I never expected that writing about Daisy’s insulinoma would lead to meeting others who had gone or were going through the same thing.
It’s such a scary thing to find out your dog has cancer, no matter what kind it is, but having to make a quick decision on whether or not to do surgery is also scary. Having someone else who has already been there can really help. I sure wish I had known other people who had been through the same situation back in February so they could have helped to ease my mind about what to expect.
Now that Daisy is on the other side of it, I am so glad that I am able to share our experience with others who are having to make the same difficult decisions.
Of course, it makes it easier that Daisy came through the surgery and is still doing well today. I think it would be much harder to answer questions and respond to emails if she were not.
I had completely forgotten about the notes I took on the day I received the phone call from Daisy’s consulting veterinarian at the University of Minnesota. Those notes recorded her confirmation of Daisy’s insulinoma and captured her recommendation that Daisy have surgery to remove it.
Today, I was cleaning out my work desk and came across them. It brought back a lot of the emotions I felt back then – worry, fear, uncertainty… fear. I imagine a lot of people feel that way when they find out their dog has cancer.
Going through Daisy’s diagnosis, surgery and aftercare has taught me a lot.
I have learned that…
- You can seek input from those around you, but in the end you are the one who must make the decision about your dog’s care. No one else can, or should, tell you what is the best decision.
- Having someone else with you when you do speak to the vet about your pet’s illness (and the options) is helpful. What they say about people not hearing anything the doctor says beyond the word “cancer” is true. I sure wish I had someone else there who could have asked the questions I could not. In the end, I was able to write down my questions and ask them in person later on. It helped to be prepared in advance.
- Know your monetary limit (or get pet insurance). You’d be surprised how quickly the costs can get out of control (they most certainly did in Daisy’s case). Plan for a dollar limit and then add another $1000. That way you give yourself some leeway when you go past your limit.
- It’s okay to choose NOT to take an extraordinary measures to save your dog. Daisy’s insulinoma was caught early by chance (by her very awesome and alert vet), so we had options, but that is not the case for everyone. Opting to have the surgery or not, do chemo or not, is a personal decision. You know your own dog and what he/she can handle. Don’t be afraid to say no, if that is the right option for you and your pet.
- Going forward with surgery or extraordinary life-saving measures is okay too. Just remember to check in with your pet to make sure the extraordinary measures are not because you can’t bear to say goodbye. Those first few days after surgery were tough. By the end of our ongoing list of recovery issues, I had come to the decision that I would not put Daisy through any more because it was traumatizing her (and me). Fortunately,she started to get better.
- Veterinarians are just like doctors in that they want to save lives. They don’t want to give up any more than you do. They feel your pain and want to be able to give you the happy ending you seek. (Their big hearts are what led them to this profession after all.) Know that you may have to be the one who says “no more” at some point. The specialists who are caring for your pet may not be able to do so. I was fortunate enough to have a vet who helped me to be able to say “no more” in Daisy’s case. I am so grateful she did.
I am guessing many of you have been through a similar experience. What other tips or suggestions would you give to other pet owners going through a similar illness or diagnosis?
To the owners of Button, Scooter and Jack – our thoughts and prayers are with you as you go through this difficult time. Follow your heart in whatever you decide to do.
Quite a while ago, I saw a product I had never heard of before at my vet’s office. It is called the Trix TickLasso.
Of course, since I regularly use Frontline on the dogs, I have never had the chance to use it. It sat in my junk drawer for months. I had completely forgotten I had it.
But recently, I was a little late in applying Frontline on the dogs and Daisy got a tick. (I hate those damn little buggers.)
I was upset that my lapse in memory had allowed one to attach to her. Damn ticks.
I was also really worried about removing it and not getting the head out. In the past, I have tried to remove a rock using a tweezers. Getting the head out was usually futile. But, this time I had the TickLasso! So, I thought I would give it a try.
It was money well spent.It was really easy to use, and unlike a pair tweezers, it removed the tick intact, head and all. What a great product.
So how does it work?
- Like a ballpoint pen, you push the button on top of the applicator and a small lasso appears at the other end.
- You loop the lasso over the tick (down where the head is attached).
- Release the button and the lasso tightens around the tick (just like lassoing a bull).
- Twist the applicator and pull.
That’s it! The whole tick comes out and you’re done.
You can see a video of how it works below.
If you want to purchase one for yourself, they are pretty much everywhere, including Amazon.
Note: I purchased this product myself and used it. I was not approached by anyone to endorse this product.
For me, Hurricane Katrina and my late dog Indy will be indelibly linked in my mind forever. While it was a disaster of epic proportions for the United States, and a deadly and devastating hurricane for the people of Louisiana and Mississippi, it was also the beginning of the end of life for my dog Indy.
