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How long does a Carboplatin Chemo infusion take (ball park)?
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Member Since:
25 November 2021
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15 December 2021 - 1:03 pm
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Still trying to get Harley an Oncology consult..... everyone wants to wait for the pathology report, even though they could go ahead and schedule the consult seeing they are weeks out and the report will be back in about 7 to 10 days.  Makes no sense to me because it just delays his chemo even more.

It looks like the 4 rounds of Carboplatin every 3 weeks is kind of the standard TX for Osteosarcoma based on fewer side effects.  Can anyone tell me how long a Carboplatin infusion takes roughly?  Harley is probably about 82 to 84 pounds now (depending on how much his leg weighed).  Do they do bloodwork before the infusions for each TX?  

We are in the middle of a move and 1/2 of our stuff is in our new place (in Pittsburgh) and the rest is still at old place (DC area) and we are trying to get the old place prepped for sale.  Harley's cancer diagnosis put a huge wrench in all of our plans.  We're trying to figure out where we should get the chemo done (Pittsburgh or Maryland).   We also have the option of going to Ohio State University Vet School (have a consult scheduled there for 11 January) but it's 3.5 hours away from our Pittsburgh place and winter roads..... And a nauseated dog in the vehicle.  Thinking that may not be a good option.  

Virginia



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15 December 2021 - 2:46 pm
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Geez, you sure do have a lot on your plate.  Don know what your stress level is on the ""inside"....but outwardly  you are handling it like a Warrior!!  And we applaud  you p!!👏👏👏

I can only share my experience with Happy Hannah about eight years ago.  Her Onco was a graduate from Cor ell Unoversity and her recommendation was also four rounds of Carbo.

While I k ow some droo their dogs off in the morning  and leave sll day for pick up late

I was very lucky in that my work schedule allowed me to stay for the appointment and, of I recall, the whole process, pre I fusion questions, etc ...I was in and put in u der an hour. It seems to me the I fusion itself was maybe about 15 minutes????  125 lb Bull Mastiff.  I could ve wrong, but I don't  think it was anymore than that...maybe even less.  Part of the after infusion is the Vet Tech, who stayed with her the whole time observing the procedure, and then observing her maybe another 15 minutes or so to make sure no crazy reaction, etc.

And, quite frankly I cant see why you can't  schedule the appointment  now anyway, especially  with so much on your plate.  Could you ask of you could speak maybe to an Office Manager, or a lead Vet Tech??   I put a suggestion on uour other post about maybe getting your regular Vet involved in making calls.

During all this, hope you are taking time for yourself  somehow, someway.

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

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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15 December 2021 - 5:50 pm
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We just did a round of carboplatin a few weeks ago, so I will chime in! The infusion itself was pretty quick- maybe 15 minutes? Overall I was at the vet’s office for an hour. My clinic does a full exam and CBC before proceeding with each chemotherapy infusion, so that adds some time in, and they observe him for a little while after. They did offer me the option of getting blood work done at my primary vet the day before to save time during the chemotherapy appointment as well.

You might want to check with prospective clinics on how they do their chemotherapy appointments. Mine has two options- as an actual appointment so I’m there for an hour (or longer, for the other chemo drug he gets which takes longer). Or I can drop him off in the morning, and pick up when he’s done, or anytime to when they close. I greatly prefer the appointment, because I have an hour drive one way, and my dog doesn’t like being at the vet, so want him spending as little time as possible there.

On The Road


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15 December 2021 - 10:38 pm
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Oh my gosh you do have a lot going on! Yikes! 

Thanks for chiming in Megan and Sally. Both of you are spot-on. Now, we didn't do chemo with Jerry, but we did sit in on a session once with a dog, while interviewing an oncologist. The actual infusion part is pretty fast as Sally described. Most of the time happens during the observation period afterward. Most people drop off their dog for the day if they're OK hanging out at the clinic.

Yes, labs are necessary before treatment to ensure their white blood cell counts are good and strong, which enables them to tolerate treatment. As Megan said, you can see if your family vet can do the labs the day before. So really, each treatment is two appointments: one for lab work, a second for the actual treatment.

As for choosing a place to get it done. As long as a clinic is experienced with administering chemotherapy, I would go with the one that's closest to you, and the one that Harley is comfortable and familiar with. That way, you are both less stressed out and better able to manage all that's happening right now. It's good medicine for all of you!

Let us know what you decide.

