A Path With Paws

• A mini protocol for any cancer
• Osteosarcoma Three Legged and Happy – How to holistically treat osteosarcoma (bone cancer) in dogs
• Hemangiosarcoma (spleen and abdomen) – The hardest Cancer – How to Treat Hemangiosarcoma in dogs Holistically with herbs and supplements (abdominal and spleen)
• Hemangiosarcoma of the heart in dogs – holistic options
• Lymphoma in dogs and cats – integrative medicine – chemotherapy and herbs with a side of acupuncture
• Mast cell tumors of the skin – holistic approaches for prevention
• Liver Tumors – How to treat liver tumors in dogs holistically and with herbs
• Squamous cell carcinoma – holistic herbal and integrative treatments
• Prostate cancer in dogs – herbs and holistic support
• Lung Metastasis – Breathing through cancer – holistic and herbal therapies to control lung metastasis in cancer in dogs and cats

While I use a similar protocol for heart hemangiosarcoma to splenic hemangiosarcoma, there are some differences.

One is that surgery is not an option for hemangiosarcoma of the heart. Second is that we have a tumor that is pushing against one of the most vital organs in the body. While bleed out is a concern, animals with hemangiosarcoma of the heart are more likely to die from heart failure. Really with this cancer we are buying time and improving quality of life with treating holistically. This is one of the fastest moving cancers out there.

So we need a three fold approach, slow the cancer, support the heart and prevent bleeding.

Here is my modified protocol

1. Acupuncture – every two weeks or more often. This keeps everything moving, helps with discomfort, slows down the cancer and boosts the immune system. Acupuncture can also support the heart and keep blood pressure regulated.
2. A cancer diet – See Diets for cancer in cats and dogs
3. Yunnan Baiyao – not only does it control bleeding but also seems to slow this cancer down.
4. Xiao Chai Hu Tang This formula works well for cancers that cause there is be an excess in the front of the body. All these formulas are available from my etsy store Kingdom of Basil. If you get this formula from another source make sure that these formulas uses ginseng (Ren Shen) and not Dang Shen and that the Chai Hu is not over 25% of the formula.
5. Xue Fu Zhu Yu Tang with E Zhu and San Leng – this formula not only helps fight cancer but also helps support the heart. Also available through Kingdom of Basil.



6. High dose Vit A/D given orally. If you give this orally it decreases the chances of an allergic reaction. I use the injectible large animal version but use it orally. I dose once a week for four weeks and then once a month. Steve starts with a dose of twice a week. I use in the range of 250,000IU of Vit A and 37,500IU of Vit D per dose for an average sized dog. DO NOT USE THIS DOSE OF VITAMIN A/D WITHOUT VETERINARY SUPERVISION. Large amounts of Vit A are highly cytotoxic to cancer cells, that is great. The doses I use can potentially cause kidney failure, that is not so great. You must be working for a vet to use this high a dose. Chai Hu Jia Long Gu Mu Li Tang or Xiao Chai Hu Tang also help to protect the kidneys when using this high dose vitamin therapy.
7. IP-6 Inositol Hexaphosphate – this supplement is important in stimulating the immune system’s natural killer cells to destroy cancer tissue. It is an antioxidant and has effects in inhibiting cancer cell growth and division. Not much research has been done in humans with this supplement but a lot of cancer studies have been done in animals.
   I dose dogs at 800-1600mg twice a day when I use this supplement.
8. Coenzyme Q10– this supplement helps support heart tissue and has anti-cancer effects as well. I often add it to my protocol. I use a dose of 200mg a day for your average sized dog.

This is not a cancer to take lightly, as it can progress very quickly. If at all possible find a holistic vet to work with.

As with all advice offered on this website please check in with your animal’s primary veterinarian before using any of these herbals and supplements.

Return to Integrative and Holistic Methods for Treating Cancer in Cats and Dogs

Cancer can be overwhelming. Often times the diagnosis comes suddenly and there is almost always an element of shock with it. The little lump that you were convinced was just a wart could be life threatening. The mild weakness was just discovered to be a belly full of tumors.

It can be hard to ask all the right questions especially when you are having strong emotions. So what do you need to ask and know before deciding on the best course of action to take for your animal companion?

One of the most important questions

• What happens if we do nothing? It is easy to get so convinced that we need to treat that we forgot to ask with will happen if we don’t . In older animals with slow moving cancers, it is sometimes better to just treat supportively than to jump into aggressive treatments.

