Showing posts with label osteosarcoma. Show all posts
Showing posts with label osteosarcoma. Show all posts

Friday, June 19, 2009

Maddy's Fighting Back

MaddyOur Maddy is progressing along the road of recovery, after being diagnosed with cancer, or more specifically, Canine Osteosarcoma -- otherwise known as bone cancer. Today we made another trip to the doctor to have the sutures (from her amputation surgery) removed, which meant another car ride for Maddy. She absolutely loves riding in the car, and her excitement was palpable.

She was quite a trooper as the doctor removed the sutures, and bounded up and down the stairs going into the office as well as any four-legged dog would do. When we came home from the vet, the kids and I went into the back yard so the kids could play on their slip-n-slide, and Maddy followed us out to lie on her pillow and bask in the sun. She looked so happy and peaceful.

We aren't out of the woods yet. We're hoping that there has been minimal metastases of the cancer cells, and that the piroxicam regimen she's on will help to slow down the progression of any cells. We plan to return to the doctor in a month or so for a follow-up chest x-ray.

So far, though, our Maddy seems to be doing great. It makes me happy that we made the difficult decision to amputate rather than just trying to comfort her in her final months.

Your comments?

Joe

Maddy's Cancer Battle







Tuesday, June 16, 2009

Our Maddy Recovering Well

My GirlsOur Maddy has been home for one week now after her leg amputation surgery, and she has been improving quite well. She spends a lot of time sleeping, but her last dose of pain medicine and antibiotics was today, so hopefully she'll bound back with more energy soon. The pain medication she's on is known to cause drowsiness, as are most pain medications.

Walking the DogShe is quite energetic at times. We've been trying to take her on a short daily walk down to the end of our cul de sac and back, and she loves it. She even tries to pull on the leash and lead the walk, just like she has always done.

We'll be headed back to the vet on Friday (probably) for a check up and to have her stitches removed. It's amazing how quickly animals rebound after such major surgery as the loss of a limb. Could you imagine if you lost a limb? Could you bounce back so quickly as this? Share your thoughts.

Joe




Maddy's Cancer Battle










Friday, June 12, 2009

Maddy's Recovery Continues -- With A Bit of Swelling

Maddy's Swelled PawI had an unexpected interruption (as if there's any such thing as an expected interruption) at work today, when my wife called to tell my that our Maddy's paw (the remaining front leg) -- in fact, her entire front leg -- was swelled. My first fear, of course, was that the swelling was similar to the "swelling" that turned out to be a cancerous tumor in her (now gone) right front leg. After making several attempts to reach both our vet and the surgeon that performed the amputation on the phone, I decided to leave work and rush home to check up on our oldest "kid."

During my drive home, the surgeon called me, and we discussed the symptoms. He said that based on her attitude, her activity level, her diet, and the type of swelling she was having, he didn't think it was an emergency. He felt that we could probably wait until tomorrow when her vet is in (the surgeon's office is ninety minutes away). He thought that the swelling was probably caused by poor circulation, and he gave me some tips about what we can do to ensure that it isn't an emergency and to reduce the swelling.

I came home, and we did some hydrotherapeutic massage of the swelled paw. Getting Maddy off her feet for a while, and relaxed in a position that doesn't put all of her weight on her remaining front leg, we managed to get the swelling down to a condition that was less alarming. Right now, she's lying by my side on the couch, wrapped up in a blanket, sleeping, with her leg sticking out beside her. Hopefully we'll find her to be in a bit better condition in the morning. If not, it's probably back to the vet again.

Your comments?

Joe

Maddy's Cancer Battle














Tuesday, June 9, 2009

Our Maddy: Home Again

Maddy After SurgeryOur nine year old Dalmatian, Maddy, is finally home again, one week after being diagnosed with Canine Osteosarcoma, or bone cancer, and one day after having her right front leg amputated to remove the tumor.

You can follow the story here, and stay tuned for updates as she continues her battle with any metastasis of the cancer cells that may have occurred (even though they don't show up on X-rays). As she lies on her favorite pillow in the family room, resting and recovering from what has certainly been the most difficult week of her life so far, I thank God that there was a means to relieve her pain, improve her quality of life, and (hopefully) prolong the time she has left with us.

