Caring for a Three Legged Dog or Cat
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Hi Caring Tripawd community, I posted a few days ago under 'Just Diagnosed' , now I have some questions that I'd like to ask about the decision to move forward or not with amputation. First, are there better 'candidates' for the surgery than not? How many days/weeks on average before the procedure can be considered successful? Are there dogs who sink into depression and can't move forward with this new development in their lives, or, like most humans, do they have a will to live and recover? My motivation to have the amputation would be to remove the pain and danger of fracture, not necessarily because I expect his life expectancy would be much greater than not doing it....so I wouldn't do the chemo...is it silly to put the dog through the trauma of an amputation ( I apologize, but in my mind it seems like it will be a pretty traumatic episode for a dog who's already uncomfortable), if you're not doing chemo? Though emotionally I'm not sure I've co e to terms with his diagnosis, intellectually from everything I've read, I know it's not good and am most interested in these last months being comfortable for him. He is an almost 8 year old, shorter and stouter rather than tall and lean, has hovered between 75-78 pounds his adult life, is NOT a high energy lab....no fetching balls, no arthritis that we know of, sleeps or follows me around most of the day, and very much enjoys his 45 minute to an hour walk a day ( we havenot been doing that since diagnosis, only once around the block), not a picky eater, has never gone up and down stairs (fearful) , tumor is in the upper right front leg, no evidence from xray of mestasis in the lungs, BUT....he has been limping lightly, on and off for the last 9/10 months. Stupid me, I would attribute it to rough play at the dog park or arthritis or just too much activity because it would go away for awhile. What I'm getting at is that I keep reading life after diagnosis being as little as a couple months without any treatment and up to 9months -12 months with amputation and chemo....he's already been symptomatic for a long time...what is considered 'diagnosis'? Where is the next place it will rear it's ugly head? Both my veterinarian and the oncologist offered amputation, so,they must feel he's a candidate. I know this is a long post, but needed to get this all out. Your experiences are much appreciated. Thank you all.
Clearly some dogs are better candidates than others. Clear lungs are a good sign. It was surprising to me how many dogs are good candidates for amputation. Otis was 106 pounds, with mild arthritis in his hips. I know there have been other dogs on the site in similar circumstances, especially since osteo tends to set in between 7 - 10 years of age, for a large dog it is not uncommon for there to be some issues. Does your surgeon think Victor is a good candidate? Your description makes it sound like he is otherwise healthy, which should make him a good candidate.
Every dog recovers differently, some take longer than others. But, I don't think they feel depressed or disabled. They just figure out how to do whatever they want to do in a different way. Otis cannot take long walks anymore, but he still enjoys going out - just a much shorter walk. Everything else is pretty much as it was.
This is major surgery, and there are no guarantees. Many members have chosen not to do chemo for a variety of reasons. The amputation will give Victor the best shot at a pain free life, for however long he has left. Don't worry about the statistics - Victor doesn't.
Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016. Four rounds of carboplatin completed in April, 2016. Lung mets August 25, 2016. Said goodbye too soon on September 4, 2016. Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.
Wherever they are, they are together.
You are asking great questions and you'll get some great responses from others who've gone through the same thing with the same questions.
I have a cat Mona whose leg was amputated two years ago due to cancer. Our pets are much better at dealing with this slight setback than humans are. They just live in the moment and, I believe, feed off our attitude. My cat loves to be brushed and cuddled but when she wants to do something else I have to get out of her way because she's so determined. She figured this whole amputation thing out. I had suggestions and she decided what would work for her and what wouldn't. Our pets are resilient and I don't believe they have emotions such as depression. They are very intuitive and pick up our emotions. They may feel physically lousy and that will show in some form. For example, cats hide when not feeling well.
The amputation will take away the pain that your dog already has. Recovery isn't always easy but there are a lot of great suggestions on this forum.
You aren't stupid, cancer doesn't flash a neon sign. It is so subtle. The only reason I took my cat in is because she had an aggressive lump that grew from nothing to golf ball size in 2 days. Osteosarcoma isn't so obvious and besides, some vets initially say it's arthritis.
Others will chime in and no matter what the decision is, it will be the best for you and your dog. Is his name Victor?
Kerren and Tripawd Kitty Mona
To me, your answer is in the statement you made about wanting his last months, however many there are, as comfortable as possible. For that, I think you have two options, palliative management with pain meds or amputation (with or without chemo). As has been said, many here choose not to do chemo for multiple reasons.
Sadly there is no crystal ball. Either option comes with some risk. The first is a path where pain will surely get worse and there is the risk of a bad fracture. The second, there is the risk of the surgery itself and recovery which can be rough.
All I can really tell you is my dog is older, so 8 seems just middle aged to me. Pofi is back to being the dog he was before all the pain started (except for the hopping) and I am exceedingly grateful for every moment. I hope it lasts a very long time, but these last 6 weeks post op with no pain are just so precious to me.
We are doing at home chemo, which, depending on the drug, is not necessarily that expensive. We were considering radiation, which is more effective for his cancer type and stage, but I am less convinced I want to pursue that than I was a few weeks ago. If you do the amputation, you can decide later if any oncology is right for you and your boy.
There is no right answer and there is no judgement here. Every path is unique, every dog is. We are here for you however you proceed.
