Showing posts with label reconstruction. Show all posts
Showing posts with label reconstruction. Show all posts

Thursday, July 26, 2018

THURSDAY THOUGHTS ON TREATMENTS

It's taken me nearly two weeks to come back here.   I truly had good intentions but sadness overwhelmed me.  I cancelled dinner dates with friends, I stayed home.  I sat on the porch a lot and cried.  I'm sorry if over the last couple weeks you bumped into me somewhere and I wasn't "myself".  I haven't been myself for four weeks now.

But... I'm trying to change that.  Not a single one of us is promised tomorrow.  I don't know how many times I've left work saying,  "I left that in the top left drawer if she comes in.  You know... in case I get hit by a bus when I walk out of here..."

Well, I sorta got hit by a bus.  ....and life goes on.

I had planned for my third post to be about options.  For those facing what we are facing and learning what can be done for a cat with oral fibrosarcoma.  I just couldn't bring myself to write it all down over the last couple weeks.

This is the tumor, when it was found.  Needless to say, I was horrified.  I look in her mouth all the time, but I realized that day... only the sides.  I have no idea why I never lifted her front lip.

 Most of the tumor has been removed.  It is already growing back but looks nothing like this.  ....yet..... thankfully.

Option one, which is the most aggressive.  SURGERY.  It would include removing a large part of her upper jaw where the tumor is.  Basically removing part of her face.  No.  Nope.  Nada.  Not doing it.  The horrible thing about this type of cancer is how quickly it usually comes back even after removal.  I could not do that to her.

Option two is radiation.  Daily radiation.  Aside from the fact that I could not bring myself to make her travel to the vet every single day, maybe for the rest of her life, there was another huge factor in this.  Right now, in all of New England there is only ONE facility that does radiation on pets.  ONE.  They have a seven week wait.   I will say, even if it were around the corner, available today, and not a daily trip of three hours in the car, I don't think I would have done it.  (I mentioned in my first post, some won't agree with what I do or don't do).  To me that would be no quality of life for a cat that I've always avoided bringing to the vet because she gets so stressed out.  (and believe me when I say she DOES go to the vet.  Her health record file is bigger than mine).  Also, she has a tumor in her mouth that makes her mouth uncomfortable.  She is already uncomfortable enough.  Do I want to radiate her and make her mouth more painful to buy her a couple  of months?  The oncologist told me no one knows.  She could live six months without treatment, three months with treatment, or vise versa.

Option three:  Chemo.  I considered this one.  Firstly, it's not really a treatment/cure for this type of cancer.   In twenty percent of cases though, it shrinks the tumor for a bit and buys them more time.  He got my attention with that one.  I did more research.  This diagnosis is a death sentence for certain.  I decided against option number three as well.  I felt like a bad human when I made that final decision.  Maybe I wasn't giving her a chance.  Maybe I wasn't doing enough.  Took me a while though to see, I know her better than anyone.  I know what bothers her, what upsets her, what makes her nevous, what makes her tick. We are going to enjoy every day we have left.  No more trips to the vet.  No more staring in her mouth four times a day.    She can eat what she wants, turn her nose up to what she doesn't, eat under the bed.....   so long as she wishes to.  So long as she continues to chase butterflies.

Anyone who finds themselves in our situation will have to make their own decisions.  While there is NOT a lot of information on feline oral fibrosarcoma out there... there is some.  Also, lower jaw may be easier to deal with than upper jaw, giving someone an easier decision to make with radical facial reconstruction to remove the tumor.  A less timid cat may have no problem taking a daily drive.  I only know I had to do in my heart what felt right for her.  Yes, I still doubt myself.  I probably always will.  But, when she runs out to be the first one to eat supper, or is the first out to the catio to watch the birds that makes it a good day.  One I know she's enjoyed.  ....and we carry on.




Hugs and Purrs,
Arline











CLARIFICATION

Something was brought to my attention today by a dear friend and I thought I should clarify my post, or posts... or heck, the whole darn blo...