Should I Have Surgery for My Old Dog?
20-Year-Old Dachshund Granted Several
Loss of a Faithful Companion Can Tear
Your World Apart
Shara lost her 12-year-old mini
Dachshund to Bufo Toad toxicity.
Mimi had been a lusty red-headed long haired Dachshund,
and she did what Dachshunds do: Mimi got into everything,
preferably teeth first. The Bufo toad sat in wait in the
leaves at the edge of the patio, and when Mimi lunged for the toad,
her tongue barely touched the poisonous skin. She immediately
started foaming at the mouth and tremors and seizures followed
within two minutes. Even though Shara washed out Mimi’s mouth
with hose water and rushed to the animal hospital, Mimi could not
be revived out of her seizures, even with continuous general
anesthesia. She eventually lapsed into a coma and passed away
later that same night.
“If your dog licks a Bufo Toad, or, if
your dog was in the yard in Florida, and you suddenly notice severe
drooling and tremors, rinse the mouth well, and get to the vet’s,”
says Doc Truli.
Shara was devastated. If
you’ve ever lived with a dog, or especially a Mini Dachshund,
especially since you were a teenager and your dog has been your
only constant companion through school, and moves, roommates, and
love affairs, and even the passing of your father at only 55, you
feel the pain Shara felt when Mimi passed away at only 12 years
old, and so suddenly. We would all understand if Shara felt
depressed or withdrawn or pessimistic. We were all surprised when
Shara returned to the animal hospital the very next week with a
Love Springs Eternal…At the Animal Rescue
Enter Penny. Long red fur, long royal
nose, stubby chubby paws pointing out, feathery long tail waving a
friendly welcome to everyone she met! Shara found a new
companion at the local rescue league. But Penny was no puppy.
She wasn’t even young. She wasn’t even middle-aged!
Penny’s face had a grew laughing clown-like pattern around
her eyes and muzzle. She looked benevolent and smiling all
the time. And she was already 15 years old. “I figured she
needed a good home and I fell in love with her the minute I saw
her,” said Shara. Shara never thought twice about how much time she
and Penny might have together. She only thought about this
loving, beautiful, peaceful, friendly Dachshund and Shara knew they
were meant for each other. Through the years, they weathered
tremendous ups and downs, but mostly “ups.” First, Horrible
Festering Dental Disease at 15 Penny’s previous
family relinquished her to the animal shelter at the ripe age of
15. They stated that their grandmother had passed away, and
as Penny had been her dog, no one in the family had the space or
time to care for her. Imagine! Shara brought Penny for her
fist post-adoption physical examination. Penny was
sway-backed like an old horse, and she had incomplete cataracts, so
she could see okay, but not perfect. Her biggest health
issue, beside some arthritis, was her dental health. Penny’s
incisors were loose and many of her molars were rotten and
They stated that their grandmother had
passed away, and as Penny had been her dog, no one in the family
had the space or time to care for her.
After dire warnings about older
pets and anesthesia, Shara eagerly signed the dotted line for Penny
to undergo oral surgery. “She deserves to be comfortable,” Shara
said. Doc removed 15 teeth that afternoon. Cleaned
everything, gave Penny some relaxing painkillers. This
amazing little dog was awake and begging for food within 20 minutes
of her surgery! She recovered fully in
hours – not days!
Penny Faces Adrenal
Fast forward a year.
Penny and Shara have been constant companions. Shara
noticed Penny was drinking a lot of water, urinating in the house,
and her belly looked large. “These are non-specific symptoms of
over 40 diseases,” warned Doc Truli, “We’ll start with a diagnostic
database of CBC, Chemistries, and Urinalysis and go from there.”
After the basics, an ACTH stimulation test, and abdominal
ultrasound, we found an adrenal tumor inside Penny’s abdomen in
between her kidney and her aorta. This tumor was making
natural cortisone steroid hormones. Even though her body was
making the natural hormone, the effect of too much in this runaway
tumor was the same as if someone fed Penny prednisone or steroid
pills like candy for months. The condition is called
high-per-ah-dree-null-core-ti-sizum), also known as
Cushing’s disease after the doctor
that discovered it in humans. Furthermore, there are two main
sub-types. One type is driven by the pituitary gland in the
brain. This pituitary dependent
hyperadrenalcorticism accounts for 85% of cases in
dogs. Penny had the rarer, vicious kind of Cushing’s caused
by an actual adrenal gland carcinoma,
a nasty, usually metastatic spreading cancer.
