Hi All,

We went to the vet this morning because Mocha's lymph nodes were swollen, it happened over night, the vet took some blood, we got Mocha to stop bleeding after 6 hours, turns out his platelet count is very low. The vet is going to refer Mocha to an oncologist on Monday, in the mean time I will monitor him closely.

Two things the vet and I can't figure out:

1.We don't know why his lymph nodes got so big in the last 24 hours?

2. How did his platelet count got so low? What exactly is causing his body to attack itself?

Please keep Mocha in your prayers. I feel like I heaven't been a good dad to him due to me being away - taking care of grandpa at the hospital :(

UPDATE#2 Apr 21 - 9:41pm

After consulting with 4 different emergency vets within the Toronto area, we have a new game plan and it is a double edge sword:

We will treat Mocha with Prednisone / Doxycycline.

if Mocha reacts to this treatment positively, we may just bought some extra time for him but at the same time murky the Lymphoma diagnosis for the Oncologist.

OR

Mocha reacts to this treatment well because it was truly due to a legitimate tick borne disease / other infection. 

On the other hand...

IF Mocha doesn't react to this treatment, he may not live pass this weekend. So, we've made the decision to do something rather than NOTHING at all. 

Thank you for all your prayers, I really appreciate it.

UPDATE#3 Apr 22 - 7:50am

I slept for 4 hours, only to find myself in tears typing this. Mocha never left my side, this is not his style, he's always been independent and choose to sleep wherever he wants. Every breathe he takes sounds like a loud snore due to the size his lymph nodes, it's comforting to hear he's alive yet it breaks my heart to hear him breathe like this.

My wife and I cried all night, at the back of our head we already know this could be Lymphoma, all the signs are pointing in this direction, I'm selfishly hoping its just a curable tick borne disease. A million thoughts went through my head, how could this happen so fast? It was only a couple of weeks ago I took Mocha to see grandpa, everyone was praising how handsome and smart he was. Lord, how much I would give to see my boy's signature smile again? I want to see that nub wagging again. Something is terribly wrong and my head is not ready to accept this reality.

What I'm witnessing right now is only the beginning, do I have the strength to walk down this path with my friend? How do I make sure I'm not doing this for my own selfish fantasy? I just want Mocha to feel no pain. Perhaps this is what heart break really feels like? God please give me the strength and wisdom. I'm supposed to host a brunch in 4 hours, how am I supposed to do this?

UPDATE#4 Apr 23 - 7:46am

Doxy and Pred are doing their job, Mocha's lymph nodes did calm down enough for him to breathe better. However, we are not out of the woods yet. Due to his platelet count being SO LOW, he does not meet the minimum requirement for chemo in the first place. The vet and I talked yesterday, he wants Mocha confined, he doesn't want him walked / bumped / bruised / due to possible internal bleeding. 

While I was entertaining guest / patting Mocha yesterday, my prayers were answered, I was able to catch a glimpse of his signature smile. It reminds me to appreciate the little things in life, treasure each moment because they are not forever.

I am at the hospital all day with Grandpa today, Mocha is at home with Vienna (my other corgi). I will talk to the vet sometime today, we'll determine what the next step is and when to take further tests because we can't do anything when Mocha can't stop bleeding.

I want to thank each one of you for writing, you have no idea how much it means to me and my wife (Silvia). We try to read them while we're on the go, sorry we may not be able to reply to all of them, but those comfort words do bring a smile to our face. Thank you once again and have a wonderful day!

 

UPDATE#5 Apr 23 - 6:34pm

Silvia just got off the phone conference with the vet / oncologist, cytology report came back - Mocha has Lymphoma :( Approximately 2 months to live. We will continue to limit his activity (avoid internal bleeding) and follow up with the vet tomorrow or later this week.

I overhead two chemo patients exchanging bucket lists on my lunch break today, their positive attitude and laughter changed my view.  Instead of drowning in sorrow, I will focus on Mocha's living quality and creating new memories with his remaining time.  "A cheerful heart is good medicine, but a crushed spirit dries up the bones" Proverbs 17:22

MyCorgi.com exist because we got Mocha back in 03, we wanted to create a friendly community for owners to help each other, Thank you for all your well wishes and private messages! I hope you will give an extra hug and kiss to your corgis today, live life and laugh :) 

PS: I'm open to bucket list suggestions :)

UPDATE 6 Apr 25 5:27am

I've been up since 4am, couldn't fall back to sleep.

I took Mocha back to the Vet for a check up yesterday, he is now anemic, which means the cancer had already spread to the bone marrow (stage 5 Lymphoma). His gum is losing its colour, he is bleeding somewhere in the GI tract, black tarry stool. We are still waiting for his latest blood platelet result, it'll be in today. 

From the outside Mocha is doing super, he had his signature smile when I let him sit in the front passenger seat, he loved watching the traffic, I snapped lots of pictures. He also love meeting new friends, I caught his nub wag yesterday at the vet, little gesture like that made my day.

