A Path With Paws

I just saw a dog with a similar cancer to Maggie’s this morning and wanted to add one more page to Maggie’s story. I hope this is helpful to the folks out there working with the many dogs who suffer from osteosarcoma. Here is the protocol we used to treat Maggie’s cancer. I use a similar protocol for most of the dogs I treat.

Maggie’s protocol

Also please see my cancer care page

• Three treatment of radiation and three treatments of chemotherapy towards the beginning of her illness.
• Amputation of her affected leg
• A high quality, grain free homemade diet
• A supplement called SanSheDan ChuanBei Ye, which helps to keep cancer out of the lungs. In Seattle this can be purchased at Lucky An Dong in the International District. One of my favorite supplements, it is made from apricot seed, fritillary seed, and snake bile. Often called snake oil by my clients, this supplement is very helpful for any lung condition and for keeping cancer out of the lungs.
• Missing Link supplement to support her body and immune system.
• After she was done with radiation, Artemisinin a powerful anti-cancer herb. This is a herbal supplement in research right now for treating osteosarcoma in people. It is absorbed by cancer cells (which have a high iron uptake) and produces free radicals which kill the cancer cells. This herb can not be given during radiation therapy or for two months afterwards.
• Pain medications as needed
• lots of love!

Please remember that every dog is different and that you should find a veterinarian to work with before starting any supplements.

I found this amazing story today, Cat nips owner’s lung cancer, about a cat named Tiger who diagnosed lung cancer in his person. He would not stop pawing the left side of this man’s chest which he mentioned to his doctor. They found a lung tumor right under where Tiger had been pawing! Because of Tiger’s quick action they were able to remove the tumor and it sounds like his person has a good chance of full recovery.

It is amazing to me how acute animals’ sense of smell is and how they are willing to help us. There have been a number of accounts of dogs diagnosing cancer by smell although this is the first one I have seen involving a cat. Service dogs can detect when people are about to have seizures by smell making it so that people with epilepsy can live normal lives. We all know the tales of the search and rescue dogs who find people buried under buildings or in the snow. And of course there are also the drug and explosive sniffing dogs at the airports and ferry docks.

I have had clients mention that sometimes it is another animal in the house that detects illness in their animal companion long before that animal shows any signs we can see. I know if I wound myself, my dogs will usually find where and want to check it out.

Here is another interesting story about cancer sniffing dogs, Can Dogs Sniff Out Cancer?. Puts a whole new meaning to getting a cat scan (or in a dog scan)!

We are so very thankful to have our fuzzy friend Mel still in our lives. You never realize how fragile life is until you see your dog laid out on the table and know that there is a less than 50% chance that you will never be able to look into his eyes again and tell him you love him. Watching his chest rise and hearing his heart beat but knowing that he is one wrong move away from death.

It was three months ago today that we almost lost our dog Mel to adrenal cancer. On October 29th Dr. Tim Kraabel at Lien Animal Clinic removed a large adrenal tumor and Mel’s left kidney is a three hour surgery. Tim said it was the most difficult surgery of his twenty year veterinary career.

We know that there is still the possibility that the cancer will return but for now we have our friend. He is pretty much back to normal except for the fact that he will no longer eat anything unless it has duck in it. Go figure.

We are also so thankful for having Tim Kraabel’s help. He diagnosed the tumor on a radiograph when both the board certified radiologist and I missed it, and he performed a very difficult surgery most veterinarians would not have been able to do and saved Mel’s life. How to offer thanks for saving a friend’s life? Words can not say enough.

Part 1 of this story

• If I had to offer one piece of advice from working with these dogs it would be amputate if at all possible and the cancer has not yet spread to the lungs. Every dog I have treated has had problems with the pain before lung problems from metastasis. If they have three healthy legs and the cancer is in a leg, amputate and amputate early.
• I have seen these dogs do so much better with combined treatments. Just chemo or radiation gets you so long, and just acupuncture can also extend life but the two together usually more than double the time and quality of life of these animals. Find a good oncologist or a veterinarian who specializes in cancer treatment and a good holistic acupuncturist and work with both.
• Love, love, love. Once again a loved dog who has an important place in the family will do so much better.
• Get many opinions. If one veterinarian tells you there is no hope talk to a second one. We all have our own experiences and expectations. There are many textbooks written on medicine but we all have our own tricks.
• Find some support. Working with any family member with cancer is difficult emotionally and having someone who understands what you are going through can really help. Sometimes that is another member of the family but if you are all alone reach out through forums or support groups.
• Research online. There is so much information available online although don’t believe everything you read.
  • Here is a super site on cancer in dogs. CanineCancer.com
  • Here is my cancer care page. I do not recommend using all the things listed on this page and usually do a consultation with clients to pick the best treatments for a particular animal.

