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Amputation vs Cyberknife radiation treatment for osteosarcoma
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On The Road


Member Since:
24 September 2009
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10 October 2013 - 10:57 am
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FYI to anyone doing the research, just learned that as of now, cyberknife aka radiosurgery is only practiced at the University of Florida, Colorado State University, Southern California, and the Animal Specialty Center in New York.

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

Member Since:
17 September 2013
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29 October 2013 - 6:17 pm
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Hello! An update on Katy.

Its been exactly one month since Katy went through cyberknife radiosurgery. We are happy to report that she is doing well. She started her first first round of chemo (carboplatin) 2 weeks ago and is due for her second dose next week. Overall, Katy tolerated the chemo well. She had a couple of bouts of the runs,the firs one 2 days after chemo and another about 6 days later.  That cleared up quickly each time with a diet of R/D. Her appetite and energy is as normal as can be. She is always ready and happy to eat and would run at full speed if we allowed it. We still play it on the conservative side and keep her activity level on the low side. We have also started her on apocaps and K9 Immunity Plus today under the supervision of her oncologist. We also supplement her diet with fish oils. Keeping our fingers crossed as always!

 

On The Road


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29 October 2013 - 6:59 pm
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That is fantastic! Fingers, paws, toes and tails crossed. Yay for Katy, our hero.

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

Virginia







Member Since:
22 February 2013
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29 October 2013 - 10:08 pm
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OH THATIS A GREAT UPDATE!! YAAAAAAAAAY!clap

Really keeping al, paws crossed over here. It's wonderful that you are able to take this route, We will all be following you and cheering you on!

Katy, your avatar picture shows a very pretty girl! We would love to see more of you!! Big hint to mom!

Keep on stayi g strong Katy, okay? You are a very loved pup!

HUGS!

Sally and Happy Hannah

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!

Member Since:
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10 December 2013 - 5:30 pm
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Just an update to Katy's condition.  As I last wrote, she was doing great after the cyberknife.  Unfortunately shortly thereafter, her tumor started growing again.  There is a small percentage of cyberknife patients that don't respond to the radiation and she happened to be one of them.  After what seemed to be initial shrinkage, it started growing again after week 5 and we've been dealing with the next step in her treatment.  We also discovered a very small nodule in her lung after 2 treatments of Carboplatin.  She however has been as alive and happy as ever and we've needed to restrain her from running given the sensitive nature of her condition.  The discomfort in her leg had grown a week ago, we increased the dosage of deramax slightly and occasionally give half a tramadol as needed.  After consultation with her oncologist at the Veterinary Cancer Center and surgeon we decided to amputate today.  As of now, she seems to be doing well post surgery, hearing she is sitting up and looking alert to her surroundings, looking for food they said.  After this journey, we still see her full of life and too happy to not give her a chance.  Her cyberknife was non invasive and we don't regret for a second going that route.  It is a financial consideration that one must think about but the potential outcome of something minimally invasive, limb sparing and providing comparable time extension was what we went for. Staying positive and keeping our paws crossed for a good recovery and many happy times ahead.

Livermore, CA




Member Since:
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10 December 2013 - 9:30 pm
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I'm sorry the treatment didn't work for Katy. I am glad to hear she made it through surgery. I am also very glad to hear you are comfortable with your decisions. This cancer journey is full of difficult decisions, I think it makes it just a bit easier when we can proceed without regret.

Best wishes for an easy recovery- I'm sure you have read here that the first couple of weeks can be full of ups and downs. Please keep us posted on Katy's progress, and feel free to ask questions and get support as you enter this next phase of your journey.

Karen and Spirit Maggie

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

On The Road


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10 December 2013 - 9:46 pm
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Wow. Thank you for the update and letting us know, we send all our best wishes to Katy and you for a speedy, uneventful recovery.

I too am sorry that the treatment didn't work. Sharing your information and your feelings about doing the cyberknife treatment is so valuable. Some day another person will want to know if it's worthwhile, and thanks to you they can make an informed decision. We can't thank you enough for doing that.

