Well I've had a terrible night - next to no sleep and had to take my dog into an emergency veterinary clinic early this morning.
He's been having a bit of difficulty lately, and Cushings disease (its a tumour of either the adrenal gland or pituitary; pituitary in this case) is strongly suspected (via clinical testing). However, there were several other things going on too - small growth on his front right leg, and lameness in his front legs.
He's had a history of weird lameness/limping. When he was 3 he had some sort of neuromuscular problem. Very scary seeing your dog walk like its drunk and then become capable of only turning in a circle before collapsing (I think he was doing his best imitation of the Bismark). Nonetheless, he seemed to recover very well from that within 48 hours, but not without some permanent change - he now bunny hops when running (i.e like a jack rabbit does).
Previous to this event, he was always a very fast runner. Post episode, and after adopting the new running style, he was definitely slower. He could, however, still turn on the afterburners, and people often commented on how quick he could be. I guess he just reserved his energy for the good stuff - beating other dogs to a tennis ball, and chasing squirrels.
Over time our rollerblading escapades got slower and slower. I have to admit that I was initially dissapointed that he wouldn't run like mad anymore. But that, of course was selfish and ridiculus. I came to adopt a "roll at his pace" and new appreciation for our adventures.
Trouble really starting showing up winter/spring of '02 - several episodes occured were he would mysteriously become lame in either of his front legs. So it played out that one week I would take him into the vets about his left leg. Next month it would be his right. However, they never could see anything wrong (visually, xrays, blood work, yada yada yada...). In fact, everytime we went there he would get all excited and act fine - I truly felt like the boy who cried wolf... but with the distinguishing difference that my visits were ending up making someones Lexus payments.
Anyways, it came to one point in that summer were one day in July he simply collapsed on my front lawn and when he tried to move he would yelp in pain. Many neighbours were out outside that evening and witnessed the incident. With the help of some of them, I managed to get him into the house. I called and just caught one of my regular vets as he was leaving for the night. Concerned, he set up an appointment at an emergency clinic to see a speciali$t in the morning, and we decided that the dog was best left were he was in the mean time. So there indeed he remained in one spot all night.
Unfortunately, it was a truly terrible experience - I stayed up, laying beside him trying to comfort him as he was in so much pain, crying/yelping with the slightiest movement. I have never heard an animal cry so loud like he did at one particular time - it even woke my neighbour next door. I had no clue what to do - I couldn't move him an inch and I truly thought he was dying then and there. By day break he had calmed down and some of the pain seemed to leave him. I managed to coax him outside so he could at least relieve himself. Cutting to the chase, I was able to get him into a car and off to the specialist. Tests, xrays etc later - still no clue. They tossed around a couple of possiblities - cancer of the spine, slipped vertabrae, arthritis etc etc .... Meanwhile, back on the ranch, a day or two later, this dog is acting like nothing ever happened. Frustrating and expensive. The end result was we just made sure he took it easy for the summer and rested up his legs. This certainly wasn't what I wanted for him to be doing though - he had got, how shall I say, a little round during the spring of '02 (my place was renovated and while I was away at work, my cousin/contractor and the other guys didn't seem to mind sharing fries and stuff...strangely, I also discovered that he had developed a taste for coffee during that time period too).
During the fall, winter and spring, I really worked hard and succeeded in getting in him back shape. Generally speaking he looked and acted great - was more energetic then in a long time and seemed really happy. There were only a few things of which I took note of:
1) a slight pot belly
2) a minor sist on front right leg
3) lump under skin behind right leg
4) the occasional sore leg days
I reasoned the following:
1) was a vestige of the fatty year before, and plus he's getting older too (now 10)
2) has had them before. Most dogs do over the course of their lives. They come and go. Just keep an eye on it
3) fatty deposit. these also come and go. Just keep an eye on it
4) arthritis (after all the indecision) now seemed like the reasonable explanation
So it came to the end of May this year for his yearly check up. I sign him up for the whole blood and urine analysis thing. I didn't suspect anything to come from that because of his general happy disposition and good visual health. It was then when it was suggested then that he may be entering the early stages of Cushings - his blood work showed elevated levels of corticosteriods. More elaborate blood work and clinical testing was done. Statistically, the results just weren't significant enough to say anything definitive. And truth be told, he didn't really exhibit any clinical signs characteristic of cushings - frequent drinking, urination, lathargism, pot belly (extended abdomen). Er, well maybe the last one a bit. But he's getting old, and deserved some slack I reasoned. The vets tended to agree, after all the poking an proding. We felt the best course of action was to monitor and retest him over the course of the summer - after all, the last thing you want to do is start anybody/thing on chemo for no reason.
