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Input wanted: Wound care Q w/ leg tumor, palliative radiation [STS, nerve sheath, mast cell type]
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Virginia
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14 March 2014
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30 March 2014 - 4:16 pm
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We still don't have our full biopsy results yet, but vet thinks Lexie has  soft tissue sarcoma -- a very rapidly spreading one. It also presented with visual similarities to nerve sheath/mast cell types of tumors, but amputation wasn't advised due to lung mets. 

She started short course palliative radiation on the leg this past Thursday. The day before radiation, the tumors had become ulcerated (hopefully that's the right term) and raw; her licking at them definitely didn't help. The radiation onco vet kept her bandaged between visits, and she's on precautionary antibiotics.

After her Friday treatment they said that her bandage should be okay until our Monday morning return visit, but Sat. night it started to get a bit smelly. And on Sunday afternoon, the leg seemed to be bothering her more.

An hour or so ago she started gnawing the bandaged leg and tore some of the top part away -- no exposed skin, but she definitely got through the outer layers. I put her 'rain boot' on top of the bandage so she would be less tempted to bother it. She's sleeping comfortably now after her last dose of Gaba, Tramadol and Rimadyl. So, my questions...

Should I take her to the emergency vet for a re-bandage this evening? I have no experience with large-scale wounds like this, and none whatsoever with radiation.

If her onco doc and the rad vet techs were there now I wouldn't hesitate, but none of the cancer specialists are there on weekends. Having a non-cancer vet or LVT treating her without seeing how bad things were before, or knowing her case, makes me a bit nervous.

Also, the radiation staff who bandaged her had the advantage of her being under general anesthesia at the time. She's never liked people touching the lower half of her legs or paws from the time she was young. When I took her boot off after short walks she did a warning snap, and when I tried to put it on again after she tore part of the bandage she yelped and snapped. Also...

Any idea if the smell could be due in part to the radiation? I couldn't smell it myself until this afternoon, but my other half has a more sensitive nose than I do and he noticed it yesterday.   

I think I'll call over there in a bit just to see what the LVT on duty thinks and find out if they can ask the attending vet, but wanted to see if anyone in the Tripawd family had any thoughts and see if anyone else who had to deal with tumors has been in a similar situation.

Lexie and I thank you in advance for any thoughts or insights. 

P.S. This morning she did run up our bottom level carpeted steps two at a time when I was getting her chicken meat out of the tupperware, so structurally the leg had seemed to be better earlier. She definitely doesn't know her limits yet, though.

 

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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Livermore, CA


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30 March 2014 - 4:30 pm
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I only have experience with mast cell tumors. When they ulcerate, or even when they are biopsied they are notorious for not healing. Last time Tani had a needle biopsy for a MCT it was a week before it stopped oozing.
I understand your hesitancy about seeing an unknown vet, or a vet not familiar with Lexie and her issues. But when it comes to wounds I would say get it checked. It doesn't take long for an infection to take hold, you don't want to add that to the mix.

Karen and Spirit Maggie

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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Virginia
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26 January 2014
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30 March 2014 - 5:16 pm
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Poor Lexie, she just can't get a break can she! You should definitely call and see what they say. I understand the hesitancy of unfamiliar vets but better safe than sorry. I wish I could help on the ulcerating tumors or radiation, but I don't have any experience with that. Glad Lexie is sleeping comfortably, sending you guys lots of healing vibes. 

 

{{Hugs}}

Mom to Tripawd Angels Jake (2001-2014) and Rosco (2012-2015) and Tripawd Tanner. “Whatever happens tomorrow, we had today; and I'll always remember it”  

      

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Virginia
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30 March 2014 - 6:42 pm
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Thanks for chiming in, Karen and Elizabeth. We're at the emergency vet now and fortunately one of the vets who assisted with her first radiation treatment was coincidentally here when we arrived, so that made me feel better. 

Definitely better safe than sorry. 

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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Virginia



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30 March 2014 - 8:12 pm
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Oh good...well, not "good", but "good" you have her "radiation" vet there You really asked some great questins and broughtnup some good poimts......I have no isight bjt " glad you went ahead snd we t to the vet.

AND YAAAAY LEXIE...voundiing up the sgairs likea champ!! Realy, real glad shes feeling s well!