Meanwhile, please let us know if there's anything we can do for you as she learns to adapt on three legs. We're here to help. Give her a big smooch from us!

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

Virginia







Member Since:
22 February 2013
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11 December 2013 - 1:09 pm
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Katy is out of surgery and dong well! YAAAAAAY KATY!

And a big YAAAAAY to mom for doing her research, knowng her dog, and makng eaxh and every decisin with Katy's best interest at heart!! Sometimes dogs and cats just fall n the "unlucky" side of any particular treatment. Although it did look like the cyber treatment was working for awhile so it was certainly worth a shot!

Now we've moved to amputation and, it seems to me, a little bit of extra good luck in that she's started chemo ahead.

Now, as you've seen from studying the site, recovery can be a little "rough" for a wee or two, so don't hesitate to reach out to us if we can help. You two make a great team! We're cheering you on!

Keep usposted PLEASE! Guess she'll be home tlmorrow or the next day? Pretty nice Christmas present, huh?

Try and get some rest tonight! Katy will be high as a kite and not feeling a thing!

Hugs to all!

Sally and Happy Hannah

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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17 December 2013 - 6:35 pm
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Hi Everyone, 

Thank you for all your kind thoughts and support.

Katy is doing fine so far. She went through the amputation on Tuesday with no major issues other than panting in anxiety. She was getting up on her own and moving on her own the next morning. The surgeon was comfortable sending her home only after one night at the hospital. Getting her into the car was quite a task,even with a ramp, but the liver treats were too tempting even for a girl on meds.  We were expecting a rough night but she was so happy to be home and slept soundly. She did not want to her usual food so we are making her ground chicken rice/oatmeal porridge. She is eating well. The first 3 days home, she pretty much rested, ate and drank happily. 

Come day 4. She stopped drinking her water, still ate but we noticed that she was more clingy. She did not go out to do number one for over 24 hours. We added more water to her food hoping that that will encourage her to relief herself. She was getting somewhat of a beer belly due to fluid buildup. She was uncomfortable and kept us up on and off during the night. We took her to the vet just to have her checked out. As it turns out, all this is supposedly quite normal due to her meds. She still had her fetnanyl patch, was on 75 mg of Tramadol every 6 hours and 1 Deramax 50 mg. She kept us up practically on night 5, standing and panting. We decided to take her fetnanyl patch off and that seem to do the trick. Spoke to the vet that morning too and he suggested dropping the Tramadol to 50 mg and down to 3 times (from 4)a day.

Am happy to say that Katy is back to pretty much normal again. Oh and yes, she has her normal bodily functions back! We are still giving her warm packs to sooth her and its suppose to help with seroma . Her "beer belly" seems to be shrinking.

Will update again soon.. take care everyone!

 

 

 

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18 December 2013 - 6:45 am
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232323232%7Ffp83232%3Euqcshlukaxroqdfv78%3A8%3Dwp%3E2%3A76%3D%3C47%3D6%3B5%3D3985%3C475%3C432%3Cvq0mrj

url
   Katy...enjoying the fresh brisk air!

 

 

Virginia







Member Since:
22 February 2013
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20 December 2013 - 10:05 pm
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How on earth did miss ths update?! Geeeez!

YAAAAAAAY Katy! You are sooooooo cute! love your face!!

As I was readng through and saw the patch was still on at day five...I'm thinking, let's get that patch off!, So glad adjusting the meds made a difference!

Katy is home and doing well and is happy!! And it's still early in recover and will continue to get better and better! Now that's a nice Christmas presemt!

Great job everybody! Hugs to all! And glad the "beer belly" is shrinking!!

Sally and Happh Hannah

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!

Member Since:
17 September 2013
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28 December 2013 - 4:00 pm
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Hello Everyone.

Just wanted to give  an update on Katy. Its been 2 and half weeks post amp. She was doing really well and becoming more and more like her old self .She started Palladia last week and is on Deramax on days that she is not on Palladia. She seems to be tolerating Palladia well so far as she is happy to eat and doesn't seem to have GI issues. She was weened off  tramadol about 3 days ago.

