Wednesday, September 29, 2010

Quick Dr. Visit



It's been about a week since Lulu has started Cycle 3 of her chemotherapy and she's been experiencing some side effects. Starting last weekend she has been a bit sluggish (especially coming up the stairs) and pants a lot in exhaustion. Also she's lost her appetite, which is very unusual for her. She'll start her meal but have a hard time finishing, even after we've topped it off with some pumpkin (girl loves her fruit and veggies) or dried meat.

Also we learned our lesson with putting off her grooming. She has been biting at her paws (poor, itchy things) and must have bitten through the skin because one started to bleed and it looks infected. We took her in to see Dr. Turner today and the team was surprised to see her so shaggy.

Today's diagnosis:
• Stopping the Prednisone early may have affected Lulu's appetite and energy level. Starting today she is back on at 10mg 2x daily for three days, 10mg 1x daily for another three days, then back on to 10mg every other day.
• The doctor gave her an antibiotics injection to last her two weeks. Hopefully this will fight off that nasty infection on her foot. She is to soak it 2x daily for 5 minutes in a Chlorhexadine dilute and is back in the cone so she can't chew on her foot.
• Lulu's white blood cell count is normal so she is to continue on the Lomustine tomorrow.









The peach fuzz on the right side of her muzzle is slowly turning into fur and the left size now has some peach fuzz. Top of her nose, not so much. :( The pigmentation is starting to return too so you can see parts of her nose and top lip that is starting to match her bottom lip. When we take her out people have stopped asking about her nose -- I suppose she just looks like a "mature" dog now that has lost a bit of her fur. :P

Thursday, September 23, 2010

Chemotherapy: Cycle 3

Lulu has incredibly fuzzy feet! We've been trying to scope out a new groomer in the area. Lulu and Cora have both been going to Paw House in Cypress since we've moved out here and Cora got a pretty bad allergic reaction the last time they gave her a bath so I'm hesitant to bring Lulu in. (Especially since her skin still looks so sensitive)

So in the meantime, Lulu has grown fuzzies all over, especially on her feet. Lulu also went in to start Cycle 3 of her chemotherapy today. She has run out of prednisone but the doctor said she doesn't need it anymore. Maybe now she'll shed her extra pounds?





A typical chemotherapy cycle (3 weeks) looks like this:
Evaluation with Dr. Turner
Vinblastine 10 x 0.1mg (chemotherapy by injection)
Catheterization, butterfly
CBC w/o differential
Blood Draw
Oral chemotherapy handling fee
Lomustine Cap 10 x 10mg (chemotherapy by oral capsule)
Recheck with Dr. Turner within 1 week
Recheck with RDVM within 1 week
CBC check within 1 week

Monday, September 13, 2010

Chemotherapy: Cycle 2

Lulu just finished cycle 2 (out of 3) of chemotherapy. She is doing well and back to her usual antics. How do we know she's back to normal?

• She yawns (audibly) in the mornings to ask for attention
• She scavenges for food when we are gone
• She's smiling again
• But most of all, she's her usual, lazy self



We've started taking her out more often now that most of the scabbing around her nose has fallen off. Her facial fur has started growing wild so it's a big contrast against the bare skin around her muzzle. We're just crossing our fingers and waiting for her fur to come back. (She's developed a little peach fuzz on one side :P)