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Roxanne is chock full of awesome. She is also, apparently, chock full of poo as well. So chock full, in fact, that it recently became a problem. Especially when all that poo became a delivery system for a moderate amount of blood.
I've always associated pooping blood with imminent and painful death. People with Ebola poo blood. When it comes to dogs, however – or at least my dog – pooping blood is just something that happens for no detectable reason. Four days in the hospital saw the end of the Plague of Bloody Poo (which is the one where Pharoah looked up at the sky and said, "hrrrrg! Okay, Hebrew god! nnngf! They can goooooaarrrgh!"), the accumulation of several more thousands in debt, and a slightly skinnier hound.
However, what Angell's very expensive machines did discover was a tumor on her adrenal gland. The tumor is large enough that it is sort of wrapped around her vena cava, which is a bit that sticks off the heart, and through which all of her blood flows.
There's a surgery that can take care of this, but here's the thing: Roxanne is 15 years old – well past her expiration date - and the surgery could potentially turn into a bypass operation rather than a simple mass removal. Plus there's all the CT scans and crap leading up to such a surgery. For the amount something like this would cost me, I could probably by land and a small herd of replacement basset hounds. So no surgery.
Given that, there are four things that could happen. If it's one kind of adrenal tumor, she could produce excess steroids and get Cushing's syndrome. This usually involves weight gain and excess urination. I don't know how I would diagnose excess urination since she's a fountain of piss normally, but she's lost 11 pounds recently (time for some high fat foods!). Also, something about her precious blood tells the vets this is unlikely. So that's probably not it.
The second option is that the adrenal tumor forces the production, in bursts, of excitability hormones. This could explain her intermittent anxiety attacks, but probably not. What happens in this case is she has a sudden adrenaline surge and her brain explodes, hopefully not in any of the carpeted rooms. Very fast, very sudden.
Curtain number three reveals possibly the messiest option, in which the tumor's growth pinches off the vena cava and she bleeds to death internally. Again, pretty fast, and probably about as painful as suffocation. I have every confidence that, despite this being an internal bleed out, Roxanne will find a way to externalize as much of it as possible. It's her way.
The final, and least fun, option is metastasis, in which the tumor has kids who grow up and go to college on other important organs. This is called cancer, and we all know exactly how great it is.
Any or all of these things could occur today, or five years from now. Right now, she is as comfortable and happy as anyone who is basically 105 in dog years. Meaning she's half-blind, can't hear and gets stupider every day, but she wags her tail when she gets bacon and still bites my knees for no reason. Also, she likes to chase the kittens with her mouth open like the T. Rex in Jurassic Park.
I know a number of you have a great deal of affection for Roxanne, despite the fact that she is the Darth Vader of dogs. If, for whatever reason, you wanted to see her before I have her freeze-dried and turned into an end table, sooner rather than later would be best.
I've always associated pooping blood with imminent and painful death. People with Ebola poo blood. When it comes to dogs, however – or at least my dog – pooping blood is just something that happens for no detectable reason. Four days in the hospital saw the end of the Plague of Bloody Poo (which is the one where Pharoah looked up at the sky and said, "hrrrrg! Okay, Hebrew god! nnngf! They can goooooaarrrgh!"), the accumulation of several more thousands in debt, and a slightly skinnier hound.
However, what Angell's very expensive machines did discover was a tumor on her adrenal gland. The tumor is large enough that it is sort of wrapped around her vena cava, which is a bit that sticks off the heart, and through which all of her blood flows.
There's a surgery that can take care of this, but here's the thing: Roxanne is 15 years old – well past her expiration date - and the surgery could potentially turn into a bypass operation rather than a simple mass removal. Plus there's all the CT scans and crap leading up to such a surgery. For the amount something like this would cost me, I could probably by land and a small herd of replacement basset hounds. So no surgery.
Given that, there are four things that could happen. If it's one kind of adrenal tumor, she could produce excess steroids and get Cushing's syndrome. This usually involves weight gain and excess urination. I don't know how I would diagnose excess urination since she's a fountain of piss normally, but she's lost 11 pounds recently (time for some high fat foods!). Also, something about her precious blood tells the vets this is unlikely. So that's probably not it.
The second option is that the adrenal tumor forces the production, in bursts, of excitability hormones. This could explain her intermittent anxiety attacks, but probably not. What happens in this case is she has a sudden adrenaline surge and her brain explodes, hopefully not in any of the carpeted rooms. Very fast, very sudden.
Curtain number three reveals possibly the messiest option, in which the tumor's growth pinches off the vena cava and she bleeds to death internally. Again, pretty fast, and probably about as painful as suffocation. I have every confidence that, despite this being an internal bleed out, Roxanne will find a way to externalize as much of it as possible. It's her way.
The final, and least fun, option is metastasis, in which the tumor has kids who grow up and go to college on other important organs. This is called cancer, and we all know exactly how great it is.
Any or all of these things could occur today, or five years from now. Right now, she is as comfortable and happy as anyone who is basically 105 in dog years. Meaning she's half-blind, can't hear and gets stupider every day, but she wags her tail when she gets bacon and still bites my knees for no reason. Also, she likes to chase the kittens with her mouth open like the T. Rex in Jurassic Park.
I know a number of you have a great deal of affection for Roxanne, despite the fact that she is the Darth Vader of dogs. If, for whatever reason, you wanted to see her before I have her freeze-dried and turned into an end table, sooner rather than later would be best.
