Caring for a Three Legged Dog or Cat
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Zeus is doing okay. He still cannot walk very far at all without becoming so very weak and losing his breath, but this has been the same for a month and a half now with no change. His spirit is still good and he is still eating, other than a couple of times he has turned up his nose to the food but then ate it all when I offered it to him a while later.
I'm totally at a loss for what is happening. On 8/1/12 an ultrasound showed that the cancer had spread through the belly. Dr. R said he stopped after just a minute because just the one on his liver was "this big" and used his hands to make a circle with his thumbs and middle fingers. He also saw a large tumor on the spleen. Since he stopped at that point, I don't know what else is going on in the abdomen. His description of the tumor sizes seemed pretty advanced and he guesstimated that we had two weeks to a month "if he keeps eating well." Well, we are now a month and a half out and he is pretty much the same. Anyone else have any experience with this type of spread and how your pup reacted?
Lastly, Zeus has been on Prednisone since that ultrasound on 8/1. 20 mg once per day. I know long-term Pred use can cause problems in itself, but how "long term" does it have to be before I need to worry?
Any input is greatly appreciated!
Lisa
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/
Lisa, I don't know answers to any of your questions. I do know that I've seen so many things happen here that shouldn't have--both directions. I've seen dogs live much longer than anyone thought possible and 2 others (in 19 months) that didn't make it home from the surgery. Those things aren't supposed to happen.
So here Zeus is. I'm going to add him to that "not sposed to happen" list and do a happy dance with you.
Maybe post in the ask-a-vet forum about the Pred. Now that we have 3 (!), I'm sure you'll get an answer...or 3!
Going to do the happy dance now.
Shari
From abandoned puppy to Tripawd Warrior Dude, Dakota became one of the 2011 February Furballs due to STS. Our incredibly sweet friend lived with grace and dignity till he impulsively raced over the Bridge on 12-15-12.
Dakota's thoughtful and erudite blog is at http://shari.tr.....pawds.com/
I don't have experience with OSA- but when Maggie's oral melanoma was diagnosed and she got really sick we were sort of on the 'any day' time line. Well, Maggie rallied and we had 3 months!
On the pred- Maggie was on it for 6 months as part of her chemo for mast cell, then we tapered off for another 6 weeks, no noticeable issues from it. I don't think you have any worries with that.
I'm glad Zeus is hanging in there. Treasure each day as you have been doing.
Karen and Spirit Maggie
Glad to hear that Zeus is still feeling ok and that his disease is not progressing as fast as was feared after his ultrasound.
How long he will continue as he is is really anyone's guess... cancer does whatever it wants to do. Hopefully he can continue on, though certainly the ultrasound findings sounded daunting.
I honestly wouldn't worry about the Prednisone/Prednisolone at this point. I would use whatever is making him feel better for however much time he has.
Sending out pawsitive vibes for you and Zeus.
Right hind limb amputated 7/3/12 for OSA, started on alternating cycles of Carboplatin and Doxorubicin and oral Palladia. Single lung met 9/1. Met in the neck muscle removed 9/30. Large mass in sublumbar lymph node 10/2. Rescue chemo with ifosfamide 10/6. Mets to the rib and axillary lymph node 10/21. Started Leukeran and Pred 10/25. Wookie left this Earth for a far better place on 12/4/12. I miss you, Boo, you were my heart.
I don't have experience with osteosarcoma and amputation, but I will share Harley's experience.
The day his surgery was scheduled to take place (and this was an amputation for a recurring infiltrative lipoma no mention of cancer) surgery was canceled because the chest xray revealed two masses -- a 6 cm mass on right lung and a 4 cm mass on the left lung, both peripheral. The surgeon and I were both surprised to say the least. I asked if it was metastasis from the limb and she said she very much doubted that. My thought was something is going on somewhere else. An ultrasound of the abdomen was done about two weeks later that showed 2 small masses (1 cm) on spleen. Because masses on spleen were smaller than those on lungs, they did not metastasize. So where did the lung tumors come from? Primary lung tumors usually involve just one lung. Next a biopsy of the larger of lung tumors was done after other tests were done to rule out blasto. Biopsy confirmed cancer but since it was just a FNA pathologist was only able to narrow it down to one of these: carcinogen, liposarcoma or histiosarcoma (?). Liposarcomas can mimic benign sarcomas so in retrospect, what was believed to be a benign infiltrative lipoma could have been liposarcoma.
