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Caring for a Three Legged Dog or Cat

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Member Since:
4 March 2012
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1
8 March 2012 - 5:48 pm
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Hello 🙂

 

Our onocologist is recommending a CT scan.  She stated that the operating vet wasn't sure if they got 100% of the tumor out when they did the amputation.  The issue with this, is they want to charge 1,500.00 for this - not including anything else besides this scan.

Are there other options?  We are still waiting for her newly stitched (round 2!) incision to heal before they will start.  I get worried if it wasn't all removed.  My husband (he's doing all the vet visits, i get too nervous) stated our vet (who did the amputation with his collegue) wasn't sure he got it all out because of the extent of it.  It was apparently much worse than what they innitially thought jus tlooking at the xray they took of the leg.

We want to give her the best life possible.  If we were rich, this would be an easy discision but we aren't.  We are already planning for 6 rounds of chemo after she heals as well.

THanks for any thoughts and suggestions 🙂

On The Road


Member Since:
24 September 2009
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8 March 2012 - 5:58 pm
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Welcome to the forums Reeses! Your future forum posts will not require moderation.

You might find these Tripawds News blog posts helpful:

X-rays vs. CT Scans for Canine Bone Cancer Staging

Dr. Hady Demystifies MRIs and CT Scans

Home Again. Home Again.

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

Edmond, Oklahoma
Member Since:
7 January 2011
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8 March 2012 - 6:53 pm
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Is it me, or is $1500 an awful lot for a CT scan-- we paid $1500 for an MRI (a much more expensive machine/scan).  We did a CT scan early on (Dec 2011) and it was around $300 I believe.  I always though CT scans were the "cheaper" option.  Maybe shop around for a cheaper CT scan?

I'm guessing they amputated the arm but not the shoulder, and they want to be certain the cancer is not in the shoulder?

Scout: January 31, 2002 to November 7, 2011

Scout's diagnosis was "poorly differentiated sarcoma"; amputation 1/11/2011.  Scout enjoyed 9 fantastic years on 4 legs and 9 glorious months on 3 legs.  If love alone could have saved you…

On The Road


Member Since:
24 September 2009
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8 March 2012 - 8:13 pm
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Hmmm. That does seem odd. I would ask why it's so much more. I'm thinking maybe because they are taking more views this time around.

Talk to them about the price and see if they can cut you some slack. I wouldn't shop it around if you like your current vet. A CT scan is only as good as the technician that the practice employs to read the results. A cheaper price may mean cheaper quality in this case, and you want the best reading that you can get.

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

Milwaukee, WI
Member Since:
6 September 2011
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8 March 2012 - 9:06 pm
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I'm not as well versed as most users in this group, but I guess I am surprised that they did not do a scan prior to surgery??  My dog has an infiltrative lipoma on a front limb which has been removed/debulked twice and he will need to have the limb removed.  I pulled out my records and in July 2010 he had a CT Scan (the Scan was $684 and total procedure came to $1047) then in Sept. 2011 he had an MRI (the MRI was $1025 and total procedure came to $1267).  Both times they did the CT Scan and MRI a week prior to surgery.  I vaguely remember the surgery coordinator at the hospital it required that the surgeon, radiolgoist and anesthesiologist all had to be present.  Prior to going to this hospital I had taken him to UW Veterinary Clinic and estimates for CT Scan and surgery were comparable to the local hospital.  I had all his procedures done locally to avoid the 2 hr. commute.  I am really amazed at how well these dogs do!  I hope all goes well. 

Harley is an 8 year old Golden Retriever. Amp surgery for an infiltrative lipoma canceled due to two masses in chest. A rescue, he found his forever home on 3/18/07 and left for his eternal home on 1/09/13. His story and medical history are at http://myharley.....pawds.com/

Rock Hill, SC
Member Since:
28 November 2011
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9 March 2012 - 6:53 am
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We had a CAT scan of Zeus' lungs and abdomin after the OSA diagnosis to check for mets.  It was $1,100.00.  It can vary depending on what area of the country you are in.

Zeus was a Husky mix diagnosed with Osteosarcoma at age 11.  A visible lung met and suspicious spot on his liver meant a poor prognosis-six weeks was our vet's best guess. We decided to fight for our boy and his right front leg was amputated on 12/1/11. We did six rounds of chemo, changed his diet and spoiled him completely rotten. We were blessed with 10 great months after diagnosis. Against the odds, the lung met remained a single met and grew very little over those months. A wonderful furbaby with the most gentle spirit, he fought with a strength that we never imagined he possessed. We have no regrets...
http://zeuspod......pawds.com/

Member Since:
22 August 2011
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9 March 2012 - 7:16 am
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Whatever happened to the basic ultrasound, X-ray and bloodwork that is used to look for metastasis? And the biopsy being used to determine cancer staging after/before the amputation? We weren't even offered CT scan, and the word MRI didn't even come up. Ultrasound shows a lot.  