Feeling good, she may have been a little too ambitious (running down the hallway, getting excited when she sees other dogs during her car rides). We have tried to keep her activity level low but being a big girl, it was sometimes hard to hold her back as we did not want to hurt her incision area. Last night, she woke up from a sound sleep and I noticed a small blood spot on her t-shirt. She must have gotten up too quickly and caused a small tear at an surgical site. The bleeding was little so we were not too concerned as it did not look inflamed or infected. She was still moving about normally and wanting treats.

A short while later, Katy let out an excruciating pain that tore through our hearts. She was clearly in pain. we couldn't tell if it was phantom pain or if it was because of the injury at the incision site. As the night progressed, she had a harder time trying to get comfortable and would cry out loud. We put her back on Tramadol and that did not help. We placed a call to the emergency room at the hospital that she was operated on and they suggested we up the dosage on the tramadol. Still all night she would cry out in pain every so often and as the early hours came, she was having a harder time laying down even though she was feeling drowsy from the meds. She wanted to go out to relief herself and it was getting harder for her to walk. We noticed that she was getting more sensitive to the the side of the amputation too. We are keeping an eagle eye to make sure that there is no infection. There is some seroma that came back. We emailed her oncologist and she prescribed Gabapentine, Deramax and Tramadol. She only takes Paladia on Mon, Wed, Fri, so this weekend she is free from that.She finally put her head down on my lap and laid down with me at 7:30 this am. She has been resting well since and have not gotten up. She is happily eating, we are hand feeding her and making sure she has fluids by adding more water to her chicken and oatmeal porridge. If she doesn't get better by tomorrow, we will take her to the vet on Monday. 

We are curious if anyone else have had this set back experience as ours and if so, is it because of the possible injury to the surgical site or is it phantom pain .

 

On The Road


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28 December 2013 - 5:53 pm
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Sorry to hear bout Katy's complications. Here are some tips for managing phantom limb pain if that is the case.

Best wishes, please keep us posted!

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

Pandorable
29
11 March 2015 - 5:39 pm
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akita said
Just an update to Katy's condition.  As I last wrote, she was doing great after the cyberknife.  Unfortunately shortly thereafter, her tumor started growing again.  There is a small percentage of cyberknife patients that don't respond to the radiation and she happened to be one of them.  After what seemed to be initial shrinkage, it started growing again after week 5 and we've been dealing with the next step in her treatment.  We also discovered a very small nodule in her lung after 2 treatments of Carboplatin.  She however has been as alive and happy as ever and we've needed to restrain her from running given the sensitive nature of her condition.  The discomfort in her leg had grown a week ago, we increased the dosage of deramax slightly and occasionally give half a tramadol as needed.  After consultation with her oncologist at the Veterinary Cancer Center and surgeon we decided to amputate today.  As of now, she seems to be doing well post surgery, hearing she is sitting up and looking alert to her surroundings, looking for food they said.  After this journey, we still see her full of life and too happy to not give her a chance.  Her cyberknife was non invasive and we don't regret for a second going that route.  It is a financial consideration that one must think about but the potential outcome of something minimally invasive, limb sparing and providing comparable time extension was what we went for. Staying positive and keeping our paws crossed for a good recovery and many happy times ahead.

Hi Akita,

 

Your story sounds so strangely familiar.  My 7 y.o. female Akita Pandora had an amputation straight off (diagnosed 12/24/14), but lung mets were noted after two treatments of carbo.  This wasn't supposed to happen until 4-6 months post-amputation!  I wonder if there is a breed-specific difference in the biological behavior of the tumors?  I mean, some sub-populations of different ethnicities are more prone to getting some genetic diseases than others, so this could be the case in our dogs.  

 

How is Katy doing, by the way?  My cousin's Doberman was diagnosed at 8, had an amputation and carbo, developed mets 8 months later, and was gone 2 weeks after.  Pandora was diagnosed at 7, has mets just 2 months after her amputation, but she's doing quite well and does not seem like she's on her way out by any means.  

On The Road


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11 March 2015 - 6:46 pm
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Pandorable said

Your story sounds so strangely familiar... 

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

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