Sunday, August 17, 2014

No breaks!

This summer just keeps on getting better. :/

First, Isabelle is doing ok. She's been having some poop issues that appear to be resolving with Panacur, although the fecal test came back negative. The poop issue has been making her uncomfortable, causing lots and lots of pacing. After two days of Panacur, the pacing has been reduced quite a bit. And her poop has improved. So paws crossed that the medicine does the trick.

Second, our swimming pool air ring sprung a leak. Mom couldn't find the hole to patch it. It has been unusually cold for summer here, meaning no swimming for a few weeks. This weekend, the heat is back. So when it's finally swimming weather, no pool. This pool is very important to mom's mental health. So she got another one.

This one is taller that the previous one which meant mom needed to figure out a new way for us to get in and out safely.

It doesn't look like much but it works.                                                                             

Soon after this, we got into a big fight. Tallulah always seems to get the worst of it.  This time, Petunia gashed her toe pad. The one that had the weird problem about a year ago. It was bad enough to mean a trip to the ER vet. 
In doggy jail before the vet.

After 3 hours at the ER vet. No swimming for at least two weeks. 

How could such a cute face hide such a vicious fighter? 

Three days of crate rest, 3-5 days of bandage changes, no getting it wet (naturally, there's rain in the forecast), antibiotics and pain meds. Mom's rigged newspaper bags to keep the bandage cleaner. 

Paws crossed that the rest of the summer is swimming weather and that there are no other health problems for anyone!

Tuesday, August 12, 2014

A very serious post today

We lost a great actor and comedian yesterday to suicide. It's heartbreaking. Robin Williams was so full of life that his absence seems like a hole in the world. He left behind three children, a wife and a pug named Leonard.

While we don't know the particulars of his mental illnesses, he was truly sick. If you've never experienced a mental illness, it's hard to understand how someone can feel so hopeless and so deep in a hole that they feel there is no way out. I sincerely pray that if you haven't experienced it, you never do.

I have been clinically depressed for more than a year now. Clinical depression is different than situational depression. And both are different than sadness. We all get sad sometimes. Depression is not sadness. It may look like it, but it's not. Clinical depression is an imbalance of chemicals in the brain. I have no "reason" to be depressed. I just am. Situational depression starts with a sad situation that leads to a change in the brain chemistry. People who have lost a loved one or their job can get situational depression. People with clinical depression usually don't start with a sad event.

I think my depression was triggered by getting whooping cough two Christmases ago. I was very sick for a long time. Just as a diagnosed disease like whooping cough or pneumonia can create changes in the body, it could create changes in the brain. Adding insult to injury, I have had problems with sleeping for years. I am a night owl in an early bird world with a very early bird job (for me). Sleep deprivation can do terrible things to the brain, too.

I used to be called Pollyanna because of my positive attitude. Not any more. I had no patience, even for my beloved pugs. I snapped at people. I got ragingly angry over things I shouldn't. And this is actually an improvement. For eight months, I slept. A lot. Came home from work and took a two hour nap. Woke up, ate dinner, then went to bed. Slept all weekend. And I was still exhausted. It took all my energy to get up and go to work.

I have been on a couple of medications over the last year. I also have migraines, and the medication I take for the headaches interacts with most of the anti-depressants on the market. So I've tried a few different ones. The one that finally seemed to work actually helped me sleep a lot better. But after a few months, I started to get irrationally angry and snappish. That can be a side effect. I've been off the medication for about two weeks now, and I'm doing okay. I've started a different medication just for sleeping that is not really fantastic but better than nothing.

I'm calling it remission. I think depression is a cancer of the soul. I may never get rid of it, only treat it into remission. I'm aware of it, and I know the signs that I need to see a doctor. I'm not ashamed of asking for help or taking medications. I think my trick will be identifying it sooner before it gets so bad. When you are so depressed that it's hard to function, it's very hard to be an advocate for yourself.  You don't have to energy to question doctors or push for treatment. Just recently, I've had more energy and pushed to get more answers. It turns out, my thyroid level has also been low. Low thyroid is also linked to depression.