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

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16 December 2021 - 8:26 am
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Harley is not really familiar with any of these vets unfortunately.  But, he does love to go to the vet for any reason for some reason....  He gets really excited and pulls me to the door.  That may have all changed though after this last vet visit when he came out the door 1 leg short of a full load.....   If he does the Chemo in Pittsburgh, my husband will have to handle the vet visits.  He seems a bit freaked out by that kind of responsibility.....   he's good at carrying dogs in and out of the house when necessary, and walking them but actual nursing is a stretch.   If we choose to do the chemo here in Maryland where we are right now, that would likely leave me to ferry Harley back and forth to the vet and then my husband would have to take him to Pittsburgh like the day after and a 4 hour car ride the day after Chemo may not be too good of an idea.  But we can't have a sick dog in a house that needs to be show ready with a 2 hour notice.  And leaving my husband in MD to keep the house show ready while I go to Pittsburgh and care for the dogs would not likely be a good idea either.  My husband has an aversion to using the vacuum cleaner.....   or cleaning as he goes.  

Thank you for the information on the Carboplatin treatments.  I like the idea that a vet visit would only be in the 2 hour range for bloodwork and the chemo infusion.  Perhaps my husband can handle that....   MeganandAtticus - is Atticus doing the 4 TX of Carboplatin?  Or is he doing Carbo/Doxo?  

Pathology did come back today - high grade Osteosarcoma but the lymph node was clean which was good news.  There were large areas of necrotic tissue within the tumor so his leg was a fracture waiting to happen.  The vet sounded kind of  - you know how they sound when they are delivering bad news - about the Osteosarcoma.  I was like - well, that's good news because at least we didn't take his leg off for no good reason.  It's better to have a definitive answer than for it to be inconclusive.  Have had way too many "inconclusive" results with the previous 6 dogs we have lost.  Knowing for sure is actually a relief.   The not knowing and the second guessing and the what ifs eat away at you.  

On The Road


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16 December 2021 - 10:01 pm
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The vet sounded kind of  - you know how they sound when they are delivering bad news - about the Osteosarcoma.  I was like - well, that's good news because at least we didn't take his leg off for no good reason.

LOVE your attitude! YESSS! I'm sorry that it came from previous experience with cancer and serious health conditions in your dogs. Ugh, what a hard way to learn but I just love that you are applying those lessons to Harley's situation in a very pawsitive way. That is great medicine!

I can't blame you for going back and forth about where to do the chemo. There are so many factors at play, I don't envy you. 

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

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20 December 2021 - 9:58 am
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So we had two options for Oncology consults.  First set up one in Pittsburgh for the 14th of January which will be two weeks after Harley's re-check appointment.  Not the greatest but they said if we decide to go ahead with the TX (which we are 99.9% sure we will) that they can stage him that day and do the first Chemo infusion if everything checks out okay.    Shortly after I made that appointment, the Oncology department at the facility that he had surgery at called with an appointment on 28 December - a cancellation.  It meant he could start Chemo sooner but then we'd have the logistics issues.  So we've decided to keep the one on the 14th of January and I will go to PA for this first appointment consult so that I can get all of the necessary information and ask all of the needed questions.  We're also going to set up some physical therapy sessions.  

On The Road


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20 December 2021 - 12:56 pm
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Wow when it rains, as they say! Options are always nice. It sounds like the easiest thing for all of you. Congrats on taking a step forward!

Oh and about rehab, don't forget the Tripawds Foundation can pay for your first rehab visit 🙂

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


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31 December 2021 - 6:44 pm
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Our boy has had 4 carboplaten treatments at approximately every 3 to 4 weeks.  We are considering extending another 2 depending on his bloodwork. 

He's 42.4 kg.  His infusions take the better part of an hour.  I give him 1/2 of an anti-nausea med the evening of his chemo,  but he hasn't actually needed it so far. 

We've heard that the recommendation is 4 to 6 rounds,  so depending on his bloodwork next week,  he will get his 5th.  Right now he is also fighting a sore tooth (infection) which is creating its own set of problems. 

We have been doing a full blood workup before each chemo treatment. 

Best of luck with your doggo!

On The Road


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31 December 2021 - 10:25 pm
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lizg said
Our boy has had 4 carboplaten treatments at approximately every 3 to 4 weeks.  We are considering extending another 2 depending on his bloodwork.  

Thank you for sharing! Feel free to start a new topic so that we can help you two on your 3-legged journey!

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

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6 January 2022 - 11:22 am
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lizg said
Our boy has had 4 carboplaten treatments at approximately every 3 to 4 weeks.  We are considering extending another 2 depending on his bloodwork. 

He's 42.4 kg.  His infusions take the better part of an hour.  I give him 1/2 of an anti-nausea med the evening of his chemo,  but he hasn't actually needed it so far. 

We've heard that the recommendation is 4 to 6 rounds,  so depending on his bloodwork next week,  he will get his 5th.  Right now he is also fighting a sore tooth (infection) which is creating its own set of problems. 

We have been doing a full blood workup before each chemo treatment. 

Best of luck with your doggo!

  

Thank you for that information!  What staging did the Oncologist do before starting the Carboplatin?  We know that Harley will have to get bloodwork done and also chest x-rays seeing it's been since 11/23 that x-rays were done and 12/10 that blood work was done.  Did they also do an ultrasound?  

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