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From leg amputation and leaving the scapula bone
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Storm
1
16 July 2009 - 1:08 am
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My dog Koda was diagnosed with bone cancer about 2 weeks ago after he started limping (3 weeks ago) and the Xrays showed he had a tumor on his front right leg halfway down, slightly closer to the lower end of his leg (not up near his sholder).  I decided on amputation quite easily and the stomach and lung checks came up clear yesterday, so he had his leg amputated today.  I did my research before the amputation, and the vet specialist that we visited said if they amputated they would take the scapula with the leg, however we took him to his breeders vet to perform the surgery as our breeder is an excellent labrador breeder and would not trust her dogs with just anyone and also said that a lot of people travel from afar to see this vet.  So she came highly recommended.  However when I took Koda up this morning she advised not to take the scapula, she said that when we mentioned the specialist taking the scapula she invisioned the tumor being a lot higher.  

From what I can read taking the scapula is more aesthetically pleasing (which I am not worried about) and I know that during the limb removal it is good to take as much of the surrounding cells as possible (I am not good with the technical terms so please bear with me).  So now I am wondering if I did the right thing by leaving the scapula attached or not.  The vet syringed his lymph nodes and they came up clear and she explained that he should heel and recover quicker.  The vet said if there were cancer cells present in his lymph nodes she would have taken his scapula but there weren't any.  I am relieved he is out of pain and that is the main thing and am reasurred that he should be ok getting around but am wondering if anyone else left the scapula bone.   

P.S.  We have sent bone/tumour biopsies away to get them tested to find out exactly what type of cancer it is and the stage, but it will most likely be oesteocarcoma.  In hinesight, it is cancer so we have basically taken away the pain so he can enjoy the rest of his life (what time he has left) which was our aim.

On The Road


Member Since:
24 September 2009
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2
16 July 2009 - 10:20 am
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Hi Storm,

Thanks for joining us here. We are so sorry about Koda. Don't worry about not being technical, that's why we started this site, to make it non-technical and non-intimidating.

How old is Koda? That's really good news that his lab work came back clean. And, if the cancer had to happen, at least it was lower down on his leg, which is good. You're right; he will be be out of the horrible cancer pain once he's recovered, and you'll be amazed at how he just goes on living life with gusto!

One of things we learn as we go through the cancer / amputation whirlwind, is we try not to live with regrets. Be More Dog , live life without regret and things will be OK. I say this because now that the surgery is done, there really isn't a lot of point in going back and wondering whether you shouldda done this or that, right?

There has been much debate here about whether or not to leave the scapula.  I had mine taken out because my cancer tumor was in my shoulder. Some vets leave it, others don't. Some people say it gets in the way, others say it doesn't.

I say, just keep an eye on how he handles balancing and getting around. If later on he gets the remaining limb caught on something, or appears to have skeletal problems, I would talk to your vet. Chances are he'll be just fine!

Good luck, keep us posted OK?

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

Member Since:
26 November 2008
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3
16 July 2009 - 10:36 am
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Storm,

While one can get excellent technical advise and support here, we all migrated to this site for the general support and information. Having said that, we are sorry to hear about Koda. Jerry is absolutely right, we make the best decisions we can and try to never look back and second guess. No one knows Koda better than you do and therefore live with the knowledge that no one can make better decissions for Koda than you do.

You will find that these are amazing animals who love their lives and adapt very quickly. I still have difficulty admiting that I chose to remove Cherry's left fore-leg, but when I mentioned it to my breeder she really told me off. As her breeder said, this action not only saved Cherry's life but allowed her to have a very high quality of life. This will be the same with Koda. This journey will not be easy, but the rewards are worth the difficulties. Cherry is now eight months post-diagnosis and will be eight months post-amputation is just two days.

Keep us posted.

Bob & Cherry

Kirkland, WA
Member Since:
2 June 2009
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4
16 July 2009 - 3:33 pm
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Welcome!  We are 6 weeks post amputation and for some reason, we never had the option to leave the scapula.  Both our oncologist and our surgeon said that it seems to be more comfortable for dogs when they lay on the amputation side to have their scapula removed.  But that's the only thing I've heard about the scapula issue.  If the doctors would've said to keep it, we woulda kept it 🙂  I wish y'all the best in the recovery process and keep us updated!!!

