Showing posts with label Dr. Pastor. Show all posts
Showing posts with label Dr. Pastor. Show all posts

1.12.2010

Without a Leg to Stand On

How do you say “Bon Voyage” to a leg? After much back and forth, countless tears and gray hairs on my part and I’m certain some number of years off my life; Girly Girl’s fate has finally been determined.


The good doctors and pathologists put their knowledgeable and specialized heads together to determine that Girly Girl does, in fact, have osteosarcoma.


Through two months of scans, x-rays, blood tests, consults, biopsies, aspirations, ultrasounds, more consults and pathology smears we went from osteosarcoma to bone cyst to osteosarcoma, back to bone cyst, to cancer of some unspecified type, back to bone cyst, then to hemangiosarcoma or osteosarcoma and finally settling on osteosarcoma. This was, as you might imagine, a bit of a rollercoaster ride in just about every sense of the word.

Ironically, as a result of this crazy ride, I was never so happy to hear that Girly Girl actually had osteosarcoma as when Dr. Pastor called us last night with the final diagnosis. Since hemangiosarcoma is so much more aggressive and has so few treatment options, we were far better off if she had osteosarcoma. I never could have imagined sending out an email to friends and family with the subject line “It’s Osteosarcoma!!!!” Just like I was announcing the birth of a child. When I first stood in Dr. Edelbaum’s office during the first week of December looking at the tumor on Girly Girl’s x-ray and first heard the diagnosis of osteosarcoma, I thought the world had ended. Back then I cried for days and days. From there to actually being grateful for osteosarcoma? Who knew?

For those who may not know, the standard course of treatment for osteosarcoma in greyhounds if it has not already metastasized is to amputate the leg. After that you go through a course of chemotherapy. So without further delay I scheduled Girly Girl’s surgery with Dr. Pastor. We go tomorrow. Once you get a final diagnosis, there is no more messing around.


Now that it is scheduled, suddenly, I had to take a real hard look at the fact I was preparing to hand over my heart dog, the furry love of my life, so that they can sever what appears, on the outside, to be a perfectly good leg. Up to the time it decided to give quarter to a deadly invader, it was a great leg. We liked it. It definitely served its purpose. Until it turned traitor, it had never been lame, never faltered. It has a lovely paw with pads that smell like corn chips. It is her dominant leg. When she performs her “Human Whisperer” trick that is the leg she uses. I don’t think she’ll be able to perform that trick anymore once the leg is gone.

So on the eve before the surgery it became important to mumma to celebrate her leg. It had been a good friend for most of her 6 years and we were facing a difficult procedure and recovery to be parted from it. How to say goodbye to a leg? Well, we kicked off the evening with a happy hour. We had appetizing treats. Blue, Girly Girl and I enjoyed time together. I got out the video camera and for the last time Girly Girl performed her “Human Whisperer” trick for the camera. I had never thought to capture it on film before. Funny how that is. We have performed the trick on stage together during the Pet Idol contest at the Adoption Expo at the Raynham-Taunton Greyhound Track in Massachusetts before. But I had never put it on film. It seemed important to memorialize it as Girly Girl ran through it a last few times.

We followed our happy hour with a special dinner including Girly Girl and Blue’s favorite canned food. Girly Girl got an extra portion since it’s likely she won’t be eating again for a few days and even then she won’t have a big appetite. We spent the rest of the evening cuddling together on the couch where mumma said her goodbyes to the offending leg. I wondered what they would do with the poor leg once it was no longer part of Girly Girl. But then I decided I probably didn’t really want to know the answer to that. The leg still has the staples in it from the bone cyst procedure. They probably won’t even bother to remove those. This poor leg has been through quite a bit already and will soon meet an inglorious end.

The fact that Girly Girl will be a three-legged dog makes no difference to me. She will be as beautiful to me with three legs as with four. She could have two legs, or one eye, or no ears and it would make no difference to me. The piece I struggle with is making such a life altering decision for her without any idea if this is what she would want. It is very hard to know what she is about to go through and wondering if she would think it is worth it. If she would sanction it should she have a voice in the matter? These are decisions I never envisioned having to make as a greyhound caretaker though we all know cancer is a real possibility when we sign on. I wonder if the decision I am making now, to put Girly Girl through this, will leave me in her eyes, without a leg to stand on.

1.01.2010

We Have Cancer

She has osteosarcoma. That is the scariest and loneliest thing I have ever been told. Girly Girl is now facing a terrible disease with an end game that is, at best, dismal. We have cancer. Except it didn’t take me very long to learn that we were anything but alone. And that it wasn’t just Girly Girl, Blue and I who were facing this. There were so many resources out there just waiting to lend us their knowledge, strength, shoulders, ears, experience, hugs, encouragement and support. In the darkest moments, when things seemed most hopeless, so many heroes have appeared and pointed the way.


