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My dog has leukemia.

SynonymousSynonymous Registered User regular
edited April 2007 in Help / Advice Forum
I have an 8-year-old female yellow Labrador. Last week, I noticed a bit of blood in her urine, so I brought her to the vet. He thought bladder infection and prescribed Trimethsulfa. A couple days into the medication, my Lab suddenly started having periodic coughing fits - like a cat trying to cough up a hairball, only, of course, nothing would come up. Worried that my dog was having a reaction, we (meaning, my mother and I) had an emergency vet visit - with a different vet than our regular. He took a look, noticed her breathing was a bit rough and her lymph nodes were swollen, and gave a diagnosis as either a) systemic infection, b) fungal disease, or, most likely, c) cancer. Shocked, as the Lab seemed happy and alert and not so seriously ill, we saw our regular vet today. He confirmed it: he thinks she has leukemia (based on checking her lungs through the stethoscope and feeling the lymph nodes).

At this time, we were given two options -

a) give her prednisone to control the coughing (for 2-3 weeks only), but let the cancer run its course until she can no longer go on. With this, as he believes the cancer to be aggressive from the symptoms, she'll probably have a few weeks and most definitvely won't see June.

b) get her X-rays and a biopsy to determine the stage of the cancer, then put her on chemo (both pills and injections likely, he says). With this, she'll get another four to ten months.

My mother cannot be trusted in this situation, as she relies on a lot of New Age baloney and, though she loves the Lab, is apt to do what's easier over what's right. She also lost a dachschund through some careless anesthesis years ago (*not* from this vet) and is completely against the biopsy, as our dog'll be knocked out in the meantime. Money is not an object; I can borrow.

If I can give my dog four to ten extra months, I want to do so. I don't, however, want those to be months where she's suffering and coughing. The vet says that, other than pills and injections, she'll be fine, but I'd like some more info. (Other misc. info - her breath is often short and huffy now.)

I'm rattled now (the last vet visit was an hour ago, and if she's to have a biopsy, it'll happen tomorrow morning), so this list of questions is probably not exhaustive. For starters, though -


-Is a biopsy a big deal, relatively? (He'll be removing one of the lymph nodes near the back legs.) My vet says no, but - is it going to be a horrible hardship? (My mother's under the impression that if the biopsy is done, the cancer will get even more aggressive or spread.)

-Has anyone had a dog go through chemo? How was he or she during treatment? The vet said that, unlike with people, the side effects were nearly none, save for increased appetite. (He said, without staging things, that she'll probably be in twice a week for 3-4 weeks, then every three weeks in the long run.)

-If I opt for chemo, will she still be coughing throughout?

-Are there any tests I should ask to be done?

-If these are her final, final days, is there anything I can or should do for her to make things better, besides taking her to the beach, giving her her favorite foods, etc.?


And, obviously, what would you do? If she's only going to have weeks left, I don't want them spent in the doctor's office. OTOH, if I can give her more quality life, I want to do so. It's just such a shock - we had our other Lab pass away a couple years ago, but he had deteriorated so physically and mentally. Our Lab now, except for - heh heh, *gee* - the cancer, she's in her prime, which will make putting her down even more hellish.

Synonymous on

Posts

  • milehighmilehigh Registered User regular
    edited April 2007
    My dog died of leukemia, she was only 5 at the time. We talked to a number of people who had gone through a similar situation, and everyone (well, 3 people) who had gone through the same thing told us to let her go. They all said the situation was extremely draining emotionally and financially and it was hard to see the dog go through it. All 3 of those dogs died within a year or starting the chemo, two within 3 months, all of them spent a significant amount of time at the vet.