This pituitary dependent hyperadrenalcorticism
accounts for 85% of cases in dogs.
Risks of Adrenal Gland Surgery
tumor responds poorly, if at all, to the medication that works for
the pituitary Cushing’s. Surgery is the best option for many
patients. However, adrenal surgery of this type is extra
dangerous. First of all, the location of the tumor is tricky.
Deep in the abdomen, directly nestled between blood vessels
that supply the kidney and the pipeline to the body, the massive
aorta running under the spine down the back. One wrong move
and the patient dies. If the tumor has spread invisibly and
weakened the structures around the adrenal, the patient dies.
Adrenalectomy is also dangerous because the disease and the extra
steroids in the body have made the body functions deteriorate.
The vital signs – like blood pressure, and heart rate- may
not maintain well under anesthesia and a long surgery. Shara
understood. She also understood that, with a 16-year-old dog,
we had no idea how much longer she had to live anyway. But
here’s the thing that made us decide: Penny had a vibrant glow, a
calm acceptance, a peaceful love that felt strong. She just
felt like she wanted to live a long time. So Shara requested
surgery as soon as possible. Again, Penny cane through with no
complications. “Shara, even though the adrenal gland has been
removed, research shows us that almost all the time, an adrenal
carcinoma has already spread around the body by the time we
diagnose it and remove it,” said Doc Truli. “What does that mean?”
said Shara. “It means the cancer is likely still in her and will
still be the thing that kills her sooner or later,” said the Doc.
Maxillary fibromatous epulis at 19
requiring hemi mandibulectomy
Penny felt good for 3 more
years! At 19, she was feeling good and going strong.
Doc Truli noticed, at her semi-annual physical, that her
breath was beginning to smell bad again. Plus, there was a
suspicious pink firm swelling on the upper right side of her
gumline just behind the right canine tooth. “Penny needs a dental
cleaning and that lump need to be removed and sent for
histopathology to tell us what it is,” said Doc Truli. “Do you
think it’s cancer?” Penny’s mom asked. “Actually, no,” said Doc
Truli,”But there are these growths that can happen in the mouth
called Epulis (epulidides for plural.)
They technically are not cancer, but the fibromatous kind
invade the jawbone and can make the bone weak enough to break in
the future if the epulis is not completely removed. Plus, epulis
are difficult to remove. They come from the cells lining the
tooth socket, deep in the bone, and they infiltrate along the bony
highways called trabeculae. They can be really far away from
the lump, and you can’t tell. Let’s clean her teeth, x-ray the
bone, and biopsy the lump. If the results come back
fibromatous, Penny will need more surgery to help her. But
there are two other types of epulis that are removable and that
will be that.”
There was a suspicious pink firm
swelling on the upper right side of her gumline just behind the
right canine tooth.
Penny underwent deep
cleaning, x-rays, and biopsy. The x-rays were clean.
The bone was strong-looking. The biopsy said it was a
fibromatous-type lump. The bad kind.
Penny Needs Mandibulectomy Surgery
“Penny really should see the
oral surgeon, but I don’t know if you want to put her through that
at 19 years old, especially because we know these growths usually
are not completely removable, no matter how goods the surgeon is,”
said Doc Truli. Penny’s mom said, “She deserves a chance.
Call the surgeon.” About 6 inches of Penny’s upper right jaw
were removed. The gum tissue was sewn smooth over the spot.
Some jawbone was left for strength. Again, now
19-year-old Penny the wonder Dachshund woke up from surgery and
wanted to eat within hours, not days!
excision.” Yet, somehow, 1 year later, there was no signs of
a lump on Penny’s jaw, no signs of Cushing’s disease, and she was
going strong at 20!
Consider the Love an Older Pet Can
Next time you think you must have a puppy, think
of Penny. She’s the most loving, sweet, patient being Doc
Truli has ever met. If Shara rested her decision purely on
age, we would never have known Penny. Not Shara, not Doc, and
not you through this story. Think about it. VirtuaVet
food for thought regarding the ethics and morality of advanced,
invasive medical for older pets.