Part 3 of this story

Maggie tries really hard to be a good guard dog. When you come to the door of her home, you can hear her barking in a strange muffled way, which makes you wonder until the door is opened and you realize she has a teddy bear in her mouth. That being said Maggie loves people and once she meets you she is all smiles, teddy bear or no teddy bear. Maggie has a way of smiling with her eyes that just draws people in.

When I meet Maggie she had been diagnosed with osteosarcoma or bone cancer in one of her front legs. At the time her family were exploring options to treat her but one thing was almost certain, regardless of treatment, in a year she would no longer be with us. Bone cancer has a very poor prognosis, usually causing death within three months with no treatment and within 6-12 months with aggressive treatment.

I could tell when I met Maggie’s family how important she was to them. Her family lived in a wonderful older home with one of those grand living rooms and they really liked having photos of those they loved in this space. When I walked in I immediately noticed that there were as many photos of Maggie and the kitties of the household as there were of the human family members. Her family told me how difficult it was for them to have Maggie sick because their previous dog had died of lung cancer and now Maggie also had a cancer that usually spread to the lungs.

We talked for a long time about the options that were available for Maggie. They had already seen an oncologist and had set up appointments for radiation and chemotherapy but they really were hoping for some way for Maggie to completely beat the cancer.

I always like to give people hope and tell them that not every animal follows the textbooks and that acupuncture can sometimes dramatically change the course of an illness but at the same time I try to be realistic. I explained that we could probably double Maggie’s time here and make her feel better but that it would be unlikely that we would completely get remission. I remember looking at this beautiful dog so full of life and her family who loved her so much and thinking that it was so tragic that she would not make it to old age.

As time passed Maggie did not get sick but she did become incredibly painful because of the tumor in her leg. I would show up to treat her and she would no longer get up most of the time. When I looked in her eyes, I saw so much pain. I felt so bad that not even the strongest drugs we had and the acupuncture could keep the pain away for her.

Amputation became the only option to stop Maggie’s pain but what a difficult decision. I saw her family struggle with the decision of what seemed like a major mutilation of her body to them. Maggie had lived almost a year with the cancer at this point and by everyone’s assessment she was supposed to be gone by now. Was it worth doing an amputation only to have her die a few months later?

Amputation is one of the hardest decisions for an animal’s human companions to make. So many thoughts go through their mind. Will they still be whole? Will they want to be alive with only three legs? Will they still be able to do the things they love? Will they understand why I did this or hate me for taking away a part of their body?

One day Maggie got up and when she stepped down on her front leg it broke right in two. The cancer had weakened the bone so much that it could no longer support her weight. At this point it became a much easier decision to make and Maggie had the leg amputated almost immediately.

With three legs, Maggie may not be able to go for long walks like she used to and the stairs are sometimes hard for her to navigate but Maggie greets each day with a playful spirit and a happiness to be here. She loves to greet neighbors who walk by and many people in the neighborhood know her as the dog that cancer could not take.

These days I do not treat Maggie as often and our main concern is keeping her legs healthy so she can continue to get around. I feel like coming to treat Maggie is like seeing an old friend.

She rolls over on her side after the needles are in and I stroke her belly and neck. If I stop for even a moment she lifts her head to look at me with those big eyes, “please don’t stop.” There is a familiarity and a comfort in visiting Maggie and it feels like I have been included in her special family of people who she shares her happiness, love and the journey of her battle with cancer.

When I stopped by Maggie’s house this week she bounced over to greet me with a tennis ball in her mouth and than run to the other edge of the yard to pick up another one. She raced around with the two tennis balls and a big smile, “look what I can do.” As I walked up to the door she bounced up and down next to me, “mom, look who’s here, look who’s here!”

It has been almost two years since Maggie lost her leg and close to three since she was diagnosed with cancer. This happy golden retriever with the sparkling brown eyes has beaten the odds.

Part 2 of this story

In my dream, she approached me with that sparkle she always had in her eyes. “Come to me and lay beside me and I will take away your fears,” she seemed to say. I lay down with my head against her soft golden fur and pressed deeply into her side feeling protected and safe. I could feel her love and warmth, hear her heart beating, feel how alive she was, yet I knew in the dream that she was ready to become a dog of the stars. I woke up knowing that Rooney had decided it was time to leave this world. Her beloved human companions called me soon after to tell me they thought it was time to let her go.

While I felt drowning in sorrow, I knew it was the end of a wonderful, miraculous life. Rooney had decided that she could not stay here any longer, this was her choice. Two and a half years earlier she had been diagnosed with bladder cancer and was given at most three months to live. Her human companions had done all they could for her, putting in a port to drain urine out of her body because she could no longer pee through the normal opening, starting her on chemotherapy, and waiting for the day soon that they would have to let her go. Rooney, however, had no intention to follow the prognosis she was given.

