Friday, October 3, 2014

Another Minor Surgery and Test Results

Wow has it been a crazy week! Before I get into everything that has been going on let me say first that Pheona is finally starting to feel better today (other than the oppressive heat). She even showed passing interest in a toy twice! I also have great news, that I am saving for the end ;-)

Saturday was surgery and she came home Saturday night pretty groggy and wobbly from the anesthesia and narcotics. She seemed to progress slowly but steadily all day Sunday and seemed to be over the worst of it by Sunday night. We went to bed feeling so relieved that the worst of it all was over. On Monday morning though, things were much worse suddenly.

Pheona woke up Monday morning refusing to put any weight on her right rear leg. Not knowing if this was a surgery complication or what we gave it enough time to make sure her leg wasn't just "asleep" and then took her right up to the SFVS. They immediately noticed that one of her toes was pretty swollen and did an xray to make sure her toe hadn't somehow gotten broken.

When they brought her back after the xray they said it wasn't broken but they thought it looked like a bee sting or spider bite. They gave her a big shot of benadryl and told us to double the dose of it we were giving her as part of her mast cell tumor treatment. We brought her home and worried about what kind of insect we had in our home (I was bitten by a brown recluse several years ago and am now terrified of spiders).

Her foot continued to swell on Tuesday but we thought it would stop soon, but when it was still swelling on Wednesday we called SFVS. They said we didn't need to bring her back but to pick up an antibiotic for her since it sounded like the bite/sting had become infected. We picked up the medicine and started giving it to her immediately.

By Wednesday night the foot was still swelling but I was hoping I just needed to give the antibiotic more time to work. By Thursday morning her whole leg was starting to swell and her foot was huge, looked like it was splitting open and was starting to ooze plasma. We didn't bother calling, we went right to SFVS. (Thankfully we have the dog stroller a wonderful person bought us off the wishlist, the wagon we bought fell apart and she can't walk right now).

This time when the ER vet looked at it they found what they thought was a puncture wound through the bottom of her foot and out between the toes. We had to leave her there to undergo another (minor) surgical procedure. They sedated her and made 2 small cuts in her foot to drain 2 pockets of infection they found. No wonder her foot was so swollen and painful! They "aggressively" looked for anything that might be lodged inside but found nothing. The vet said it most likely traveled through but left enough bacteria behind to start an infection. The surgery and steroid may have made her less able to fight it also.

With the timing and how long an infection takes to "cook" into what we saw Monday morning we think it happened Friday, the day before surgery. We took her to Golden Gate Park that day to have some fun before going in for surgery the next day. I remember seeing her appear to stumble and limp for 3 steps but recovered and went back to playing so I didn't think anything more about it. I believe now, thinking back, that is when she was injured.

We picked her up last night and brought her home. (2 trips to the ER, an x-ray and the lancing procedure were an additional $800 but we had to take care of it.) We could tell already that the swelling had gone down slightly. She has a different antibiotic and we have some antiseptic solution that her foot needs to be soaked in 3xs/day for 5-10 minutes. As today has gone on I have almost been able to see the swelling decrease. Her foot is still swollen some, but nowhere near as big as it was yesterday. She is still favoring it, but she will walk to go outside now, with very little 3 legged hopping. It is also obviously much less painful than it was yesterday. It is such a relief to see her finally starting to feel better.

And finally for the really good news: the tumor was not cancer! When the original vet looked at the cells under a microscope they showed "purple granules", which is how they diagnose mast cell tumors he said. They also told us back then, though, that couldn't know for sure until after it was removed and tested. This lump was actually a "perianal edema", but it still needed to be removed. Since it was not actually cancer to start with there is NO CHANCE it can "return"!!! I have never been so relieved to hear that something was incorrect! While this edema thing is benign Dr. Kidd said it would have needed to be removed anyway, so it isn't like this was for nothing. (This also means she doesn't need all the Benadryl and Pepcid, and we can wean her off the prednisone quicker than originally planned. That alone has made her perkier!)


It is better to be safe than sorry when it comes to my baby's life, so I'm glad the lump is gone. She will do just fine without her tail and I know now that she is going to recover from this surgery (and injury) and be absolutely her old self again soon. Thank you all again, so much, for donating, sharing and cheering us on. Words will never come close to expressing the enormous gratitude and love that I feel toward the generous donors for making this surgery possible. Her stitches come out in just over 2 weeks and after that we will have a day at Dolores Park when anyone who wants to come meet her can. I am sure she will be ready to play after all of this!

Tuesday, September 30, 2014

Pheona Woke Up with Foot Pain

We are home now from the SFVS ER. One of Pheona's toes on her right rear foot is very swollen and she can't walk on it. They did x-rays to make sure it isn't broken, and it isn't thankfully. They examined it and believe it is a bee sting or other nasty insect bite/sting. They gave her a shot of Benadryl and doubled her regular dose of it for 5 days.
You can tell it is bothering her quite a bit, she won't walk on it (we had to use the wagon to take her there and back), she keeps moving it as she is just laying around and she wants to chew at it. She has to wear the cone right now, she is leaving her stitches alone while we are up with her but she won't leave her foot alone. I imagine it probably itches as well as being very painful. Swelling is pain that isn't relieved by medication in my experience so I feel so bad for her.
Thank you all for your well wishes and concern, hopefully this new foot issue will resolve itself quickly. She seems to be doing so well from the surgery, this should only be a temporary set back. I will keep everyone updated as things change.
<3

