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		<title>Forums &#187; Recent Posts</title>
		<link>http://pathwithpaws.com/forums/</link>
		<description>Walking life’s path with companion animals</description>
		<language>en-US</language>
		<pubDate>Sat, 04 Feb 2012 17:36:58 +0000</pubDate>
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			<title>JennyP410 on "Bleeding hemangiosarcoma in shoulder"</title>
			<link>http://pathwithpaws.com/forums/topic/bleeding-hemangiosarcoma-in-shoulder#post-138</link>
			<pubDate>Fri, 03 Feb 2012 10:33:09 +0000</pubDate>
			<dc:creator>JennyP410</dc:creator>
			<guid isPermaLink="false">138@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thanks, Lena! Since I asked about it, we've had a few developments. Needle aspiration path report says spindle cell (fibrosarcoma or hemangiosarcoma). Vets think it's hemangio. Path report also said that because it is a peripheral tumor, it will be slower to spread. Her choices are to remove the leg, which she is adamant about not doing, or go to an oncologist. Univ of Ga is the nearest one, and she can't afford to go that route. So I've ordered the Yunnan Paiyao and artemisinin, and hoping it can provide some palliative care. All bloodwork is fantastic, as is his energy. Hoping it helps. Thanks again!
</p>]]></description>
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			<title>Lena McCullough, DVM on "Bleeding hemangiosarcoma in shoulder"</title>
			<link>http://pathwithpaws.com/forums/topic/bleeding-hemangiosarcoma-in-shoulder#post-137</link>
			<pubDate>Fri, 27 Jan 2012 12:55:48 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">137@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Jenny,<br />
The most helpful thing for hemangiosarcoma I have found, esp if there is bleeding is Yunnan Paiyao.   <a href="http://pathwithpaws.com/blog/2011/06/11/a-magic-vial-of-yunnan-baiyao/" rel="nofollow">http://pathwithpaws.com/blog/2011/06/11/a-magic-vial-of-yunnan-baiyao/</a><br />
I also usually use artmesinin.  The rest varies a lot dog to dog. Hemangio is unfortunately one of the hardest cancers to work with but the yunnan paiyao can be pretty impressive.</p>
<p>best wishes,<br />
Lena
</p>]]></description>
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			<title>JennyP410 on "Bleeding hemangiosarcoma in shoulder"</title>
			<link>http://pathwithpaws.com/forums/topic/bleeding-hemangiosarcoma-in-shoulder#post-136</link>
			<pubDate>Fri, 27 Jan 2012 07:00:29 +0000</pubDate>
			<dc:creator>JennyP410</dc:creator>
			<guid isPermaLink="false">136@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>My mom's australian shepherd is hospitalized at the moment due to a swollen leg. He'll be 13 in May. They installed drains Monday, and were able to get the blood out. It had stopped bleeding by yesterday, but today is bleeding again. They are fairly certain that it's hemangiosarcoma, but xrays of the body cavity were free of tumors. Spleen ultrasound was inconclusive. They haven't found a tumor, but are going to ultrasound the area today. All blood work is good, except for slow clotting times. Energy and appetite are GREAT. He's gained weight in recent months. He DOES NOT appear to be a sick dog. </p>
<p>They don't recommend chemo, and maybe not surgery since it is so aggresive. Would artemisinin benefit him? I just feel like, with his current condition being good and no obvious metastasis yet, he could have a good month or better...IF they can get this to stop bleeding.
