Saturday, December 22, 2012

The C Words...


To say the least the last few weeks have been Crappy around our house.  Just when you think it can’t get worse, it does. 

Cancer
This past Wednesday, our 5 year old Canine Maple was diagnosed with Stage 5 lymphoma (Cancer).  It pretty much happened over night.  She was treated a few weeks ago for some stomach and vomiting issues but seemed to be on the mend. Tuesday night her eye was all red and looked really yucky.  She also had become really agitated and you could tell she couldn’t see out of it.  I texted back and forth with my vet and planned to bring her in on Wednesday.  By Wednesday afternoon both of her eyes were red and she couldn’t see at all.  Trying to get a 65lb blind dog in and out of the car, not easy.  Anyways, first stop our vet.  He gave one look at Maple and said she needed to go and see the Ophthalmologist at VRCC (the specialty vet).  Madison, Maple and I headed right over there.  Again, we had to put a 65lb blind dog in the car, not easy.  Once there we waited a bit and then got in to see the ophthalmologist.  They were worried about glaucoma.  They examined her and gave us a prelim diagnosis of lymphoma.  Blood was in her eyes causing her blindness and her lymph nodes were swollen.  They immediately did a needle aspirate of a lymph node and confirmed the diagnosis, lymphoma.  The staff at VRCC was able to get us in with one of the Oncologist there later that evening.  I ran Madison home and Rob met Maple and I back at VRCC.  The oncologist gave us the low down- more blood work, another test to determine T or B cell, chest xray, and suggested a Chemo treatment to try and keep the cancer from progressing and hopefully get some of her eyesight back.

So now we wait for results.  T cell is worse than B cell.  If left untreated Maple probably has less than 60 days to live.  Based on the test results if we decide to treat her and it is successful, median survival time is about 12 months with B cell. With T cell survival time is less.  This is the median though and the oncologists have seen more time and less time with both kinds.  We meet with VRCC next Thursday to get test results and most likely make a decision.  Cancer treatment in dogs is not cheap.  However we do have pet insurance (she is a Labrador and we know what kind of troubles they can get into).  Our pet insurance does cover Cancer treatments but obviously not at 100%.

Hearing my 9 year daughter in the back seat of my car the other day saying she hated Cancer and wish it never existed was a hard thing to hear.  I was trying to drive her home while crying without her noticing on the slick, icy roads.  Most of you know my 3 girls mean the world to me.  Sundae will be 14 next week.  For the past couple of years we have said she has been on borrowed time.  Madison and Maple- my babies.  We got Maple back in 2007 to fill a void and to keep Sundae young, which it has.  My heart is breaking right now. Maple has been my Companion over the past year, my snuggle bug and my little love.  I can’t imagine this and don’t want to.  I am heartbroken today.

The good news is that Maple has responded to the first chemo treatment.  One eye appears completely clear and the other one looks about 75% clear.  She is still eating and acting like a completely normal Labrador retriever.  That is part that is killing me, she is acting 100% normal. 

Live update (or as live as it can be while writing)- Just got off the phone with the oncologist.  Maple has B cell (yeah), and it tested with the good parameters meaning good success rates in treating this kind.  It still doesn’t change the fact that she has lymphoma and that we probably only have 12 months with her but it gives us hope if we decide to pursue treatment.  Cancer treatments in dogs is different than in humans.  While the goal in humans is get rid of the cancer completely in dogs it is more about fighting the disease and keeping it at bay for as long as possible (in lymphoma cases around 12 months).

My Girls





Clots and Coumadin
After Thanksgiving, I developed a pain in my lower right calf.  I got an ultrasound and it was determined that I had a superficial blood clot (basically right under the skin).  I was given anti inflammatories and antibiotics to clear it up.  Well it didn’t. Monday, Dec. 10 I had my 6 month check up with my oncologist and well my boobs were hardly discussed.  The superficial clot had moved up my calf to right behind my knee.  The doctor took one look and said to discontinue my tamoxifen.  Tamoxifen is my anti-estrogen which is to limit the estrogen that fuel my tumor.  My estrogen level when my tumor was tested was pretty high.  Stopping the tamoxifen is a whole other can of worms that we get to discuss with the doctor at my January appointment.  The doctors would like you on it 5 years to help keep the cancer from coming back.  I made it 11 months.  Secretly I did a happy dance when you said I could go off it (fewer hot flashes and night sweats) but part of me is scared because in no way do I want the cancer coming back.  So Monday, Dec. 10, I started giving myself blood thinner shots.  It was once a day until I had a second ultrasound on the 13th and it was determined that the clot had gotten worse and gone deeper.  Doctor told me to give myself 2 shots a day until Dec. 21.  On Dec. 21, I started Coumadin, the oral blood thinner.  I have no idea how long I will be on this. I go for a blood test on Dec. 26 to check my blood and then to doctor on Jan 3 where I am sure we will get more answers.  Good news is that I have been able to work out.  That has become a huge part of my life to relieve stress and to keep myself healthy.  I have had some pain with it but most appears to be gone now. 

Christmas
I’ll be honest with everything we have gone through the past couple of weeks, it has been hard to get excited for Christmas.  I know for Madison’s sake I need to put on a happy face.  This is the time of year where we want to celebrate, the most wonderful time of year as we prepare for the Lord’s birth. 

It is hard and I know we will make it through all of this but it doesn’t make it any easier.  I pray that each and every one of you have a very Merry Christmas.

Steph