Julie and Pheona

Sunday, September 28, 2014

An Open Letter to the Angels Who Helped Heal Pheona

To the ANGELS on Earth who helped Heal Pheona;
Pheona got through surgery well. She had an epidural to block the pain and "the plan" was for her to spend the night at the hospital but she came home last night around 9 pm. She was able to walk some and was so anxious about being away from us the surgeon thought being home would be better after all. They called us as we were heading up for visiting hours to ask if we would be OK bringing her home after our visit. We got a wagon for her to ride in and she rode all the way, except for the last 2 blocks. She did a little potty and walked home like she was in a hurry. We had to slow her down because she was still so unsteady! I am sure she just wanted to make sure we weren't heading back to the hospital!
They left a bit of nub and she has a lot of stitches. They didn't go into her rectal wall, as doing that would leave her fecally incontinent but it also increases the risk of not getting all of the cancer cells. They basically said a fecally incontinent dog has no quality of life because the pooh starts to burn their skin and causes health issues. It could also be a health hazard to humans to have pooh everywhere. Since coming home she has had a little trouble holding it, a few small "turdles" have escaped but most likely because that area is still numb from the epidural. She is able to hold most of it until she gets outside and it should get better within a few days.
She doesn't seem to be in unbearable pain, but she is obviously not feeling the best. They have her on a morphine patch for 3 days and she also has some morphine-like pain pills. The poor thing is pretty doped up, but I am glad she seems to be fairly comfortable. I had been so focused on raising the money for surgery I hadn't thought much about how much pain she would be in after. She has only cried a little, mostly to let us know she wanted help up on the bed or to go out.
Luckily she is so well behaved she doesn't need the "cone of shame", at least not so far. She wanted to lick at her bum once but we told her no and she listened. When she is less medicated we might have to put it on, but for now she is happy to just rest. I have a feeling she is going to be her old self in no time! Doctor has her on restriction for 2 weeks and we are sticking to that, even if she seems to feel good.
We will hear in a few days what the biopsy results say about the grade and stage of the tumor. Because of the location they used the kind of sutures that need to be removed and plan to leave them in a little longer than usual. She will be seeing them for a recheck and suture removal in about 3 weeks. Since the oncologist and surgeon said to wait a few weeks to do her vaccinations we have an appointment for around the same time to get her up to date with them too. The oncologist said that since one is a rabies vax, which is required by law, they can give me a "note" that excuses Pheo until she is more healed. Hopefully by the time she can get her vaccines she is feeling her peppy old self again!
I am blown away by the outpouring of love that has been washing over us for several weeks now, especially from our local community. I hope the future holds something very special for everyone who donated, shared and cheered for us, you are amazing. Thank you all again, so very much. Pheona is going to be OK and be with me for many more years now, thanks to wonderful people like you. We literally owe you her life. There are just no words to express my gratitude. Thank you from us both.
Love,
Julie and Pheona the tail-less wonder dog!

P.S. The gofundme site is continuing to run a “stretch goal” as we still need help with some supplies, her aftercare and upcoming routine maintenance issues like the vaccines. <3
The bumbum still has a bit of a tail nub. The stitches aren't visible in this one but
they are a straight horizontal line between the tail nub and her anus.
Really wasted when we picked her up but she was able to walk about 2 blocks.
She really hated the wagon, I'm surprised she rode for as long as she did.

Friday, September 26, 2014

Surgery!!!!

Ultrasound and blood work shows no sign of cancer or other abnormality anywhere else in her body! Whooo hoooo! Surgery is planned for immediately after a 10:15 am appointment with the surgeon tomorrow morning, September 27, 2014. I am sooooo relieved! Thank you so much to everyone who donated, shared and wished us luck!! We couldn't have done it without YOU!

Monday, September 22, 2014

Vaccine Booster and Fundraising Updates!

Being silly while taking a break from hanging
posters in our neighborhood.
It has been quite a while since I posted anything and I apologize for that to those who have been following our journey. I have been fundraising like a mad person, trying to get the money together for surgery. I'll get to all of those updates in a moment but first, we got a reminder notice from her old vet about vaccinations. I will be talking to the surgeon, but several people in the veterinary world have suggested I wait at least 2 weeks after her surgery to do the vaccines. She needs all of her immune system to heal post-op, a vaccine could theoretically lower her immunity for a short time. She WILL be getting her shots though.

Wednesday is our ultrasound, to say we are getting anxious is putting it mildly. As long as the cancer hasn't spread we go forward with surgery as planned. It is starting to actually feel like a reality now too. The reality of there being no tail anymore is kind of hitting me. I wrote this about it the other day on my Facebook:
"Now that we are getting so close to our surgery goal for Pheona we have been starting to think about the reality of her tail being amputated.  It is sad, in a way. I am more than happy for it to be amputated to save her life, I obviously love HER more than her tail. *Butt*... I am going to miss the fun it had! Miss Pheona's tail is as expressive as her eyes and I will miss it knocking on the wall or beating my leg when she is happy. I will miss seeing it wag so hard her whole body bends in half when she sees me after even the shortest of absences. I'm going to miss seeing it stand straight up in joyous domination of young pupper-snappers she meets on the street and the slight curling under of uncertainty when she is nervous. I'm going to miss it, how she looks with it and will have to get used to her new look. 
We are thinking of trying to do something special to say good-bye to her tail within a few days of her surgery. A "Good-bye Tail" party or something, especially since so many of our private donations have come from people in the local area. I plan to make a video with lots of footage of the tail in all its different moods but I would like to do more to memorialize the fuzzy baseball bat (that thing is hard and powerful when it gets going and suddenly stops against your leg! LoL). I am open to other creative ideas on how we can say good-bye and make something to memorialize the tail after it is gone. What do her friends think? What do the creative people in our life think?
(Yes, I am aware saying good-bye to the tail is more about me in reality since she has no clue what is coming. She will get the attention though, and she LOVES human attention. A party might give donors a chance to meet her in person as well. So, yeah I am slightly motivated by my own need to deal with this loss but it is all for my girl in the end.)"
The reason we are feeling so close to surgery being a reality is because our fundraising efforts have really been paying off! We have gotten so many donations lately it has made my head spin! I'm confident at this point we are going to achieve our goal, one way or another, and this surgery is going to happen. For the past week, instead of doing the bake sale in the park we have been hanging posters in our neighborhood. Boy oh boy, does that make a difference!

The last few weeks Pheona seems to have
a lot more energy again!
My fellow San Franciscans (and other Bay Area neighbors) have been absolutely AMAZING! I was worried about spending any money on posters so I paid for the first 100. When we started getting donations almost immediately I knew it was worth the expense. We have been buying 100 posters @ $10 every other day and have been getting at least $100 back in donations every 2 days! The response has truly been awe inspiring. I knew that I lived in an incredibly progressive city but it sure is a generous one too. I can't thank our donors enough, including the ones who have donated to the charities that are helping us. (The Dog and Cat Cancer Fund, The Onyx and Breezy Foundation, Paws 4 a Cure, Dylan's Heart, Aid-A-Pet, Canine Cancer Awareness, and the Mosby Foundation have all donated to Pheona's surgery. Their combined donations are $5,000!!!)

Ignoring another dog in favor of her toy
at the new dog park under the freeway on Duboce.
We just heard today from the final charity that we were waiting to hear from, the Reidel and Cody Fund. Their board just met and they had a lot of applications to choose from. They weren't able to offer us a donation, I am assuming since we are already so close they felt someone else could probably use it more than we can. I am sure that someone who really needed it was able to help their pet with the money. I am so grateful for these agencies, even if they can't help me specifically. We wouldn't even be half way to our surgery goal without these amazing organizations.

Things are looking very good for us at this point. With Pheona feeling so healthy, and even energetic at times, I have great hope that her ultrasound is going to show good news in 2 days. I have great hope that when it does, Dr. Kidd is going to donate and we will be ready to schedule surgery! The only thing left to do after that is to make our plans for saying good-bye to that beautiful tail.

I wonder how she is going to adjust, especially when she
is swimming. She really uses her tail then, as part
rudder/part propeller. 

Huge thank yous and virtual hugs to everyone who has donated, shared our story or just cheered for us with you heart. None of this would be possible without help from all of you. We love you all!