Comfort

• What can we do right now to make my animal more comfortable? Another very important question. With cancer, comfort is very important. Even if your animal has very little time left here, it should be as happy and pain free as possible.
• Is there drugs that can slow this cancer down without doing more aggressive treatments like chemo/radiation or surgery? Prednisone is often a good drug for this. This is also where herbals and acupuncture can come in.
• Is there drugs that can help my animal eat better? Many animals with cancer are picky eaters. Sometimes appetite stimulants or anti-nausea drugs are helpful.
• Do you know a good holistic vet I can work with?

Surgery

• Is there a surgical option for this cancer? Usually cancers that are isolated to one area are treated with surgery. If a cancer has already spread, or is a blood born or lymphatic system cancer, surgery is usually not an option.
• If there is, what is the prognosis that my animal will make it through the surgery? Some surgeries are relatively easy and some can be very difficult.
• Do you recommend I see a surgeon? More difficult surgeries are best done by the experts, unless you are working with a vet who is very skilled at surgery.
• If we can remove the whole tumor, what are the chances that it has already spread or will come back? What is the prognosis for after surgery? i.e. is there a reason to do the surgery? Will it give my animal a better and longer life?
• Do you think my animals’ health is such that surgery is a good option? If not why? If you animal is very old, sick or has serious chronic disease, surgery may not be a good option, even if it is the best way to beat the cancer. Remember we are treating the animal not the cancer.
• What kind of care will my animal need after surgery? Will there be long term complications or disability? This is especially important if you work full time or have a household of small children or if you have a dog you can not carry.

Chemotherapy and Radiation

• Do you have experience doing chemotherapy? If the answer is no or a little consider seeing an oncologist at least for a second option.
• Can you refer me to a good oncologist? Oncologists often have new treatment options that general practitioners don’t use.
• What is the prognosis with this treatment? This is an important question. Is $4000 of chemo going to give you a good chance of getting a year or more, or only buy a month extra and come with side effects.
• How long will my animal have to undergo treatment? How often? Is there an option to do part of a protocol and still get results? For animals with a lot of anxiety going to the vet, this can be an important consideration
• How much will it cost?
• Will my animal need to be sedated or anesthetized for the procedure? With radiation the answer is always yes, sometimes this is also necessary with chemotherapy.
• Is there a chance at permanent remission?
• What are the side effects? Does prognosis out weight the chance of serious side effects.
• Do you have a plan to treat the side effects if they occur? Many oncologists use drugs to treat the side effects of these treatments.
• Are you ok with me working with a holistic vet or with supplements/herbs? It is always easier to work with these therapies if you can be honest with your vet.
• What kind of risk to me or other humans/animals in the household is there with this treatment? This can be extremely important if there are pregnant women or small children in the household.

End of Life

• Have you had experience doing hospice care? Is there someone in the community who does hospice care?
• Is there a good support group in the area or online?
• When the end comes will you come to the house to perform euthanasia? Is there a house call vet who will?
• What do I do if there is an emergency in the middle of the night, on the weekend or after office hours?

Do not be afraid to ask –

the question I often get. Most of us are animal lovers, we have seen a lot of animals go through treatments and often times have personal experience with our own animals.
If this was your dog/cat/rabbit what would you do?

I hope this is helpful. Please let me know if I have missed any important questions.

Back to Integrated and Holistic Methods for treating cancer

We learned in vet school that when you have more than one vet in the room and an animal comes in with life threatening injuries the most important thing is for someone to say “I’m in charge!”. Without this simple statement the chances of an animal making it is much less. Until someone takes control everyone assumes someone else is in charge.

With cancer I believe it is the same thing. Someone needs to be the main person making the decisions. That can be the oncologist, the holistic vet, the general practitioner vet, or in some cases the animal’s caregiver. It doesn’t matter who it is and it does not have to be the person with the most knowledge but it has to be someone. It does not mean that everyone doesn’t work together as a team and sometimes it can shift between people as treatment goes on. Just know who it is.

When I work with animals who are not undergoing chemotherapy this is generally me. I make the final decisions on what happens with the wishes of the animals’ caregiver in mind. We get recommendations from the regular veterinarian and sometimes me and the regular veterinarian get together on the phone and put our heads together.

Because I see my cancer animals every two weeks I have a better feel of where they are at and usually a better connection with their people.

If there is an oncologist involved usually they are in charge, although often I am given free rein to add in herbals/supplements and change diet. Most oncologists don’t have herbal training but many are very open to us who do.

If you, the animal’s person are in charge you can gather information and make educated choices based on that.

Drugs and herbals do not have to be exclusive. Even in the animals I treat completely herbally I often times recommend drugs for pain or comfort issues.

