Diagnosis – Meg the Tripawd

Inconclusive results

I worked from home on Wednesday waiting for Meg’s aspiration results to come back. At 4:30pm I decided that the results must have got delayed and turned my phone back onto silent, only to miss a call from the vets at 4:34pm. Called back and was told the vet would call me back when she had the chance.

Still feeling nervous, I headed off to a function an hour later, telling my partner (Tim) to get in touch with the vet clinic and have them call him instead. Another hour or so later I check my phone to see a message from Tim saying “let me know when you can chat” (about Meg’s results). That was a heart sinking moment. You don’t have to chat about benign tumours… after a few messages with Tim and reading the pathology report we got emailed the results were in. Inconclusive whether the tumour is malignant or benign, it mostly looks benign but there is a few rare, small, areas of cells that could be malignant.

The path report said to take a biopsy, and I guess the vet figures when a tumour is only 1cm or so big, just take the entire thing out. So surgery is needed again for poor Meggypeggyposis. I’m a little relieved that the results seem kind of positive, or at least not entirely negative. I mean, if it is a malignant cancer, at least we won’t find out until the tumour is already gone, and by the time we find out Meg will be cancer free again hopefully.

View this post on Instagram

Comfort frens

A post shared by Meg & Dotti 🐶 (@meg_and_dotti) on Jun 20, 2018 at 4:01pm PDT

Fingers crossed for our budget, and more importantly fingers crossed for Meg!

“Have you noticed this lump on her mammary gland?” Here we go again?

So yesterday Meg went in for another heart check up and to have x-rays on her heart and chest to see if she needs to start medications for her heart murmur, at a different vet than the pushy one who made us feel super uneasy about Meg’s future.

While she was only in for x-rays and wouldn’t even be going under anaesthesia or anything I was still nervous waiting for the call that she was fine after the “”procedure”” (as the vet clinic called it).

After an unproductive morning of worrying I finally got the call from the vet.

The heart is enlarged (it has always been enlarged since we adopted Meg in 2015 so no shock) and she should start on medications to prevent heart disease. As we expected. Phew I thought, and expected the call to end around that point after confirming when we would be in to pick up Meg. But the call kept going

The blood check showed liver enzymes are a little high, well, one specific one that can go up and down and it needs to be checked in three months. My heart skipped a little, what does that mean? Is she sick? Is her liver not working properly? Is it cancer?

And then it got worse. “Have you noticed this lump on her mammary gland?” the vet said. We had indeed noticed the lump, it had been there ever since we had Meg and slowly got bigger, but any other vet we had seen had said its probably nothing or not mentioned it at all, one had even said they thought it was loose bone cartilage. This vet though, perhaps a better vet, had aspirated it and wanted to know if we were happy for it to be sent off to the lab. So my heart sunk and the rest of the phone call was a bit blurry, as I quickly began to google “high liver enzymes dog” and “mammary tumour dog”.

When we picked up Meg the vet explained that mammary tumours are very common in dogs that weren’t desexed as puppies (thanks, Meg’s old owners), and there is a 50% chance it is benign and 50% chance it isn’t. If we lose that coin toss, it is another 50% chance it is a type that generally doesn’t spread, and 50% chance it is a type that spreads. From my googling, I think things are in our favour, the lump is small and the fact she has had it for years, it is slow growing, and not shown symptoms probably indicates it isn’t an aggressive, cruel cancer? I’ll be glad to know though, and once again feel silly for trusting vets words to not worry about something. I was feeling pretty relaxed about it, even if it is cancer, hopefully it will just be a simple surgery to remove a lump, but this morning I saw a missed call from the vet clinic and nearly threw up expecting it to be the pathology results, so perhaps I’m not as calm as I thought. It was simply the receptionist wanting to know if Meg was okay after being at the vets all day yesterday, which is a nice touch, but one that has sent nerves through me all over again. The other possibility is it is a mast cell tumour, but again, given how long it has been there for fingers crossed that means it is just sitting there, not spreading?

As for the heart news, I’m feeling glad that I stuck with my gut about the other vet we saw who wanted to start her on diuretics and other medications for actual heart disease, without checking if Meg actually had heart disease yet. The vet we saw yesterday was adamant they wouldn’t of really helped the situation, and given the side effects of diuretics I’m glad Meg won’t need them for a while hopefully. So I suppose the lesson here is trust your instincts and second guess your vet about everything.

Fingers crossed for good news about the lump – the results should be back tomorrow *gulp*.

Love to all your tripawds!

PS I finally added some photos from our holiday on my blog about it – beach meg

Meg’s annual health check up

It has been a while since I have updated Meg’s tripawds blog, I suppose it is a case of no news is good news.

Since Meg’s ampuversary we’ve moved houses to a place with a giant yard and no stairs, which is great for Meg. We’ve fostered a cheeky greyhound over the Christmas period which both Meg and Dotti have loved. And finally we got up to Meg’s annual check up.

Meg, Steven the foster greyhound, and Dotti

I’ve been anxiously approaching the day. I spent the day feeling pretty sick about it actually, planning for something terrible. Its not as if Meg has any obvious health issues, a bit of coughing that seemed to be an annual occurrence throughout summer, but when a dog who has a collapsing trachea, a heart murmur and a cancer history has her check up, you know something won’t be right. So the vet went through each step of the check up – dental (needed), preventative heart worm tablets (needed), temperature okay, diet okay, squeezing of the organs to look for tumours okay, heart – issues.