A quick look at the tumor over time. Not much difference
except healing the raw skin at the start.

Thursday, September 11, 2014

Ultrasound Scheduled!

We have scheduled our ultrasound date for September 24th. We are supposed to drop Pheona off between 7-8:30 a.m. and they will call us to pick her up when they are done. She will be having her belly area scanned to see if there is any evidence of the cancer spreading to the internal organs. The doctors really don't think it has spread, but we need to be sure. There will also be some blood tests and things they will do. All but one charity has a rule that states they can't pay for these tests, the staging tests. I will have to pay cash for at least a portion, if not all of the staging costs.

I heard from the Onyx and Breezy Foundation on Tuesday and they have pledged $500 to surgery also! Once we get that all clear from the ultrasound then Dr. Kidd and the SFVS will each be donating $500 toward the surgery, putting us even closer. I am still hoping to hear from the Dog and Cat Cancer Fund which would put us within a couple hundred dollars of the surgery cost!! If you would like to help us reach our goal you can donate to our fundraiser or purchase items on our Amazon wishlist. You can also help by purchasing items from my Etsy store. Now that we are so close, we need individual donations more than ever!

The past week or so Miss Pheona has been feeling much better. She has even felt good enough to get some playing in last Friday. I was called out at the last minute to do a wedding at the Palace of Fine Arts and afterward we went to the beach by Chrissy Field. We haven't been to the beach in a while, maybe not since before Pheo got diagnosed, and she was in heaven!



The two charities that I am waiting to hear from say they will give a reply within 2-3 weeks, so hopefully surgery will be scheduled within a week or so of the ultrasound. Right now is tough, we just wait and keep fundraising. I hope that within a month the surgery is over and Pheona is on the path to healing completely. I want my girl to be able to have some time free of meds and cancer again, she deserves the best. 

Saturday, September 6, 2014

More Pledges!! OMG!

Wow, things are really starting to happen! We got our $1,000 pledge from Canine Cancer Awareness on Thursday but last night the fundraiser blew up again!

Aid-A-Pet confirmed a $200 pledge and when I forwarded the award letter to the vet's office I got even more good news. Dylan's Heart has pledged $500 as well! But that's not all...

We are ready to schedule Pheona "staging", her ultrasound, blood tests and other tests to investigate for "spread" (cancer spreading to her internal organs). Since one of our pledges expires in just a couple of weeks Andrew at SFVS suggested we use those funds in the next week or so to cover the tests. These tests decide the next step but they also will tell us whether we qualify for another $1,000 pledge from Dr. Kidd and the San Francisco Veterinary Specialists!

If there is no spread then we will be really buckling down to raise the final $2,600 we need to cover the surgery. We will also be eligible for this generous donation from SFVS and Dr. Kidd via San Francisco Aid For Animals. Dr. Kidd will donate $500 of his Aid for Animals fund and SFVS will match his donation for the total of $1,000.

I am just waiting for the verdict (or another request for more information) from The Dog and Cat Cancer Fund now, they said if approved our pledge could be for as much as $1,800. They wanted me to outline my plan for raising the remaining money, which I have just updated them regarding. They might want to wait to respond until after staging since our game plan will depend on those results.

I am also in progress with The Onyx & Breezy Foundation, they just requested more info from me the other day, and The Riedel & Cody Fund. I believe both of those agencies have a maximum pledge of $500 each. The Gandalf Fund was one of the first places I applied with and I haven't heard a word from them yet so I called yesterday and left them a voicemail. The application was a form submitted online so I want to make sure they actually received it.

The final agency I am waiting to hear from right now is Land of Pure Gold Foundation. They only accept Service and Working Dogs, but only specific kinds of Service Dogs. I'm not sure Pheona's service is covered by them. I sent them an email asking if she would be eligible to apply with them or not. I am not going to count on this one, but it would be awesome if she was covered.

Life is a huge waiting game for us at the moment. I got the email about getting started with the staging tests late last night so I have to wait until Tuesday when everyone is back at the vet's office to start discussing scheduling the staging appointment(s). Then we wait for the appointment and who knows how long for the test results. If there is no spread and no significant tumor growth we should pretty much be in the clear. Once she gets her "good" prognosis that should open the door to more donations and the waiting for surgery begins.

We haven't discussed what our game plan will be if there is spread, significant growth or we are unable to raise the entire amount because we are not allowing those possibilities to exist. Besides, I don't even know what the options might be to even begin considering it yet. Not going to let myself worry about that unless it happens, and it won't. I refuse to let it. We are too damn close!

Thursday, September 4, 2014

Another Pledge!!

Super quick update: We got a pledge for $1,000 from Canine Cancer Awareness! That made my day. Still working on some other donations, but we are 1/3 of the way to our goal. Steve and I are getting everything set up to have another bake sale this weekend. We are not giving up, in fact, we are just getting started!

Denise Johnson, Lord of the Fliers

I have a lot of stuff going on right now. As regular followers of this blog know, my income at the moment is next to nothing and my Service Dog needs lifesaving surgery. I have been doing everything I can in attempt to raise enough to pay for surgery, including an online fundraiser. I have been sharing that fundraiser like mad on my Facebook, Twitter and G+ networks to reach as many people as I can. It has been almost 4 weeks now though, and I think I have found all of the donors I am going to find on my friend's list. I needed something new.

I found out it only costs $9 to have 100 B/W posters printed at Office Depot so I thought it might be worth the investment. There are a lot of people in my neighborhood who love Pheona and even more who see her on a daily basis, even if they don't know her. My big idea was to hang posters in our neighborhood. I see other people do it, businesses do it, even nonprofits do it. Steve and I went out hanging them up on bulletin boards and poles. It never occurred to me that it might be illegal. (Probably because it's not, but there are some rules.) We had put them out of our minds for a few days.

Flash forward to today. Today was a rough day, I was pretty upset this morning. After I went to work (volunteer actually) for a couple hours I was in a great mood. We got home around 5:30 and Steve checked the mail on the way in. A letter, for me. From a place called "Community Action" with a City Hall return address. Under my name is says "Personal & Confidential/Open Immediately", then under that "notice of violation". What the? Violation? What on earth could I have done?

I cannot even begin to describe the letter to you, you will have to read it yourself. I don't even have words to describe how this letter made me feel. At a glance it looks official, from City Hall even. I probably wouldn't have ever questioned its validity if it hadn't been for the down right rudeness and vicious tone. My world suddenly started to crash down around me. I am suddenly in legal trouble, the letter says I must pay $500. I saw the money I had worked so hard to raise for Pheona's surgery fly right out the window to keep me from going to jail, over posters. I was having a hard time focusing on any details because the language was so inflammatory. Before I finished the first paragraph I was was bawling so hard I couldn't read any farther.

