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Caring for a Three Legged Dog or Cat

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Multiple health issues, already in chemo, trying to decide on amputation surgery...today!
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Member Since:
11 November 2014
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11 November 2014 - 12:00 pm
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Hello, I just found this forum and thought I would ask for quick feedback...

Shadow is a smaller terrier mix, about 14 years old (was a stray, we've had him about 13 years), 15.2+lbs (he used to weigh a bit more, but lost weight due to not eating well this summer). He's slowed down a bit but was very healthy until this May--a lump on his front leg had gotten bigger over the winter, so went to the vets who sent us for a biopsy.  Turned out to be a plasma cell tumor, usually not so bad as cancers go, but with the placement and size they did not recommend surgery but referred us for radiation... his kidney numbers (which our old vet had noted was going up, but thought "normal" for an older dog..)  were not good either, and further testing showed a second cancer, prostate carcinoma which is usually very aggressive.

So after 2nd opinions, etc. he went through 2 weeks of daily palliative radiation followed by chemo with mirtazapine (he's gone through 4 treatments). The prostate carcinoma is stable and he has no symptoms, much to everyone's surprise.  His plasma cell tumor, on the other hand, has gotten larger and opened up two Sundays ago (always happens in the middle of a weekend night!) --it's an ulcerated necrotic mass and apparently not enough healthy tissue to go in and debulk/etc--we were keeping it bandaged hoping it will "close up", but this Monday the oncologist said it's not healing, and that  Shadow has weeks at most before it gets infected and then there is nothing they can really do.  (they say they've never seen a plasma cell tumor act this way!!)

They now recommend amputation...surgery dept that earlier hadn't recommended it looked at his leg monday with the mass, and agreed.  He's in the middle of his 3 week chemo cycle, so if we do it tomorrow, assuming he recovers well, we will resume chemo for his prostate carcinoma after a 1 week delay....  

Tentatively booked to take him in tomorrow morning (that way he'll probably come home Friday night or Saturday when I can be home with him for a couple of days), but trying to decide what is best for him!  

Already arranged to first test to make sure his kidney numbers aren't worse (they were improving with daily subQ fluids and diet changes, but a check two weeks ago showed them back up a bit..)  as well as a blood panel...

Fortunately I can afford this (would have been nice to know the radiation treatment was a waste though before paying for it!!)  but is it worth putting him through the surgery and recovery?  Here and elsewhere I'm reading amputation is not that bad and I already saw the harness that I will get if we have the surgery...  but he is older, his balance isn't that great -- think he's lost muscle tone as he's not getting much exercise last few months or his pain meds is affecting him (he reacted very badly to gabapentin, on tramadol now)...  he often sits down awkwardly after I put him on the ground after carrying him up/down stairs as he's got a huge bandaged front paw....  although once he gets up and going, especially outside (without the dreaded "ecollar"!), he is walking well on his own for a bit... sometimes quite like his old self.    Also he's been a picky eater for years but now he barely eats anything on his own (drinking fine) so I am hand feeding him prescription canned food with supplements and pills (so he probably won't eat the 2 day post op at the vets!)...

Sorry for the long story.. I think he's not quite ready to give up yet as he has times he looks lively (when he's outside especially) and they tell me he should be ok with the amputation--but am I "projecting" my wishes on him? will it be too hard on us both?  I am hoping this will give us several months with better quality of life, rather than losing him to an infection to the open tumor in a few weeks...

On The Road


Member Since:
24 September 2009
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11 November 2014 - 12:24 pm
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Hi Shadow's Mom, welcome. I'm sorry you're dealing with these many difficult situations, what a whirlwind you've both experienced! Sounds to me like Shadow still has a lot of sparkle and oomph left. I'm going to bet that a lot of his recent issues, like picky eating and awkward balance, are due to him being in so much pain. For most dogs, once that bum leg is gone they feel sooo much better. If your vet feels he's a good candidate that's pawesome news. Be sure to hop over to Jerry's Required Reading List and the Tripawds e-books library if you haven't already, lots of good tips there. Our wonderful community will chime in too.

Check out our Size and Age Matters Discussions to see lots of great stories about life on three legs for older dogs. Because he's smaller, that will be a big advantage for him as a Tripawd! Keep in mind that no procedure is without risks, and not all dogs are running around the next day, but overall most do just fine after recovery is over. One of the key factors is how well you react and lead the way; remember, if you are strong, he will be too. Sounds like your pack can handle this, kudos to you for being such a good momma.

We look forward to hearing more about you both. Please keep us posted and thanks for joining. Your future posts won't need approval.

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

Member Since:
11 November 2014
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13 November 2014 - 2:19 pm
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Thanks, I got the ebook and am reading through it.  Shadow's white blood cell count was high and he was also anemic so they recommended a transfusion, which I agreed to.  Also they xrayed beforehand to make sure there was nothing else going on.

He got through the surgery with minimal blood loss and was slowly waking  up yesterday late afternoon/last night.  This morning he was still pretty groggy, not wanting to do much, and they were planning on trying to wean him off the morphine--hopefully he'll be home tomorrow.  

