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My world is falling down.
Just got back from seeing the internist. Remy's lungs are looking better but he needs a second course of antibiotics. The internist ran some more xrays (she paid for them herself) and she is fairly certain that Remy has cancer, probably lymphoma.
I knew there was a chance based on his previous songram report mentioning it, but I was just sure he had the other possibility, which was inflammatory bowel disease.
He would need an aspiration biopsy to check for cancer cells, but it is in a difficult place and may not be able to be reached.
Remy's options if he has cancer:
put him on steroids (can't go on steroids until his lungs are 100% healed) to prolong his life a little and make him feel better.
put him on aggressive chemotherapy which is expensive and may buy him a year.
put him on a less aggressive chemotherapy which may buy him 4-6 months.
Right now my head is spinning.
Thanks again, everyone.
This morning, my head is clearer; so I will be planning what our next step is. I will probably move forward with the aspiration in an effort to determine if he indeed has cancer. The enlarged lymph nodes are tucked under the stomach next to the spleen from how it was described to me. There is a spot on the stomach that is suspicious.
I have always said that I would not do anything heroic or extensive to prolong an old dog's life who has cancer. Now, I'm not so sure. I will need to meet with the oncologist to help make the right decision for Remy.
Just found this one from the California Veterinary Specialists' FB page.
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Remy is helping his internist, Dr. Bennett, review his xrays.