It took me about 5 tries to get through the first page, I was crying so hard. With all the other stuff going on this was the straw that broke the camel's back. I became so distraught thinking I was in legal trouble and my actions might cost Pheoan her surgery I started having overwhelming urges to attempt suicide, or other self-injury behaviors. Luckily I was able to reach out to a friend who was able to recognize that the rude, aggressive tone didn't seem like it would have come from a legitimate government agency. I thought, maybe I should Google "Community Action" and see just what kind of office this was.

Google only found one mention of "Community Action San Francisco" where community action wasn't just part of a much longer monikers. The article wondered who this woman was, as long ago as June 2012, and linked to DPW's web page. DPW's webpage has a warning about "Denise Johnson" and a few others. It states they are not affiliated with DPW and please give them any letters you get from this Denise Johnson (or the others they name). They are forwarding the letters to the City Attorney. I'm not sure what they are doing about it, this woman has been operating for over 2 years at least.

I called the DPW number and left a voicemail. I am going to have Steve take it downtown tomorrow to the DPW offices. I hope they really are forwarding the letters to the City Attorney and that office can do anything about it. In the mean time, I have reached out to People Behaving Badly to see if they can find out what is really going on here. If you hear from this woman DO NOT PANIC just ignore her and turn the letter over to DPW.

I really don't feel comfortable having someone that unbalanced knowing my address. *shivers*

I will update when/if I hear anything.

Tuesday, September 2, 2014

Bake Sale and Vet Update

Bake Sale!! 
Steve made all the goodies! I made the sign!
Donations had started to drop off so we have been trying to think of other ways to raise money. On Sunday and Monday we had a bake sale in Dolores Park here in San Francisco. I wasn't feeling good on Sunday so Steve and Pheona went out without me. I don't think they missed me much though! LoL
Steve sent me this from day one of the sale.
The sale went off very well, considering not many folks were actually interested in a treat! Several people just donated, without accepting a cookie from us. On the first day I sent Steve a text asking how it was going, if he had made many sales. His reply was, "haven't sold many cookies but everyone who passes by wants to give Pheona a hug and just give her money!" When he got home and we did all the math(accounted for expenses), we made about $40 for the surgery fund and still had most of the cookies left!

Yesterday we all went out together. What a day! There was a stage set up with plays, live music and the mime troupe going on. I have never seen so many people packed into half of a park! We spent about 4-5 hours yesterday and still didn't sell many cookies. Again, people who wanted to help just donated without accepting a treat in return. We added another $80 yesterday as well! Time to fire up the oven and get to baking again.

The Saving Pheona Bake Sale! We even had free live music!
I have a couple of raffle ideas, but those will take some planning to make happen. I also want to keep going with the bake sale, and would love to organize a party or barbeque, but that might not be possible. I am open to any fundraising ideas that folks might have, if you have an idea please leave it in the comments below. I would really appreciate it!

Vet Update

We saw Dr. Kidd again last Thursday. He did a recheck on her tumor, to see if the prednisone had made any progress on shrinking it. He took measurements and said it has not changed at all in the 2 weeks of the prednisone treatment. It sucks that it hasn't shrunk, but it also hasn't grown larger either. That is at least something to be grateful for. Since what we are doing right now has at least slowed the growth Dr. Kidd feels we are safe to wait 2-3 more weeks for surgery, while we wait to hear from the other charities and continue to fund raise. 

Once we have all of the money we need for surgery, then we will meet with the surgeon the day of surgery. (I believe her name is Dr. Mehl and meeting with her prior to surgery will save us the office visit fee, hopefully.) They said we can do the ultrasound at that point as well. If, sadly, the cancer has spread they would just cancel the surgery and we would discuss our options at that point. We have no way of knowing what the ultrasound will say, so we just have to wait and hope it is all clear.

Dr. Kidd is keeping her on prednisone, benadryl and pepcid until surgery. There was some concern that she would need to be off the prednisone (which requires careful weaning) before surgery, but now the word is that it is such a small dose she can be on it right up to surgery. There is some chance that Pheona would also have to have a course of chemo after surgery. I am really hoping she won't. Just the medicines she is on now are really affecting her quality of life.
So high on benadryl she can barely open her eyes.

Keep checking back for more updates, and if you haven't already, please consider donating to help us pay for the surgery she needs. You can also help by sharing our fundraising page on your social media or purchasing one of the items off our Amazon Wishlist. (Thank you so much to those who have purchased Wishlist items or donated already!! You all rock!)  Pheona sends you all puppy kisses!



Wednesday, August 27, 2014

Pending Appointments

This Friday will be 2 weeks since our last appointment with Dr. Kidd, the oncologist. Last time he put Pheona on a 2 week course of a higher dose of prednisone than she had been on previously, so it is time for a re-check. The hope was that the tumor would shrink, even a little bit, to make surgery a little easier. I believe it may have actually grown a little. I hope I am wrong, but nothing seems to be stopping this thing.

Next week we will be making an appointment with the surgeon for a surgical consult. This one we have to pay for, unlike the surgical consult at the SPCA. I'm not sure why when they have already given us 2 written surgical estimates. Sometimes I think places like this take advantage of the emotional moment to overcharge. I don't know if that is the case here or not, I just know it feels like a lot of charges. I try to put that out of my mind, even if I am right it won't do me any good to waste precious time complaining too much about it right now. I want to put all of my energy into raising the money to get this surgery, THAT is my priority at this moment.

The good news is we are making some progress in the fundraising! So far, as of this moment we are at $1030.00!! $500 of that amount is a pledge from The Mosby Foundation, it will expire if we can't raise enough to use it within 60 days. I have been submitting applications to every single charity agency that I can find. Sadly, many stated on their website that they had no funds available and 3 places I applied have responded they have no funds to help at the moment. The Mosby Foundation responded within just a few days with their pledge, which inspired me and gave me some hope. I have application in with and am waiting for responses from 6 other charities.

Some of the cash donations so far have gone towards paying for the appointments, medications and supplies we have already accessed. What we have left is enough to pay for the appointment tomorrow and the appointment with the surgeon next week. Each of those appointments cost $140 plus any medications they might prescribe. Depending on the cost of drugs we should have enough for that as well. I know I have enough to cover a prednisone refill if they order one. ($22, it is thankfully a cheap drug at least.)

There are some things that the charity grants won't cover, so raising enough cash for them is going to be vital. The most urgent thing we need to pay for with cash is an ultrasound because they want to do that before doing surgery. The ultrasound will tell them if her cancer has spread to her internal organs or not. If it has spread, surgery won't do much good. With the latest estimates they included an estimate for the pre-surgery testing and supplies needed and that comes to almost another 2 grand. I think I will need to raise my fundraising goal, again. (I only estimated surgery, doctor visit bills and medicines into my goal, I didn't realize there would be so many other charges before we could even get to the surgery!)