Maddy Home AgainWhen I first received the diagnosis from Maddy's doctor, I wasn't surprised. In fact, I had told my wife before making the appointment to see the vet that I thought the lump on her leg was probably a cancerous tumor. My wife, in denial, disagreed. I returned home from the vet and called my wife outside without the kids to deliver the bad news to her. After we coped with anger, denial, shock, confusion -- every emotion you can think of -- we were faced with the dilemma of how to treat our beloved pet, who has been our child since before our kids were born.

We were given options such as doing nothing -- in which case she had maybe two to six months left to live -- to amputation alone, or amputation with chemotherapy. I think at first, my wife and I both were so depressed that we thought she would die soon no matter what we did, and we resigned ourselves to trying to make Maddy as comfortable as possible for what time she had left. Learning that amputation surgery in Indianapolis would cost us $2400 -- a nearly cost-prohibitive sum -- made that unfortunate decision almost the only choice for us.

MaddyBut having lost my mother, grandmother, and grandfather (and others) to The Big C, I had a hard time accepting defeat, and convinced my wife that we had to do more -- that we had to at least see how much the cancer had spread through her body. I returned to the vet and learned that there was no visible sign of metastasis on the X-rays, which doesn't necessarily mean that it isn't there, but even the vet appeared optimistic. It was then that I decided that we had to find some way to save our beloved Maddy. The vet had recommended a local specialist that gave us an initial pre-consultation phone estimate of $2100 to $2400. OUCH! My wife being from Terre Haute, I got a brainstorm (or, if you wish, an epiphany, or a message from God -- I honestly think the latter is closer to the truth) that the process had to be cheaper in a small town like my wife's home town of Terre Haute.

I got online and did a quick search and called Honey Creek Animal Hospital. I explained the situation, told them about my wife being a Terre Hautean (sp?), and asked them what they thought. I was told that Doctor Staub would have to make a final determination, but that we could expect the surgery to run between $700 and $1000 and that we could come in the next day for a consultation.

The rest is history. We picked up our Maddy today, and while she is exhausted and experiencing some post-surgery pain, I believe that she will soon be back to her pre-diagnosis energetic self, and pray to God to give us as much time with her as His Grace will allow. Oh, and the total bill for the surgery was $868.40 -- roughly one-third of what we would have paid in Indianapolis. So far, I see no reason to think that the Indy specialist would have done a better job. Only time will tell.

For now, my Punkin is home with us, and we're happy to have her back. We missed her.


Your comments?

Joe

Maddy's Cancer Battle











Monday, June 8, 2009

Maddy Pulls Through Surgery Beautifully!

Maddy's Last Pre-surgery PicOur Maddy went through surgery today to have her right front leg -- the leg with the large tumor -- removed, after being diagnosed a week ago with Canine Osteosarcoma. {This picture is the last picture taken of her before her surgery.}

She pulled through the surgery like a champ -- no real surprise, as she has always been a very spirited dog -- and will be coming home tomorrow. Of course, her absence these past three days has made the house very quite and almost empty feeling -- even with our three and five year old kids running around.

The wife has been on a mission to prepare the house for her, and to make a drastic change to her diet, gathering up vitamins and foods that many owner's of dogs diagnosed with cancer have found to be effective in their fight to beat the disease. It's going to be a whole new world for our Maddy when she returns home -- but hopefully a world that she will be around to enjoy for some time longer than we initially thought when she was diagnosed.

Be sure to check back tomorrow for pictures (and maybe even video) of our Maddy coming home from the hospital. Can't wait to get her back home!

Your comments?

Joe


Maddy's Cancer Battle












Thursday, June 4, 2009

Maddy's Chest X-rays Look Promising

Chest X-rayI took our Dalmatian, Maddy, back to the veterinarian today for some chest X-rays. After spending two days in extreme sadness over what appeared to be a gloomy prognosis, we decided to find out just how much metastasis of the cancerous cells has already occurred. As I understand it, cancerous cells would appear as white popcorn in this chest X-ray. Surprisingly enough, our Maddy has a seemingly clean bill of health, other than the tumor in her leg.

The vet was cautiously optimistic -- which is more optimistic than he has been so far. He said that it is more likely that there is some metastasis that is so small that it doesn't show up on the X-ray than that her thorax is cancer-free. But he did say that this is a case where we would want to consider amputating the leg, and that he has seen dogs in such a state that have had two to three good years after amputation.

Maddy Going to VetThe bad news is, the place that he recommends here in Indianapolis would charge us between $2100 and $2400 to perform the procedure. My wife being from Terre Haute, I got the idea to call some animal hospitals there to get an idea of what the charges would be there. It appears that we can expect to spend half as much (maybe less) by making the ninety minute drive west to have the procedure performed.

