23/04/2023
It’s been way too long since our last post and there’s a lot to talk about.
At the beginning of February, I noticed Dewey’s lymph nodes felt a little enlarged, and a cytology confirmed he was out of remission. Dewey has been through the CHOP protocol twice and handled it very well both times with minimal side effects, however he has been in remission and hasn’t had chemo in over a year. The CHOP protocol is the gold standard for lymphoma, but it is also pretty aggressive with weekly treatments and Dewey just isn’t as young as he used to be (he’ll be 15 in June), so we decided to use a less aggressive protocol (COP) that includes some of the same drugs from CHOP, but would only require treatments every three weeks.
The Dewd’s first COP treatment was on Feb 7th with a “booster” on Feb 14th, and he was back in remission before his next treatment on March 7th. In the past Dewey handled visits to the vet very well and I would drop him off in the morning and pick him up later after his treatment. Vet visits stress him out a lot more now, so on his chemo days Dew would go in for his exam and bloodwork, then we would wait in the truck (or sitting on the tailgate – see pic in comments) until it was his turn for treatment, and that seemed to make it less stressful for him. We used pre-meds for side effects and Dewey did well with just a little decrease in appetite. Then about a week before his next chemo was due, he had a flare up of his disc disease with weakness in his hind legs and more of a decrease in his appetite.
Because of the decreased appetite, at his next chemo appointment on March 28th, I requested we do a chem panel along with the normal CBC and his kidney values were elevated. We decided not to do chemo due to the elevated kidney values, the disc disease flare up/ pain, and the ongoing decrease in appetite. We changed some meds and increased the sub-q fluids at home and at his follow-up a week later his kidney values were back to the stable, stage 2 levels he was at before, and his disc disease was improving with the oncologist noting no pain on his physical exam. Ideally, even though he is in remission, we would complete the entire chemo protocol, but since he was still recovering from that episode we held off on chemo and will reassess at his next visit.
His appetite still isn’t back to normal, but with some special additions (canned chicken, tuna, green beans, carrots, and baby food) to his canned food he is eating well. It’s difficult to say what is causing the decreased appetite, because there are multiple possibilities – it could be related to the chemo and a change in taste, kidney disease and excess stomach acid, a flare up of chronic pancreatitis, or changes in taste / smell from CCD. We have an internal medicine visit next week, so we’ll keep you posted on that.
The survival time for dogs with lymphoma without chemo is only about 1-3 months, and with chemo the median survival time is about 1 year. We have been blessed with a great response to treatments and we are now over 2 years since his diagnosis! We are very grateful to our family for their help and support and we couldn’t do this without them; especially my Mom! Although he has multiple issues, we are managing everything well and the Dewd is in remission, happy, living his best life, and still stealing my socks almost every day after work!
As always, your prayers are welcome and much appreciated!
*On a side note, one of Dewey’s friend from our agility classes, Dolce Gambino, gained his wings recently and I know his family is hurting. We are keeping them in our prayers, and kindly ask that you do as well.