    So we opted to do the prednisone and really take advantage of the last few weeks, it's rough, it's rough seeing your dog deteriorate like that when only weeks earlier she was running around the park and jumping 4 feet in the air (she was an miniature American Eskimo) It was hard, and we were constantly second guessing ourselves since she was so young. I still don't know if it was the right decision, but based on the information we had (From everyone I've talked to, chemo is a long and demanding process on both you and the dog.) I wouldn't go back and change it. However this is one of those things that you have to think and meditate on and go from there.

    milehigh on
  • SniperGuySniperGuy SniperGuyGaming Registered User regular
    edited April 2007
    A biopsy is just when they stick a needle in there, withdraw some cells, and check them out. That's what it is on a human anyways. And if it's the same, well, while I am not a dog, i've had it done to my friggen head before and it wasn't that bad.

    SniperGuy on
  • SynonymousSynonymous Registered User regular
    edited April 2007
    I'm not familiar with human biopsies, but with a dog, they cut out the lymph node, hence the anesthesia.

    Synonymous on
  • DrFrylockDrFrylock Registered User regular
    edited April 2007
    There is no reason whatsoever to believe that a biopsy will have an effect on the cancer or spread thereof, because there's no connection between the two. There are two types of biopsies that you can do: a needle aspiration biopsy and an excision. A needle aspiration biopsy is what the above poster was talking about; these are done with a needle and are relatively non-invasive but also only useful in certain circumstances. If they have to put the dog out, then it's likely an excision biopsy, where the dog will have a very small incision, a lymph node will be removed (he's got a zillion of them, he won't miss one), and the dog will be stitched back up. The excised tissue is then either frozen or not, sliced into thin little slices, and somebody at a lab looks at it under a microscope for evidence of cancer (or not).

    Before you commit to anything, find out what the costs will be for treatment. Without pet insurance (and I recommend it for everybody), you will likely be paying something approximating human costs for the same treatment.

    DrFrylock on
  • ben0207ben0207 Registered User regular
    edited April 2007
    Honestly? This isn't about money, nor is it about you. It's about the welfare of the animal. It sounds like you could be saving her a lot of pain and anguish by having her put down while she's still in her prime.

    It gives you something nicer to remember, and it's the the most decent thing you can do for her.

    ben0207 on
  • SynonymousSynonymous Registered User regular
    edited April 2007
    ben0207 wrote: »
    Honestly? This isn't about money, nor is it about you. It's about the welfare of the animal.

    Of course, but one of my main questions is what might *be* her quality of life should she undergo chemo.

    I appreciate the answers so far. If there's any other advice available, I'd be grateful.

    Synonymous on
  • archonwarparchonwarp Registered User regular
    edited April 2007
    I hate to jump on the "put her down" bandwagon, but I just went through a similar thing with my lab, and let me tell you that as much as it sucks to do that, it's better than the dog suffering. Ours had a large cancerous tumour (volleyball sized when filled with fluid) in his chest cavity. As much as it hurt to do, he had a look of peace and calm over his face, as if he knew that he wasn't going to hurt anymore. I hate to say it, but you might just need to let her go, even though it hurts.

    Also, from what i know about chemo, there are three different types. The type they would probably use it just designed to buy some time. It really isn't too good on the body, as its being flushed with a lot of chemicals that cause you to weaken severely.

    archonwarp on
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  • APZonerunnerAPZonerunner Registered User regular
    edited April 2007
    Whatever you decide to do, as someone who's lost a pet just recently in January, the only piece of advice I can give you is to just... love her.

    Love her to bits and treat her like she's the only thing that matters for those final weeks. We had it with my pet, and we were so nice and tender to him and he appreciated it so much. You really could tell that he understood and was thankful for it all. And so was I. It made losing him so much easier, knowing everything I'd done for him beforehand. Knowing we made him happy and comfortable.

    Second... yeah, if you feel distraught after everything's gone down, don't be afraid to post about it, or talk about it, here or elsewhere. That's honestly the biggest piece of advice I can give. You've lost pets before, but... I dunno, so have I, but with this particular pet it was different, and I was just unapproachable for quite a day or two afterwards.