</p>]]></description>
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			<title>Lena McCullough, DVM on "dog with brain tumor"</title>
			<link>http://pathwithpaws.com/forums/topic/dog-with-brain-tumor#post-135</link>
			<pubDate>Tue, 24 Jan 2012 15:01:18 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">135@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Dagmar,</p>
<p>While I have worked with dogs with brain tumors in the past and seen good results I feel like they are a tumor where I don't have a set protocol and a lot of it is me seeing an animal and getting a feel of what to do.  I don't know where you are in Australia but you have some incredible vets in Australia. See the beginning of this list from the VBMA.<br />
<a href="http://www.vbma.org/international%20members.html" rel="nofollow">http://www.vbma.org/international%20members.html</a><br />
Barbara is one of my herbal teachers  and Elaine is also very active in the holistic community.<br />
Here is also my article which has some other links to find vets outside the US<br />
<a href="http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/" rel="nofollow">http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/</a></p>
<p>You are going to get so much better results from having someone who can actually see Gina.</p>
<p>Some formulas I have used in the past are Xiao Chai Hu Tang and Xue Fu Zhu Yu Tang.  Artmeisinin can also be effective.  However there are formulas that can also work with her seizures and a good herbalist can tailor the right one for her.</p>
<p>best wishes,<br />
Lena
</p>]]></description>
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			<title>Sunny on "dog with brain tumor"</title>
			<link>http://pathwithpaws.com/forums/topic/dog-with-brain-tumor#post-134</link>
			<pubDate>Mon, 23 Jan 2012 20:59:30 +0000</pubDate>
			<dc:creator>Sunny</dc:creator>
			<guid isPermaLink="false">134@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Dear Dr Lena,</p>
<p>You were recommended by a friend in the US. I am in Australia, but I do hope you can give us some hope.</p>
<p>Our 11 year old boxer girl Gina has recently been diagnosed with one, maybe 2 brain tumours via CAT Scan.</p>
<p>Surgery is not an option due to the location and I am not a big fan of radiation/chemo.</p>
<p>Gina is on Phenobarbitone and Prednisolone at the moment as well as a number of supplement, homeopathics and herbs.</p>
<p>I was wondering, if you know of any way to shrink the brain tumour without radiation or chemo? I believe Gina lived with the tumour for a long time already as she was suffering from head tremours since we adopted her in 2007 (she is a rescue). It only seems that the tumour has reached a critical size now.</p>
<p>She had her first seizure in April 2010 as our other boxer girl became very sick (she died eventually). Since then Gina had 5 other seizures, always weeks or months apart. The last two seizures were on the 1st and 2nd of January and about 1 week later she started having facial seizures. She had 6 facial seizures in one day, the last one progressed into a full seizure eventually and we brought her to the Emergency Clinic where she was put on Phenobarbitone and Prednisolone.</p>
<p>Gina is still adjusting to the Phenobarbitone, also she does not notice when her paws on her left side (it is a right forebrain lesion) are not properly placed on the ground and she often goes in circles.</p>
<p>I would love to give our beautiful girl life quality, but it would even be better if we could shrink that tumour a bit!</p>
<p>Dagmar
</p>]]></description>
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			<title>Lena McCullough, DVM on "Artemisinin Duration"</title>
			<link>http://pathwithpaws.com/forums/topic/artemisinin-duration#post-133</link>
			<pubDate>Mon, 23 Jan 2012 13:20:07 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">133@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>There is a lot of debate about the antioxidants.  I tend to use artemisinin with antioxidants as I think the positives of the antioxidants outweigh any potential decrease in artemisinin's ability to work.  From a Chinese viewpoint I don't see an interaction.  I tend to dose artemisinin twice a day and don't have exact times to give it.  Some Chinese formulas do have times I prefer to give them.  Melatonin I use more for dogs that sleep more in the day and less at night.  It sounds like if she is sleeping less deeply that may be more a blood deficiency issue or possibly a shen disturbance.  If you have a Chinese practitioner or holistic practitioner you can take her to they may be able to help you find something that will work well for her sleep.  You could also try feeding her a canned or cooked food meat rich meal right before sleep.
</p>]]></description>
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			<title>patrick c on "Artemisinin Duration"</title>
			<link>http://pathwithpaws.com/forums/topic/artemisinin-duration#post-132</link>
			<pubDate>Mon, 23 Jan 2012 09:15:21 +0000</pubDate>
			<dc:creator>patrick c</dc:creator>
			<guid isPermaLink="false">132@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thanks for the reply doctor, I had a few other questions that occurred to me. My understanding of arte is that it shouldn't be administered with antioxidants, but I've seen mention of it's use with curcumin, which apparently is a strong antioxidant. Could you clarify that? Also, when would be the best time to give my dog a dose? I'd like to base it on her circadian rhythm. Finally, would it be beneficial to give melatonin to my dog to help establish a more regular pattern (she seems to sleep less deeply than before, probably as a result of her cancer)? Thanks again. Patrick
</p>]]></description>
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			<title>Lena McCullough, DVM on "Artemisinin Duration"</title>
			<link>http://pathwithpaws.com/forums/topic/artemisinin-duration#post-131</link>
			<pubDate>Mon, 23 Jan 2012 08:20:39 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">131@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I have never used artesunate so I am not sure.  It seems like you would not need both.
</p>]]></description>
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			<title>patrick c on "Artemisinin Duration"</title>
			<link>http://pathwithpaws.com/forums/topic/artemisinin-duration#post-130</link>
			<pubDate>Sun, 22 Jan 2012 22:49:18 +0000</pubDate>
			<dc:creator>patrick c</dc:creator>
			<guid isPermaLink="false">130@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi, I had a question about dosing when using artemisinin and artesunate together. I've seen that combination mentioned before but I don't know what the appropriate dosages are when they are both used. Also, is it effective to add artesunate to the regiment? Any help is much appreciated, Thanks.
