Heyyyy, it's good to hear from you but I'm so sorry about the news. That is a heartbreaker.

Now, I have some thoughts but first, give Bree a big smooch from us. Your girl is such a fighter and a rock star in kicking cancer's butt! The power of your love and prayer have helped her enjoy a great life on three legs, she is the true meaning of living with cancer, not dying from it. She has beaten the odds all along and is proof that there is no such thing as a guaranteed prognosis. Nobody can predict the future and she'll be the first one to show them.

You probably already know this but spinal mets are so rare. When they happen it's a real let down and can make us feel so hopeless. But your sweet daughter is right: you can do things. You find your center of gravity and hope by praying. You manage Bree's symptoms with the infusions and pain medications. And you give her the life that all dogs dream about. That my friend, is doing a heck of a lot. So never doubt your ability to do something to help her.

Unfortunately, I am not familiar with any treatments to eradicate spinal mets. What did your oncologist mention to you, other than the bisphosphonates ? If they didn't already refer you to one, I would suggest meeting with a pain management specialist who can help you treat the symptoms with acupuncture, massage, and other modalities that can help her continue with a good quality of life. If you don't know how to find one near you (the IVAPM website search can be confusing), just let me know.  A hospice veterinarian can also do a lot to help manage symptoms.

And as you walk this next stage of the journey with her, try to remember that nobody can predict how long she will have, and that Bree is still the same dog you always knew. All she wants is to feel good and make her people happy. That's all that matters to her, always. I know you can do it!

Keep us posted and let us know how we can help.