    I would take whatever route provides less pain. In the case of my pet, we decided to put him down instead of having more time with him - we didn't want him to be in pain for a long time. We wanted him to go peacefully and not endure a lengthy, painful illness.

    We knew what was happening and so we gave him some time; we had fun, fed him well, and gave him a lavish last meal of sorts... and that made me happy. Even when he was gone. Ultimtely it's about what you feel is right for your pet, but I'd urge you to do whatever puts her in the least pain.

    APZonerunner on
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  • 28682868 Registered User regular
    edited April 2007
    My dog, and best friend, Gunner, died in July from Osteosarcoma. From the moment I noticed the tumor it took two weeks to metastasize to his heart. I tell you this because I loved Gunner. I threw up when I found out he would die. I am not over it and I won't ever be over it. It is important to know this, I did everything I could to save him but ultimately, when Gunner could no longer enjoy his life, I made the proper decision and allowed him to peacefully die.

    That's my story, I hope yours is different. I tried everything, I loved Gunner, but I still helped him the only way I could.

    Cancer treatment with dogs and cancer treatment with humans are different. Dogs just know that they are suddently worse, you can't explain to a dog that you will feel worse than you've ever felt, but then possibly get better. Many dogs die during treatment because they cannot cope with it.

    When a life is no longer worth living sometimes it is best to let it go. This may not be helpful advice, or even advice at all, but spend every moment with your dog that you can while you can, make her happy here before she has to leave you. And talk to your vet at length about what is right for her, he'll know.

    Side note for anyone else reading, please get pet insurance for your companions, it makes life easier for you and them. My dog Humphrey had parvo treated, and a Hip replaced, as well as Gunner's osteosarcoma treatments covered, at only 30% cost.

    Death sucks, when my favorite author's dog died he wrote this:

    "Last night I drank a hundred proof quart and looked at a photo of my sister. Ten years dead. Show me a single wound on earth that love has healed. I fed my dying dog a pound of beef and buried her happy in the barnyard."
    --Jim Harrison

    2868 on
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  • phoxphyrephoxphyre Registered User regular
    edited April 2007
    Whatever you decide to do, as someone who's lost a pet just recently in January, the only piece of advice I can give you is to just... love her.

    Love her to bits and treat her like she's the only thing that matters for those final weeks.

    My sympathies. As another who's lost a pet recently (3 weeks ago, I hate cars), all I can say is that it *sucks*.

    So, love your dog, and take lots of pictures, and make lots of happy memories to think about afterwards. Because those are the things that keep them alive after they're gone.

    And remember that everybody grieves differently. You're not a freak for being upset now -- or then. Just because they have fur doesn't make them any less Family.

    (And now I'm going to go have a private sniffle for my Koru :()

    phoxphyre on
    Remember the Slug; They have all the disadvantages of Snails, but without the benefit of home-ownership...
  • Blake TBlake T Do you have enemies then? Good. That means you’ve stood up for something, sometime in your life.Registered User regular
    edited April 2007
    You can always go and ask a second opinion of another Vet in regards to their pain and what not.

    The other thing you need to consider is can you afford to pay for the chemo, it will not be cheap at all. While I'm definatly not saying you don't love him, you might not be able to afford it and depending on how healthy the dog is it may drag the poor thing through hell.

    I would get a second opinion and see what they said. Personally I'd purely consider the dogs Quality of Life. We put down our cat recently because she wasn't eating and couldn't do anything. Her Kidney's failed her. She was around for 20 years so I could take solace in the fact that it wasn't as if she was taken from us early and we spent heaps of fun time together.

    Blake T on
  • meekermeeker Registered User regular
    edited April 2007
    We had a Chow that had Leukemia. She was an amazing dog. My parents took her to Iowa State and spent thousands trying to get her better. She died in 1995 at the age of 5. Throughout the entire chemo, she was lethargic and spent most of the time laying on the tile floor in the bathroom (she was an outside dog.) For 7 months she was in pain and although we tried our best to keep her comfortable and happy, I will never be quite convinced she was.