</p>]]></description>
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			<title>ajmax on "Bone cancer - questions"</title>
			<link>http://pathwithpaws.com/forums/topic/bone-cancer-questions#post-129</link>
			<pubDate>Sun, 22 Jan 2012 11:42:33 +0000</pubDate>
			<dc:creator>ajmax</dc:creator>
			<guid isPermaLink="false">129@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thanks for the follow up.  I will continue to give him the SanSheDan, but will hold off on the other two Chinese herbals until consulting with a holistic vet.</p>
<p>I had not seen anything online about pamidronate. Ill inquire with our vet about this as an option. Radiation isnt going to be an option for us because its going to be too costly I believe.  We are in agreement that we would like to do the amputation, assuming that we can get comfort from a doctor that they feel comfortable in being able to fully excise the tumor.  But, in reality, we're probably not going to be able to have the surgery scheduled for another week or two. He's in quite a bit of discomfort in the near term, so we're trying to find ways to keep him as comfortable as possible until then.  The Tramadol doesnt seem to help him get through the night, so I think we're going to have to continue with the Morphine once a day (at night) for the next week or so.</p>
<p>Ill update as things progress.</p>
<p>Thanks!
</p>]]></description>
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			<title>Lena McCullough, DVM on "Bone cancer - questions"</title>
			<link>http://pathwithpaws.com/forums/topic/bone-cancer-questions#post-128</link>
			<pubDate>Sun, 22 Jan 2012 10:19:37 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">128@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Ajmax,<br />
I hope it isn't osteosarcoma.  It is an unusually location for it but is a possibility.  </p>
<p>I have used all the Chinese herbals you mention together.  I usually do not use all of them if there are not lung mets but also am usually doing acupuncture with the animals I treat.  It might be very helpful to find a holistic vet who can take a look at him and help come up with the best protocol that is specific.  Bulldogs tend to be damp and if he is the herbals like Si Miao San and/or Hoxsey make be more appropriate for him however they will be able to determine that much better by seeing him.</p>
<p>I have had dogs I treat get treatments with pamidronate and it seems to help at least for awhile and they seem to tolerate it very well.  It is a fairly new treatment but if amputation is not an option that and radiation might be good options.  The best pain management I have seen for osteo is a combo of radiation, pamidronate, gabapentin, tramodol and a NSAID (like Rimadyl).  I don't like morphine long term because of the side effects. Please read the warning about artemisinin and radiation.</p>
<p>You are doing a lot for him.  He is a lucky guy to have people who care about him so much!</p>
<p>My best advice would be to find a holistic vet to work with.  Not only are they going to be able to work with you on protocol but they can also change that protocol if it needs to be changed as you go through treatment with him.  In addition they may be able to do acupuncture with him, which I highly recommend. If you haven't seen my article on finding one here it is<br />
<a href="http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/" rel="nofollow">http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/</a></p>
<p>best wishes,<br />
Lena
</p>]]></description>
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			<title>ajmax on "Bone cancer - questions"</title>
			<link>http://pathwithpaws.com/forums/topic/bone-cancer-questions#post-127</link>
			<pubDate>Sat, 21 Jan 2012 21:16:39 +0000</pubDate>
			<dc:creator>ajmax</dc:creator>
			<guid isPermaLink="false">127@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Lena,</p>
<p>Quick backstory. Our 4 1/2 year old English Bulldog had been limping around since late October.  Our Vet initially diagnosed it as a possible torn tendon or ligament. Xrays were clear in October. We did NSAIDs (Rimadyl) and rest for a couple weeks. No change. So then we did a steroid injection in the shoulder. No change. He had good days where he would walk around on it and other days where he wouldnt put any weight on it. We tried one more time in Mid December to have another steroid injection.  Again no change. So our Vet recommended that we go see an ortho specialist. </p>
<p>We got in finally to see the specialist this past Thursday (the 19th).  He noted that he could see significant swelling in the shoulder and took xrays again.  He came back, and much to our surprise, told us that he suspected it to be bone cancer in his shoulder blade right at the shoulder joint based on the deterioration in the xrays. We were completely caught off guard and hadnt even given thought to the idea that he might have cancer.  We went home Thursday night and did some research and thinking, and we went back in yesterday and had x-rays of his chest cavity. Fortunately, it appears that there has not as of yet been any tumors metastasized into the lungs yet.</p>