Evacuations were going on in New Orleans. It was all over the news. Like everyone else, I was glued to the news, watching the city and state leaders plead for people to leave the city and shorelines.
I was also focused on getting my dog Indy into the vet. It was not a particularly memorable day that day I brought her in. I think it might have been beautiful and sunny, but I am not completely sure. I brought her in, she got her rabies, distemper and bordatella vaccinations. I bought her a treat and we went home. That’s it.
It was the next day that when it began. Indy had a seizure. I rushed her to the vet, where she had another one. They recommended we rush her to the emergency vet clinic to be assessed, because of course, it was a Sunday and the vet closed after noon. My mother came with me to the emergency vet. We sat in the waiting room for hours as they assessed Indy and treated other patients. The television was on CNN in the waiting room, where coverage of Katrina evacuations were in full swing. We watched the flow of vehicles leaving the city using all lanes of the highway to get out. It was something we had never seen before.
Indy ended up spending the night, but when she came home, the seizures continued, at first once a month, then once every couple of weeks, then once a week. Throughout it all, was the horror of what happened in New Orleans, on the nightly news. It was an epic tragedy playing out on our television screens, but a very real traumatic event for those living there. We might’ve been going through our own tragedy at home, but what the people of New Orleans (an their pets and children) suffered was so much greater. I cannot forget it.
In April of 2006, disaster recovery was in full swing. The devastation left behind by hurricane Katrina was undeniable then, the population of New Orleans had been cut in half, whole parishes were destroyed,and we said goodbye to Indy, who by then was having seizures every few days.
It’s hard to believe it has been 10 years since all that happened. Time has a way of healing all wounds, but also etching moments and events in your mind forever, like Hurricane Katrina and Indy.
Unfortunately, WordPress.com doesn’t allow Java script so I can’t provide a direct link to the linky, but you can join here.
On Thursday, I had the opportunity to attend an online seminar put on by Maddie’s Fund. I was already interested in the topic, but expected to learn little new as I had already been reading up on the topic on my own. As it turns out, I learned a heck of a lot more information in the seminar than in the newspapers. Go figure.
The topic? What Animal Shelters Need to Know About the Canine Influenza Outbreak. The seminar was presented by Dr. Sandra Newbury from the University of Wisconsin-Madison School of Veterinary Medicine and UC Davis Koret Shelter Medicine Program. Dr. Newbury has been working closely with shelters since the outbreak and was able to share some details that the media has missed in their rush to join the hype.
She shared some of what shelter workers who have been dealing with after the spread of this virus, not only in the shelters in Chicago, but also in the surrounding areas and states. Wow. I cannot imagine the stress. They deserve our support. What they are dealing with is incredibly overwhelming. I imagine they are exhausted after managing through this for the past two months. They are not only caring for hundreds of sick cats and dogs, but also worrying about exposing their own pets to this virus. Imagine how scary it must be for them.
You can get a copy of the presentation handout here, but I thought I would share a few of the things I learned.
- The virus currently making dogs sick in Chicago (H3N2) originated in Korea, China and Thailand. It is suspected it came from the Avian influenza and transferred to cats and dogs. In Korea, China and Thailand, the virus also infected cats, who experienced a significant mortality rate when infected (something we have not seen here).
- Despite what we may think, there is no proof that the virus came in with a dog imported from these countries to the United States. They may never know how it made it to this country.
- The virus did not originate in a shelter, but started with one dog living in a home. Contraction of the virus most likely started in a training class, vet clinic, or doggy daycare.
- When it did hit animal shelters in Chicago, it hit them like a tidal wave. Example: One or two dogs started showing symptoms on Monday. By Tuesday, ten dogs were sick and by Friday, shelters were seeing 50-100 dogs sick. In CACC, they saw 200 dogs sick with the virus.
- Most of the dogs have had mild to moderate respiratory disease. Very few that have died, but some have developed pneumonia and needed additional treatment.
- Symptoms usually start with a cough and nasal discharge. Dogs sickened with this virus seem to feel worse than the dogs infected with the known virus, H3N8.
- This virus differs from the one we have previously seen in the United States (H3N8) in that it has a longer “shedding” period (the virus can still be shed by the formerly sick dog long after they seem well, thus making them still contagious after 19 days).
- This has had a huge impact on shelters and shelter workers. Because of the longer shedding period, shelters have had to stop or slow down the release of dogs to rescues and they have had to turn some dogs away in order to avoid infecting more dogs, sometimes diverting incoming dogs to other uninfected shelters. They are trying to be very, very careful to not spread the virus.