At this paticular point in time, I was felling rather whipped out - I had been studying like crazy for a program i'm taking, unemployed and no current income stream, one of the cats was diagnosised with of cancer (lymphomia and would die shortly afterwards), my mother is slowly dying of cancer (brest/bone), other family members at times are annoying the hell out of me, and now my dog potentially has cancer. Need I say my emotional strength was and continues to be tested.
Anyways, to continue my rambling, over the summer I started to notice some slight behavioural changes in my dog. His July blood work came back pretty much the same. Status quo continues. Then he starts getting sorer in his legs. Almost every morning he gets up limping, and similarly when he gets up after lying down for a while after exercise. By the end of Aug, I become convinced that he is indeed now drinking and urinating more frequently. Plus, he is starting to become more lathergic and, at times, I can tell he's feeling a bit depressed. So I arranged for him to go in for a full day last friday. The vet gives him the best physical exam I have ever seen a vet perform (we were in the observation room for an hour and twenty minutes - best $45 I've ever spent at a vets). She feels a little bit of "crunchiness" in his front legs, but other than that she likes the look of him - nothing feels abnormal in the belly, lumps and sists are unchanged etc etc. We do xrays on the legs for checking for signs of arthritis or fractures or tumours etc. and he also has his blood work done again (it comprises having his adrenal gland's production of steriods artificially surpressed and then having blood samples drawn across the hours and having counts performed - thereby monitoring if his adrenal gland is functioning properly). Results to come after the long weekend.
So, in the meantime, he seems to be doing pretty good and I take him for a couple of hikes - limping, as I've come to expect, in the morning. He also begins to start licking his legs, in particular his right front leg. Wed I finally hear back from the vets - radiographs show nothing (no signs of arthritis, tumours, fractures). However, results from the blood work are worse from last time. They suggest we begin chemo and I concur. The meds have to be specially ordered in and won't be recieved until monday (tommorow). The following day one of the vets calls to discuss the chemo treatment and to answer some questions I had. At the same time I ask for them to have the sist on his front right leg removed - his licking of his leg so much had ended up with the sist getting all inflammed and stating to bleed. Unfortunately they only do surguries Thurs and Tuesdays so I'm out of luck until this coming Tuesday. So I wrap up the spot so he can't get at it and its doing a pretty good job, expect that it keeps coming undone (ackward spot right at the "elbow"). So what I've been doing is take it off for short walks around the block etc. and at night to give him so relief. This has meant me sleeping in the living room on the couch just so I could prevent him from licking at it - and its working, inflamation down, scab healing. (Him sleeping in the living room is actually one of the behavioural changes that has unfolded over the last couple of months - he used always sleep beside my bed).
Its strange how things changed so quickly. Yesterday he seemed quite happy and energetic - he had quite a lot of strength yesterday while playing tug of war. Then shortly before 3AM he started whimpering to go out. He collapsed on the front lawn. I managed to coax him to get up and very very slowly he climbed the stairs and went back into the house. Same thing like last year - parks himself in one place and doesn't want to move (Although this time round there is no yelping or whinning). His breathing is short, shallow, rapid breaths, heart rate up. He constantly lifts his head and seems to favour one side...then shortly later on he will favour the other side. Extremely depressed and generally unresponsive to my best attempts to cheer and comfort. At 6AM he doesn't budge for breakfast. When my dog doesn't move for food, there is something seriously seriously wrong. He does however take another huge drink (had brought a bowel to him a 4:30 with the same results).
At 7AM I get him over to the emergency clinic. The vet takes a look - shows me his gums > next to no colour. Says he's dehydrated. Listens to heart and chest, feels pot belly (which has become the most distended I have ever seen it). He takes him to the back right away for chest/abdomen xrays and to start a IV. Says he's going into shock. An hour later, vet comes back (without the dog) and shows the xrays. Not good. His spleen is about the size of my foot, and his liver is enlarged too, pushing up against the lungs and heart. Additionally, there was a lot of fluid in the abdomen - likely hemmoraging. The vet didn't beat around the bush - its most likely cancer. I was then left with the uncomfortable decision of how to proceed. Put it this way, its costly. Very costly. And this just gets to determine if its cancer or not...plus some level of care at making him more comfortable and removing the immediate danger to his live. I choose the most cost effective root (most bang for the buck) for the time being. He's still at the hospital and was to undergo some blood work and stuff. The vet suggested not going to the back and seeing him before I left because he was calm - said he was actually more alert now, so was probably responding to the shock IV they gave him. That was hard, but I was happy to hear that he wasn't as bad off as when I brought him in.
I should go and give them a call to see how he's doing - its been 6 hours now. Sorry for the long long post. Its just theraputic for me and helps me to access the whole situation. I felt like shit before. I still feel like shit, but I think writing this has taken some of the edge off. Sigh...sad times to come.