Mental illnesses are just as real and valid as other diseases. Just because you can't see depression under a microscope doesn't mean it's not real. There's not a blood test for bipolar yet. But it is still real.

People who are depressed can't just cheer up. It's not a matter of getting more exercise, doing yoga, drinking chamomile tea. It's not something you can cure with willpower any more than you can cure cancer with positive thinking. Are there things you can do to take better care of yourself? Sure. And if a depressed person can, maybe they do. When I was in my sleeping phase, going up the stairs made me so tired that I had to sit down at the top of the stairs. I dozed off at work all the time. Exercising was out of the question.                          

If the tragic death of Robin Williams leaves us with anything, let it be that we must stop treating mental illness as imaginary and shameful. We don't want to be depressed. We don't want to have anxiety. We want to be happy and play with our dogs, laugh with our friends. We don't want to let the laundry pile up. We don't want to hurt our family and friends by dying. If we had a choice, we wouldn't choose to be depressed. Nobody chooses to have cancer or Alzheimer's or a stroke. Nobody chooses mental illness either.

We must stop shaming people with mental illness. I think most of the time people don't even realize they are doing it. The media shows us the terrible side of mental illness with stories of school shootings. I know one person who won't see a doctor because they are afraid that their coworkers will make fun of them or see them as dangerous. If you would see a doctor for a broken arm or stomach problem, then see a doctor for mental illness.

If you know someone with depression, be kind to them. Don't try to fix them or offer advice. Just be there. Listen with compassion. Let them know you care. Ask if they need help then help them find a good doctor. Don't tell them to smile more. My grandmother has never been depressed (although she certainly has had opportunities for it) and doesn't understand. I have at least convinced her to stop telling me to cheer up. Telling a depressed person to cheer up makes them feel like their feelings aren't important. She doesn't understand, any more than I understand what it's like to have breast cancer (which she has, again). But she does get that I am not well and tries to be more compassionate. If an 81 year old can do it, so can we all.

Be kind to others. You never know if that smile is forced because someone is too scared to admit they are sick. Being kind doesn't take much effort and you never know how you may impact someone's day.

Tuesday, August 5, 2014

Still not good news

Mom talked to the regular vet today, and the news still isn't that great. Given Isabelle's age and health, chemo is possible but is not as likely to help. If it worked great (and Isabelle handled it ok), it might give her another year. Without chemo, she likely has a few months. 

You'd think this would be a really easy decision to make, but it is not. There's a very real chance that chemo (at $350 a session!) wouldn't even work. The vet told mom that another patient who was doing really well on chemo had a tumor come up during a session. They switched to a different kind which the poor dog did not tolerate, leading to days in the hospital. Then there are other dogs who do tolerate the chemo and go into remission. 

There is no clear answer here. Thus, there has been no decision. 
Even taking the cost out of it, mom still doesn't have a good answer yet. 

In the meantime, Isabelle is doing ok. 
Now that's she off the Tramadol, her digestive system is happier. Tramadol can make a pug constipated, even with pumpkin. That definitely made her uncomfortable. 

Her diet has changed though. No more processed grains which means no more Cheerios. Mast cell cancer feeds off of simple carbohydrates. That also means no more hamburger buns. 
On the other hand, she does get to eat a stinky sardine every day. 
Sardines are great sources of omega 3 fatty acids which helps keep the immune system strong. 
She'll be getting some extra antioxidants, a stronger vitamin and a nutraceutical called Apocaps. 
 She'll stay on Benadryl and prednisone, no matter what mom decides. The prednisone will help with any inflammation. Benadryl is because mast cell tumors release histamine. Anyone who has ever been hit with allergies knows how bad they can make you feel. 

Please continue to keep us in your prayers and thoughts. Trying to figure out the right thing to do for Isabelle is tearing mom up. 

Thursday, July 31, 2014

Not the best news

Isabelle had her stitches out today. It was pretty tough on her, but we think they gave her oxygen to make her comfy. It looks red and angry, but that should go away soon. 

And we got the pathology report. Not good news. The tumor was grade 3 (the worst), and the nearest lymph node also had cancer cells. 