Now back to Zeus' tumor on his spleen. Thumb to forefinger is maybe size of golf ball or large marble so maybe 8-10 cm. My first golden had hemangiosarcoma of the spleen and by the time he actually showed any symptoms the tumor was so large that it was bi-lobed on either side of the spleen and they had to remove spleen. It was so large that I nearly fainted when I saw the incision. I think hemangio is fast growing so that would explain why no gradual symptoms. So I guess my question is: did you have an abdominal ultrasound prior to this one and were any biopsies done? Maybe that tumor was already there and maybe it is not malignant, it could just be age-related and not be metastasis from his osteo. I have learned from Harley's oncologist that it is possible to have two different cancers going on at the same time.
Three months later, Harley's lung tumors have now grown to about 6 cm and 9 cm which is considered a slow growing cancer or "stable disease". He really is not showing any significant symptoms of lung cancer and actually we are back to discussing a date for surgery on his leg! I cannot cure the cancer in his chest, but I can give him more quality of life regarding the leg.
I have learned so much from this site, but the most important thing I've taken away is that life or medical issues are not an exact science. There is a lot of assumption and maybes out there. Unless you have MRIs every month of the complete body you really do not know what is there or when it showed up. All we can do is address the symptoms we are aware of.
Sorry for such a long post but I wanted to try to draw some similarities here. I think dogs are actually just like people. Some are diagnosed with a good prognosis and don't make it and others are diagnosed with a poor prognosis and go on forever. Only God knows and I bet once in awhile he gets skunked too.
I think Zeus should get french fries with ketchup tonight.
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/
Hey Lisa, I was just thinking about you two, thanks for the update.
Wookie gave the same insight about the Pred that our onco doc did; we were told the same thing; don't worry about long term use at this point, when we're using it as part of hospice care, all that matters is that it's helping him feel better.
And I'm glad to hear he's holding his own! What an amazing pup you have there, truly.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
I was going to jump in with the same thing that others have said. My vets said "no worries about pred use" when we were at a similar point.
I'm glad that he's holding his own and that you have these precious days to love him.
K, an 8 year old chocolate lab, was diagnosed with osteosarcoma of the radius and ulna on 12/23/11. She had stereotactic radiation to kill the bone tumors, and 3 rounds of carboplatin. On 3/16/12, lung mets were found. We tried several different kinds of chemotherapy to slow the lung mets but none worked. Finally, mets appeared at other sites, including her spine. She earned her angel wings on July 15, 2012. K changed my life, and I'll never forget her. Our/my journey is chronicled at romp-roll-rockies.blogspot.com.
Woohoo! Glad to hear 'our' Zeus is hangin' in there. You go Zeus dude! No advice here--just lots of OP Love wingin' your way!
xoxox,
CR and all those other dawgz
Woohoo! Tripawds Rule!
Regulator of the Oaktown Pack, Sheriff of the Oaktown Pawsse, Founding member and President of the Tripawd Girldogs With 2 Names ROCK Club, and ... Tripawd Girldog Extraordinaire!
Yay! Tripawd Warrior Dude Zeusy!! You are telling that stoopid old cancer schmancer what for
So happy to hear you are having wonderful lovin' time with your mom.
Sending huge hugs and extra yummy treats
TWP Lylee and Joanne
xoxox
http://lyleegir.....ipawds.com
Glad to hear Zeus is still doing well! Sorry about the delayed response. Been away on vacation but had to check in to see how "our" Zeussy is going.
Kisses and nose-pokes from me and Rita!
Jackie
Abby: Aug 1, 2009 – Jan 10, 2012. Our beautiful rescue pup lived LARGE with osteosarcoma for 15 months – half her way-too-short life. I think our "halflistic" approach (mixing traditional meds + supplements) helped her thrive. (PM me for details. I'm happy to help.) She had lung mets for over a year. They took her from us in the end, but they cannot take her spirit! She will live forever in our hearts. She loved the beach and giving kisses and going to In-N-Out for a Flying Dutchman. Tripawds blog, and a more detailed blog here. Please also check out my novel, What the Dog Ate. Now also in paperback! Purchase it at Amazon via Tripawds and help support Tripawds!
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