So tomorrow afternoon, the whole family -- Maddy included -- will be loading up in the car and heading to Terre Haute to consult with the doctor that will (hopefully) be performing the procedure for much less than we can get it done here in Indianapolis. We're all very hopeful that our Maddy will be pain-free, running around like her old self, and with us for a little longer than we expected just a couple of days ago.

Stay tuned for updates, and thanks to all my Twitter friends who offered their support.

Your comments?

Joe


Maddy's Cancer Battle













Wednesday, June 3, 2009

Our Maddy Has Cancer

Healthy Dog LegEarlier this week, I took our beloved eight-year-old (she just turned nine yesterday) Dalmatian, Maddy, to the veterinarian. She has a swelling on her right front leg that would rise and fall, and suddenly quit falling, swelling up more than ever. I posted the bad news on Twitter after delivering it to my wife: the dog who was our first child has cancer.

Canine Osteosarcoma, to be exact. From Wikipedia:
Osteosarcoma is the most common bone tumor in dogs and typically afflicts middle-age large and giant breed dogs such as Irish Wolfhounds, Greyhounds, German Shepherds, Rottweilers, Doberman Pinschers and Great Danes. It has a ten times greater incidence in dogs than humans. A hereditary base has been shown in St. Bernard dogs. Spayed/neutered dogs have twice the risk of intact ones to develop osteosarcoma.
Cancerous Dog LegThe picture above is an X-ray of a healthy dog leg. The picture to the right is our Maddy's X-ray. In the far right of the picture of the healthy dog leg, you can see the large bone that is missing in Maddy's leg -- literally eaten away from the inside out by the cancer cells. The two bones in the healthy X-ray are the ulna and radius, though I couldn't tell you which is which. In Maddy's leg, one is completely eaten away and the other is very, very deteriorated. The large swelling, I understand, is a result of her body trying to fight the cancer.

The vet, who we have used for the first time but who came highly recommended, prescribed prednisone for her, to fight the inflammation and help relieve the pain. I'm not convinced yet that it is doing either, though all that I have read about it says that it takes several days of continuous use to have the desired effect. So far, it seems to have only succeeded in causing her to be more thirsty and urinate more.

We haven't yet decided what course of treatment to take. The doctor mentioned three options: amputation of the leg plus chemotherapy; amputation alone; pain management only. He seemed to believe that her case was too far progressed for amputation and chemotherapy to do much to prolong her life or improve the quality of what time she has left, which he says may be as little as three months or as many as six.

Again, studying the situation seems to suggest that amputation would greatly relieve her pain and improve the quality of the time she has remaining. It also seems that amputation plus chemotherapy might give her as many as four to ten months more life. However, all of the studying in the world doesn't necessarily apply to Maddy's case.

My wife and I are currently struggling with watching our Maddy. We keep hoping that she will just get better. It's hard not to do that. And we struggle with whether to try to just help her manage the pain, amputate the leg, or amputate and treat with chemotherapy. The struggle for me is that my own mother lost her fight with cancer several years ago. She started chemotherapy and ended it shortly thereafter, convinced that the treatment only made her feel worse and wouldn't prolong her life or add any quality to it. Reports suggest that chemotherapy in dogs does not have the same dramatic side effects as it has in people. I just don't know.

What I do know is that we love our dog, and we don't want to lose her. But we also have faith in God, and know that everything that happens is for His purpose. Sometimes, though, it's hard to accept that His purpose might mean taking away a loved one, like our Maddy.

Maddy's BirthdayYesterday was her ninth birthday. She's been with us since she was six weeks old, long before either of our children were born. We had a birthday party for her today, and pampered and spoiled her. She had a hot dog to eat, plus two new hot dog squeaky toys. She had several doggie cookies, and one real cupcake, which she absolutely loved.

Tomorrow, I'll be speaking with the vet again about his thoughts on amputation, chemotherapy, or just pain management. I just need to make sure that whatever decision we make, we are making as informed a decision as possible. I need to make sure that we aren't making a selfish decision. I don't want to prolong her life just to keep her with us longer if it will be a miserable life for her. But I don't want to just manage the pain if more aggressive treatment might add some quality months or years to her life. It won't be an easy decision to make, whatever we decide. I just wish Maddy could tell us what she would choose.

Your comments?

Joe


Maddy's Cancer Battle













Average Joe's Review Store