He's been having a bit of difficulty lately, and Cushings disease (its a tumour of either the adrenal gland or pituitary; pituitary in this case) is strongly suspected (via clinical testing). However, there were several other things going on too - small growth on his front right leg, and lameness in his front legs.
He's had a history of weird lameness/limping. When he was 3 he had some sort of neuromuscular problem. Very scary seeing your dog walk like its drunk and then become capable of only turning in a circle before collapsing (I think he was doing his best imitation of the Bismark). Nonetheless, he seemed to recover very well from that within 48 hours, but not without some permanent change - he now bunny hops when running (i.e like a jack rabbit does).
Previous to this event, he was always a very fast runner. Post episode, and after adopting the new running style, he was definitely slower. He could, however, still turn on the afterburners, and people often commented on how quick he could be. I guess he just reserved his energy for the good stuff - beating other dogs to a tennis ball, and chasing squirrels.
Over time our rollerblading escapades got slower and slower. I have to admit that I was initially dissapointed that he wouldn't run like mad anymore. But that, of course was selfish and ridiculus. I came to adopt a "roll at his pace" and new appreciation for our adventures.
Trouble really starting showing up winter/spring of '02 - several episodes occured were he would mysteriously become lame in either of his front legs. So it played out that one week I would take him into the vets about his left leg. Next month it would be his right. However, they never could see anything wrong (visually, xrays, blood work, yada yada yada...). In fact, everytime we went there he would get all excited and act fine - I truly felt like the boy who cried wolf... but with the distinguishing difference that my visits were ending up making someones Lexus payments.
Anyways, it came to one point in that summer were one day in July he simply collapsed on my front lawn and when he tried to move he would yelp in pain. Many neighbours were out outside that evening and witnessed the incident. With the help of some of them, I managed to get him into the house. I called and just caught one of my regular vets as he was leaving for the night. Concerned, he set up an appointment at an emergency clinic to see a speciali$t in the morning, and we decided that the dog was best left were he was in the mean time. So there indeed he remained in one spot all night.
Unfortunately, it was a truly terrible experience - I stayed up, laying beside him trying to comfort him as he was in so much pain, crying/yelping with the slightiest movement. I have never heard an animal cry so loud like he did at one particular time - it even woke my neighbour next door. I had no clue what to do - I couldn't move him an inch and I truly thought he was dying then and there. By day break he had calmed down and some of the pain seemed to leave him. I managed to coax him outside so he could at least relieve himself. Cutting to the chase, I was able to get him into a car and off to the specialist. Tests, xrays etc later - still no clue. They tossed around a couple of possiblities - cancer of the spine, slipped vertabrae, arthritis etc etc .... Meanwhile, back on the ranch, a day or two later, this dog is acting like nothing ever happened. Frustrating and expensive. The end result was we just made sure he took it easy for the summer and rested up his legs. This certainly wasn't what I wanted for him to be doing though - he had got, how shall I say, a little round during the spring of '02 (my place was renovated and while I was away at work, my cousin/contractor and the other guys didn't seem to mind sharing fries and stuff...strangely, I also discovered that he had developed a taste for coffee during that time period too).
During the fall, winter and spring, I really worked hard and succeeded in getting in him back shape. Generally speaking he looked and acted great - was more energetic then in a long time and seemed really happy. There were only a few things of which I took note of:
1) a slight pot belly
2) a minor sist on front right leg
3) lump under skin behind right leg
4) the occasional sore leg days
I reasoned the following:
1) was a vestige of the fatty year before, and plus he's getting older too (now 10)
2) has had them before. Most dogs do over the course of their lives. They come and go. Just keep an eye on it
3) fatty deposit. these also come and go. Just keep an eye on it
4) arthritis (after all the indecision) now seemed like the reasonable explanation
So it came to the end of May this year for his yearly check up. I sign him up for the whole blood and urine analysis thing. I didn't suspect anything to come from that because of his general happy disposition and good visual health. It was then when it was suggested then that he may be entering the early stages of Cushings - his blood work showed elevated levels of corticosteriods. More elaborate blood work and clinical testing was done. Statistically, the results just weren't significant enough to say anything definitive. And truth be told, he didn't really exhibit any clinical signs characteristic of cushings - frequent drinking, urination, lathargism, pot belly (extended abdomen). Er, well maybe the last one a bit. But he's getting old, and deserved some slack I reasoned. The vets tended to agree, after all the poking an proding. We felt the best course of action was to monitor and retest him over the course of the summer - after all, the last thing you want to do is start anybody/thing on chemo for no reason.
