Charlie, a ten-year-old golden retriever, was diagnosed with cancer at the age of seven. "Charlie's cancer started with a limp," says Stan Hardwick. Stan and Barb Hardwick first suspected hip dysplasia because the disease is associated with many large dog breeds. When they heard Charlie had cancer, they thought Charlie's life was over. Then they realized they had many choices; the first was to amputate Charlie's hind limb or let the disease take its course.
"Veterinarians at the University of Illinois (College of Veterinary Medicine Teaching Hospital) let us talk to other people who had made the decision to have a three-legged dog. We saw that Charlie could go on leading a normal life," says Mr. Hardwick. "So it was either take off a leg, or watch him die. Once you realize amputation is your only choice, the leg means nothing."
Charlie's owners found the amputation a difficult adjustment though. "Charlie walked a couple hours after surgery, but that was really a tough weekend with the leg gone," Mrs. Hardwick recalls.
Charlie soon made his owners happy about the decision. "One day I took Charlie for a walk and my neighbor yelled, 'Hey, someone tell that dog he only has three legs!'" recollects Mr. Hardwick. "Charlie doesn't know he's different. Taking a leg didn't affect his quality of life at all. As long as he's happy and not in pain, my decision was worth it."
Charlie, however, had to come back for further treatment. When the Hardwicks heard that Charlie had developed lung cancer, once again, they thought it was the end. "We didn't know what he was going through. We had already taken off his leg. We thought maybe we had done enough to him.
"Dr. Barbara Kitchell, medical oncology expert at the teaching hospital, explained to us that chemotherapy wasn't as hard on animals as it is on humans. There was something we could do." During the first month of chemotherapy, the Hardwicks questioned their decision, but when they got into the second month of treatment, they started to see results. "It was scary giving chemotherapy to him, but for us the alternative was worse."
Tumors in the lung are very receptive to chemotherapy. The drugs used in this type of chemotherapy, cisplatin and doxorubicin, are well tolerated and are not debilitating to the patients. Most dogs go through chemotherapy without adverse reactions.
Lung cancer was not Charlie's last fight however. "The jaw was bad," Mr. Hardwick says. "Before Dr. Greenfield did the surgery, she showed us pictures of dogs without lower jaws. I had never heard of taking off a dog's jaw. I couldn't figure out how the dog could live. We really debated whether to do the surgery, but again the alternative would have been worse."
"When you think about cutting off a part of the face, initially it is a very shocking idea. But dogs, having the head shape that they have, do very well with removal of a portion of the upper or lower jaw. They look very good and function very well," explains Dr. Cathy Greenfield, veterinary surgeon. Charlie needed part of the lower jaw removed.
"The adjustment period for the jaw was longer than the leg. He stayed in the hospital longer and that upset him. His first couple days at home were very miserable. He ate gruel, which they had us blend up for him, and he didn't like that even though we put steak in it," reflects Mr. Hardwick. "We thought that we'd gone too far, but one day he snapped out of it. We were supposed to have gotten rid of all his toys, but we missed one buried under the snow. He dug it up and drug it into the house, wanting us to play with him. We then knew he was on the road to recovery.
"People aren't appalled by the money we spent but they do make comments like, 'How could you do that to your dog? How could you put your dog through that?' I just don't get it. Charlie's not complaining. He's had three extra years of happy existence. Theoretically, there would be a line that you would draw, but you don't know until you get there. We've had success with our treatments. If they wouldn't have been successful, we would have felt differently and maybe wish that our decisions were different," says Mr. Hardwick.
Dr. Greenfield comments, "If my pet needed it, would I amputate my pet's limb? Absolutely. Would I remove part of the jaw? Absolutely. But that's me. Someone down the street might not want to do that to a pet, and I would respect that opinion. Many owners have limited finances, which can come into the decision-making process. Or the owner may have other reasons for not wanting to pursue treatment. Treating cancer is often expensive. I truly feel it is an individual owner's decision, but people need to know that there are options."
For some owners, the fight with cancer may end with helping their pet die. "There comes a point when you can no longer give a beloved pet a quality life and you have to think about providing a quality death," says Dr. Ehrhart, veterinary surgeon at the College. All owners should realize that the gift of euthanasia is a gentle, humane way to end the life of a cherished animal friend. You, the owner, will know what is best for your pet when the time comes.
Remember, when your pet has cancer, you have many choices. Research these options with your local veterinarian.
|