When I first met Rooney she had already been living with cancer for six months. As I approached the house, I saw two happy dogs peering out the window, two dog tails wagging. Syd was the first to greet me, jumping up and down and trying to inhale my arm - I must taste you! Rooney stood back and watched waiting patiently for her dog sister to find her mind again. A beautiful dog, she was part Chow, with long golden hair, a thick mane, and deep brown eyes which if you looked into showed her complex soul.

Rooney was unique in that she really wasn’t sick. Yes, after her monthly chemo she would feel a little off for a day or two but besides that she was really quite good. She wasn’t dying even though she had a fatal disease, in fact she would get quite upset if you talked about her dying or even about her being sick. I would come to give her acupuncture and we would start to talk about some little problem she was having and she would get up and leave - walk right out of the room and find somewhere else to be. She seemed to say, “Hey, I’m just fine please don’t dwell on my problems. I’m here, I’m me, and I’m not my illness. Love me for who I am today, at this moment. Will you please stop acting like there is something to be sad about here?”

When Rooney was diagnosed with terminal cancer, she became more free to live. We often said that Rooney had complete control over her cancer: not only did she live every day fully, enjoying her walks and the great love she received from her people, but everyone she touched lived more fully because of her. Every day with her became a gift and we took nothing for granted. When I made my weekly visit to treat Rooney, I never stopped being amazed at the grace of how she lived with her illness, and the joy that she gave to each moment. It was impossible to walk away from Rooney and not feel more present in my own existence.

Towards the end of her illness, Rooney reached a point where we knew she was dying. She once again lost the ability to urinate on her own, which she had regained shortly after staring her chemo, but to our amazement she started to be more like a puppy, regrowing her hair with a soft downy coat that she had only had when she was young and eating better than she had in a long time. I think Rooney finally accepted she was dying, knowing it before any of us did. It had been important to her to see the new twin children who were born to her people shortly before her death. They had arrived and she was free to go, she had lived over thirteen years, a good age for even a dog without cancer.

Even though Rooney was completely dependent on her people to drain her urine every 6 hours the last months of her illness, she was happy because she was among her family and at home. She was loved, well cared for but most importantly valued for her wisdom and what she gave to those who loved her. I think a large part of why Rooney was able to work with her illness with such grace and live so much longer than anyone expected was that her human companions did not see her care as a burden but as a gift given to a much-loved friend. In exchange she gave us all unconditional love and the gift of living each moment present and aware, feeling joy, feeling sorrow, seeing the movement of time as something to coast along on and not to fear.

The phone rang again and it was my best friend Cheryln calling to tell me that her labor had began. I remember eight months earlier finding out that Cheryln was pregnant and offering to be at the birth. For the past month I had been waiting with excitement for this call and now I wanted everything to wait. “Don’t worry the contractions are still far apart,” she told me, “no need to leave yet.” I was conflicted over my promise to her to be present at this birth and my need to be with Rooney at the end, neither could wait and Cheryln was a three hour drive from me. I silently hoped that I would be able to be present with them both and was also astonished that both would come on the same day.

Somehow it seemed more than coincidence that Rooney would pick the time to pass away to be the same day as the birth of a new life that I was also so involved with. She seemed to want to point out that death is not an end but just another step in the cycle of life we are all a part of. I think this was also why she waited for the twins to be born before choosing to depart.

Cheryln’s labor did wait, and I was able to be present with Rooney and her family when she passed away. Her death was very peaceful, and she passed away surrounded by her whole family of people and animals - those she loved most and who loved her most - by her side, in her home. While her passing was full of sorrow and left us with a hole in the space that she had filled for so long, there was something about being present when such a wise being leaves this existence, after living life so fully, that inspires us all to live our lives with more joy.

After returning home from Rooney’s passing, the phone rang again, and it was Cheryln asking me to began my drive down to Portland. I jumped in the car with our other friend, Jenn, who was also to help with the birth. I was overwhelmed with the sorrow I felt about Rooney and the joy and anticipation of a new life about to began. Lilliana’s birth was beautiful and amazing and she came into the world with a good set of lungs, at home surrounded by people who loved her family, the cat and three compassionate naturopaths who helped with the birth. I spend most of the labor holding Mr. Moo, their cat, so he could watch what was happening. He was very fascinated with the whole experience. Mixed with my sorrow there was great joy with the birth of this little perfect being. Ten fingers, ten toes and one very long and active tongue.

I will never forget how it felt to experience the sorrow of the passing of such a wise friend and teacher, who had lived her life how all of us wish we could, and the joy of the perfect birth of a baby who has just began in this world, all within a day. Through my work I have had many great animal teachers who do not speak with words but who guild us through the way they live, love, and accept. Rooney was one of these teachers and I hope that her wisdom on how to live can inspire us all.