While we were on our way to see grandpa last night, My wife and I started discussing euthanasia, its  not a topic we want to talk about but a much needed one. We didn't get too far, I was trying to hold back tears while driving, my wife was balling her eyes out. It was very hard putting our game face on for grandpa.

Grandpa was super high last night (anti-psych rx), he was in an exceptionally good mood, even advised us on helping Mocha with Chinese medicine. It's been a while since we had a good laugh at the hospital, a much needed one.

After we got home, my wife suggested we take pictures in our photo studio. Mocha and Vienna were smiling the whole time. I was holding Mocha while taking pictures but I can't seem to relax and smile for them. My wife picked up on it, I'm a terrible liar.

I have no problem falling asleep, but once I wake up in the middle of the night, I can't help but recheck Mocha's respiration rate, I jumped at any sound he makes. 

It's 6:10am, I need to get some sleep. 

UPDATE 7 Apr 27 9:18am

Grandpa was discharged from the hospital yesterday, so I have more time to take care of Mocha now. Blood work came back, platelet count is up, red blood cell is down (boo), white blood cell is up (boo). During the day time Mocha is quite normal, at night his respiratory rate kept us up. We know if it's greater than 30 breathe per minute = clear sign of distress, but it always gets better in the morning.

My wife and I have finalized Mocha's euthanasia plan, we will have it at the vets office instead of home, we did ask the vet about donating his body for education / medical research, but apprently U of Guelph don't need any this year. Public cremation is the choice we'll make and the total cost will be $2XX CDN. I'm so glad that we were able to talk about it and made the decision together, since the plan is now in place, we can focus on the spoiling now.

12:24pm

I just took Mocha out, he made a healthy colour poop, NOT black and tarry!!! I'm sure the neighbour thinks I'm crazy, weird asian guy dancing with a bag of poop :) YES, healthy poop makes me smile.

UPDATE 8 May 4th 12:04pm

Thank you for all your prayers and messages. Mocha is doing well, his respiratory rate is still a bit faster than I like, but his spirit is good. He is comfortable enough to sleep / roll on his back, put a smile on and look forward to everything we eat. We took him and Vienna to visit grandpa last week, he was back to his charming self and made the family smile :) 

Mocha is no longer on Doxy and we've also stopped using sulcrate + to line his stomach. Right now he's on Omeprazole once daily and Prednisone every 12 hours. Due to the pred's side effect, Mocha drinks and pees a lot, so I have to take him out every two hours, it reminds me of his puppy years.

We will take Mocha in for another blood work soon. wish us luck :)

UPDATE 9 May 15th 12:54pm

We just got back from the vet, he is very pleased with Mocha's progress and gave him the okay to the dog park.

Mocha is losing weight still, currently at 23lbs, we'll need to step up the spoiling and fatten him up, stat!

There must have been 50+ dogs at the park today, all the dog walkers are out. Mocha had a great time, did several chest bumps and messed with the big dogs :) (video)

The family will go camping @ Bruce Peninsula national park this weekend, it is Mocha and my favourite place.

this pic was shot 2 years ago.

Thank you for all your prayers and messages, we are doing ok, taking it one day at a time.

UPDATE 10 Jun 13th 9:52AM

 

We had a great time camping a few weeks back, here' a video for those who missed it.
Mocha is doing ok, appetite is good, his weight is stable, but still losing fat around his skull area, it feels very boney to the touch. He sleeps good, no obstruction in the airway, prednisone is doing its job.
I still walk him everyday for 1hr, however he looses coordination, stumbles at times , taking it slower on stairs, he cannot jump into our car on his own anymore.
Due to all the extra human food we give him, he's becoming more entitle and "daring", he snatched food off my hands several times, always giving me the smiles, hoping for more food.
2 weeks ago we invited the church youth group over for bbq, it was all good until they started feeding Mocha onion (destroy red blood cell), time after time we told them not to feed our dogs any human food, they ignored the warnings, sigh....so we had to induce vomiting on the spot / feed Mocha charcoal pills. Note to self: Some teenagers cannot be trusted. (boy i'm getting old)
I finally got around to get some Bacon, you can watch the video here. I think Mocha likes the sausage more, or may be he's saving the best for last?
We're having a father's day pool party this Sunday, Mocha was never a fan of water, so it'll be another day of yummy food.
LAST UPDATE: July 30th 8:46pm
 
I was cooking some chicken for Mocha this afternoon, Mocha came by and slept on my foot. I gave him a neck massage as usual, he took his last breath after several minutes. I held him in my arms for 2 hours, waited for my wife to come home. All the family members said their goodbyes.
It was peaceful, his eyes were open, with a smile on his face. I'm happy that his last moment was spent with me, it was all I ever prayed for.
I am lost for words right now, forgive me for taking some time off. Thank you for allowing me to share his stories with you.

