Cancer is a scary word. Usually I am the
one giving the diagnosis or discussing the prognosis and treatment with heart
broken pet owners. It is a lot different when my pet is the one with the
diagnosis and I am the one hearing about the prognosis and treatment. Two of my
own dogs have previously been diagnosed with and treated for cancer. As a pet
owner it was devastating for me but as a veterinarian it was an invaluable
lesson into the emotional roller coaster my clients endure on a daily basis.
As many of my clients and friends know, I
love basset hounds! My current basset hound, Walter, is my third basset. I got
Walter about 2 years ago, several months after losing my second basset, Kirby.
Kirby was a "special needs" basset hound, whom at 8 years of age
found himself in search of a new home. I found Kirby (or maybe he found me)
when he was almost nine. We had 3 and a half great years together when he was
diagnosed with lymphoma. I was devastated, but as a fourth year veterinary
student I knew a few things about lymphoma and took Kirby to see an oncologist
right away. I already knew that I wanted to be as aggressive as possible while
maintaining Kirby's excellent quality of life. Kirby was quickly started on an
injectable multi-agent chemotherapy protocol (the CHOP protocol). As a vet
student I knew that Kirby's lymph nodes were supposed to shrink quickly and
return to normal after receiving his first treatment. I checked his lymph nodes
multiple times a day waiting for them to get smaller. But days went by with no
change, he had further treatments, weeks went by and still no change. Kirby
still felt great and was handling his chemotherapy well but his lymph nodes
were not budging. I was again devastated, the chemotherapy was not working.
But I wouldn't give up and neither did
Kirby's oncologist. We decided to switch to a different treatment protocol, one
in which Kirby received oral medications by mouth daily. Again, I hopefully
felt his lymph nodes every day, willing them to get smaller. Again, there was
no change in the size of his lymph nodes. I was starting to feel defeated, but
lucky for me and for Kirby, his oncologist was not defeated. We switched Kirby
to yet another treatment protocol. Full of new hope, I continued my ritual of
daily lymph node palpation. This time it worked! Kirby's lymph nodes were
normal and he still felt great! I was beyond thrilled. Not only did the new
protocol give me 5 additional months with Kirby (who sadly was euthanized for a
reason unrelated to lymphoma) but I also learned an important lesson; never
give up hope. Sometimes hope is all we have, we hope that the next treatment
will work, we hope that our friends continue to feel well during treatment and
we hope that when the time comes to say good bye it is peaceful. Kirby and his
doctors taught me a lot and because of them I will always have hope for my
patients and my clients.
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