Family: Grammy and Charlie provided a safe haven for Blue when I had to take Girly Girl to appointments and procedures. They took care of Girly Girl with the tenderest care in order to allow mumma some time off with friends every now and again. They spoiled both Blue and Girly Girl. They understood how Blue and Girly Girl are my children. They let me cry and cried with me.

Friends: They also understood that Blue and Girly Girl are my children and never once behaved any differently. They checked on me and Girly Girl constantly and let me know they were there for me, whatever I needed. They let me cry and cried with me.

My Meet and Greet Family: They formed a tight circle around Girly Girl, Blue and I. They checked on us daily and sent us encouraging and supporting emails. They offered their service, their knowledge, their resources and even offered to pool funds to help us pay for Girly Girl’s treatment. They let me cry and they cried with me.

My Facebook and Twitter Friends: They offered their support and encouragement. Many offered their experience which was invaluable in figuring out what to do and what not to do next.

Work: My bosses (who I am also blessed to have had as friends before they became my bosses) also miraculously understand that Girly Girl and Blue are my children and have allowed me the time I’ve needed to bring Girly Girl to her appointments and procedures. They never hesitated once. From the minute I told them of the diagnosis, they told me to take the time I needed and to do what I needed to do and they are still telling me the same thing.

The Animal House: Our favorite pet supply store. Aubrey and Dan Martin who own and operate this store believe in a holistic approach to pet care. We have considered them friends and mentors ever since we met them. They have provided us with all their knowledge regarding nutrition and supplements for cancer patients as well as their experience and support.

Help Your Dog Fight Cancer: A book recommended by Aubrey at The Animal House. This was written by Laurie Kaplan. It was the only book we could find on the subject and turned out to be a wonderful resource. It wasn’t osteosarcoma specific but well worth the read nonetheless.

Grey Talk: A group of greyhound fanatics who have found a home on the web. There are all sorts of forums in this community including Greyhound Health. The people in this community are, without a doubt, unsung heroes. Anyone posting a thread about their hound’s health issue can count on immediate feedback with support and shared experience. They are there 24 hours a day, 7 days a week. You are NEVER alone.

Dr. Laura Edelbaum: Our family vet. We love her. She is allopathic but has an interest in Traditional Chinese Medicine and has a working knowledge of supplements as well. When we first went to her regarding Girly Girl’s limp, she felt it was orthopedic given the signs. But she was willing to consider my concerns and set up the x-rays that revealed the tumor earlier than we may have otherwise discovered it.

Dr. Guillermo Couto: We had heard Dr. Couto speak at the Raynham Adoption Expo so we knew to reach out to him, but even if we had not, so many people in the greater greyhound community directed us towards him, it would have been hard not to end up at his doorstep. This is another unsung hero. Here is a doctor who heads a very busy Greyhound Health and Wellness Program at Ohio State University. He spends time volunteering at a greyhound rescue clinic in Spain, he does research and he is willing to consult, for free, on the cancer cases of retired racing greyhounds. He responded to our numerous emails quickly, even when he was out on vacation. Not only that, he took the time to give us some words of encouragement and support along the way.

Dr. Erin Romansik, NEVOG: When our local surgeons were unwilling to work with us regarding my wishes for Girly Girl’s care and were unwilling to even speak with Dr. Couto’s colleagues at OSU, we were at a loss as to where to go next. There weren’t a lot of options here in Maine. Dr. Couto suggested the New England Veterinary Oncology Group in Waltham MA. We saw Dr. Erin Romansik and he was wonderful. When the Fine Needle Aspirate he attempted was unsuccessful, he worked with us on the next step.

Dr. Karen Pastor, Massachusetts Veterinary Referral Hospital: Dr. Romansik referred us to Dr. Pastor and we were again in very good hands. Dr. Pastor, a surgeon, consulted with us about doing a biopsy but in the end, after a day spent there, we ended up doing a different procedure. We now await the pathology results and the next steps. Not only did Dr. Pastor make it clear she cared about Girly Girl but when she learned that Girly Girl is my heart dog, she took time to show me a photo of her “soul mate dog.” A beautiful, giant, harlequin Great Dane. The 5x7 photo sits framed on the counter in the examining room among the many photos from her patients.

So though sometimes it feels pretty lonely, with a team of heroes like this behind us, we’ll continue to fight. You see “we” have cancer.