- Because this virus is new to the United States, many shelters were placing dogs up for adoption after seven days, when they appeared well, but they soon discovered that other dogs were getting infected when exposed to these dogs even though they (the formerly sick dogs) were well.
- Dr. Newbury said they are now recommending that dogs be isolated for at least 21 days after they were first diagnosed to prevent spread of the disease, but she cautioned that they are not yet positive that 21 days will be long enough, because they thought it would be fine after 14 days and discovered it was not.
- If a rescue or animal shelter chooses to adopt out a dog who was sick and no longer has symptoms, they should be apply two rtPCR tests and get a negative result from both before allowing the dog to be adopted, and even then, they should gain agreement from the adopter that they will keep them isolated for the full 21 days (no dog parks, no training classes, etc.).
- Shelters in Chicago are developing plans to release some dogs from their shelters to avoid an increase in euthanasia, but they are giving rescue groups very, very specific instructions on holding the dogs in isolation and away from other dogs. They do not want to move dog to an area that does not have influenza already.
- Sick dogs are not turning over to recovering dogs as quickly, but they are starting to see more recovered dogs than sick now. That is very good news.
While I still think this is a very serious outbreak, I feel better knowing more of the details. The speed at which this virus spreads and the fact that the shedding period is so long should be a concern for rescues as they import dogs from these sates. They may want to avoid the ones where cases already been confirmed for now.
Kudos to all the shelter workers dealing with this and trying to make sure it is contained. You have a tough job on normal days. This is above and beyond what is “normal.”
I need to apologize to all of you.
A couple of months ago I wrote about Daisy’s insulinoma and shared my worries and my fears about her recovery, but I never came back to give you an update on how she was doing. I am so sorry. I was so in the moment of what was going on that I never realized that I had left you hanging on what happened or how she was doing! Duh!
So how is Daisy doing? Well, I will let you see for yourself. In pictures, of course. :)
She is back to walking with us at the dog park and walking with new energy and vigor.
Jasper is back to harassing (I mean, herding) her and she is happy about that.
She loves exploring and digging again.
She and Cupcake are still looking for cheese in the oddest of places.
Cuddling is still a priority (I will never tire of that).
Recently, I took her with me on an extended weekend vacation at a cabin on a lake.
While there, she enjoyed a couple dips in the lake.
She also explored the beach.
And, hunted for shells
Explored the woods.
Woke to the sound of loons every morning.
And, relaxed. A lot. :)
She’s looking good, isn’t she?
Having come through to the other side of things, I can honestly say that I am glad she had the surgery. I had a lot of doubts in those early days immediately following it, but now I am so grateful that I get to enjoy a little extra time with my girl.
I think I would lying if I did not admit that I am also hyper vigilant about any changes in Daisy’s behavior. I know that insulinomas almost always come back. I know that my time with her may be as short as a year or as long as 18 months. That is the reality. But if they really did get it all, and it never comes back, then I have her for as long as she can outlive her aging body. I am hopeful it will be the latter. For now, Daisy is doing well and loving life, and that is the best outcome of all. :)
Thank you for caring and sending your prayers and good thoughts. Daisy and I are forever grateful. Truly grateful.
I’ve been stewing on this issue for some time now, but the recent outbreak of canine influenza in Chicago, and some of the recent stories I have heard about dogs transported here, has led me to believe it is time for Minnesota to regulate the transport of rescue dogs into our state.
I know it is odd for a rescue supporter and pet adoption advocate to suggest such a thing (I have no doubt it will be considered blasphemy by many local rescues), but I come at this as more than just a supporter of rescues. I come at this as a pet owner, an owner with senior dogs, dogs who have had recent health issues. I come at this as an owner who has seen rescues, acting in the best interest of the rescue dog, make critical but unintentional mistakes that have the potential to harm the dog populations that are already here.
From a lack of proper foster parent training and education to a lack of proper care for sick dogs with the potential to expose other dogs to illness, rescues have the potential to cause harm to existing populations of dogs in our state.
Just last month, a group of dogs were transported in from another state and placed in foster homes (after an urgent call went out for people to foster) with little being said about the health checks these dogs received before they were handed off to their new foster homes. I know that the situation was an emergency, and that rescues had little time to act, but I wonder if they gave any thought to what they might be transporting in with them before they drove them across state lines? Were the potential dangers considered beforehand? Did they get a full health assessment and blood workup done before they handed the dogs off to their foster homes?
More diligence must be taken, especially in light of hearing that the canine influenza was likely imported with a dog that came from China or South Korea and that Canine Brucellosis was recently transported into Calgary, Alberta, Canada via rescues in the southern U.S. and Mexico. I wholeheartedly support saving dogs, but we need to be more diligent. We need to be more thoughtful and plan ahead. We need to make sure we are not saving one dog while putting a whole population of resident dogs at risk.