Laura
5
18 July 2009 - 5:15 pm
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Hi Storm,

We were told when our Toffee had surgery that taking the scapula would be more for aesthetics then anything else and it meant for a more complicated procedure.  We opted for leaving it and it hasn't caused her any problems.  She doesn't favor that side at all and still throws herself on the floor when she lays down..on either side. From what we've experienced, I wouldn't worry about it.  Good luck and let us know how Koda is getting along.

Laura and Toffee

Storm
6
18 July 2009 - 5:56 pm
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Hi all,

Thanks for all of your replies.  I think I was having a "freak out" moment when I posted, it was late at night, lack of sleep etc.  We have Koda home now and I think the first night I was stressing more than himSmiley  The Vet had him up for a walk the night of his surgery.  Now, 3 days post op he just wants to run around outside (mind you he has been like this since we picked him up), but I am keeping him in and at night contained in a childs play pen.  He gets tired quicker and that is just till he builds up strength and used to being tripawd.  I can't wait until his stitches are out and we can take him back down to the beach and for walks.

I was so excited when I found this forum and I think everyone on here does a marvelous job.  It is nice reading what others have been through when having to make decisions.  I can only speak from what Koda and I have been though but amputation seemed to be the answer for us because when he was diagnosed with the tumor he was still the same happy dog, just with a limp.  He still had all of the energy in the world and was eating fine.  Needless to say when we pulled up at the vets for his op, while I was getting ready to "carefully" lift him out of the car, he jumped over the backseat and straight out of the back door.  He never ceases to amaze me.  I couldn't bare to watch him limp anymore as I knew it had to hurt as the Xrays showed that the bone actually had a crack in it and the tumor had completely deteriorated it.  So we chose to remove the pain and let him live with quality of life for as long as possible.  He is certainly teaching me a lot through all of this.  If he isn't going to sweat the big stuff then I have no excuse to sweat the small stuff. 

I look forward to being a member of this group, and following everyone and their tripawd buddies though all of their journeys and I am very proud of my tripawd dog!

Thanks Laura and Toffee for the reasurance!!!!

Storm and Koda 🙂

Winnipeg
Member Since:
13 July 2009
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7
18 July 2009 - 9:41 pm
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Hi Storm and Kod

Tazzie (2) and I are at the same point in the journey as you. From reading other posts, these journeys seem far too short, but certainly a good 7 or 12 or 24 months is worth it! Tazzie limped for a few months this year, but having had an elderly dog previously, I managed it as though it was the early onset of arthritis. Bone cancer was completely outside of my radar and I completely missed this until the limp got really bad about 10 days ago.

Tazzie also lost his leg last Wednesday, July 15, and is now past his first full day at home. He flew out of the clinic yesterday, but seems to be suffering the effects today, finding it hard to get comfortable and clearly in more pain than when he left the clinic. I will try to limit his exercise as much as possible this week to get through this bruising period - lots of red and purple coloration below his surgical site - they did remove the scapula so maybe that results in more bruising (does it?). It sounds like Koda is similarly active. After a restless night and day, Tazzie is finally somewhat relaxed this evening. Looks like I'll be spending the night on a thermorest in my friend's kitchen, which is where Tazzie finally fell asleep!

Well, I guess we'll be able to exchange a few notes as things progress in the next little while. Apart from healing, this week should be the lull before the Storm (sorry, no pun intended) when the test results come in. Do you expect to pursue chemo?

Susan and Tazzie

Storm
8
19 July 2009 - 2:53 am
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Hi Susan and Tazzie,

So with the time difference Koda and Tazzie probably would have been on the table around the same time.  It will be good to watch Tazzie's progress.  Do you know what type of cancer Tazzie was diagnosed with?  Koda didn't have his scapula bone removed, so he hasn't shown any signs of being in pain (touch wood).  Like Tazzie he is purple and bruised at the site.  It has weeped blood a little bit but the vet said that was normal.  I hope each day Tazzie feels better and better.  I hated seeing Koda in pain when he put his back out so I can imagine what you are going through and it is so gut wrenching.  You want to help them but they can't tell you what they need.  I am glad that he finally managed to settle.  I can imagine the 2 of you on your friends kitchen floor.  Koda spent a bit more time outside today he loved lieing on the grass.  This is the dog that would squeeze in the minute I opened the door and almost take himself out on the door trying to get inside when I would get home, but now I am thinking he is getting sick of being cooped up inside and enjoyed his time outside. 

He is still hesitating going up the stairs but once he is heeled and we can let him to it on his own I am sure he will work it out.  Right now we have a towel under him when he goes up and down the stairs (3 of them) incase he takes a dive we can catch him.

