When I first felt the bump, I thought it was a flea bite. I even thought maybe somehow her microchip (size of a grain of rice) had migrated. I was afraid it could be a tick. I tried to separate the fur but couldn't see anything. I was busy and working a lot, so I missed their bi-annual(6mo) comprehensive exam. (They are on a Wellness Plan through Banfield at Petsmart). It got to the size of a pencil eraser. I mentioned it when I took them in on a Monday and they performed an aspiration on Tuffy.(April 23, 2012) And aspiration is like a tiny biopsy, just a very small hollow needle to get some tissue to put on slides to analyze. (cost: $60)
(May 7, 2012) The results said it was a probable Mesenchymal tissue and the Dr suggested I could go to the Oncologist or they could remove the tumor there. I scheduled the surgery for the date of their follow-up appointment two weeks later. (cost: $600) When I picked her up, I was surprised at the size of the incision, about 3" long! I felt so bad for her and that first night at home I knew she was in pain and it was hard for her to walk on that leg. I thought it was over. I thought it was just precautionary. I had NO idea.
On Wednesday, May 9th I received an email from her Vet saying that the mass that was removed was confirmed to be fibrosarcoma which is very invasive and can originate from the Rabies vaccine. They tend to spread out in all directions and that a more extensive surgery would be required to try to remove all the tumor cells. “The mass was comprised of interlacing streams and bundles of spindeld shaped cells”. It was an Intermediate grade fibrosarcoma. The prognosis was “guarded”. She again suggested that I take her to an oncologist located in San Leandro, and also suggested chest x-rays that they could do at Banfield. I broke down at work. I was just sobbing and couldn't believe this could happen. I had done everything right to take care of my cats and I was being punished for it. I cancelled my classes and clients for the next day. I emailed her back and went in the next morning for those x-rays. I also called BAVS which because they are 24hr Emergency I was able to make the appointment that night for 2pm the next day.
On Thursday, May 10th I got the x-rays done in the morning at Banfield. They were clear. (cost: $220) Dr Couture was very comforting, as much as one could be. I trusted her. I took my cat back home and at 2pm mom went with me to BAVS. They suggested an ultrasound of the abdomen to make sure that was clear and also get a 3rd angle for the chest x-ray to be sent out to a specialist. (quoted 818-1126, actual cost: $600) We came back to pick her up after eating dinner and found the abdomen it was clear. So, the cancer had not spread to either the lungs or the abdomen. That was good news. I was not prepared for what they suggested next. They suggested amputation of the leg. I was floored. There was really no way to be sure how far the cancer had spread either way. The oncologist came back with the estimate for the amputation. I made her give me one for the 2nd option of surgery without amputation. I figured I didn't want to take her leg, especially if we didn't know if that would be enough or necessary. I would do the 2nd option and hope for the best. Oh, and radiation was recommended in both cases, daily for 3 weeks which would cost approximately $7,000! WHO has this money?? I was miserable. How could I not be able to save her because of money? What price is a life? In the past we didn't have these options, now we do, but..HOW do we do it?(quoted surgery cost: $3,132-3,339 w/o amputation, $3,747-4,247 with amputation)
(May 11, 2012) When Dr Strotner, the oncologist called me on Friday to follow-up, she informed me that the specialist had confirmed there was no visible cancer in the chest x-rays. I confirmed that I only wanted to do the 2nd operation and I scheduled it for Monday, as soon as possible.
(May 13, 2012) However, on Sunday I received an email from Dr Couture, her main vet. In it she stated that she got the report that I had a surgery scheduled, and that it was of course my choice but she urged me to do the amputation and it would give her the best chance of survival, and that cats really do well on 3 legs. And wasn't that the whole point after all? Her survival.