I have found that it is better to do a fewer things consistently than many treatments not consistently. Do everything you can to follow recommendations on the most important treatments.

Don’t forget the food. Good food is so important and often I find you can add in foods that help fight cancer without having to add more pills. If you can, supplement with whole foods before pills! Sardines for omega fatty oils, sweet potato and carrots for vitamin A, cooked mushrooms for your medicinal mushrooms.

The internet is great! Hey I’m the internet aren’t I? Use it to do your homework but remember that no one knows your dog as well as you do.

Don’t follow advice that doesn’t sit well with you or your gut feels is wrong. Remember that your vet actually is seeing your dog, none of us in the cyberspace are. We all have different tools to work with. Your vet may not have the tools I use but they see your dog and know them, I don’t. If at all possible talk to your vet about what you find. You would be surprised how open many vets are to herbs and supplements especially for diseases where there is not a western treatment.

If you don’t feel like you have the support of your vet, consider finding a vet who does support your choices and who you can be open with.

There is not one right choice when it comes to cancer. We don’t have a miracle cure that always works, but we have many tools that can make it so animals can live longer better lives.

Back to integrative and holistic methods for treating cancer in cats and dogs.

When we first were fostering Alli, I soon feared that she just was not going to be able to live with cats. Alli had been a street dog in Taiwan and it just made sense, small fuzzy things equaled food, not friends. My husband Adam encouraged me to not give up on her but I was worried our cats were going to get hurt. Any movement from our cats and she would go into prey mode. One time she actually came away with a mouth full of hair, which really scared me. Luckily early on we went to a meet up with other people who had adopted Formosan Mountain dogs from Taiwan and received some great advice.

“Don’t give up! My dog was like that at first also and now the cats and dogs coexist just fine.”
“Talk to her, tell her what you want, these dogs have an amazing ability to understand.”

So began our journey from this –

To this –

So what did we do?

1. First and most important – make sure your cats are safe. We made sure Alli was in the bedroom when we were not home or not close by. Crating would also be a good option. We bought a bunch of baby gates and when Alli was out with us she was gated in the living room. The cats could jump in and out but she could not follow them. We always had a leash on her so that we could grab her quickly.
2. Don’t let the chase happen – every time a cat would jump in the living room with her we would go sit with her and give her positive praise for not chasing. Some treats were used in this process also and given when she would look at a cat moving and then look back at us.
3. Explain what you want – Formosans are smart. So are many other dogs. Alli had puppies when she came to this country – she took good care of them. We explained to her that the cats were like puppies. You didn’t want them to walk all over you but you had to take good care of them and make sure they did not get hurt. We started calling the cats “catpuppies.” This got us in the mindset of believing that she would be able to take care of the catpuppies and not hurt them. Dogs look to us for their cues and if we believed it she would to.
4. Make sure she knows that you are in charge of the situation and house. Alli is a smart dog, if I am not in charge, she will be. Everytime Alli would look like she was about to chase a “catpuppy” or even thinking about chasing a “catpuppy” I would stand in front of her and say “Mine, leave it!” in a stern voice.
5. Don’t give up. It was a lot of work and took about two months but we now have a dog who loves her “catpuppies.” We knew we were there when a friend brought her puppy over to our house. He gave chase after one of our cats and Alli jumped in front of him and backed him down growling, “Mine, leave it!”

Note – there are some cats and dogs that absolutely can not coexist. If you are in doubt get a behaviorist out to help you figure out if there is hope and make sure to not put your cats in danger.

If you haven’t come from my cancer book, please check out Integrative and Holistic Approaches to Cancer in cats and dogs
Here are some other great resources –

• Georgia’s Legacy is one of my favorite resources for any person with a dog fighting cancer. They have put a lot of time into this site and it is easy to navigate.
• Tripawds is a wonderful online community for three legged animals. Another great site for support and information.
• Kingdom of Basil is my etsy store where you can buy many custom ground herbal formulas.
• Darwin’s is my favorite company for raw diets

Please let me know if you have a good resource I should add. I will only add websites that I believe to be helpful and accurate. Hopefully this page will get longer with time!

Technically Monday is my day off but always a busy day.
I just made two weeks of homemade cat food for our kitties. For the recipe see Making crazy awesome cat food part 2

Alli enjoys helping me clean out the food processor

Getting herbs in the mail this morning for my etsy store Kingdom of Basil. I’ve been enjoying sending herbs all over the country and am now getting about an order a day and some lovely feedback.