In the meantime the book has been helpful already, I realized my upstairs wood floors will not be good for him so have run around finding rugs and runners and asking friends to borrow baby gates.  I just ordered the harness too, hoping for the best that he'll have a good recovery and be up for going on walks after he heals up....

thanks!

Martinsburg, WV
Member Since:
3 June 2014
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13 November 2014 - 2:28 pm
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I'm glad to hear that Shadow made it through the surgery.  I'll keep my fingers crossed that he'll be able to come home tomorrow. 

Like you I found the ebooks extremely helpful in preparing for how best to help Leland through the recovery...as well as the human emotions when we first saw him.  When you first see Shadow just look in his eyes and praise him on how wonderful he is.  Try not to break down and cry in front of him because our furkids can pick up on our emotions.  The shock of seeing the amputation site well wear off and you'll think nothing of it.

You hang in there and know that this community is here to help lend support and advice while you and Shadow are on this journey.

Keeping Shadow and you in my thoughts!

Sahana and her Angel Leland

Leland

November 17, 2009 - June 30, 2014

May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!

Livermore, CA




Member Since:
18 October 2009
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13 November 2014 - 8:11 pm
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Hi and welcome to you and Shadow.  I'm glad to hear he made it through surgery.

My pug Maggie lost her left rear leg to mast cell cancer, she weighed about 17 pounds.  I hope Shadow gets home soon and his recovery is smooth.

 

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

Member Since:
11 November 2014
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18 November 2014 - 2:35 pm
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Thanks for the thoughts!  

Day 6 post surgery today, day 4 at home!

He was groggy but happy to see me when I picked him up.  Surgery had told me he was not walking for them yet, although on a visit to the oncology side with vets he knows, I heard he took a few steps... but when we got home, I carried him in from outside and put him down on one of his doggie beds... then went to get some stuff from the car.  When I came back in a couple of minutes, he had made it about 20 feet to the bathroom (to try to drink out of his favorite water bowl! big-grin )

I was so pleasantly surprised by that, it kept my spirits up for the next few days.  After that, he really didn't want to walk much at all for a couple of days, although he's been doing a bit more each day. (he did have a fall in a bathroom one time, the one room that didn't have rugs!! now it has an old yoga mat...)  Second night and day 3 at home were probably the worst as he had numerous accidents and would yelp everytime I tried to help him up to go outside... but that is improving too.   He's still not eating even any treats on his own yet--could be the tramadol.  I'm trying to phase that out slowly now (he didn't do well with gabapentin before so I asked for the tramadol) to see if he'll eat something...he's been a pretty poor eater the last few months anyway, so at least I'm used to hand feeding him.

One strange thing I noticed--when walking on his own, once he gets up, he's fine indoors (he can make it to his dog bed from his waterbowl, for example)--outside he has more trouble and ends up usually walking in circles... is this normal?  Outdoors I do use the shopping bag support, but I try not to steer him or even hold him up much when he's walking on his own!  The ground is a bit more uneven, I know, but even on the driveway he'll end up in a circle, then seems confused/upset with what happened.  I now it's early in his recovery still, but don't remember if this is normal or something I should be concerned about...  

On The Road


Member Since:
24 September 2009
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18 November 2014 - 5:04 pm
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Tramadol will definitely reduce appetite and cause a bit of anxiety in some dogs, which is what the circling behavior could be about. Outside is a bigger, scarier place than inside the comfort of his home. When he acts confused, how exactly does he show that?

Sounds like everything else is pretty normal, especially for a dog his age. He shouldn't be doing anything more than going potty right now, rest is a good thing.

Glad that he's home!

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

Member Since:
11 November 2014
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19 November 2014 - 4:18 pm
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Hi, seems like the circling is more accidental..he takes some steps, in a big circle so he's not going anywhere, then stops and just stands there like trying to figure out what went wrong :-)  sometimes shaking a bit, sometimes still.  Then he might just try to sit down.  If he's shaking a lot I just bring him back in but otherwise I encourage him to get back up and at least go to the bathroom.

Today there was less circling but more "drunken" walking going on outside, so maybe it's just part of his learning to adapt and how best to steer his course.. he actually seemed to be having more trouble getting up on his feet indoors today, hopefully not a setback...   He did seem more interested in the outdoors today so I carried him to the sidewalk across the road, let him take a few steps there for a change during his potty break...  but I'm letting him lie there and sleep most of the day...

Member Since:
18 June 2014
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19 November 2014 - 6:04 pm
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Shadow seems like he is getting there. 

Westminster, MD
Member Since:
31 August 2013
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19 November 2014 - 6:49 pm
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Glad your little man is home, and I am sure he is much happier to be there. I agree with Jerry, rest is very important right now post-surgery, especially for an older pup. You are doing everything right for him, and with so much love, just give him some extra time to acclimate to his new normal. He will get there.

Keeping you and sweet little Shadow in my thoughts, 

Bonnie & Angel Polly

On The Road


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24 September 2009
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19 November 2014 - 8:47 pm
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Oh good, I'm glad he showed interest in being outside. Just like Bonnie said, you are doing everything right. Later, if the behavior continues, it could be a sign of aging (behavior like this isn't uncommon in senior dogs), but hopefully it's just an adjustment he's making with his new body and proprioception (awareness of one's body in space).

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

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