Since our last appointment and increase in a couple of her medications Pheona has been extremely lethargic and incontinent again. We have tried taking her to the park, but she has no interest in doing anything, except eating. Prednisone causes a huge increase in appetite. She spends all of her time sleeping, or searching for crumbs to eat. The vet advised us strongly not to give in and feed her more because it will complicate things if she is overweight. We have broken her day's food into 3 meal times for her rather than 2, but she still thinks she is starving. I feel so bad for her but have to stay strong. We are trying to stay optimistic and upbeat. Some days it is easier said than done. 

After the vet appointment tomorrow we are planning to have a baking and poster making date with a friend and her daughter this weekend. We live right near a major public transportation stop in a large city and are going to have a little bake sale in the area. I am really looking forward to making some cookies and painting with friends. (She is an amazing friend who has been helping me with so much of this I couldn't even begin to thank her enough.)

Check back soon for updates on our visit with Dr. Kidd tomorrow and our bake sale this weekend!

Thursday, August 21, 2014

Determined to Have Surgery

Since seeing the oncologist I have felt trapped in a whirlwind, unable to catch my breath. I have to admit, at first it was like having the wind knocked out of me. I couldn't see any way that I was going to be able to raise over $5,000. My fundraiser has had some donations but nothing near the amount needed for the number one option surgery.  We haven't gotten any of the items on our wishlist. I felt pretty hopeless and utterly helpless. If you have ever had to put your best friend down or lost them to a curable sickness because you didn't have enough money, you know the combined inability to catch your breath/nausea/vertigo/unbearable pain sensation that I am talking about.

The tumor looked bigger yesterday (8-20).
That isn't very reassuring.
My poverty could cost my beloved Pheona her life. Every time that though goes through my head it feels like I have been punched in the gut all over again.

While I was feeling rather low and hopeless an old friend sent me a list of agencies that might be able to help me pay for Pheona's treatment. I felt a spark of hope reignite within me when I realized what I was looking at. I had no idea that all of these organizations were out there! There were at least a dozen agencies on that list. I sat down at my computer and got to work. I had some applications to fill out!

I hope this is just average mast cell tumor "shape-shifting",
as they are known to do.

Thanks to a photo meme my week has been filled with financial aid applications. Not all of the agencies have funds, some only help cats, some you have to live in certain places and a few don't seem to have any way to apply so I need to check on them further. That makes the list a lot shorter, but it didn't remove all of them. Then two of the places I sent an application to replied with more possible resources!

I have submitted a couple of applications that were pretty simple and am working on gathering all of the proof of income some of the other ones want. Late Tuesday afternoon I got a message to call one of the agencies the next day if I still needed help. I called them yesterday and they asked for a copy of the vet estimate and some photos of Pheo, which I sent them right away.  I was surprised and ecstatic to wake up this morning to an email from The Mosby Foundation-- they have pledged $500 (their max) towards the surgery!!!

Here is what the email said, 
"Dear Julie,
Thanks to a generous grant from the Petco Foundation and Blue Buffalo, The Mosby Foundation is able to pledge $500.00 toward Pheona’s tumor removal. If you have applied or will apply to other organizations for assistance, it may be beneficial to make them aware of our donation......  
PLEASE NOTE THAT THIS PLEDGE IS ONLY GOOD FOR 60 DAYS FROM THE DATE OF THIS EMAIL. ONCE YOU HAVE SCHEDULED A SURGERY/TREATMENT DATE, BE SURE TO NOTIFY US AT LEAST 3-4 BUSINESS DAYS IN ADVANCE SO THAT WE MAY CALL IN OUR PAYMENT.
We are happy that we could help your furkid!" YAAAAAAAY!!!!

"OMG! OMG! OMG!
The Mosby Foundation ROCKS!
I wuf them!"

I am anxious to get this surgery scheduled, I want my girl to feel like her old self again as soon as possible and this pledge for assistance expires in 60 days. I do not want to lose this important grant. It is 10% of what I need and I am confident that there is going to be more places that want to help. Every little bit matters and every penny gets me one step closer to curing my baby.
The oncologist increased her prednisone for 2 weeks in an attempt to shrink the tumor before surgery. That doesn't seem to affect her alertness but the Benadryl sure does! We decided to try to raise her Benadryl up to the full pill twice per day that is prescribed so she gets the full benefit. Now we are having a lot more pee accidents again though. When we get this tumor off, she won't need all of these drugs and so she should be right back to her peppy, playful self as soon as her surgery wound heals. Right now her quality of life is hit and miss. Mostly she is too medicated to care about much at all. Seeing her like that makes me incredibly sad.
I better get back to the financial aid applications, I just wanted to take a few minutes to check in about where we are today. Today we are feeling much more optimistic; we are also grateful for charitable organizations and people like you. If you haven't donated to our fundraiser or purchased one of the items on our wishlist yet please consider doing so. We also need everyone who can to share our story. The more people who see it, the more chance we have at reaching out goal of surgical removal of the lump and tail. Thank you! <3


Friday, August 15, 2014

Saw the Oncologist

While I am very happy that I know what it is exactly that we are up against I am really depressed to know what we are up against. I will have more to say about it later, right now I need to regroup and try to stop crying long enough to think straight.

Option 1: Surgery that includes tail amputation costs $4,000-5,000 (this is the best option as it could possibly cure her)

Option 2: Surgery to remove most of the tumor but leaves the tail costs $3,500-4,500 (this could leave some cancer behind and it has a 50/50 chance of recurring. If it recurs, no other surgical options will be available after this procedure. Not an option I like but it is better than #3.)

Option 3: Just steroids and chemo, over time they could cost just as much, if not more, than option 1 and is a horrible choice. The drugs might slow things down but over time this tumor will become severely problematic and make her seriously ill until it kills her.

We don't have a lot of time, doing nothing will probably see her so sick I have to put her down in less than 6 months. I have no idea what I am going to do. I am so bummed out but at least I know what I am facing, no more wondering and waiting to be informed.  I don't want to let myself get too down, but this is a total mess.

You can help us by donating to our fundraiser or purchasing items for us off of our wishlist. Any little bit helps. If you can't donate please share our story, to help us find those who can help. Sharing is just as important as donating! Thank you!

Surgical estimates

Thursday, August 14, 2014

First Oncology Appointment Tomorrow

I am very excited to finally be able to say that Pheona has her first appointment with an oncologist. This is such a relief. I am not sure why the SPCA didn't refer us to an oncologist immediately, but rather kept us coming back over and over to tell us that they didn't know anything. Each appointment was them telling us to come back in a couple of weeks. When Steve made the appointment with the San Francisco Veterinary Specialists (SFVS) that was one of the comments they made too, that we should have called them right away.
It seems less swollen today than the last photo. The skin is even
a little wrinkly, last time it was tight and shiny.
  