In New England, the south to north dog transport (i.e., rescue transports from southern shelters to northern rescue groups) got so big that veterinarians became concerned. They started seeing more cases of parvo, rabies, heart disease and other dog diseases and parasites as a result of the dogs being brought into their states. Massachusetts was the first to implement laws around dogs being transported into their state, but others soon followed including New Hampshire, Rhode Island and Connecticut.
To circumvent the Massachusetts regulations, officials say, some rescue groups simply told adopters to meet them over the border. New England was caught in a geographic game of Whac-a-Mole, trying to ensure that only healthy dogs were being transported by responsible rescues. Dr. Scott Marshall, the state veterinarian in Rhode Island, says that state saw parvo cases blossom from two or three each year into two or three each week in recent years before enacting regulations that mirror the Bay State’s. Today, all the New England states have rules. Boston Globe, May 12, 2013
The laws in New England require:
- Rescues register with the state
- Each animal have a health certificate that is signed by a veterinarian
- Imported animals be held in isolation for 48 hours in an approved facility to allow dogs to recover from the stress of travel so their health status can be more accurately assessed
- Must be examined by a vet after the 48 hour holding period
I know that implementing something similar in Minnesota will cause hardship for many rescues, at least initially, but I think it is necessary. Importing dogs from out-of-state is such a common event now that regulation is necessary. In the rush to save more dogs, some rescues are choosing to cut corners and worry about the health of the dog once they get here versus before. This is not to say that rescues are bad. They are not. They are in the business of saving dogs’ lives. Their heart is in the right place. But if we are to do it in a way that protects all dogs, both those in and out-of-state, we need to ensure that all groups are following protocols that ensures this is the case.
As always, I welcome your thoughts.
Massachusetts Animal Rescue and Shelter Regulations (initial Draft)
The more you dig into puppy mills, the more you learn about the physical and physiological repercussions it has on the mother dog (and that doesn’t even take info consideration the genetic issues) and her puppies.
Last fall, when Dr. Frank McMillan spoke at an event (hosted by Animal Folks MN), he shared some data on the behavioral issues that show up in puppy mill puppies sold in pet stores. The results were quite startling:
- Out of 14 behavioral variables measured across puppies from responsible breeders and those sold in pet stores, the pet store puppies were found to have fared worse in 12.
- As they grew up, pet store puppies showed more aggression towards their owners.
- Pet store puppies also displayed more aggression towards other dogs.
- Puppies who are purchased in a pet store are more likely to escape and run away.
- Pet store puppies tend to be under-socialized because they are taken away from their mothers too early and are likely to experience trouble as they grow up.
You can read more about Dr. McMillan’s study via Penn State here: Penn Vet study finds pet store puppies come with increased risk
Puppy mill breeding dogs have their own set of behavioral issues – almost all due to a lack of socialization and fear and ongoing abuse, but now we can show that the puppies they bear have problems too. Why is this the case?
New evidence suggests that mother dogs experiencing extreme levels of stress can pass that stress on to their puppies, and that stress can impact their lives long after they have been weaned and adopted into loving family homes.
The body is designed to protect the puppies from normal amounts of stress:
“Normally, an enzyme inactivates cortisol at the placenta, protecting the fetuses from the level of cortisol that the mother is experiencing. But when the cortisol level is extremely high, some passes through the placenta to the developing puppies. They receive the extra cortisol as information: The world is scary. We should be prepared. “
You can read more on this in the Whole Dog Journal from their November 2014 issue, titled “How a Mother’s Stress Can Influence Unborn Puppies: A highly stressed mother dog may influence her unborn puppies and affect their adult behavior.”
That pet store puppies are more likely to carry this stress message in their systems should not be all that surprising. After all, past evidence has shown that the stress of the mother passes down to the baby, both in humans and rats.
Puppies born in mills experience the stress of the mother in utero and after they are born. When you add in the fact that they are then pulled away from their mothers at a very young age, shipped across country in trucks with other sick little puppies, manhandled and placed in a pet store window, where they are on display and handled over and over again until they are adopted, it’s a wonder any of them survive, much less make it into a home as a normal dog. That they fare poorly on 12 of 14 behavioral variables should not be surprising either. It makes one wonder why anyone would want a dog from a pet store at all.
Daisy’s last litter of puppies were kept by the organization that saved her life. They were going to be trained to be service dogs. I wonder how many of them failed to make the cut? I hope not many, but the more and more I learn about puppy mills and their impacts on the dogs and their offspring, the more I believe that they were doomed from the start.
Now how sad is that?