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A visit would be nice.
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When do you move?
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I'm pretty swamped this week and will be in SF next week. I'll shoot you an email when I get back to plan some hound QT.
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Yeah, if she wasn't so old, I'm sure I would be taking this news a lot harder than I am. As it is, I know that when she goes I'll be a broken man, but for the time being I'm content with the life she's had under my care. She's lived far longer than she should have, by all rights, and she's been happy and comfortable for most of it.
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It's probably analogous to a heroin addiction.
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Be seeing you Hound.
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Yes, please LMK when a visit would work for both you & Roxanne.
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:(
Re: :(
We'll certainly be having a BBQ before Tegin leaves for the summer at least.
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Tegin and I will probably have a BBQ before she leaves for the summer. If you can't come up and visit the hound before then, you should at least make sure you come up for that!
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She's lived a wonderful and colorful life and you've gone well beyond the call of duty to meet her every need. None of the options sound particularly good but I hope she can live the rest of her days in as little pain as possible and go quietly in her sleep. She'll be missed.
How do you do that thing
Anyway- I will have to find a way to make time to see you and her- but I don't quite know how. I am coming to new york next week, but I am working, so its not a easy trip up to boston and back, but maybe I can train up on a saturday and train back sunday afternoon, we should talk...
Re: How do you do that thing
By being great!
You're welcome to visit any time, though this weekend is actually pretty busy already. :(
You seem to be coming out to Bew York reasonably regularly though, right? Maybe next time, Mike can come with you and you guys can both come up and visit?
Re: How do you do that thing
Next time we are both in town, we will plan smart and get cheap tix up to boston and then see you that way.
Whee! give tegin and the hound my love
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Mike didn't even make it to NY, right? The weather would have made a trip up unpleasant. I hope you can come up next time though!
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maybe we can do this sooner than later? weeknights are better for me for the forseeable future (my dad is hella sick and i wll be in ny every weekend for lord knows how long)
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I know what it's like to have ambiguous feelings about a long-lived, high-poop-volume pet. There are a few things I miss about my iguana, but the sound of a liquid squirt immediately followed by a tidal wave of gaseous nauseating smell is not one of them. Nevertheless, I cried like Susan Lucci when I had him put down.
I hope Roxanne's last days are comfortable and perhaps slightly constipated.
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This last is very rare, but no less disturbing for its rarity.
Chest poop
Ana-Marie
Re: Chest poop
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I'm sorry you're going through this; you've been a dedicated pet owner, and I think you're making the right decision.
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I've never seen a bassett with Cushings. In my mind, Cushings is for fat little Bichon Frisse dogs. Cushings also gives you this gross skin thing where areas of the skin harden and become like little continents accross the great sea of fat that was once a dog. I assume they did an ACTH stimulation test. Cortisol levels in the plasma and all that... Doesn't seem likely, anyway.
I've seen many dogs die from internal bleeding. It's kinda like watching them bleed to death externally, except all the blood is just filling up the abdomen and slowly pushing the diaphragm so they can't breathe. And just like anyone bleeding to death they get cold and it's uncomfortable.
Sometimes they are bleeding internally from some sort of poison or sometimes it's for this exact reason--fucking cancer. Tumors rupturing organs...ruptured splenic mass is salvagable sometimes. Sometimes they open up a dog and see all the cancer...I feel like that's what will happen if they open up the bassett...like they'll go in to remove a tumor and see tons of others.
I don't want Roxanne to die. I'm really going to miss her. All the nights of cuddling..and haunches. I love the haunches. Her soft ears. I remember when we would all sleep on our left side- all under the blankets and our heads on the pillows- first Roxanne, then me, and then Forest with his arm across both of us. At least there is time to make her feel loved. Hey Forest, feed her a happy meal before she dies- okay?
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That was one of the reasons the vet doesn't think it's a steroid-producing tumor; Roxanne is most certainly not a victim of the weight gain that usually acompanies Cushings.
The type of tumor they think she has is some specific, reasonably rare adrenal tumor. I can't remember the name though, but I bet you know it.
I have absolute faith that, if this should happen to Roxanne, she'll pop like a tick at the end of it all. I wonder if having your dog explode and get guts everywhere voids your security deposit?
Anyway, they're not going to get to remove any tumors anyway. I can't afford any more hound surgery, and she's too old to try extending her life another six miserable months by trying to surgically treat a metastisized cancer. And they want to do a CT scan on her before making any surgical decisions, which alone costs enough that I could just get a different basset hound and throw Roxanne in the dumpster.
I really don't either. :(
Like a Happy Meal from McDonald's, or just a meal that will make her happy?
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I meant a real happy meal from Mcdonalds..but I wouldn't want you to have to clean up the mess that would probably happen with all her GI troubles. I just like the idea of Roxanne sitting down and enjoying a happy meal. She loves people-food so much. I think she'd be so shocked she might even pause for, like, 2 seconds before scarfing it.
I guess if she makes a big production of her death and you end up having to euthanize, you can feed her a happy meal before. We always do it at work. Giving dogs people cookies or chips. Lots of times they are so sick they aren't even hungry. I can't imagine Roxanne EVER being too sick for people food.
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When she was sick recently, she was turning down food. Even dog-bacon, which is her favorite thing in the world other than bugging me.
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