<p>I understand that in this instance, amputation is the best course of action.  I discussed with the specialist and the potential concern based on where the cancer is located, is whether they can get all of the affected area out with clean margins.  He noted that he thought that would be his biggest concern, that the cancer would reoccur in the same area.  We are fortunate to live in Colorado and be only an hour from Colorado State University, one of the best Veterinary schools and teaching hospitals in the country.  We are scheduled to get up there this week to meet with one of their surgical oncologists to discuss the diagnosis and potential treatment.  I believe we'll be able to do the surgery there for a more affordable cost for us than we are able to find anywhere else.  Additionally, he would be eligible for the chemotherapy clinical trial they have, which would seem to be a good fit for us.</p>
<p>My questions stem mostly from thoughts on supplements. We would like to treat him with a combination of holistic and Western treatments.  Ive done extensive research over the past several days, and have come up with lots of ideas and thoughts on holistic ideas.  Ive picked up some of the SanSheDan and we've started giving that to him (we put it on his food...i thought this would be easier than trying to squirt it in his mouth).  Ive also ordered both the Xhu Fu Zhu Yu Tang and the Xiao Chai Hu Tang.  Is it ok/wise to begin giving these to him even though he doesnt present yet with any metastasis in the lungs? I guess, not having the amputation and biopsy yet, theres still a chance it could be a fibrosarcoma or chondrosarcoma with less of a chance of metastases. We've also ordered the Artemisinin and will start him on that as soon as it arrives this week.</p>
<p>In addition to these, we've change his diet to a high protein, grain free diet. We're using Instinct both dry and canned food, generally the canned in the morning and dry in the evening.  We've also started him on some Algal-900 DHA and Fish Oil to provide him with more Omega-3 fatty acids, as there is some good research on this being helpful in the diet. We've also ordered some of Berte's Immune Blend (<a href="http://www.b-naturals.com/bertes-immune-blend-1-lb-p-17.html?cPath=22_16" rel="nofollow">http://www.b-naturals.com/bertes-immune-blend-1-lb-p-17.html?cPath=22_16</a>) as a supplement because it contains vitamin C, bioflavonoids, vitamin E, selenium, l-glutamine and l-arginine , digestive enzymes, pancreatin, acidophilus, B complex, and vitamins A &#38; D.</p>
<p>We're also going to start looking for a holistic vet that is local here in Denver to begin working with. Having said all that (sorry for how long it is!) i have a few questions i thought you might be able to answer:</p>
<p>1. Do you foresee any problems with combining any/all of these supplements/herbals together?  We will be sure to introduce them to him one or two at a time and monitor him to see his response.</p>
<p>2. Are there any additional supplements or herbals you would recommend?</p>
<p>3. What are your thoughts on bisphosphonates? Would it be worth it to have him treated with these until we're able to have his amputation done? He's in quite a bit of pain some days and we've been prescribed some Morphine ER for him, but I dont like him being on the Morphine.</p>
<p>4. Any other thoughts you might have for us would be much appreciated! Its still been difficult for us to deal with this, but I think Ive found that the best thing to do is to do our research and be as prepared as possible.</p>
<p>Thanks!
</p>]]></description>
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			<title>Lena McCullough, DVM on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-126</link>
			<pubDate>Sun, 08 Jan 2012 16:42:08 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">126@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I have used those four herbals together and there should be no interactions between them.  While I usually do not see side effects with any of these four I always recommend to start no more than two at a time and then wait three days to start the two more.  Any herbal has potential for side effects although they are rare with these four.</p>
<p>I hope she does well!
</p>]]></description>
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			<title>adriennez on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-125</link>
			<pubDate>Sat, 07 Jan 2012 11:56:49 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">125@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hello Lena, need some advice...  I decided to skip the Palladia and go the natural route with Lola.  There were too many uncertainties and I don't want to experiment with Lola. I have started Lola on vegetables and ordered the below herbs you recommended... can she take all of these together?  Also, are there any side effects to the herbs?  thanks for any guidance.</p>
<p>Herbs I bought:</p>
<p>Sanshedan Chuanbeiae<br />
Artemisinin<br />
Xiao Chai Hu Tang<br />
Xue Fu Zhu Yu Tang
</p>]]></description>
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			<title>Lena McCullough, DVM on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-124</link>
			<pubDate>Tue, 03 Jan 2012 15:30:02 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">124@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I haven't had experience with Palladia for osteosarcoma however my assistant Diane's sister used it for her cat with squamous cell carcinoma and it greatly extended her cat's life and quality of life.  She also had no side effects from it.  It is a fairly new drug so not a lot of info out there but it seems to treat more than mast cell.</p>
<p>You could try it and see how she does on it.  If she gets sick then you can stop it.  But go with your gut.  If it doesn't feel right listen to that.