Chemotherapy may be an option, but mom isn't sure about it for Isabelle. Isabelle's regular vet didn't think she would be a good candidate when we talked before the surgery. She's been at a veterinary conference for a few weeks. She'll be back to work on Tuesday. Mom left a message that she please review the report and call mom to discuss the options. 

We know that you all know that mom would do just about anything for us. Just like you. The thing is, it has to be for our best interest. There's no guarantee that chemo will prevent further spreading or prevent more tumors. There's no guarantee that Isabelle will do well on chemo or that she will feel good. 

Once mom talks to the vet, she'll make a decision on the chemo. 

In the meantime, Isabelle will start on a special diet for mast cancer. Supplements are also on the way to help in a more natural way. 

We aren't sure what the future holds for us right now. Please continue to keep us in your prayers. 

Sunday, July 27, 2014

The impatient patient

Isabelle has done very well in her recovery. Knock all the wood in the house. 
She's had a few incidents of panting, but mom figured out it wasn't pain. Mom came home like clockwork to give Isabelle her pain meds at 2 pm. Then by 4:30, Isabelle would be panting when mom came home from work. It couldn't have been pain because of the recent medication. And mom put the AC way down so it wasn't heat. Isabelle was just mad that mom wasn't home. Fortunately, her tongue was always pink so she was getting plenty of oxygen. 
Still no word on the pathology report. We hope to hear something Monday. 
She only looks sad. Mom woke her up to take the picture. 

She's pretty much back to her normal self. Very sassy. Demanding her meals immediately. Attempting to stand up on her back legs (that didn't work out well, but it rarely does). Her incision is doing well, but her underside is a dirt magnet with the Neosporin. No getting the incision wet until after the stitches are out. Isabelle is ok with that because it means no swimming!

We have been really good with Isabelle. Mom was worried that with our shark-like instincts to sniff out weakness, we would be mean to Isabelle. Happily, all we did was sniff her a little. And we even listened to mom and backed off when told to. We were pretty chill about it all.

In other really good news, Blaze went to his forever home on Friday. He had a wonderful home visit with his new family last week, and they decided they couldn't live without him. He has a great backyard, a kid of his own to play with and no other pugs to share the attention.
He was ready to go. We weren't terribly mean to him, but Petunia made sure that he didn't get too much attention. Poor pug needed it, too. Good thing his family has three humans with six hands to pet him!

Thursday, July 17, 2014

She's home!

Isabelle did really well during surgery. The vet said her heart was strong, and she came out of anesthesia quickly. The tube irritated her throat some, causing coughing, but nothing terrible. 

The incision is pretty long, probably 3-4 inches. We won't get the pathology report for 5-7 days. The tumor itself will be graded, and they tested the nearest lymph node, too. 

Last night, Isabelle was one grumpy pug. She did not get the bedtime treat of Cheerios that we always get. Mom thought she was being sneaky by giving us our Cheerios on the floor, but Isabelle knew. 
These nearly blind eyes are accusing. ACCUSING!
This morning, she was pretty unhappy when everyone else got to eat, and she didn't. She fussed the whole time. Then snarfed around the car seat for a crumb. 
She wasn't super thrilled to be back at the vet either. For the fourth time in a week. 
The vet tech took the opportunity to clean her ears, eyes and nose while Isabelle was out. It's the only way it can be done without her trying to bite.

She was pretty loopy on the ride home, too. 

 However, she perked up when it was time to eat. Just a little at first, then more as the evening goes on. She has a whole cup of food to eat in only a few hours! 

Here's the little patient, just waiting to pop up from the bed as soon as mom moves. 

We have to keep her incision clean, make sure she has her meds on time and gets lots of rest. 
She's still loopy but she made it. 
Isabelle Sassypants will ride again.

Quick update

Isabelle is out of surgery. Awake but resting and getting fluids. They will give her a little food later. Mom will pick her up after 5:30 then start the long weekend of recuperation.
Yay for prayers, positive thoughts, healing juju and the Power of the Paw!

More later when mom gets all the details from the vet.