Since we’ve had Meg (two years) she has had a grade 3-4 heart murmur, but now there is crackling in the lungs indicating theres fluid, and it is a definite grade 4. I swear our old vets always said there was a bit of crackling, and really we should’ve taken her back to her old vets (difficult to do out of work hours), but nevertheless, the new vets think she should start on diuretics and another heart drug. They said they now start them on drugs when they have a grade 3 murmur, so I suppose its much of a muchness. It wasn’t as if I wasn’t expecting that Meg would have to start on heart meds at this check up, but the reality of it happening has me a bit sad. I know she can live for years with medication and treating her is better than ignorance, but reminders of her inevitable trip to the rainbow bridge is never easy.

Anyhoo, she is going to start her diuretics in the next few days, and maybe the other, apparently expensive, heart medications if they don’t clear up the fluid quickly. So we probably need to invest in a lot of pee pads and a few more water bowls. I feel awful that Meg is going to have to go through peeing so much, the vet didn’t exactly sum it up in nice way, “she’ll be up every half hour during the night” etc but I guess it is for the greater good.

Anyway, I was feeling like I needed to explain all this to people who got it, and it hit me that was all of you on tripawds! I hope all your pups are doing well, and if you know of any supplements/natural extras that we can give Meglet to help her lil old heart I’d love to hear it.

Maybe we should invest in some dog diapers?

A year since discovering Tripawds!

A few days ago I opened my “you have memories on this day” notification on facebook, and I was shocked to see a post about Meg’s biopsy from one year ago. I was aware her ampuversary was next month, but it didn’t really occur to me it had been over a year since we took her into the vet to have the strange lump in her leg looked at, a year since she had her biopsy surgery, and one year since I googled all sorts of questions about tumours in dog legs. I saw numerous tripawds blogs and forum posts, I marvelled at the nice little community, but felt I’d never have to worry about it. The vet said if the lump was anything bad, they’d just take it out, simple. Amputation was a back of the mind thought.

Which brings me to the upcoming anniversary, the 26th of august, Meg’s diagnosis anniversary. One of the most stressful, upsetting days I can remember, and probably one of the days I’ve never been more thankful for this site. After hours of crying and stressing, the idea of amputation, opposed to aggressive surgery or palliative care, seemed do-able, all thanks to this site, the blogs about surviving dogs, the youtube channels, the support and kindness in the forums.

Meg has come along way since her diagnosis, and I’m happy to say she is happy and healthy one year on and I’m excitedly hoping nothing unexpected comes up before her ampuversary and we can have a nice celebration for her.

Thanks for everyones love and support over the last year – it means the world to all of our lil pack!

Post op day 4 & 5 – off come the bandages

Day 4

Day four was again up and down, with its own set of complications and accomplishments. Meggmoo, our gooseberry, was not interested in food at all. Breakfast, nope, lunch nope, dinner, hand fed after pleading!!

This made things difficult given the vet said she strictly needs food with her daily rimadyl medication or she’ll be sick. She ended up reluctantly eating one cheese slice. That counts right? She hasn’t been sick anyway!

She ran up the steps, again, much to my horror because she ran faster than she ever has as a quad dog, I was sure she’d slip!

She spent the rest of the day snoozing while I stressed over the fact 1) she wasn’t eating 2) she was /still/ managing to do too much exercise (including trying to jump up onto the couch) and 3) we were quickly approaching day 5 and she still hadn’t pooped yet! Pumpkin, sweet potato & lamb baby food to the rescue!

Day 5

Once again, Meg showed no interest in food. It isn’t uncommon for Meg to not want breakfast, but damn it is irritating when she is recovering! She had a few bites of chicken for breakfast, and another cheese slice with her rimadyl. Once again she seemed pretty worn out and sore – she has been shaking most of the day. It is hard to tell what is her natural chihuahua shake and what is pain.

At around midday, Meg shot up from sleep and raced to the door. This was promising given she hadn’t wee’d since the night before! She did a long wee and then stayed in the garden. I held my breath and she squatted her bum down, trying to balance. And there it was. A long waited for, very orange and smelly poop. Finally! 5 days in the making.

This afternoon we all made the trip to the vets for a check up! Vet says we can lower Meg’s tramadol to see if that improves her appetite, but I pointed out her pain issues and she was just as confused as me with what to do. Back to trial and error! The fentanyl patch and wound bandage came off, all was looking well. Then came the big news – the biopsy results from the lymph node in the cancer leg. The vet started saying there is good news and bad news (oh god!) but it seems mostly good, there were mast cells in the lymph BUT they weren’t cancerous (yet?). The vet wasn’t surprised given the tumour was pretty large and close to the lymph. So reluctantly for now, she is seemingly in the clear, but not out of the woods. Chances are we got all the cancer, but a cell or two could’ve been missed and could’ve spread. For now we sit and we wait for any signs of spread to the organs, or any new lumps for that matter, and then we looking into chemo options.

Honestly, I’ve expected the entire time that her cancer journey wasn’t over, and I’m expecting in the future we’ll face a choice of what to do. For now though, I am just happy that she *might* be cancer free, and can get on with living her happy little Meg life.

She is doing a great job of that this afternoon, running around the house like a lunatic (I think she is happy to be bandage free), we’re struggling to keep her still!

Crazy eyes! Hyperactivity episode underway. How did I end up behind a pillow?!

Settle down Meggymoo, still another 9 days until those stitches come out!