He is very fashionable at the moment wearing my house mates old boob tubes with a whole cut in it for his other front leg.  They work an absolute charm.  It covers his body perfectly without putting too much pressure on his op site and I can put a dressing up in there in case he bleeds a little (which is getting less and less) and it puts my mind at ease as it is extremely hard for him to get to it to lick it. 

Tomorrow I have to go to work and my house mate is watching him but he will be unsupervised for about an hour, scares the heck out of me but hopefullyhe will  just sleep. 

Well let us know how Tazzie is going.  We have not completely made up our minds about chemo, at first we were sure we were going to do it but after talking to the vet that performed the amputation and thinking about it further we are not sure.  How bout you guys?

Storm and Koda 🙂 

Winnipeg
Member Since:
13 July 2009
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9
19 July 2009 - 7:33 am
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Hi Storm and Koda

Good to compare notes although we wish we didn't have to. Sure is helpful to have this site though. The mornings seem the hardest (based on a sample of 1&1/2 days, so perhaps that is premature to say). Tazzie slept well last night and I did okay (both on the kitchen floor, covered with various rugs - of course he tried to move onto the slippery hardwood instead). The side his surgery was on touched a chair this morning and he winced loudly. The vet was definitely wrong that they would make sure he felt no pain. Maybe that was the case at the clinic, but not now. His tail is curled under and touches his stomach, which is a sure sign of pain

Still, we got down the steps and did the alley walk/hop, ate a full breakfast after the kibble was seasoned with cat food, and had poo #3 and, so that is all good. He seems to like to lie out on the deck, which is something I don't have at home. That is where he is now, but it was really hard for him to lie down this morning - it just seemed painful and took several tries.

Do any of the seasoned tripawd pros know if it takes longer, with more pain, to heal when the scapula is removed? I don't think my vet said that.

The challenge today, which I am still deciding whether or not to tackle, is to drive home three hours so we can be in our own home. Life should be simpler there and no-one will have to sleep on any kitchen floor or have an angry cat hiss and swat at Tazzie. On the other hand, there is no vet nearby or anyone to help. Tazzie is a nervous back-seat driver in the best of times (pant, pant, drool, drool, pace, pace), so I'm not sure about doing this. I want to try to get him into a crate, but not sure how a newbie tripawd will accomplish that. He has only been in a crate a few times in his life, but seemed fine each time.

At present, I definitely plan to tackle chemo and the surgeon 'strongly recommends it'. I don't want to have gone through this amputation stage without trying to increase his survival, as long as the quality of life is good. At least so far, the surgery has not lessened any pain - that is for sure. Hopefully things will look brighter in a week or two weeks when some healing has happened. I guess we will get some results in a week or two, and maybe that will tell us more. At that time, we speak to one of the oncologists, who we have not met (they are away on holidays last week). I fear I was really too slow in getting him to the vet in the first place, so things have probably gone further than they should have.

My vet sent the lymph node away and did not check it out at the clinic to my knowledge. But he was going to take off the scapula regardless. If the lymph is clear, isn't there more reason to do chemo? (Better chance of survival improved that much more?)

The whole situation is complicated logistically. This summer, I live 3 hrs south of the place offering these specialized services. I was supposed to leave last Tuesday to work in California this month, but canceled or postponed my arrival (have not determined which) when this came up last week. Then in mid-August, we drive 15 hrs (ooo, Tazzie in the car for 15 hrs) to Winnipeg, where I'll have to find another vet to continue chemo. I don't know if most cities offer such services.

Yes, I wish I saved a tube top from the 1960's. That would be very handy right now!

Have a good day Storm,

Susan and Tazzie

On The Road


Member Since:
24 September 2009
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19 July 2009 - 8:22 am
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You may find yourself having plenty of "freak out moments" throughout this recovery period. But just follow Koda's lead. These amazing pups difinitely do not stress like we silly humans do.

We're glad you found us too! Thanks for sharing Koda's story. We're glad to hear he's doing well and look forward to following his progress.

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

Member Since:
13 July 2009
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25 July 2009 - 2:26 pm
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I asked to leave the scapula as Sunny has always liked the sphinx position and the doctor said "no".  Causes too many problems.  We took the whole leg.

On The Road


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24 September 2009
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25 July 2009 - 3:42 pm
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You made the best decision for Sunny. Here's to a hoppy recovery!

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

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