Friday, September 23, 2016

Mr. Handsome Pants

Our Mr. Handsome Pants

In the previous installement of Tucker’s journey you probably noticed that Tucker’s humans had already spent a hefty amount in two short months. This was just the beginning of the cost, doctors visits, and toll it was going to take on all of them.

Tucker has been known to us, and most of his friends, as Mr. Handsome Pants because of the darling pajama pants he sported. We thought this was such a clever way of helping Tucker manage to keep his staples safe from himself.  See what led to the pants:

3/1/14  Visit to Franklin Veterinary Associates.  Bandage and drain removal day.
Office Visit - $11.00
Of course, this brought about a new set of challenges. Tucker could reach the staples and he was transfixed with chewing and removing them all on his own.
I bought a pair of Scooby Doo PJ’s and with some creative scissor skills and duct tape I thought I came up with a great solution.   I put the bottoms on him to protect the staples and we nicknamed Tucker “Mr. Handsome Pants”.
Of course, the next morning the PJ’s were on the bed and another staple was decorating the PJ bottoms.

3/4/14  Visit to Franklin Veterinary Associates  staple removal day and progress exam.  Office Visit - $47.41

3/8/14  Visit to Franklin Veterinary Associates for Medical Progress Exam.
Office Visit - $24.00

3/10/14 Visit with Dr. Boshoven, Radiation Oncologist, VCA Veterinary Referral Associates.  Our consultation went well. He discussed radiation and chemotherapy options with us.
Amputation would have the highest chance of curing him of the local disease and he would still recommend chemotherapy to follow if we choose that route.
Radiation has a good chance of controlling the local disease as well.  As with surgery, however, radiation does not do anything for the possible spread of the disease.
All of this information was overwhelming but I decided against amputation and radiation treatments and go for chemotherapy.
He ordered an abdominal ultrasound.  They found that the lymph node was more round than oblong indicating a possibility of cancer or normal due to the location of the lymph node near the incision site.   They will aspirate the lymph node to rule out cancer. This procedure is scheduled for Friday, March 14, 2014.
Office Visit - $725.10

3/11/14 – Visit to Franklin Veterinary Associates for Medical Progress Exam and Simplicef.     Office Visit - $45.91

3/14/14 – Visit to VCA Veterinary Referral Associates.  Tucker was sedated and Radiology service performed the aspiration of the lymph nodes.  Waiting on the test results was nerve racking.  If the cancer had spread there were not a lot of treatment options.   Office Visit - $745.35
  After many calls to VCA, I received a call from Dr. Shigemoto the Radiologist that performed the procedure on Tucker.  Great News!  No cancer cells in the lymph node.  This means we can move forward with the chemotherapy treatment.

3/26/14 -  Visit to VCA Veterinary Referral Associates.  Appointment with Dr. Intile.  Chemotherapy treatment #1. There will be a total of five treatments given every three weeks.  Tucker had bloodwork, urinalysis, thoracic study.  He is on Cerenia and Metronidazole.  Office Visit - $815.61

4/16/14 – Visit to VCA Veterinary Referral Associates.  Appointment with Dr. Intile.  Chemotherapy treatment #2.  Tucker had bloodwork tests performed and it indicated that he had adequate red and white blood cell parameters for treatment #2.            Office Visit - $479.16

5/9/14  - Visit to VCA Veterinary Referral Associates.  Appointment with Dr. Intile.
Chemotherapy treatment #3.  Tucker had bloodwork tests performed and it indicated that he had adequate red and white blood cell parameters for treatment #3.            Office Visit - $479.16
After this treatment Tucker started losing his eyebrows, mustache and beard. 
Many people asked about Tucker’s breed.  What kind of dog is that?  WelI, he doesn’t look like a Miniature Schnauzer.  I repeated his story many times and it became exhausting.  Priscilla Singletary sent Tucker shirts to wear “They All Matter Find the Cure”, “Fight Like Tucker” #beatcancer, “Cancer Sucks”.
Tucker wore these shirts everywhere and most of the questions stopped.  I will be forever grateful for her kindness.

5/30/14 – Visit to VCA Veterinary Referral Associates.  Appointment with Dr. Intile.   Chemotherapy treatment #4.  Tucker underwent a recheck abdominal ultrasound, which showed that the previously enlarged lymph nodes in his abdomen were smaller in size.  Also x-rays were performed.  Tucker had bloodwork tests performed and it indicated that he had adequate red and white blood cell parameters for treatment #4.    Office Visit - $1244.56

6/20/14 – Visit to VCA Veterinary Referral Associates.  Appointment with Dr. Intile.  Chemotherapy treatment #5.  CBC was done and showed adequate red and white blood cell parameters for administering chemotherapy.  Fine needle aspirates were obtained from several of the nodules along the back of the right thigh and in house cytology showed clusters of what were suspected to be normal epithelial cells.   Tucker was declared cancer free!  Office Visit - $537.88

Tucker did really well during these chemotherapy treatments.  He had a picky appetite following his treatment, but this resolved with a new medicine to stimulant his appetite.
Some hair regrowth on sweet Tucker


At this point we became very familiar with Tucker and his chemotherapy appointments. His friends all rallied around him as he went in for treatment after treatment:

10/1/14 – Visit to Mid-Atlantic Veterinary Hospital.  Appointment with Dr. Altendorf.  Tucker was evaluated for a tumor on his left leg.  He had an exam and
Cytology was sent to Idexx for evaluation.  Office Visit - $111.49

10/8/14 – Visit to Mid-Atlantic Veterinary Hospital.  Xrays and ultrasound performed.    Office Visit - $350.12

10/15/14 – Visit to Mid-Atlantic Veterinary Hospital.  Surgery day. Lesion removal with lymph node removal.      Tucker did really well.  He did a lot better than I did.
I was a nervous wreck!       His diagnosis was confirmed Hemangiosarcoma.   Office Visit - $768.95
Note:  I was in disbelief.  We are going to battle this cancer for a second time!

11/17/14 – Visit to Mid-Atlantic Veterinary Hospital.  The same tests were done by this Vet to ensure Tucker was in good health for the treatment.
Chemotherapy Treatment #1   and he was given an appetite stimulant.
Office Visit - $421.91

12/17/14 – Visit to Mid-Atlantic Veterinary Hospital.
Chemotherapy Treatment #2
Office Visit - $427.21


12/29/14 – Visit to Mid-Atlantic Veterinary Hospital.
Chemotherapy Treatment #3
Office Visit - $455.81

1/19/15 – Visit to Mid-Atlantic Veterinary Hospital
Chemotherapy Treatment #4
Office Visit - $497.27

2/9/15 – Visit to Mid-Atlantic Veterinary Hospital
Chemotherapy Treatment #5 with x-rays and ultrasound
Office Visit - $699.81

3/4/15 – Visit to Mid-Atlantic Veterinary Hospital
CBC
Office Visit – $27.17

3/25/15 – Visit to Mid-Atlantic Veterinary Hospital
Extensive Blood workup
Office Visit - $109.83

4/1/15 - Tucker has had 2 rounds of Chemotherapy (5 treatment each time) which is the limit.  The Vet put him on Chlorambucil which is a maintenance Chemotherapy treatment.  Chlorambucil depresses the function of the bone marrow which can result in anemias and bleeding disorders.
RX (60 Caps) - $74.16