Lisa, Minneapolis
On October 27, 2016, nearly 6 months after amputation, and 18 months since his cancer likely started, we lost Pofi to a recurrence of Soft Tissue Sarcoma in his spine quite suddenly. His canine sister also succumbed to cancer on March 1, 2019 - we lavished her with our love in the interim, but life was never quite the same without her only real canine friend. Cliff kitty had to leave us, too, suddenly, in August 2019. Lucia kitty grieved all these losses, but helped us welcome two new Lurchers into our home and our lives, Shae and Barley.
I agree with the others. Murphy was 7 when he was diagnosed & had been limping for about 5 months before he had his surgery. Other than his leg, he was perfectly healthy, so we felt that he deserved whatever chance we could give him for a good life. Recovery was a roller coaster of emotions - several times I doubted that we had done the right thing. But slowly things got better and better, now here we are. It hasn't always been easy - at one point I thought something was wrong with his back legs, but it turned out that his back & hips were stiff from the new way he was walking, or hopping. Now we massage his back & hips and he stretches himself backwards and we get the kinks out. It sounds as though your vet and the oncologist both think that Victor would be a good candidate for surgery. And if he's healthy, other than his leg, he probably is. If he's over-weight at all, it would be better for him to lose some weight. You will probably need to shorten his walks a bit, too. Tripawds tend to tire out a bit more easily since it takes more effort.
But ultimately, you are the only one who can make this decision.
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
Hi there - I had almost exactly the same concerns as you. Like you, my reason for considering amputation was to remove pain and the risk of fracture - the risk of fracture was probably my biggest concern, along with the fact that my vet told me realistically you can't keep them entirely pain free with just pain meds. And like you, I felt like why put him through amputation when the prognosis is so short. In the end, I felt giving him whatever pain free time I could was the best I could do for him. I also am not doing chemo so I'm just hoping he'll be on the longer end of the anticipated post surgery life span but even if he is not, I hope I at least made him comfortable.
Have a frank discussion with your vet about your concerns. I was really upfront with my concerns, and he was able to help me with the decision. I even did what one of the topics says not to do - I asked him what he would do if Clyde was his dog. In the end, it just made sense to me to try to keep him pain free and without the risk of fracture. My vet also told me that when the lungs finally do get involved, it is not painful for them. That helped me because I was questioning why do this if he'll just end up back in pain when the lungs get involved. There are no guarantees, but hopefully you'll feel better about your decision whatever it is and know that there are a whole lot of people who have faced the same issues.
Clyde is just a little over two weeks post amputation, and after some ups and downs, is doing really well. I sometimes get sad that he can't do everything he could do before the surgery, but it doesn't seem to be bothering him. I thought he seemed depressed during the first days after his surgery - but now that his meds are out of his system, he's much happier.
And don't feel guilty or stupid about thinking his limp was nothing more than a sprain or something. I think we all did - I only took in Clyde because I figured he might like some pain meds, I certainly did not think it was anything serious. You are doing everything you can for your buddy.
I agree with all that others have said. I can say, my dog did suffer a fracture and that is very painful. Now she didn't have osteosarcoma and we didn't discover her cancer for many more months (we chose to fix the leg and then amputated months later). In hindsight, should have taken the leg the first time I had the chance!
Dogs can hide their pain very well so I suspect your lab is in pain and that you are at the limping part means he is really uncomfortable. If both your vet and oncologist think he's a good candidate for amputation, if for nothing else, pain management . Like others have said, many go on to live long lives - even NOT doing chemo. Jerry is one off the top of my head.
And like others have said, you doing this FOR him not TO him. And dog's don't process things the way we do. He won't grieve for his leg - he won't even really make the connection. What he will do is wake up and learn to walk differently. And boom... life goes on! Oh to Be More Dog ... it's really much easier!
So whatever choice you make. we of course will always support you. I know I personally grieved the loss of that leg since it changed how Shelby would sit (she was a rear amp). No more circus dog! But she could stop hop, live her life, be happy and chase squirrels (I didn't love that though...). HUGS! I know this is a hard decision....
Alison with Spirit Shelby in her heart (and little jasper too)
Shelby Lynne; Jack Russell/Shiba Inu mix. Proud member of the April Angels of 2014.
October 15, 2000 to April 8, 2014
Our story: Broke rear leg in June 2013 - non-conclusive results for cancer so leg was plated and pinned. Enlarged spleen in September 2013 and had it removed and was diagnosed with Hemangiosarcoma and started chemotherapy. Became a Tripawd January 8th, 2014 and definitive Hemangiosarcoma diagnosis. Three major surgeries in 7 months and Shelby took them all like a champ only to lose her battle to cancer in her brain. We had 8 amazing extra months together and no regrets. #shelbystrong #loveofmylife
Thank you all of you for your candor and caring responses. Now that I've had a few days to digest everything, as well as observe Victor more closely, I'm better prepared to have a more productive discussion with my vet and vet oncologist. Even on the three pain meds....one 3x daily and 2 2x daily, he's limping a bit on a short walk, that equals pain I've learned. I like the comment that the decision to amputate is something we're doing for the dog, not to the dog. Feeling calmer and ready to make some decisions for Victor's care.
Hi VictorsMom,
You've gotten a lot of great responses. I did want to assure you that I didn't mean anything snide when I replied to your first post w/ trauma in quotes. I was only thinking that you were worried about a fracture, which in my mind really would be traumatic---for both me and my pup!
You're asking all the right questions and doing your research. I think it is natural for all of us who amputate because of cancer to wonder if it is a lot to put them through for only a few months. I know we did. There is no question that it takes a few weeks for most dogs to recover from the amputation. And you'll probably question your sanity a few times. But most of us get just what you're asking for----that whatever time they have left is as pain free as we can make it.
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
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