I’m experimenting with ordering more herbs less often. This is a little over $500 of herbs which will last me for the next month or two.

Now off to walk Alli on one of our unusual Seattle sunny winter days. Hope you are enjoying your day!

First off let me say that like with dementia I certainly do not have all the answers to this problem. It can really vary from dog to dog. I’m hoping that the tricks I have learned over the years will help and that you the visitor will also add your own stories.

In people with cancer it is reported that the sense of taste changes. I believe this to also be true in many dogs. While many vets suggest that nausea is at the root of dogs with cancer not eating well, I tend to blame the change in taste more often. In older dogs I believe taste also can get more muted as they age.

There are a two main approaches in working with appetite, one is to make eating more interesting and the other is to use acupuncture, drugs, or herbs that stimulate appetite.

Making eating more exciting for your picky eating dog

1. Change things up. Many dogs will do better if there food is changed around on a daily basis.
2. Add in table scraps. It is sometimes amazing how much a little human dinner will make a dog dinner more attractive. Meat is usually the most popular. Just remember no macadamia nuts, grapes, raisins, chocolate or onions.
3. Salt it – high quality foods are often low in salt. Add in some salt or salted meat broth to make the food more yummy.
4. Something stinky – sometimes the addition of the stinky foods will help. Try cat food, sardines, canned salmon, bacon, or if you really want stinky — tripe. They sell tripe for dogs in a can or as a raw food.
5. Cooked chickens and roasts. I have had many clients make roasts or buy rotisserie chickens from the store. These are often times yummy but work better if you as the human also eats meat and can share in the feast.
6. Try dry food again – I have had dogs that will not eat anything but will suddenly eat dry again. They may turn their nose up at that prime rib and then eat kibble.
7. Make eating a game – hide the food behind the furniture, in the closet, outside, drop it by mistake, make it a game. “Look, look what I found, yummy!” Just remember where it is so it doesn’t rot.
8. Hand feeding – some dogs do much better if they are hand feed a bit at a time.Ok yes you may be spoiling them but its not like they need to go out and get a job someday. It’s ok to spoil your old or sick dog.
9. Heat the food – in the microwave is fine. Sometimes warm food is more yummy.
10. It is better to have them eat something than the right thing. If you have a dog with cancer and they will not eat a cancer diet add some carbs/grains back in. It is better than not eating.
11. Feed them when they are hungry. Some dogs will only eat in the evening or will only eat small meals. Offer food often and if they are eating well give them a little more when they are hungry.
12. Eat with your dog. Some dogs like to eat at the same time as their people.

Increasing appetite in the face of disease

1. Look at how many medications/supplements you are giving your dog. I can not stress this enough. I have had dogs come in on 50, yes 50 pills a day, with no appetite. You probably would not be eating on all that either. Before adding something, cut out anything your dog does not need and see if their appetite returns or work with your vet on if some of the important medications can be stopped for awhile. If their appetite returns when you cut back on pills then gradually add things back in. Do not add in more before looking at if you are giving too much! This is especially true of cats which will get their own article on appetite someday.



2. Acupuncture can help many dogs with appetite. Consider giving it a try as it has other wonderful benefits for older or sick dogs.
3. There are many western drugs out there that can help. If nothing else is working talk to your vet about what is right for your animal friend.
4. Herbals – if you have a veterinary herbalist in your area set up a consultation with them. The herbal that I have found works the best in the most animal is a wonderful little formula from Jeremy Ross which he calls Gentiana 2. It contains gentiana and artemisia which are bitters and support appetite along with other herbals (fenugreek, fennel, acorus, ginger, licorice and jujube) that help support digestion. It does not work in all dogs and it’s effect is milder than western drugs but it is gentler on the body and safer. I usually start with it before going to drugs.

Thank you Bill P. for suggesting this topic!

As with all articles on this blog, this does not replace medical advice. If your dog is not eating and you have not seen your veterinarian, please make an appointment to rule out any serious health issue.

Joe always told me how fast Cosmo was. In his younger days he could outrun anyone, faster than the wind. By the time I meet him he had slowed down quite a bit but he still had fire in his eyes. He was tired but not ready to give up.

His prognosis was poor. Because the tumor that was found on his liver had been bleeding it was likely to continue and probably take his life sometime in the next few months. Luckily my favorite western vet, Tim Kraabel, had already sent Joe down to the International District for Yunnan Baiyao and for the time being the bleeding had stopped.