    One thing to remember is that dogs will often bear a whole lot of pain before they show signs. Pain is a sign of weakness and a pack animal never wants to show weakness. Ask my Boston Terrier who punctured his cornea and walked around just fine for 2 days.

    meeker on
  • crakecrake Registered User regular
    edited April 2007
    Don't forget to take her emotional state under consideration. While the medical care may keep her in decent physical shape for a few months, you need to look at how her life style will be affected. This is something only you can answer as only you know her current life style and personality and how she reacts to change.

    This will be stressfull, not necessarily painful, just stressful. Lots of vet visits, lots of exams, lots of uncomfortable procedures, etc. Mentaly, this may make her absolutely miserable.

    *personaly* I would allow her to live out the remainder of her life at home without the stress of the medical procedures when compaired to how much extra life it would give her. When you're talking in months, it's just not worth the torture on her.

    If you decide to go ahead with the medical care, don't feel guilty though. This is what you're here for - to make the proper, safe decisions for her. Just make sure you are always aware of her mental state as well as her physical state. You *must*not miss that moment when it's suddenly cruel to keep her going.

    crake on
  • ReitenReiten Registered User regular
    edited April 2007
    *IF* the biopsy comes back positive for cancer, I think you should put the dog to sleep. Unless dog chemo is completely different from human chemo, it is no fun for ANYONE. It leaves you exhausted and feeling ill. Humans have the ability to rationalize it: suffer now for future health (or promise of longer life/health). Animals don't have that ability. They only know they feel rotten and horrible. Extending the life by several months through chemo is about your mental health, not the dog's existence.

    Reiten on
  • loopylouloopylou Registered User new member
    hi can i ask what decision u made reguarding your lab? my border collie has been ill for two weeks she picked up last week but i had to rush her to emergency vet last night shes picked up a bit again today but has got to have more blood tests tomorrow there thinkin sepsis but if her white blood cells are still low it looks like leukemia i put a cat through chemo twelve yrs ago but never a dog ive been told it would just b to prolong her life but would her time be quality or should i just manage it with steroids? x

  • The EnderThe Ender Registered User regular
    edited August 2013
    I have to recommend that you either euthanize her, or dope her up so she isn't in incredible pain while the cancer kills her (it will be very tough to watch if you do this, just be aware).

    Chemo is an appropriate treatment sometimes, but not in the case of leukemia that has already spread through the lymph nodes. There is extremely little chance of chemo doing anything other than causing more pain (and expense) after that point.

    I'm very, very sorry. :/


    Chemo is, in essence, a controlled poisoning technique - the goal is to try and kill all of the cancerous cells while minimizing damage to healthy cells. It's very draining and the treatment itself can be lethal. If the cancerous cells get to lymph nodes, unfortunately, there is nothing that can be done other than to hope for a hail mary remission - the cells can go from the lymph network to basically everywhere in the victim;s body, and can't be controlled / contained.

    The Ender on
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  • SkeithSkeith Registered User regular
    If it comes back as leukemia... I'd probably euthanize her. It's a shitty position to be in, but I think it'd be the right thing to do.

    aTBDrQE.jpg
  • CelestialBadgerCelestialBadger Registered User regular
    Vets should not offer chemo for pets, unless owners ask for it unprompted. It lays a cruel burden of guilt on owners, whatever choice they choose. If they choose the chemo, they feel guilt at the animal's suffering. If they do not choose it, they feel that they valued money over their best friend's life.

    You should always refuse the chemo for a pet. As people have said, the pet cannot understand the pain like a human can. Give the pet a great last few days (if they are not suffering) and have them put down the moment they start to suffer. It's the best thing you can do for them.

  • zerzhulzerzhul Registered User, Moderator mod
    The OP has not logged in for awhile, you should probably make your own thread.

This discussion has been closed.