At this paticular point in time, I was felling rather whipped out - I had been studying like crazy for a program i'm taking, unemployed and no current income stream, one of the cats was diagnosised with of cancer (lymphomia and would die shortly afterwards), my mother is slowly dying of cancer (brest/bone), other family members at times are annoying the hell out of me, and now my dog potentially has cancer. Need I say my emotional strength was and continues to be tested.
Anyways, to continue my rambling, over the summer I started to notice some slight behavioural changes in my dog. His July blood work came back pretty much the same. Status quo continues. Then he starts getting sorer in his legs. Almost every morning he gets up limping, and similarly when he gets up after lying down for a while after exercise. By the end of Aug, I become convinced that he is indeed now drinking and urinating more frequently. Plus, he is starting to become more lathergic and, at times, I can tell he's feeling a bit depressed. So I arranged for him to go in for a full day last friday. The vet gives him the best physical exam I have ever seen a vet perform (we were in the observation room for an hour and twenty minutes - best $45 I've ever spent at a vets). She feels a little bit of "crunchiness" in his front legs, but other than that she likes the look of him - nothing feels abnormal in the belly, lumps and sists are unchanged etc etc. We do xrays on the legs for checking for signs of arthritis or fractures or tumours etc. and he also has his blood work done again (it comprises having his adrenal gland's production of steriods artificially surpressed and then having blood samples drawn across the hours and having counts performed - thereby monitoring if his adrenal gland is functioning properly). Results to come after the long weekend.
So, in the meantime, he seems to be doing pretty good and I take him for a couple of hikes - limping, as I've come to expect, in the morning. He also begins to start licking his legs, in particular his right front leg. Wed I finally hear back from the vets - radiographs show nothing (no signs of arthritis, tumours, fractures). However, results from the blood work are worse from last time. They suggest we begin chemo and I concur. The meds have to be specially ordered in and won't be recieved until monday (tommorow). The following day one of the vets calls to discuss the chemo treatment and to answer some questions I had. At the same time I ask for them to have the sist on his front right leg removed - his licking of his leg so much had ended up with the sist getting all inflammed and stating to bleed. Unfortunately they only do surguries Thurs and Tuesdays so I'm out of luck until this coming Tuesday. So I wrap up the spot so he can't get at it and its doing a pretty good job, expect that it keeps coming undone (ackward spot right at the "elbow"). So what I've been doing is take it off for short walks around the block etc. and at night to give him so relief. This has meant me sleeping in the living room on the couch just so I could prevent him from licking at it - and its working, inflamation down, scab healing. (Him sleeping in the living room is actually one of the behavioural changes that has unfolded over the last couple of months - he used always sleep beside my bed).
Its strange how things changed so quickly. Yesterday he seemed quite happy and energetic - he had quite a lot of strength yesterday while playing tug of war. Then shortly before 3AM he started whimpering to go out. He collapsed on the front lawn. I managed to coax him to get up and very very slowly he climbed the stairs and went back into the house. Same thing like last year - parks himself in one place and doesn't want to move (Although this time round there is no yelping or whinning). His breathing is short, shallow, rapid breaths, heart rate up. He constantly lifts his head and seems to favour one side...then shortly later on he will favour the other side. Extremely depressed and generally unresponsive to my best attempts to cheer and comfort. At 6AM he doesn't budge for breakfast. When my dog doesn't move for food, there is something seriously seriously wrong. He does however take another huge drink (had brought a bowel to him a 4:30 with the same results).
At 7AM I get him over to the emergency clinic. The vet takes a look - shows me his gums > next to no colour. Says he's dehydrated. Listens to heart and chest, feels pot belly (which has become the most distended I have ever seen it). He takes him to the back right away for chest/abdomen xrays and to start a IV. Says he's going into shock. An hour later, vet comes back (without the dog) and shows the xrays. Not good. His spleen is about the size of my foot, and his liver is enlarged too, pushing up against the lungs and heart. Additionally, there was a lot of fluid in the abdomen - likely hemmoraging. The vet didn't beat around the bush - its most likely cancer. I was then left with the uncomfortable decision of how to proceed. Put it this way, its costly. Very costly. And this just gets to determine if its cancer or not...plus some level of care at making him more comfortable and removing the immediate danger to his live. I choose the most cost effective root (most bang for the buck) for the time being. He's still at the hospital and was to undergo some blood work and stuff. The vet suggested not going to the back and seeing him before I left because he was calm - said he was actually more alert now, so was probably responding to the shock IV they gave him. That was hard, but I was happy to hear that he wasn't as bad off as when I brought him in.
I should go and give them a call to see how he's doing - its been 6 hours now. Sorry for the long long post. Its just theraputic for me and helps me to access the whole situation. I felt like shit before. I still feel like shit, but I think writing this has taken some of the edge off. Sigh...sad times to come.