he sure did enjoy that Rib-Eye!
Malachi
Pitt Bull/Rhodesian Ridgeback
dx – osteosarcoma – 7/8/10 oncologist confirmed – 7/19/2010 life begins as a tripawd – 7/27/10
So glad to hear that Ajax is doing so well just 9 days post op! Whoo! Hoo!! Keep up the good work!
Angel Jake and Wolfie's Mom
Jake, 10yr old golden retriever (fractured his front right leg on 9/1, bone biopsy revealed osteosarcoma on 9/10, amputation on 9/17) and his family Marguerite, Jacques and Wolfie, 5yr old german shepherd and the newest addition to the family, Nala, a 7mth old Bengal mix kittie. Jake lost his battle on 11/9/2009, almost 8 weeks after his surgery. We will never forget our sweet golden angel… http://jakesjou.....ipawds.com ….. CANCER SUCKS!
I'll keep posting here since this topic has the history:
10 days post-amp. Our surgeon leaves for vacation tomorrow, so we are going in today to have the stitches taken out. It's on the early side of the 10-14 day window, but if they're not ready to come out, I'm sure the surgeon will tell us.
We're still doing great. Ajax went to the park with my husband, and since our dogwalker is a regular fixture around the 'hood, many of Ajax's daytime 'peeps (unknown to us) came over to inquire about him and his surgery. And the kids have been super curious. I asked my husband to stop saying "cancer" to small children, as I am afraid they may have someone in their life undergoing treatment and I don't want them to think cancer = losing a leg. We've settled on "his leg was very sick, and it was going to make the rest of him sick if we didn't take it away. Now he is not sick anymore." That seems to work.
We did have a moment when one particularly inquisitive little girl asked "when will you put it back on" - gulp. But it's all good and Ajax loves the attention.
For those of you who warned me about ups and downs, thanks. My theory is that the fentanyl takes a couple of days to be completely gone, and then there is some pain. Ajax has definitely been less eager to move around than he was 4 or 5 days ago. Last night I went ahead and gave him a half dose of Tramadol and that seemed to make him rest a little more easily.
So all is good ...
Children do say the strangest things, don't they?
It sounds like Ajax is just doing great! And I'm really liking reading about his very urban adventures . I don't think you can't get more urban than NYC.
Catie -
Birthday – November 4 2003
Amputation – January 13 2010
Crossed the Bridge – June 2 2011
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