Journal
Friday, January 12, 2001
Chocolate was diagnosed with osteosarcoma today.  She has been limping for a week and a half.  The limp was so slight that I couldn't tell which leg was bothering her, and I thought it was the bitter cold weather and her age.  I could find no sores, no swelling of any kind, and she had not been licking her legs.  I took her to the vet hoping for a diagnosis of arthritis. The x-rays showed what the vet felt was a bone tumor in her right front leg, close to her shoulder. An oncologist was consulted who confirmed the diagnosis - without a bone biopsy, she could only be 99.9% sure, but I'm a believer. 

Poor Chocolate has been through so much in her life.  She's suffered from allergies since the day she was born - flea bites, trees, dandelions, cat & human dander, bee stings, even her first rabies vaccination.  Her allergies are so numerous that her vet was working with a lab in California to create an antigen specific to her allergies. They didn't feel that any conventional antigen would be enough. At times, her legs would itch so badly that she would pick a spot to lick and then proceed to lick that spot until she had an ulcerated sore that would have to be treated with sublingual injections of steroids and oral doses of prednisone. Twice (sometimes three times) a year she would suffer through this.  And always with a smile on her doggy-face and a wagging tail. She's such a brave dog.

My vet tried to prepare me for the inevitable - the prednisone could break down her immune system, or damage her liver if we couldn't find an antigen to work for her.  The last year and a half she has become immunosupressed.   A year ago the vet told me that her blood work resembled that of a very old dog.  She was not producing platelets, her blood wasn't clotting correctly, and kidney function was no longer normal. She was administered intravenious fluids and went on a heavy-duty liquid vitamin and the subsequent blood tests showed improvement.  During the last 3 years she had surgery performed 6 times to remove lumps from her body (belly, armpit, side, leg, and neck). The first 5 were lipomas - benign, fatty growths.  The lump removed from her neck contained pre-cancerous cells, but the tumor was encapsulated and tests showed that it had not spread.

The osteosarcoma doesn't appear to have spread - her lung  x-rays are clear (although there's no guarantee there's nothing microscopic going on).  The tumor appears to be in the beginning stages, and normally treatment would consist of amputation of the leg and subsequent chemo treatments.  With a normal dog - without all this previous history - we would have a good chance of beating this thing and it would be a done deal.  But Chocolates's kidney function has steadily deteriorated and the preferred chemo drug would most likely cause her kidneys to fail.  There a couple of other drugs that can be used for chemo, but they are second choice. And I can't help but wonder - even if she can beat the cancer - how long will it take for her kidneys to quit?  I'm praying for a solution or a miracle (but I know that's just a dream).

I wonder where her courage and will to live come from.  When I tell her she's going to the vet, she runs for her leash, picking it up in her mouth, dancing  in circles.  And each time she's gone to the vet for medical precedures she's been on her feet the next morning chasing squirrels, growling at the mailman, begging for treats, and wagging her tail like mad - and always with a sparkle in ther eyes.  I wonder if she'll come to understand that the vet can't fix everything.

Right now I am thinking I don't have much choice but to keep her comfortable for as long as can - as long as the quality of her life is good - as long as she looks at me with that sparkle in her eyes. When that sparkle goes, I guess we'll make that last trip to the vet.  Right now I think she's reacting to my sadness - she seems subdued. (I suppose that's normal, she's been watching me cry all day - she has to wonder what's going on.) She's still chasing squirrels and meeting me at the back door with a wagging tail when I get home from work, so I don't think it's time to say goodbye yet.  As long as her eyes sparkle, we're going to hang in there.  I don't want to say goodbye, but I love Chocolate too much to be selfish. It wouldn't be fair to let her suffer just because I don't want to let go. We'll do the best that we can with what we have, for as long as we can.
Tuesday, January 16, 2001
I need to make a treatment decision and it's killing me.  I wonder if it would be fair to put Chocolate through amputation and chemo, just to prolong her life 6 months to possibly a year and a half.  What would the quality of her life be?  And what if she's destined to die from kidney failure anyway, and she went through all that for nothing?  I'm inclined to think that maybe her best option is pain relief for whatever length of time she has left.  But I'm afraid I won't know when she's had enough - and how can I face taking her to the vet to be euthanized?  Every time I look at her sweet face, I want to cry.  I don't think my life will ever be the same again.  This has to be one of the hardest things I have ever faced.
Thursday, January 18, 2001
I have one more specialist to talk to, but right now I think the right decision for my Chocolate will be to keep her as comfortable as possible with pain meds until she is just too tired to go on.  I wonder if I am being selfish � am I thinking of her or me - and will I know when it's time to let her go?  She's still wagging and greeting me at the door when I get home for work.  And she is still chasing squirrels and tormenting my cats.  Without amputation and chemo she has from 2 weeks to 6 months of quality life.  Even if she could beat the cancer, there's no guarantee that the kidney problem won't kill her anyway.  Even pain meds could be toxic to her.  So many "ifs" to deal with . . .I can't even sleep at night - I just hold Chocolate tight and wonder how I'm going to get through this.  The only thing I know for sure is when she goes, she will take a part of me with her.

I�ve been singing "Wild Thing" to Chocolate.  And of course, as soon as she hears the words "wild thing", she tears through the house showing me what a wild thing she can still be, even at her age.  I'm going to miss her so much when she is gone.
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