What I’m thankful for

It’s the season of gratitude, and while we’re in a stable spot on our canine cancer journey, I’m reflecting on what I’m thankful for in how we experienced canine cancer.

The Pandemic

The pandemic was a source of fear, stress, and anxiety for all of us. But without it, I wouldn’t have been working from home and able to catch Ziggy’s limp. It’s impossible to know whether we would have caught the cancer as early as we did without the pandemic, but catching Ziggy’s cancer early was certainly a critical factor in his survival time.

The first dog

Ziggy the happy patient after his last traditional chemo treatment, April 2021.
Ziggy, the happy patient, after his last traditional chemo treatment in April 2021.

I absolutely HATE that Ziggy was diagnosed with cancer and amputated a leg before his second birthday. It kills me that he died shortly after his third birthday. But I am grateful that he was the one to lead us on the cancer journey.

Ziggy was the best patient. He always smiled when going to the vet (which was a near-constant occurrence once he was diagnosed). He easily adapted to the tripawd life and showed us what resilience is. Ziggy’s pawsitive attitude and resilience made it easier for us to make treatment decisions and to figure out ways to maximize his quality of life.

Seeing how well he responded (physically and emotionally) to these challenges gives us the strength to make the best decisions for every other dog.

The unexpected prognosis

When we at long last learned that Ziggy’s cancer was hemangiosarcoma, we were devastated and afraid because of how short that prognosis tends to be. He was already three months post-diagnosis when we confirmed the type of cancer. We were incredibly fortunate to have 17 months with him post-diagnosis.

It would never be enough time, even if he’d lived to age 10. This success with cancer treatment not only softened the devastation of losing a pup so young but also gave us an optimistic lens when confronting the cancer journeys of subsequent pups.

Cookie’s Simpler Journey

Cookie recovering from surgery April 2023.
Cookie recovering from surgery in April 2023.

When I first found Cookie’s lump on her leg in July 2021, my heart sank. How could we handle a second dog with cancer? Why is this happening so close to Ziggy? Given their age difference, it should have been unlikely.

While the prospect of two dogs with cancer simultaneously sucked, I’m grateful that Cookie’s cancer (soft tissue sarcoma) was less serious and more easily treated. She’s a terrible patient and tries to find a new family after each surgery, which are two reasons why I’m relieved that she hasn’t needed traditional chemo or radiation.

Veterinary Staff

Photo by Mikhail Nilov on Pexels.com

We’re fortunate to have an amazing holistic veterinarian, his patient and compassionate staff, a terrific veterinary oncologist, and the oncology care team to help keep our pups healthy.

Lessons Learned

I would never wish this on anyone, but this journey has taught me a lot. Sometimes, it seems like common sense (e.g., fresh food is better than processed kibble); everything I’ve learned helps to improve the care for Cookie, Chip, and any other dog that comes along. There’s plenty more that I could (or want to) be doing, but I do the best that I can right now. And I look for opportunities to make improvements wherever and whenever I can.

All the sources that have taught me about healthcare have exposed me to other resources, such as trainers. Exposure to more perspectives in all areas helps me be a better dog pawrent. It’s helpful when encountering new challenges, such as an anxious and sometimes reactive Chip.

Every day Gratitude

Most importantly, these cancer journeys are reminders to say yes to the pups as much as possible. To take them out for activities that bring them joy (like Cookie’s recent beach day and slide escapades). To let Chip lay on me a little longer in the mornings before getting ready for work. And appreciate all the time we are given because you never know when it will end.

Cookie’s Cancer Journey

Cookie’s cancer journey is less dramatic than Ziggy’s, but it’s scary in its own right.

How it began

In July 2021, nine months after Ziggy’s diagnosis, I spotted a decent-sized lump on Cookie’s front left leg, right by her elbow. It shocked me because of its size – that of a very large grape. I was surprised that I hadn’t noticed it sooner. We monitored it for a few weeks before scheduling an appointment with our vet in early August.

Though the vet felt confident that it was benign, I know from Dr. Sue Cancer Vet, that no one could tell whether a lump is benign or cancerous. So we aspirated. It was inconclusive.

Unsure about aspirating again to get another inconclusive result, we scheduled a consult with Ziggy’s oncologist. He was concerned that it may be a soft tissue sarcoma. He recommended surgery to remove and biopsy the lump.

Our primary vet did the surgery and opted for conservative margins. Given the location, he was worried about healing if the margins were too aggressive and it turned out to be benign.

Cookie's front left leg showing the suture site after her initial surgery.
Cookie’s suture site after the initial surgery.

Sure enough, the biopsy confirmed a low-grade soft tissue sarcoma. It required a revision surgery to get full margins.

Cookie’s surgeries were outpatient surgeries with an easy recovery. But each time I picked her up, she tried to leave with another family! And she gave me the cold shoulder for 24 hours. She’s a pretty different patient compared to Ziggy.

Cookie sitting on a bench at the vet, ready to leave before having her revision surgery.
Cookie was ready to leave before her revision surgery.

Cookie didn’t require further treatment, but we did chest X-rays every few months as a precaution. She was probably already on the same diet as Ziggy, but we added some supplements to improve her care.

Oops, it happened Again

In March 2023, a year after Ziggy passed, I saw the same lump in what seemed to be the exact same spot. We again did an aspirate, which indicated the lump was likely cancerous.

This time, our vet recommended a consult with a board-certified veterinary surgeon. He was concerned about the difficulty of the surgery, given it would be round three in nearly the same spot.

The surgeon wanted us to consult with the oncologist before proceeding with the surgery. In her written report, she was concerned about the ability to get full margins and indicated that amputation may be the best approach for a curative result.

The possibility of a front leg amputation on our first furbaby, an agility athlete, gutted us. My husband was immediately against the possibility. I also wanted to be, but I wanted to hear what the oncologist had to say – what the different prognoses may be with different treatment options.

Fortunately, the word amputation never came up with the oncologist. He said the lump was technically not in the same spot, so it wasn’t a recurrence, and removal would be curative.

We did the surgery, got clear margins, and also removed a giant lipoma from her other side. Cookie did well, but this was a slightly harder recovery for her as she’s a little older, had surgery on both sides of her body, and had a younger brother to contend with during her recovery.

One product I highly recommend is a surgical suit or recovery sleeve (I’m an Amazon affiliate and can earn on qualifying purchases). Since Cookie had the lump and lipoma removed on either side of her body, she wore both to protect the suture sites and remained cone-free until the sutures were removed. It’s wise to get more than one to swap them out while washing one.

Ongoing treatment

Cookie, fully recovered, is judgmental about the fake corn maze in Florida.
Cookie, fully recovered, is judgmental about the fake corn maze in Florida.

Our oncologist gave us the option of putting Cookie on chlorambucil, a low-dose at-home chemo treatment, to reduce the likelihood of recurrence for ongoing treatment. Typically, pawrents opt for six months of treatment as it is the standard of care and for financial reasons. We’re fortunate to be able to afford to continue her on the chlorambucil. It’s a chemo that is safe for her to take longer, especially since she’s tolerated it well. We check in with the oncologist every two months and will do chest X-rays every six months or so.