I wish I had taken her somewhere else from the start. I didn't know what to do though, I foolishly believed that the SPCA would tell me where to turn next. I mean, most people wouldn't know what the next step is for any diagnosis of serious illness in themselves or their pets. Since they wanted us to see a different doctor when we came back for a check-up I think I assumed the second doctor would be a specialist. After meeting him I should have known he wasn't a specialist, he seemed to have less information than the first doctor.

Since she is seeing an oncologist tomorrow Steve went up to the SPCA today and got copies of her medical records. Looking through them I am even more angry. There is quite a bit of information in her record that they could have shared with us, things I specifically asked about and they avoided answering me. They said we could "talk about all that in more depth at your next appointment" when we asked questions, or just gave a blank stare and changed the subject. I guess I assumed they didn't know, now it appears they knew but I hadn't been fleeced for enough money yet to share the information with me. I don't believe they ever had any intention of referring Pheona to an oncologist either, they were discussing doing the surgery themselves in the notes.        

The first day we took her in and were told the lump was cancer they told us the first step is usually to remove the tumor. Unfortunately, they informed us that surgical removal probably wasn't an option for Pheona because of the tumor's location. It is almost touching her anus (which is why I censor the photos!). I asked if tail amputation would be a solution, she would look weird but she can live without her tail. They didn't even bother to answer, we just got that deer-in-the-headlights look for a few seconds before they changed the subject. Reading the clinical notes for that visit I find "Tail amputation may be necessary". Ummm... I had just asked that question! 

The clinical notes for the last appointment says that tail amputation is not recommended because of the location, same reason as they gave for not removing the lump. I don't know why they seemed to feel the need to withhold this information from me, I had asked this very question specifically and gotten no reply at all. This note also says that lump removal may be possible with a skin graft (something called a"pedicle flap") but to discuss it with me at the next appointment. I didn't think I could get any more angry with this hospital but apparently I was wrong. The only reason I can come up with for constantly withholding information "until next time" is to fatten up my bill. 

Tomorrow's appointment is $130 (!!!) but is 1 hour long. A whole hour with a specialist to discuss her diagnosis, treatment options and her prognosis (which the SPCA has rated as "poor to guarded" in the note but didn't tell us this). They will also answer all of our questions. I don't think we have spent a total of 6 minutes with any of the doctors at the SPCA and it has cost us $398.46. When broken down like that, the $130 seems like a bargain. Any treatments, procedures and medications are going to be extra, but I am really hoping to feel more informed and involved in deciding what to do next.

There is only one drawback that I can think of from switching to SFVS from the SPCA and that is the payment plan option at the SPCA. Whatever treatments that the SFVS vets recommend will need to be paid for at time of receiving the service. That means that I am really going to need a little help from my friends and kind strangers to make sure she gets the treatment she needs. Our fundraiser was able to raise up the cost of the initial appointment, but that is all, and that is just the beginning.

Please consider donating to help make sure the beautiful Pheona gets what she needs without delay. Any amount that you can spare will help! (Tomorrow I plan to discuss with SFVS the possibility of having cash donations for her bill come directly to them, I am sure that will make some folks feel a lot more comfortable that their money is going for what I said it is for). You can help by purchasing items on our wishlist on Amazon, it has items we need to care for Pheona that aren't purchased from the vet such as Benadryl, diaper pads, protective pads and even a bag of her special cookies to help take her mind off all this poking and prodding. You could also buy the wishlist items at your favorite store and send them to us (my mailing address is listed here or here). After tomorrow's appointment I hope to have a much better idea of what kind of treatment she needs and how much it is all going to cost. Until then, Pheona sends puppy kisses to all of her angels!!

Saturday, August 9, 2014

Time For A New Veterinarian!


August 8, 2014. It looks like some of the fur is growing back,
but it might have been under the CO before.
Oh boy, have the past few days been a roller coaster- a few ups and a lot of downs. We had our 3rd vet appointment on Wednesday and I was really anxious to try to finally get some information. I asked the first question as we were checking in, why is my bill so much? Had they forgotten to apply the emergency discount that we were granted? They hadn't forgotten, they didn't do it. Turns out, we had been misled about that whole Emergency Care Grant (ECG) situation. We also didn't get to see the vet that day because of the amount we still owed without the discount. Our payments were current, but there was still a balance we couldn't pay off right then.



August 8, 2014. Looks like it might have grown.
The staff at the SPCA told us repeatedly that the discount (actually a grant but it boils down to a discount for the pet owner) would be applicable to all of the care stemming from the original emergency visit. They even told us several times that it "might" even be able to be applied to surgery if she had been a surgical candidate. They knew none of this was true. The discount only covered the emergency visit. Cancer doesn't count for some reason. I feel like I was purposely misled, I agreed to be responsible for a bill they told me would only be half and they charged me for most of it.









August 8, 2014. We may need to get more aggressive with her treatment.
I probably wouldn't feel so misled but there are several things I am not happy with, especially when looked at all together. I sure don't feel as if they were actually doing anything for Pheona or even telling us what the heck is going on. All of the information that we have on mast cell tumors and even her medication we have found online. After 3 visit all we know from them is they can't operate, but not what they actually can do. I feel like they are having us come back every week or two just for the exam fee. It costs $65 a pop for them to take less than 3 minutes with us and all they do is touch her tumor and say "we don't know, come back in a couple of weeks". That fee doesn't even count tests, meds and prescription food.

Then there is the whole issue with the prednisone. At the very first visit, when she was diagnosed, they gave her 11.5 prednisone pills (20 mg) with instructions to take 1.5  pills per day. They told us to also give her 3 Benadryls twice a day for 2 days, to fight the histamine release from the biopsy (aspirate). When we left they said they would call us the next day and let us know what to do next. Completely overwhelmed and terrified we clutched the little bottle of pills, went home, hugged Pheona tight and cried for the rest of the day.

Pheona on her 8th birthday at Dolores Park.
January 28, 2012
After we got home it occurred to me that if one Benadryl made Pheona so intoxicated that she can barely stand and can't hold her bladder, what would 3 of them do to her? We made the decision to only give her one of them that night and planned to ask the vet if 3 was really safe when he called the next day. We gave her the dose of prednisone with her supper because the vet told us (and there was a warning label saying) it needed to be taken with food. That was the only warning we were given regarding the prednisone, either verbally or written anywhere. It shouldn't have been.

There should have also been a label on the bottle of prednisone warning not to stop it suddenly. Patients have to be weaned off, it is dangerous to stop taking the steroid abruptly. It can even be fatal. We knew nothing about that but we did want to know if she should keep taking it or if it was only for a short time, like the Benadryl. At 1.5 pills per day, there were 7 days worth of medicine in that bottle. That should have been plenty since they were supposed to call us in the next day or two. Supposed to, schmosed to.