 

Cadence's Mom

Cadence Faye: Born 10/30/04, stepped into our hearts 12/23/2004. Rear leg tumor found 7/24/11 by mom and dad, Xray on 7/25/11, Osteosarcoma suspected 7/26/11, amputation 7/29/11, Carboplatin started 8/23. Met free so far! 

Rock Hill, SC
Member Since:
28 November 2011
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9 March 2012 - 7:31 am
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Cadence's Mom,

I think in this case they want a CT to determine how much, if any, of the original tumor they missed.  I can kind of see their reasoning for wanting to know what they are dealing with before they give a prognosis or treatment recommendations.  Would an ultrasound show the same info?

In our case, we were offered a CT or X-rays (whereas most people are just offered x-rays) for the standard determination of whether any mets were showing at the time of diagnosis so we could know how to proceed.  We chose the CT b/c it is supposed to be better.  In our case, that bit us in the a$$, b/c it showed two "suspicious" spots - one on the lung and one on the liver.  At that point we were devastated (you know the drill, once mets are showing, treatment isn't nearly as effective) and we almost made "that" final appt. instead of amputating (it was right before we found this site and knew how well dogs do on three legs).  But then it occurred to us that the CT is WAY more sensitive than x-rays and maybe it showed something that would not have shown on x-rays (which would have put us back in the statistics of "if no mets show on x-rays then treatment is recommended."  We asked the vet if the spots were large enough that they would have shown on the x-rays and he said no.  At that point, we decided to pretend that we had x-rays done instead of the CT and that the x-rays did not show anything. smiley  We did the amp, started the chemo and so far he has progressed wonderfully.  In full disclosure, the x-rays at his second chemo did show that the one spot on the lung has grown some and is a met.  But at that time, it was still only one met and he shows no signs that it is there.  We are hoping the chemo keeps it in check. 

Zeus was a Husky mix diagnosed with Osteosarcoma at age 11.  A visible lung met and suspicious spot on his liver meant a poor prognosis-six weeks was our vet's best guess. We decided to fight for our boy and his right front leg was amputated on 12/1/11. We did six rounds of chemo, changed his diet and spoiled him completely rotten. We were blessed with 10 great months after diagnosis. Against the odds, the lung met remained a single met and grew very little over those months. A wonderful furbaby with the most gentle spirit, he fought with a strength that we never imagined he possessed. We have no regrets...
http://zeuspod......pawds.com/

knoxville, tn
Member Since:
12 February 2010
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9 March 2012 - 9:28 am
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seems a CT scan is expensive in general.  we never did that, or MRI, but we did chest films, body xrays and ultrasound (soft tissue sarcoma and oral melanoma, but not OSA).  before you commit to doing this, maybe get a second opinion??  you don't have to empty your bank account, just because you are being pushed to do these tests.  some things are just not affordable or practical - some just aren't going to be right for your family.  this in no way reflects on how much you love your pup.  you're doing what you can, and keeping your pup's pain to a minimum.  take a breath, and know that whatever you do, if you do it out of love it will be the right thing.

 

charon & spirit gayle

Life is good, so very, very good!!! Gayle enjoyed each and every moment of each and every wonderful day (naps included).  She left this world December 12, 2011 – off on a new adventure.

Love Never Ends

http://etgayle

On The Road


Member Since:
24 September 2009
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10
9 March 2012 - 10:30 am
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CT scans are being offered more and more but they aren't routinely offered everywhere. First, because not every practice has the equipment. Second, because most vets make the mistake of assuming that dog pawrents won't pay for it. This assumption, as Dr. Kay points out in her book, "Your Dog's Best Health: a Dozen Reasonable Things to Expect from Your Vet," is just bad medicine. It doesn't matter who you are or what your bank account looks like, it's a pawrent's right to be presented with all of the options available, whether or not that practice can do them or if you have the money to pay for them. Always speak up and ask, "what are ALL of my options?"

But yes, a CT scan is more sensitive in some cases and will show things that x-rays and ultrasounds will not. I encourage you to read the links that Admin posted above, they really explain the difference. That, however, doesn't mean you have to do one.

I agree with Charon, whatever you decide to do, as long as the choice is made with love, that's all that matters. Your dog doesn't want you to be stressed about money, just to be hoppy and make the most of each day.

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

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