(May 14, 2012)When I went in to consult with the Dr. Carlsen, the surgeon, on Monday morning, she went over everything with me. She was also very comforting and I decided to let them amputate her leg. There was no guarantee. Since it was being done on Monday, there was a chance I could have the lab results from the mass being removed Thursday. I would not be able to breathe until I got those results back. I kept wondering if I did the right thing. Shortly after lunch she called me to let me know that the surgery was complete, and Tuffy had done well. There was no going back now. In a way I was relieved that the tough decision had been made and it was done. She was to be held overnight. They usually like to keep them 2 nights but it was possible I could get her home after one. I had to pay the lower estimate value as the deposit.
(May 15, 2012) On Tuesday, I had expected to pick her up but she was not ready. I was able to go visit. Mom went with me as we were not sure how it would be to see her for the first time. They wait was horrible. I was so worried to see her, and they were doing a blood transfusion when we came. They put us in on of the rooms and brought her in. We were trying for a while to keep her from moving. It was painful to see her all stitched up, trying to stand and falling. She had an IV with a pain med drip. They we found a bump and freaked out. Sandy, the surgery tech, got the first available oncologist who aspirated it right there to put on a slide and found it was just dry skin or a cyst and we will follow up in 30 days to confirm. (free). Sandy told us we could put her on the floor if she's more comfortable. They were all so non-chalant about it, because they are used to seeing it all the time. They kept reassuring me she will be FINE with 3 legs! And not to be surprised at her doing all the same stuff as before. So we put her on the floor, and she kept getting up and falling. Eventually she crawled in my lap and was comfortable there. I realized as I was posting pictures later just how drugged she looked! haha her eyes were SO big!
(May 16, 2012) Wednesday mom and I went to go pick Tuffy up. We went through the discharge information. I paid the balance due.(cost: $4,412) Sandy had tried to get her to purr and pet her on her face like she liked and everything and she only purred when I was there. I would need to keep her confined for the next two weeks, and kept away from Dash. I got the spare litter box I had and put it in my bedroom along with her food and water bowls. An unexpected side affect is that Dash wants NOTHING to do with her. So sad. She smelled when I brought her home, like sugery, blood and urine. I used the pet wipes and cleaned her a bit. Dash just stared at her. He is still hissing and growling at her, like he’s afraid.
Thursday it was back to a full day for the first time in about 1 1/2 weeks, which means i was working until 10pm. Dad went by to check on her and give her her pain meds in the afternoon. But it was so hard to be happy that she was home, and concentrate on her recovery when I still didn't know if she was going to live. I had fears that this is how I was going to remember her, shaved, stitched, hobbling. Put through all that for nothing. And the stories of the tumors growing and opening, horrendous. The animal doesn't feel it, just as her leg never bothered her. But YOU know and YOU see.It's ALL I could think about!
(May 17, 2012) Then I had a missed call from a (510)#. My stomach tightened. I knew I needed to see my current client. It was everything I could do to get through that hour. I saw the voicemail notification. Before I was to train my general manager, i told her i had to take the voicemail. I was so scared. I had like 8 voicemails before it I needed to delete from an internet phone inquiry I made on a debt program. ugh. Then the message from the Oncologist. . . GOOD NEWS! The lab results showed a 6cm border of clear, cancer-free skin from the mass around the tumor that was removed. Almost certain it wont return. My baby is cancer-free! She will live! In my entire life, I have never known the feeling of crying for joy...until now. I was just sobbing. Words cannot express, the relief. I could breathe again. I could go home, and hold her and know she'll be ok. I can look her in the face. I called her back to let her know how Tuffy was doing. I told her about my blog and youtube and how I wanted people to know. She said how hard it is to see, and how people don't want to amputate the leg but most of the time, those are the surgeries that don't get it all. I saved her life. And it was Dr. Couture who changed my mind at the last moment. wow. It was over.
Tuffy's Fight Blog - Full Story
Tuffy's Fight on YouTube - Meet Tuffy and see her recovery! Know that a 3-legged cat can be happy, healthy and get along just fine! ;)