Showing posts with label wound care. Show all posts
Showing posts with label wound care. Show all posts

Tuesday, November 22, 2011

Normal? (Gulp)

Isis is licking off Indiana's breakfast.

Things are going shockingly well here. Life, in Indiana's mind, is back to normal. (With the exception of bandage changes--she does hate those) She is feeling good, eating well, getting around probably slightly better than normal (but still having trouble getting up). Maybe she knows she has a hole in her back. I know she knows she has a bandage on it. Indy has always hated wearing anything, be it bandages or clothes. This is why I walked into the hallway last night to find her fast asleep with her bandage pulled off and all the honey licked off. Booger.

Months and months ago, my family and I decided to spend the Thanksgiving holiday at my parents' cabin on a lake in central Illinois. Jim and I try to take the dogs there 2-3 times a year, to relax, and to get a change of scenery. It's kind of my happy place, a place that represents togetherness and family, and a lack of stress. We've never spent a holiday down there, but have been talking about it since my aunt died in 2009. Holidays in our own homes bring back too many memories, not that memories are bad. But the loss is still fresh enough that recreating the holidays, but without one of the essential parts, is just too painful. We knew we'd enjoy the holiday more by creating something new.

Our plans were thrown into question last week when Indiana got sick. We weren't sure if we'd still be able to go. But with Indiana's miraculous upswing, and the fact that her illness and our treatment of it wouldn't require an emergency vet visit, we realized we'd be safe to keep our plans.

The bandages are going with. So are all the medicines and treatments that are keeping her alive and healthy. But so are my parents, and their dog, and our best friends, and their dog. (And yes, for those keeping track, that's 6 adults and 4 dogs, all in a 900 square-foot, 2-bedroom cabin). And we'll be creating memories: new, happy memories.

Life throws you curve balls. Life is hard. Sometimes life sucks. But we soldier on. What was once normal no longer is, but we adapt and create a new normal.

This may be our last Thanksgiving with Indiana, but we don't want to dwell on the sadness of that. Instead, we'll be thankful to spend this holiday with her, making new memories and filling the time with love.

Monday, November 21, 2011

Keep on Keepin' On

So much fighting spirit!

Big developments over the weekend: the skin over the tumor fell off Sunday morning, and most of the tumor did too.  There's just a tiny bit left.  (And I haven't looked at it yet this morning, so, who knows?)  The last time I looked at it, which was last night, the mass was maybe the size of half a mushed-up kiwi.  (Does that make sense?  It does to me.)  And this is down from its large grapefruit size on Tuesday. 

I am astonished.

What we are left with now is a large, gaping wound.  It's probably 4 inches in diameter, so, I guess, fairly big.  But without flappy skin and a large tumor, it's actually pretty easy to clean.  Nolvasan, Manuka honey, bandage.  Repeat, repeat, repeat. 

I started a website to post pictures of the progress of the tumor.  Because of this experimental drug we're using, I wanted to keep track of the tumor's death.  I also wanted to keep track of how well the tumor responds to the Manuka honey, because I've heard it can do amazing things.  Anyway, I set up the page but haven't made the link public other than to mention it, once, on Facebook.  (If any of you want access, let me know, and I'll share it privately)  I'm not one to hide who I am or what I'm going through.  I blog about what's going on, and I post VERY frequent updates to Facebook to share with 215 of my closest friends.  But the pictures?  I was afraid to show that.  I still am.  I'm secure in what I'm doing, in the treatment choices that Jim and I have made.  But I'm fragile, people.  I'm an artiste.  We don't like being questioned or, God forbid, disagreed with.  What if the pictures got out and people didn't understand?  What if they thought I was letting my dog suffer?  That I was allowing her to be in pain?

I know what we're doing is right.  Indiana tells me every day, and, believe me, I'm looking for her response.  But I'm getting through this by sheer will and the love and support of more friends and family than I can count.  (How did I end up with so many wonderful animal people in my life?  I am overwhelmed!)  But I don't have room for negativity or disharmony right now.  If people think I'm wrong (and thankfully, no one has expressed that view to me), I don't want to know.  Which is why I'm keeping the photos semi-private for now.  Maybe I'll get brave later.  Who knows.

Back on track to the tumor, and, more importantly, the dog:  tumor = small/almost gone; hole left = kinda huge; dog = eating well, bright and perky, and completely kick-ass. 

Oh, how I love her so.

Friday, November 18, 2011

Hope, or, When Will I Learn

The Princess and The Papa

Cancer is always a roller coaster.  I learned that five and a half years ago, and, it seems, it's still true today. 

Though Indiana's been feeling pretty good, despite the soon-to-be-gaping hole in her back, it's always hard to tell what's going on inside a body.  Bleeding?  Organ failure?  Other tumors?  Plus, when you open up a large wound on the body of a living organism, other organisms, i.e. bacteria, want to live there.  So despite the fact the the tumor itself is not going to kill Indiana, secondary infection might.

In my head, and, well, in my eyes--this tumor looks nasty--I've been wondering how much time we have left, and this is the consummate question for any parent dealing with cancer.  How much time do we have?  I've known forever that this is variable, and often dogs can do much better than their stated prognosis; I've seen it many times.  But when it's your own pet, all previous knowledge is lost.  Advice you've given to others over the course of almost six years?  Out the door.  Suddenly, you're back to square one, turning to your support system for help.  You can't remember anything, and you're scared all over again. 

So after speaking with both of our vets over the last few days, I had a really unclear picture of where Indiana is headed.  What's going to take her, in the end?  Systemic infection?  Kidney failure?  Anemia?  And how quickly?  Any day?  Any week?  Any month? 

During a visit with our primary vet today, we discussed wound care and put a plan in place for keeping infection at bay.  The tumor will be losing its protective skin any time now, which isn't necessarily a bad thing.  We want the whole darn thing to slough off.  Gross, I know, but it's our best chance for survival.  But it opens up a huge wound--I'm anticipating about 4" in diameter--which will be difficult, though not impossible, to keep free of infection.  Twice-daily debridement with Nolvasan, followed by a healthy slathering of Manuka honey, and thrice-daily bandage changes are the plan.  This doesn't sound like a lot of work on paper, but I understand that wound care is terribly time-consuming.  Essentially, I'm clearing my schedule for the near future to deal with this. 

The best part?  My vet told us to expect an open wound for at least two months.  My reaction?  "We have two months?" I seriously didn't think she'd last that long.  Apparently, if we keep her free of infection, she definitely could still be with us.  I was floored.  And thrilled.

I know that our time with our girl is limited.  I know that at any time things could change.  I know that keeping the wound from becoming infected will be harder than it sounds.  But I am up for the challenge.  And so is Indiana.  How could I ever have doubted that?