</p>]]></description>
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			<title>adriennez on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-123</link>
			<pubDate>Tue, 03 Jan 2012 08:50:24 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">123@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Lena, I confirmed that she now has mets on the lungs there are 5 small spots.  Her oncologist yeserday reccomended the use of Palladia.  I know Palladia is for mast cell tumnors and I'm not sure if I should try this or not with the Osteosarcoma.  All of her bloodwork came back good so they say we can try but I feel as if it prob won't work.  Right now she is so lively and vibrant and i hate to ruin her spirit and make her sick for no reason.  Any help would be appreciated. Are you familair at al with Palladia? thanks
</p>]]></description>
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			<title>Lena McCullough, DVM on "From Dora - re:fibrosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/from-dora-refibrosarcoma#post-121</link>
			<pubDate>Mon, 02 Jan 2012 14:18:56 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">121@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Dora,<br />
That all sounds so stressful.  It is true if she has a partial cruciate tear and then you amputate while she is healing that she could fully tear.</p>
<p>I had a wonderful golden retriever I worked with who had osteosarcoma and he tore an cruciate within a day of surgery for amputation of a front leg (at first we thought it was swelling from an IV).  Because he was really walking on two legs after that he ended up tearing his other cruciate about six months later and they ended up having to euthanize him.</p>
<p>So if you can get the cruciate healed first it may be much better for Missy.  Every cancer is different but even with osteo which spreads fast the Sanshedan and Artemisinin seem to be very good at keeping it from spreading.</p>
<p>Maybe you can do some acupuncture to speed up healing?</p>
<p>Ruta graveolens 30C homeopathic is a great one for cruciate injuries, you can use it with arnica.</p>
<p>I would consider waiting on the surgery until she is healed or at least mostly better as she needs that back leg to be strong if she loses the other.  Yes there is a risk of the cancer spreading but if you don't wait there is a risk of her going down all together, if that ligament tears.  </p>
<p>I know it is a hard decision to make.
</p>]]></description>
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			<title>dorapinter on "From Dora - re:fibrosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/from-dora-refibrosarcoma#post-120</link>
			<pubDate>Mon, 02 Jan 2012 13:34:20 +0000</pubDate>
			<dc:creator>dorapinter</dc:creator>
			<guid isPermaLink="false">120@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Dear Lena,<br />
It's only been about a week since I wrote to you but so much has happened, at least in my head, spinning in circles as to what is best for Missy. To even consider amputating her leg, the regular vet suggested taking a chest xray and tummy ultrasound, that was at the time of my second email to you. The morning after the ultrasound Missy was limping severely. She was almost dragging her hind leg, this time the good one. I called the vet and he thought it was Missy's authorities acting up. I informed him that I never had a knowledge of authorities in Missy and she never limped before. He thought she might have been hurt a bit on the table when they were holding her down to xray her. They gave her a cold laser treatment asap and sent her home. She is also supposed to take Duralactin, which to be honest I have not been giving her as it is a milk product. I am not sure if it would help her. I have been giving her Arnica instead, 4 little tablets a day. Finally the 29th rolled around, our earliest appointment with the oncologist/acupuncturist. She too thought that amputation was a good choice but she was more concerned about the limping in the other leg. She thought, after xraying the leg, Missy had a partially torn ligament in her knee and needed at least two week's rest before further evaluation. So we are confining her to the small bathroom, keeping her on Arnica, Arteminisin and Sanshedan Chuanbeyei. She takes those. She refuses to take what the oncologist started her on: an herbal joint support formula and a formula she called Wei Qi booster. We try to do the best for Missy and it is frustrating that we have this other problem to deal with as well that might actually keep us from doing what we can for her cancer. Time is ticking and even though I understand it is a more local cancer, all I can think of is that it is spreading by the minute. My concern at this point is that if we go ahead with surgery, even after waiting for a couple of weeks, the injured knee would be under more stress while she is learning to walk again, the ligament might fully tear and what would we do then?<br />
Your quick reply to my original letter was the best advice I received so far and any other advice you might have for me I would greatly appreciate. Your voice is sincere and I trust that you recommend what you would do for your own kitty. Thanks for caring.
</p>]]></description>
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			<title>adriennez on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-119</link>
			<pubDate>Fri, 30 Dec 2011 07:47:31 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">119@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thanks so much, this helps.. she ate everything I gave after I wrapped it in turkey lol. I am going to try cooking the sweet potatoes and mushrooms but she seemed to like the broocoli raw.. thanks so much.  I want to do all I can to help her naturally and holistically while she is so healthy and full of energy.. I also ordered that snake medicine (forgot the name) in the vials that you mention.  I will also be reaching out to an acupuncturist. Will let you know after Monday thanks!
</p>]]></description>
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			<title>Lena McCullough, DVM on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-118</link>
			<pubDate>Thu, 29 Dec 2011 20:32:04 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">118@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>The sweet potato is better cooked for any dog or human as you get more of the effect to help with digestion and you still get all the vit A (however it isn't harmful if it is not), I actually like using the big cans that you buy for pies (pumpkin is also fine). </p>
<p>Mushrooms should be cooked - you get more of the medicinal and immune stimulant effect (you get very little if they are not) and mushrooms have mild toxic properties if eaten raw. Actually a very good question that I should add to the article.</p>
<p>All other veggies are fine raw or cooked - if you cook them steaming lightly is the way to go because you don't loss as much of the vits.  You are right that raw you get even more vits but they are not always as tasty.  </p>
<p>If she is on chemo then any meat should be cooked but the veggies are fine either way.  If she isn't on chemo raw meat is fine (except pork or fish) as long as it has been frozen first.</p>
<p>I hope the oncologist is able to help you with a good plan for Lola on Monday and I am sorry they are mets.