The update continues on another thread... Aug 1st 5:58pm


Thank you so much for all your messages, our phones were beeping non stop from notifications. Your words brought tears to our eyes and we are filled with love.

 

I took Vienna to the vet yesterday, the cytology result came back today, she also has stage 5 Lymphoma. So this thread will continues and I'm starting another bucket list for Vienna as well.

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So sorry to hear about Mocha. Big corgi hugs!

Thank you Bob.

So sorry to hear about Mocha.  You are all in our prayers.

Thank you for your prayers Teresa.

So sad Sam. We are so sorry to hear about Mocha! Sending corgi kisses and positive thoughts your way! He is so lucky to have such an amazing family to take care of him at this time.

Thank you Meredith and Paisley

It's so great that you can now focus on spoiling him~ Sadly, death is also a part of life. I'm glad you guys are taking it under control and focusing on the time that is left :) I hope Mocha is happy and I'm sure he wouldn't want you guys to be too sad either!

about the healthy poop...it makes me happy when my puppy does that too! ^^

Thank you Jen.

Oh, Sam!  I am so sorry to hear about Mocha.  :o(  You are such wonderful Corgi parents and he will have lived a life full of more joy and love that even seems possible.  I love your idea of documenting his bucket list.  You are all so fortunate to have each other.  Cherish every day.

Thank you Molly, we will :)

 Hospice is not just for people anymore.

Article from May/June PetsMatter:

Palliative and Hospice Care Can Mean a Better Ending

By Maureen Blaney

Years ago, I brought my dog to see a specialist. He told me that tests showed it was cancer, with little to be done. I burst into tears. The man handed me a box of tissues and left, and I took my dog home. My local veterinarian suggested that I try weekly chemotherapy injections. I paid for one, but quickly realized my income could not stretch that far.

I was told to call when I was ready to have him euthanized. Soon after, my dog got picky about eating. When I brought home a steak and he turned up his nose, I presumed it was time to make the call. I couldn’t let him starve. He was gone in seconds as I petted him on the exam room floor. But I was left with grief and haunting doubts.

Hospice
Hospice

Fortunately, today you can make your precious time with an old or ailing pet have a better conclusion.

More veterinarians and other professionals, organizations and educational institutions are responding to those who want the depth of their feelings about their animals recognized. The International Association of Animal Hospice and Palliative Care began offering a series of webinars (iaahpc.org/index.php/education/iaahpc-webinars) for pet parents in 2012. Palliative and hospice care services, grief education counseling, books and guides to when it may be time to euthanize have now become available.

Palliative care focuses on managing the pain, lack of appetite, fatigue, nausea or other symptoms your pet may be experiencing from a chronic disease or its treatment. Hospice care, too, looks first to the comfort of the pet—those with a terminal diagnosis and for whom a cure is no longer possible.

Pain management, in particular, is a science that is rapidly evolving. Sometimes just a few small changes in medication can return a pet to being more like its old self. It is still an animal with a fatal disease—but that extra time can be very meaningful.

Hospice care also supports the pet’s family as it they adjusts to the impending loss, through education and information. Planning one special last day together, preparing for an in-home euthanasia, deciding on a memorial—these can make a difference.

Knowing how to prepare can ease the challenge. Have a plan A and a plan B, suggests Gail A. Bishop, BS, clinical coordinator of the Argus Institute at Colorado State University.

"Plan A is when all goes well. There is time to make decisions. You can decide who is going to be administering the medication, such as the pet’s favorite veterinarian; who will be present; the location; the music, poems or readings you prefer," says Bishop.

"Plan B is the backup plan in case there is a crisis. Where do you go? Who can help you if you need to get the animal in the car or down a flight of stairs? Not everything happens the way we plan, so have two plans."

A growing number of resources can help. Among them:

A pet loss hotline has been offered since 1999 at Washington State University (WSU) and brings in calls from around the world. "People calling are often those who didn’t get any grief education or preparation when they lost their companions," says Kathleen L. Ruby, PhD, faculty member at the WSU College of Veterinary Medicine and director of the Pet Loss Hotline program.

Callers often seem astonished at their grief. They often aren’t prepared for the power of the experience or their incapacitation. They also don’t know where else to go to get support.

Ruby says some find that the loss of a beloved pet was more difficult than the loss of a human family member and wonder: What’s wrong with me? "Of course there is nothing wrong with them, but they do need to better understand their own grief," she says. "We grieve according to the amount of current attachment we have with the being we lose.

"Often, our pets are much more woven into the daily fabric of our lives than are relatives or friends. Although we are truly not grieving more, the quality and quantity of the grief that we experience reflects the loss of the close daily bond we have with our companions. With all of the reminders that we experience—the empty pet bed or the quiet homecoming—the loss hits us especially hard every minute of the day."

Maureen Blaney Flietner is a freelance writer (www.mbfcommunications.com) and longtime pet parent living in rural Wisconsin.

Thank you for sharing Teresa :)

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