Always a week-end isn'g it!! UGH!

Hopefulkynyo can get a god nights slee tnight and Miss zLexie will leace her andage alone!!

Sedinglots of helnghugs!

Saly and Hapoy Hannah

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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On The Road


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30 March 2014 - 8:37 pm
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Poor Lexie! Let us know what the doc prescribes for the wounds. I'm so glad you were able to have the same doc there to help you both.

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

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31 March 2014 - 4:39 am
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Good morning

Just checking in to see how Lexie is doing this morning.

Glad you got to see a vet who knew her...probably made both of you feel better.

Hugs

Linda and Tucker

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Livermore, CA


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31 March 2014 - 8:31 am
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Looking for an update on Lexie, hoping everything is OK.

 

Karen

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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Orrtanna Pa.
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25 January 2014
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31 March 2014 - 3:02 pm
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How is Lexie today? I am glad you took her to the vet. Hopefully you made out well! Lori and TY

TY GUY, Best Black Lab ever! Diagnosed  and had amp in January, 2014. Kicked MRSA's butt. Earned his angel wings on April 16, 2014. Run Free my boy and don't forget a shoe. Ty is a proud member of the " April Angels". Ty sent us Daryl, a Tripawd rescue in Sept. of 2016. Daryl is 5 +or -. We are also Pawrents to Chandler, a Border Collie mix who is 15 and 1/2, Lucy, a Corgi who is 7, 2 minis, 2 horses, and a feisty cat named Zoe. Zoe had a non skeletal Osteosarcoma removed in July 2015. No Chemo, she was at least 16. She is going strong although she is now completely blind. She is now close to 20 and her hobbies are eating and sleeping in front of her personal heater. 

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On The Road


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31 March 2014 - 3:25 pm
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Please keep us posted, and don't miss this Tripawds News blog post...

Amputation Wound Care for Post-Surgery Dogs

Posted by  on Sunday, August 14th 2011

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

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Virginia
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14 March 2014
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31 March 2014 - 8:43 pm
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Thanks so much for checking in on us, everyone -- and for the link, Jerry/Jim.

They took her old bandage off and put a new one on, including fancy antibacterial non-stick dressing. She's on Cefpodoxime (sp?) to help prevent infection. They said that her leg tumors are looking better than they were last week, so that's good news. 

I didn't ask what they applied topically; will see if I can find out at her radiation appointment tomorrow.

Although she's not too happy about wearing her new 'Comfy Cone,' I think she's getting used to it. The papery one from the vet's office didn't last long. ;-)

We had a nice walk (just a few blocks) tonight. As usual, she wanted to keep going!  

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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Virginia



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22 February 2013
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31 March 2014 - 9:07 pm
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Oh good!!! I know we've all been on pins and needles waiting to hear from you! Even thought we knew Lexie would be okay...well...it doesn't stop us from worrying just a touch!!

That Lexie is a piece of work! She has nointention of letting anything slow her down! Smilingover here!!

Get a good nighg's sleep...you both deserve it!

HUGS!! LOVE!

Sally and Happy Hannah

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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On The Road


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31 March 2014 - 9:24 pm
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Awesome. I don't know that antibiotic but it sure sounds like they're on top of the situation. Yay!

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

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Virginia
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14 March 2014
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31 March 2014 - 9:41 pm
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I added some pics... See The Cone Zone

Deb and Angel Lexie* Diagnosed at age 13. Tried radiation first; wish we had amputated upon diagnosis (even with lung mets). Joined Club Tripawd April 2014 & Lexie loved life on 3 legs! Advice: Start physical therapy as soon as your vet clears it, especially hydrotherapy if available :-) See Lexie pics here.  

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Virginia



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22 February 2013
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31 March 2014 - 10:05 pm
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Awwwww......nobody wears a cone with more style! And she wears t with such flair and ino many different ways! I'm so sorry her leg is bothering her and all bandaged up She's such a sweet soul.

Your pack is quite a good-looking crew ...all of whom have mastered the art of lounging very well! Milo and Lexie are two very luck pups to jave you as their human!

And Lexie has one brown eye and one blue? Yeah, I would think she has sme Huskey in her heritage somewhere.

Thanks for sharing these gret pics f your family! Lovng 'em!

Sally and Happy Hannah

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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