</p>]]></description>
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			<title>Lena McCullough, DVM on "very important FIP question! help"</title>
			<link>http://pathwithpaws.com/forums/topic/very-important-fip-question-help#post-117</link>
			<pubDate>Thu, 29 Dec 2011 20:23:27 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">117@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I have a great article on this blog about FIP, which explains that it is not contagious.  Hopefully this is helpful.<br />
<a href="http://pathwithpaws.com/blog/2009/03/06/fip-is-not-a-contagious-disease/" rel="nofollow">http://pathwithpaws.com/blog/2009/03/06/fip-is-not-a-contagious-disease/</a>
</p>]]></description>
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			<title>adriennez on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-116</link>
			<pubDate>Thu, 29 Dec 2011 18:27:06 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">116@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thanks so much Lena, it turns out unfortunately they were lung mets.  I am devastated but made an appt with a vet oncologist for a 2nd opinion on Monday.  I also am taking steps that you mention in your diet section to feed her more natural/antioxidant type foods.  I have one question.. I bought some broccoli, sweet potatoes and mushrooms.  Lola is on no chemo right now or any meds besides hypothyroid meds.  Can I feed these veggies to her raw or must they be cooked?  I always heard it's better to eat them raw b/c you get the most vitamins etc.  Thanks
</p>]]></description>
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			<title>arianne2614 on "very important FIP question! help"</title>
			<link>http://pathwithpaws.com/forums/topic/very-important-fip-question-help#post-115</link>
			<pubDate>Thu, 29 Dec 2011 18:14:26 +0000</pubDate>
			<dc:creator>arianne2614</dc:creator>
			<guid isPermaLink="false">115@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>We just recently lost our 14 week old kittin Dexter to FIP and we also have a ten year old cat. He hasn't showed any symptoms but of course I'm worried and we also are getting a new kitten tomorrow an I was wondering if it was a good idea to wait or not. The vet said not to worry about the older cat but I didn't have a chance to ask he about the new kitten. Please help, I'm a nevous wreck. I cleaned the house as best I could and I am getting new litter boxes and food dishes. Anything else I should do?
</p>]]></description>
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			<title>Lena McCullough, DVM on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-114</link>
			<pubDate>Wed, 28 Dec 2011 17:24:46 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">114@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>It might be worth a visit with a holistic vet - there may be a stronger herbal that can be used to drain some of the swelling.  Also if they are thinking this is cancer or related to the lymphoma I would recommend seeing an oncologist.  They may also have a better idea if this is really cancer.  Have you considered a biopsy to see if you can figure out exactly what it is - that is going to be the best way to diagnose what is going on and probably something you regular vet can do.  It will give any vet you end up working with a better idea of plan to treat her.
</p>]]></description>
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			<title>jameym on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-113</link>
			<pubDate>Wed, 28 Dec 2011 13:37:23 +0000</pubDate>
			<dc:creator>jameym</dc:creator>
			<guid isPermaLink="false">113@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hello Lena,</p>
<p>I have a 7 year old Boxer who developed Lymphoma about two months ago.  We have been doing chemo pills once per month and Baytril (antibiotic), a stomach pill and prednisone daily.  Also, we have been giving her natural things too (Artemisinin, Milk thistle &#38; Bu Zhong Yi Qi Tang).  Her liver count has been somewhat elevated and she has been doing good the last 2 months since we about lost her in Oct.  You can’t tell anything is wrong with her, she is very active, eating great and has gained all her weight back.  We thought the chemo was working however last week her Vulva started swelling.  I took her back to the vet and they thought she had stones.  After urine analysis, xray and blood work … no stones. She had a 4 mm crystal but no stones.  The swelling has continued and is really large now.  She is still voiding properly and eating great but it is really large.  Bigger then a golf ball and it is red and draining clear liquid and some spotting.  This hasn’t slowed her down, she’s still acting amazing and eating great.  The vet told us to try Monistat, that it may be a yeast infection but this seemed to make it worse.  He changed her antibiotic and said maybe it was infection but after 2 days its no better.  He told me yesterday he thought it was cancer of the uterus however our boxer has no uterus and ovaries and from all we’ve read that’s where cancer of that region comes from.  Do you have any ideas or has anyone experienced this?  He told us we were going to have to put her down soon if she stops voiding.
