October 28, 2010

The Rollercoaster Ride to Arrive at a Decision

It's been a crazy couple of days. I thought people might like to know how we arrived at our decision to have Abby's leg amputated (I prefer the phrase "have her updated to a tripawd") and undergo chemo. 

Everything kind of fell into place after a quick roller coaster ride as follows:
  • Monday afternoon: find out dog has osteosarcoma (via bone biopsy performed the previous Thur). Vet says she'll be in terrible pain and dead in under 6 months if we do nothing. (OK, he doesn't say "dead" - he uses one of the euphemisms like "won't make it," like she's a contestant trying out for American Idol or something.) Says he'll talk to the oncologist and call back Tuesday with survival odds for surgery/chemo route. Mood: very black.
  • Tuesday: find out odds are not great, but misunderstand odds and think they are better than they really are. Mood: charcoal gray.
  • Wed morning: dog gets chest xrayed at vet. No sign of cancer in the lungs! Great news as the lungs are the first place the disease metastasizes. Mood: pale gray. Feeling some hope.
  • Wed morning, late: call for consultation with oncologist. Can't get me in until Wed, Nov 3. Mood: darkening. Worrying about aggressive cancer being given one more week to attack my dog. Call back to ask if I can be on a cancellation list. She says it's not really an option, since the doc will be out of the office the next four days for one reason or another.
  • Wed early afternoon: call vet, worried about one week delay. He says it's not ideal. Also explains how stats are more grim than we thought. Mood: heading to black again
  • Wed mid-afternoon: while looking for an alternative oncologist, the office calls - there's a cancellation! Rush over with the dog. Oncologist is super nice, knowledgeable, answers all my questions before I can even ask them. Abby hugs and kisses him. Repeatedly. He says her xrays look really good and we seem to have caught it early. Seconds the recommendation for amputation/chemo. He explains we may have caught it early due to the location. Most cases are in apparently in the radius bone - the bigger weight bearing bone of the front leg. Hers is in the ulna - the smaller bone that runs alongside. He explains it's such a thin bone, the lump was obvious early on. Just to fully explain our options, he said we could also do a "limb sparing" procedure. Her leg would have been saved - but it would mean 8 weeks of total rest. 8 weeks! For a puppy! He said some surgeons even suggest 8 weeks in a crate. No way would we consider doing that to her. In contrast, most dogs recover well and adjust quickly to becoming a tripawd. And as soon as she recovers from the surgery - hopefully in the 10ish days range - she will be 100% pain free. This is huge, as she is in a lot of pain right now. So, amputation to relieve the pain, plus chemo to hopefully extend her life. Mood: MUCH improved. Feeling kinda hopeful.
  • Wed late afternoon: call vet to get info on last piece of the puzzle, the estimate/scheduling for the update-Abby-to-a-tripawd procedure. He says he'll likely call back Thur as he has to call the surgeon. Calls back within the hour and says the surgeon (usually booked 3 weeks out) has had a cancellation. She can come in Friday. Mood: almost giddy. Everything's falling into place to get on this quickly!
  • Wed night: we make the GO decision. Commence freaking out. Mood: panicked. What the hell are we doing, willingly cutting off our dog's leg?? Friends and family weigh in and scrape me off the ceiling. 
Ultimately, it's really the best option, and I think we are doing the right thing for her. Doing nothing would mean fighting her pain until the end, which would be in sight on the horizon. Now we are hopefully going to end her pain and extend her life. Our ultimate goal is to get her back to Fiesta Island, the huge dog park/beach here in San Diego that she loves. It's her favorite place. If we did not do any of this, she really couldn't go back-not just because of the pain but also because of the risk of breaking the weakened bone. 

I am envisioning a future post that will be entitled: Fiesta Island!! (Mood: hopeful. And maybe still just a little bit panicked.)

Yes, just what the world needs. Another blog.

OK. I'm starting a blog, which is something I've been thinking about for a while. After all, I'm supposed to be a writer. (OK, well, I am a writer if you consider that I sit around and write at least a little bit almost every day - but I'm an amateur writer at the moment since no one wants to pay me to be a pro - yet.) Some people say writers need to have blogs. I don't necessarily buy into that line of thinking. After all, people might love your books, but hate your personality, so maybe your blog would be a detriment to your writing career. So, I'd been resisting the whole blogging thing. Even though my family is suddenly sprouting bloggers left and right: like my niece and her excellent fashion blog, Waitin Round 2 Be a Millionaire, or my sister and her fun blog about Garage Sailing, or my brother and his amusing Gumbatarian blog which is mostly about food. These folks have a passion, and they blog about it. But what was my passion?? And how did that relate to would-be writing career? 

Of course the subject of dogs occurred to me. I'm a big dog lover and most of my writing includes dogs as main characters. I've had dogs for most of my life, and I volunteer every Monday at Helen Woodward, a wonderful animal shelter where I play with the adoption dogs. But I didn't know what I would say about dogs. I mean, a weekly post about how much I love dogs? That would probably get old...

Unfortunately, the subject matter presented itself this past Monday, in the form of the dreaded "C" word. That was the day we found out our dog Abby, a mixed breed pup that we adopted from Helen Woodward the day after last Thanksgiving, has bone cancer. 

We were shocked, angry, devastated. We'd just lost our twelve-year-old beagle only a year ago to cancer. How could our 15-month-old puppy, so full of energy and spunk (don't you hate that word?) be sick?? And not just sick, but dying. How could that happen?? She'd started limping a few weeks earlier. We thought it was just a sprain at first. But after two weeks of sedative-induced rest, it was no better. In fact, by then we could see the lump on her leg. The vet biopsied the bone one week ago today, and warned us it might be a week before we'd know anything. But by Monday he already had the bad news: osteosarcoma. A wild two days later, spent researching, calling the vet multiple times, meeting with the oncologist, etc. etc. and we already have her booked for an amputation of her right front leg. She goes in for the surgery tomorrow. Oh how things change in a week.

I'll post more on the whirlwind 48 hours that it's been later. For now, just wanted to get started. 

Thanks for reading.