They didn't call the next day. Or the next one, which was Independence Day. I told myself it was just that the holiday was mixing things up and to be patient (I tend to be impatient and want to be less so). But then, they didn't call on Monday either. On Tuesday we started calling them. The doctor was, of course, always too busy to speak with us. The reception person would apologize for the delay and promise us that the vet would call "tomorrow, for sure". We played this game with them for 3 weeks!

Three weeks is a long time to just be left hanging, right after having a C-bomb dropped in your lap.By the time they got back to us her prednisone had been gone for 2 weeks, stopped abruptly and we were completely ignorant to the danger. It wasn't until the vet put her back on it and we saw the warning on the new bottle that we realized what kind of danger she had been in. Now, normally this kind of stuff would have upset me so much I would have let them have it right there and then switched to a new vet by the 3rd or 4th day they didn't call us. This cancer diagnosis and lack of information had me so terrified and distraught that I wasn't able to see how poorly we were being treated. Even if I had seen it, I was too insecure and frozen in fear to do a single thing about it.

Since we didn't see the vet the last time we went to the SPCA they gave us a hard time about refilling her prednisone, and we only had 3 left. At first they tried to tell us they couldn't refill it without an appointment (which would make the refill total about $100 rather than $30) even though they had JUST seen her 10 days ago. When I pointed out that failing to refill this particular drug, at least enough for us to wean her off safely, would endanger Pheona's life and how I would sue them if she died, they were suddenly able to offer her 5 more pills. We had to pay off our outstanding balance and for the pills they were giving us to get the refill though. Luckily, thanks to our fundraiser we were able to do that. We are back at the starting point as far as fundraising now, but we were able to get the medicine so she wouldn't get sick or die from withdrawal. Until I have her new doctor set up and some money to cover meds I don't dare put her back on that steroid. The risk of running out is just too dangerous.

The moment they told us she had cancer we should have searched for a specialist, but I thought the SPCA either had one or would refer us to one if we needed it. They never mentioned having her see an oncologist, just coming back to see the same vets who know very little about mast cell tumors, or an kind of cancer. Looking back now, it would have been nice of them to tell us they had no idea what they were doing. I feel like they took advantage of our vulnerable emotional state to bill us for as much as possible. Thankfully a friend of a friend on FB suggested the San Francisco Veterinary Specialists.

Since SFVS is only a block from the SPCA my husband, Steve, stopped to get some information after picking up her refill. They were not happy to hear about the treatment she has received so far and urged us to make an appointment with them. They require payment at the time of services though. The first visit is $130 but they spend an hour with us education us on her tumor, learning about Pheona and tailoring her treatment plan/medications to make sure that she still has a good quality of life. That is something that the SPCA certainly wasn't worried about but is an important aspect of the care at SFVS. My focus at the moment is raising that $130.

Another thing that made me mad at the SPCA, she didn't appear to be ill at all until they said she was and started "treating her".  She was playful, energetic and had plenty of energy. She certainly wasn't leaking pee everywhere! Once treatment started she suddenly looks and acts like a very sick dog. She has no quality of life anymore. She gets so dopey on the Benadryl we cut the dose ourselves so she could stand up and walk on her own at least. The SFVS said they would adjust the meds so she still has a good quality of life as well as healing.



I can not thank the folks who have donated to our fundraiser or supply drive already enough. Without those donations we wouldn't have been able to pay off our SPCA bill to get her meds refilled. That could have been more dangerous than the cancer! We are really optimistic that we will be able to raise enough to pay for her to see Dr. Stephen Atwater at the SFVS. There are so many people who love Pheona and even more who don't know her but love dogs, or animals in general. Today we received a bottle of donated cannabis oil from a trusted source. We were given a bottle of CO infused coconut oil to give her orally/anally (we haven't actually tried anal application yet) and concentrated cannabis oil for topical use.

I am anxious to get her in to see the oncologist. We are still working with very little information about her specific situation. I am also hoping that they have some programs available to help with the cost of cancer treatment. I am sure that can start to add up to thousands and thousands of dollars. I still feel so lost and overwhelmed, getting in at SFVS should help alleviate some of the stress of uncertainty. I hope anyway.


Tuesday, August 5, 2014

How You Can Help Us

Help!

I am really struggling right now and I am starting to feel hopeless. I don't have enough money to cover everything I need to care for Pheona during this time. I am disabled so I am not working and my SSI income was recently cut by 65%. My money for the month is already spent on rent and essential bills to keep a roof over our heads. I could really use some help. I don't know what else to do.

Sometimes you hear stories about people who turn to the "internet" for help and the "internet" goes above and beyond to support someone deserving or in need. Kind-hearted people donated several hundreds of thousands of dollars recently so a bullied bus driver could retire. I thought that was one of the best stories I had ever heard. 

Well, I certainly don't need anywhere near half a million dollars! I don't need anything even close to that. I just need about $1,000- more if she has surgery at some point. I wonder if the "internet"- if you actually- can find it in your heart to help me and Phe? Just a dollar could make a difference. Or maybe you have, but don't need, one of the items we need and it is taking up space in your home.

Even if you can't donate anything right now could you please share our story? Someone you know might be able to help. I can't thank you enough for even taking the time to read this, Pheona is my entire world. It is tearing me up inside that I can't afford to give her what she needs right now. I would be eternally grateful for anything you could do to help us.

Ways You Can Help

Things we need or already owe money for:
  • Attend’s Underpads-Walgreen’s brand is Certainty. Also known as “Chux”. Large, Maximum absorbancy. (Waterproof bed protectors, like puppy training pads but without the scent to encourage animals to pee on it.) Puppy training pads also work but are smaller.
  • Poise Ultra-Thin Pads regular length.-Walgreen’s brand is Certainty. Light bladder protection pads for women. (We use 2 of these and 1 even larger each time she has to wear her “shorts”. We currently have an extra-large package of the large pads.)
  • Canned pumpkin to regulate her digestion with the medicines. (not pie filling, plain canned pumpkin)
  • Benadryl- 25 mg pills.
  • Vet bill is currently $274.61 and we have another appointment tomorrow (appt. alone is $65, meds and tests are extra).
  • Prescription medicine (prednisone) every 20 days is $29.66
  • Generic equivalents for any of these care items is fine, I just used name brands to identify the items more clearly. Partial packages would also be appreciated if you have something from the list around the house.