</p>]]></description>
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			<title>Lena McCullough, DVM on "the decision.."</title>
			<link>http://pathwithpaws.com/forums/topic/the-decision#post-112</link>
			<pubDate>Wed, 28 Dec 2011 09:35:44 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">112@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I really hope you do have a little more time with Prizley with him being more comfortable and you sleeping better.  There were a couple people who also added some comments about Prizley on the path with paws facebook page <a href="http://www.facebook.com/pages/A-Path-With-Paws/363205485501" rel="nofollow">http://www.facebook.com/pages/A-Path-With-Paws/363205485501</a>
</p>]]></description>
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			<title>Lena McCullough, DVM on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-111</link>
			<pubDate>Wed, 28 Dec 2011 09:29:56 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">111@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>See reply on the other thread you started
</p>]]></description>
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			<title>Lena McCullough, DVM on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-110</link>
			<pubDate>Wed, 28 Dec 2011 09:29:07 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">110@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Adrienne,<br />
I would highly recommend you set up a consultation with a veterinary oncologist even if you have to travel to find one. From my experience most osteosarcoma will spread if not treated either holistically or with chemo so I agree that it is highly possible that the spots are lung mets, although I hope with all my heart they are not. Once you have lung mets it becomes much more difficult to treat, the protocol I talk about for osteosarcoma may help slow things down by you need something stronger. While I have treated dogs holistically for lung mets see <a href="http://pathwithpaws.com/blog/2011/04/26/breathing-through-cancer-holistic-herbal-therapies-to-control-lung-metastasis-in-cancer-in-dogs-and-cats/" rel="nofollow">http://pathwithpaws.com/blog/2011/04/26/breathing-through-cancer-holistic-herbal-therapies-to-control-lung-metastasis-in-cancer-in-dogs-and-cats/</a> and <a href="http://pathwithpaws.com/blog/2011/04/06/prognoses-are-only-as-good-as-the-paper-they-are-printed-on-lous-story/" rel="nofollow">http://pathwithpaws.com/blog/2011/04/06/prognoses-are-only-as-good-as-the-paper-they-are-printed-on-lous-story/</a> (Lou is still with us and going strong) it is a very serious condition. I would also strongly recommend finding a holistic vet to work with who does acupuncture and herbs <a href="http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/" rel="nofollow">http://pathwithpaws.com/blog/2011/12/11/how-to-find-a-good-holistic-vet-to-work-with/</a> . In Lola’s case it might be worth working with an integrative approach between an oncologist and a holistic vet if these are lung mets they are seeing. If you can find a good acupuncturist but they are not an herbalist by all means bring them my article on lung mets and hopefully you can work together to come up with a good holistic protocol for Lola.<br />
best wishes,<br />
Lena
</p>]]></description>
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			<title>adriennez on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-109</link>
			<pubDate>Wed, 28 Dec 2011 07:37:37 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">109@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hello Lena, my boxer Lola was diagnosed with stage 1 osteosarcoma in her lower jaw back in June of this year. Before we did anything her oncologist recommended that she do a chest x ray to check for spread and also a cat scan of the jaw to see where to direct the surgery. She said the chest x ray showed no spread of the cancer so removal of half of the lower jaw would be the best fit.</p>
<p>I did that and when Lola got out, she said that they got it all out, the margins were clean and there was no need for chemo. I was very worried about not doing chemo but she said that her and a group of 4 other doctors all felt the same. She got an infection about 2 months later and had to be rushed in where they treated her with a strong dose of antibiotic etc. She recovered and has been fine since, eating well, drinking, full of energy and life.</p>
<p>The Dr did no follow up with any blood-work, a chest x ray or bone scan as it’s mentioned on so may sites. This has a high incidence of spread and I am shocked by her lack of follow up with such a serious cancer. She said see you in 6 months for a chest x ray just to be sure, so that;s what I did. I took her in last night for her 6 month follow up and had a chest x ray done. The dr said her lymph nodes felt good and were not swollen and the surgery site looked wonderful. She came out from the chest x ray and sai there were 3 concerning spots on her lungs. I immediately froze and said but you told me not to do the chemo. She said I would have made the same decision based on what we knew of the tumor then. I am getting the official results from the radiologist today but I know it’s metastasis.</p>
<p>She said it could be age spots but that’s highly unlikely I feel. I am unsure what to do at this point. She is 8 yrs old and health otherwise except for hypothyroidism which she takes a pill for. She also said that the chemo would not work at this point but that there are other ‘therapies’ available to shrink it. I feel she should have done the chemo back then but she insisted there was no reason to put her through it.</p>
<p>My question is what do I do now? get a 2nd opinion if it did mets or start your 2 drugs mentioned or both? Also possibly acupuncture? I just want to save my baby.</p>
<p>I’m referring to the : Artemisinin and Sanshedan Chuanbeiye</p>
<p>Thanks in advance for any help you can offer.</p>
<p>Adrienne and Lola
</p>]]></description>