Cosmo settled in for his first acupuncture treatment and relaxed into the needles. That was one of the last times he made my job so easy. He was one of those dogs that acupuncture really energized and as he started to feel better and better I got to see Cosmo’s goofy side. He loved waiting until me and Joe were distracted and then shake, throwing needles around the room. I swear he was laughing as he would do it. Of course it wasn’t in spite, he did like his acupuncture just perhaps felt we were a little too dull for his taste. “Enough of this zen stuff, let’s have some fun!”

I think Cosmo got his attitude about life from Joe. I always knew when Cosmo was on my schedule that I was going to have a good day and get to laugh and smile a bit. Both Joe and Cosmo approached life with love and excitement. Joe often told me that he believed that his buddy was going to do well and would picture him being happy and healthy. I know Joe’s attitude helped Cosmo do better. There is a lot of power in positive thought. I also know that Cosmo held a special place in Joe’s life because of his family being on the other coast.

In the end Cosmo got to take one last cross country road trip back with Joe to their home on the east coast, he saw Joe back home. He stayed around for awhile, made sure that everyone was fine and then at 14 years of age decided it was time for him to move on.

I like to think that Cosmo is up their running through the stars, as fast as light itself.

Joe wrote me this amazing letter and gave me permission to share it – it tells more of Cosmo’s story-

We pulled up to your office and Cosmo could not wait to get out of my car. It was as if he actually knew where we were going. Once you opened the door and welcomed us in, Cosmo began wagging his tail, in excitement. It had been a couple of long days before we met where I had doubts that I would ever see him wag his tail again…

We met Dr. Kraabel at the Lien Animal Clinic. The vet knew right away that Cosmo was in severe distress. After several tests were conducted to diagnose what actually was going on with Cosmo, it was determined that Cosmo was bleeding internally from an apparent mass on his liver. (He was diagnosed with Cushings Disease over a year ago back east) Dr. Kraabel stabilized Cosmo and told me to take him home for the night and not make any decisions until morning. Dr. Kraabel did inform me about your practice and a Chinese herb, Yunnan Baiyao (also known as Yunnan Paiyao), that has worked on other dogs in stopping internal bleeding.

After arranging for Cosmo’s “nanny” Michele Liese to come over and watch him, I immediately drove to the International district and picked up a supply of Yunnan Paiyao. While I was gone, Michele, (owner of an outstanding dog walking/dog care service in West Seattle), read all about the herb and felt really confident that it would work. Within an hour of giving Cosmo the first capsule, he was noticeably better. I brought him back to Lien a couple of days later, and they determined that the internal bleeding had, indeed, stopped. I was ecstatic, Cosmo wagged his tail with approval.

By the time I brought him in for his first acupuncture, he had improved so much, he was back to himself. Doc, you welcomed us to your practice, gave Cosmo a treat, and from the time you inserted the first acupuncture needle into my buddy, you began to turn the clock back. Cosmo just lay there content and actually sighed a few times acknowledging his pleasurable treatment. There were of course, other moments where he would attempt to shake as if to dry himself off, as we both covered up from the “projectiles” shooting off his body. And, of course, the acupuncture relaxed him so much that there were moments when he would let them rip, very quietly but strongly, and in close quarters. You took it all in stride and just laughed.

I took Cosmo to you every 2 weeks and after each visit, it was like he was touched by an angel. He grew stronger and acted younger as if the clock was being turned backwards. We continued with the treatments for over nine months, nine months that I never thought I would have with my best friend.

We lived in West Seattle for over 1 year when I decided it was time to go back home to my family. It was a very difficult decision to leave because of the amazing things that you did for Cosmo. We drove back home 3000 miles across this great country with Cosmo as my navigator. He was an amazing companion the whole 4 plus day ride home. I never imagined that I would be going back home with Cosmo after all that he had been through, but I owe it all to you and your amazing skills, compassion and humanity. Doc, you gave my buddy and me another year of wonderful life.

On New Year’s Eve, December 31, 2012, Cosmo passed away peacefully. He was free from his tired and broken body. He was nearly 14 years old. My heart is broken and he is sorely missed. I cannot ever put into words how truly grateful I am to you Doc for giving me an extra year with my beloved dog, Cosmo. Cosmo was the most incredible dog a man could have ever been blessed to have in his life. He was truly a noble creature in his prime and full of grace at his death.

A Thank You only touches the surface as to how eternally grateful I am to you.

I’ve realized that I need to take a short break from writing. I will not be available during the month of January and there will be no new posts. Comments will be closed. I will leave the forums up if people want to talk to each other. Thank you for visiting!

To find a good holistic vet in your area see How to Find a Holistic Vet.