Ways you can help:

  • Donate on our GoFundMe fundrasier page.
  • Donate directly via PayPal or Google Wallet to juliethies@gmail.com
  • Mail items on the list directly to the address below.
  • By mail via check; money order; or gift cards: Visa gift cards, Green Dot refill packs, or gift cards for Walgreens, CVS, Safeway, or Target [there is no Walmart near me].
  • Purchase items off my Wish List on Amazon.com
  • Purchase handmade items or photos from my Etsy store- Julia Made These. (If I don't have something you want, feel free to request a custom order!)
  • Purchase a copy of my eBook - The Complete History of Bloody Lake
Mail supplies or donations to:
Julie Mae Thies
520 S. Van Ness Ave. #380
San Francisco, CA 94110


Sunday, August 3, 2014

Dog Panties, Ticks and Dragging Our Feet

Getting some fresh air even if I don't
feel like playing at all.
The last several days have begun to take a real toll on me, emotionally and physically. There seems to be so much going on that I haven't been able to catch my breath or think very clearly. I also haven't been getting much sleep, just a few hours around dawn every day. Even when I can slow my mind down enough to lie down, it seems circumstances (like doggy pee accidents) conspire against me getting any rest. I am exhausted already, and our journey to healing has only just begun.
Enjoying the outdoors, yet
meds make her feel paranoid.

We decided to decrease the dose of Benadryl we are giving her. Unlike the cannabis oil, she doesn't seem to "get used to" the Benadryl and it really makes her loopy. She wouldn't sleep, she could barely hold herself up, her lower eyelids drooped way open, her mouth hung open, and her tongue even hung out! She also couldn't control her pee at all. Even awake she would be leaking it everywhere. The Benadryl also seems to make her easily startled and she acts like she is paranoid (without the Benadryl she doesn't act like this so it isn't the cannabis oil). She even had trouble walking, she walked like a drunk and would fall over if we stopped.

While talking to my therapist about some of this it dawned on me that us knowing she has cancer had suddenly decreased her quality of life. Before we knew she had cancer (and not counting the diarrhea that took us to the vet where we received the cancer dx) she appeared to be a healthy, active and very playful middle-aged dog. On all the medicine they prescribed she looks, acts and seems to feel like a very old dog who doesn't want to move. She can't even hold her pee! Whatever time she has left should have SOME joy in it yet.That seems like the best reason to reduce the dose of that one drug. There were other reasons, too though.

Relaxing in the fresh air.
I completely understand the need for the Benadryl, which is why we didn't stop it entirely. Instead of a full pill in the morning and at night she gets half of a pill. She is still getting some of the medicine, but she is having far fewer accidents. I am disabled myself, I can't keep up with all of the accidents the full dose was causing. Even at half a dose we average 2 accidents per day. I can't afford the sharp increase in laundry (I have to use the laundromat and pay for each load), the protective puppy pads (the human ones are much cheaper), diaper liners (again human ones save money and work better) and disinfectant/deodorant/clean up costs.

Two nights ago I was really at a low point. I was really feeling defeated by the situation. It was 5 AM and we were cleaning up after her 4th accident in my bed that night. It felt like in just a few weeks time my life had completely gone to hell. My dog was old and dying right before my eyes. Seemingly overnight she went from begging to be played with several times a day to having to be literally dragged outside to use the bathroom. She was spending every day in a stupor.


After reducing her dose of Benadryl she had a playful spell. She wasn't full of her usual energy but she did have interest in playing tug at the park. She still shows no interest in running around much. The vet spoke about keeping her "comfortable" since surgery isn't an option, but the Benadryl and prednisone seem to have turned her into an old, sickly dog when she had been pretty healthy and energetic before the treatment. They don't seem very hopeful that anything can really be done about this cancer, because of the unfortunate location, so I don't understand the need to ruin her quality of life for hopeless treatments. We see the vet again on Wednesday and I will definitely have a lot to ask; I've got a list started and keep adding questions as they occur to me.

Another issue the over-medicating has started is that she is now dragging her feet when she walks. We had noticed that we could hear her feet dragging a few times but didn't think too much of it. Then yesterday I happened to notice that she was wearing the tops of some of her nails off. It looks like one might have even gone past the "quick", but thankfully didn't bleed.
I am a little concerned about this, I don't know if it is just lethargy from all the medicines or if she is having some kind of issue with her co-ordination/muscle control. Another question for the list I have for her vet.

Speaking of her feet and nails, the other day I thought she had mysteriously grown a second dew claw along side the first. As we looked closer my husband said he thought it looked like a skin tab, but he didn't have his readers on. I was able to see that this "skin tab" had several legs! She picked up a dog tick somewhere. Thanks to this handy guide I was able to ID it quickly to know it wasn't a deer tick. The last thing she needs while her immune system is compromised by steroids is to get a deadly infection! Luckily she shows none of the symptoms of the diseases they, or any other ticks, can carry.


I realized today that part of the reason I am feeling so lost and overwhelmed could have to do with how little the vet has told us. They gave us a diagnosis- it is a mast cell tumor- but other than that they haven't said much. The first doctor did comment that it seemed aggressive and may have spread to her other organs but didn't elaborate any further. No one told us what a mast cell tumor was, how advanced it is, how likely is it to be shrunk/cured, will this shorten her lifespan and if so by how much. Basically nothing.


There is still hope though. Photos of her tumor taken yesterday seem to show it shrinking! Looking at all of the photos I've taken since she was diagnosed it looks like it continued to grow at first, but in the last 2 sets of photos I believe I have seen some slight shrinkage. It is difficult to get photos of it from other angles but from the side view it doesn't seem as tall either. Since we have no photos from that angle there is no way to tell. My husband and I both see it though, it seems not as tall or as pointy as it was a couple of weeks, or even days, ago.

We have been having trouble getting her oil to stick to her bump to use it topically. At first it was like tar and coated it really well. It has dried out and gotten crumbly since then and it just falls right off. We don't have coconut oil, which everyone recommends, but tonight we may have come up with a solution. We mixed her CO medicine with some Burt's Bees Soothingly Sensitive Aloe and Buttermilk Body Lotion hoping the lotion would act as a vehicle to bring the CO into the skin deeper. I am not sure if just mixing the lotion with the CO will sufficiently combine them so that the lotion can carry into the skin. At the very least, it made the oil creamy and much more likely to stick.

We also bandaged it tonight, or at least tried to, with a stretchy cling bandage to try to keep the medicine on the tumor where it belongs. We have never gotten a bandage to stay on before, but at the time of this writing it has hung on for about six hours, survived two walks and a number two. Hopefully it will stay on, at least for the night, so that tumor can be saturated in cannabis oil lotion.

It must be time for me to wrap this update up. The poor girl just had an accident on the floor. She was really alert and curious the last time I had glanced over at her, BUT... Steve gave her 1/2 a Benadryl about an hour ago. I didn't know that or I would have reminded him to put her shorts on her. We have been calling those non-diaper garments either her shorts or her panties. I have had to alter it twice, add more velcro and I think I still need to add some darts to them. That might help keep her from leaking with them on. Unfortunately, without a waterproof liner, they will never be without leaks.

Thank you everyone who has been keeping up with Pheo's journey and especially thank you to those who have reached out with words of encouragement for me. It means a lot. I am considering starting a Facebook and Twitter for the blog, to connect better with those who are reading and reaching out. Hopefully there will be more news on that and a fundraiser soon! Please keep checking back and sharing our story with others!