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			<title>adriennez on "Need advice-- Osteosarcoma"</title>
			<link>http://pathwithpaws.com/forums/topic/need-advice-osteosarcoma#post-108</link>
			<pubDate>Wed, 28 Dec 2011 07:11:10 +0000</pubDate>
			<dc:creator>adriennez</dc:creator>
			<guid isPermaLink="false">108@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hello Lena/and others, my boxer Lola was diagnosed with stage 1 osteosarcoma in her lower jaw back in June of this year. Before we did anything her oncologist recommended that she do a chest x ray to check for spread and also a cat scan of the jaw to see where to direct the surgery. She said the chest x ray showed no spread of the cancer so removal of half of the lower jaw would be the best fit.</p>
<p>I did that and when Lola got out, she said that they got it all out, the margins were clean and there was no need for chemo. I was very worried about not doing chemo but she said that her and a group of 4 other doctors all felt the same. She got an infection about 2 months later and had to be rushed in where they treated her with a strong dose of antibiotic etc. She recovered and has been fine since, eating well, drinking, full of energy and life.</p>
<p>The Dr did no follow up with any blood-work, a chest x ray or bone scan as it’s mentioned on so may sites. This has a high incidence of spread and I am shocked by her lack of follow up with such a serious cancer. She said see you in 6 months for a chest x ray just to be sure, so that;s what I did. I took her in last night for her 6 month follow up and had a chest x ray done. The dr said her lymph nodes felt good and were not swollen and the surgery site looked wonderful. She came out from the chest x ray and sai there were 3 concerning spots on her lungs. I immediately froze and said but you told me not to do the chemo. She said I would have made the same decision based on what we knew of the tumor then. I am getting the official results from the radiologist today but I know it’s metastasis.</p>
<p>She said it could be age spots but that’s highly unlikely I feel. I am unsure what to do at this point. She is 8 yrs old and health otherwise except for hypothyroidism which she takes a pill for. She also said that the chemo would not work at this point but that there are other ‘therapies’ available to shrink it. I feel she should have done the chemo back then but she insisted there was no reason to put her through it.</p>
<p>My question is what do I do now? get a 2nd opinion if it did mets or start your 2 drugs mentioned or both? Also possibly acupuncture? I just want to save my baby.</p>
<p>I’m referring to the : Artemisinin and Sanshedan Chuanbeiye</p>
<p>Thanks in advance for any help you can offer.</p>
<p>Adrienne and Lola
</p>]]></description>
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			<title>icpurple on "the decision.."</title>
			<link>http://pathwithpaws.com/forums/topic/the-decision#post-107</link>
			<pubDate>Tue, 27 Dec 2011 18:36:26 +0000</pubDate>
			<dc:creator>icpurple</dc:creator>
			<guid isPermaLink="false">107@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Thank you for your sincerity and empathy, Lena. I can feel your<br />
 understanding through your story.<br />
I actually called my veterinarian today to schedule a home<br />
Visit for euthanasia, but she is out this week so I spoke with another<br />
 doctor who recommended a change in meds. We're decreasing<br />
 theophylline and switching anxiety meds. I also purchased a<br />
 thunder shirt. So far he seems to be feeling less anxious this<br />
Evening, we'll see how he does at bedtime. In the meantime I'm<br />
Certainly taking to heart that sometimes the best thing we can do<br />
Is help them to the next phase of life, trying to wrap my head<br />
Around the fact that I will likely have to make that decision, although<br />
 hopefully we can postpone it some. Thank you also for the shamans<br />
Name. I will consider consultation.<br />
Your support is much appreciated, and I hope you're enjoying<br />
Your holiday season.
</p>]]></description>
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			<title>Lena McCullough, DVM on "the decision.."</title>
			<link>http://pathwithpaws.com/forums/topic/the-decision#post-106</link>
			<pubDate>Tue, 27 Dec 2011 09:22:37 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">106@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I know how hard this decision is.  A little over a year ago we had to make it with my little almost 15 year old dog Mel.  He had cancer that had returned after two years but his main symptoms was that he was up every half hour all night.  My largest issue was he was pretty good during the day however my sanity was going.  I was able to help him for awhile with some of the times I recommend but there reached a time when nothing was working anymore and I was going crazy.</p>
<p>Sometime dementia and anxiety reach a point where nothing works and we know they are only getting worse.  I think it is different dog to dog when the right time is.  For me working with a shaman Rose DeDan towards the end helped me realize that Mel was clearly ready to go as well.  He didn't want to live he life in the way he was living it and he didn't feel very good even though he was somewhat ok during the day.</p>
<p>With both my dogs that I have lost over the last three years dementia was a large part of their decline.  I was amazed that within the sadness over their lose there was also a large sense of relief.  I realized when they were gone and could remember them in their prime easier how much they were suffering through their dementia and I was glad I was able to let them go before it got worse.</p>
<p>Sometimes euthanasia, while hard, is one of the greatest gifts we can give our animal companions in the end.
</p>]]></description>
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			<title>icpurple on "the decision.."</title>
			<link>http://pathwithpaws.com/forums/topic/the-decision#post-105</link>
			<pubDate>Mon, 26 Dec 2011 20:34:00 +0000</pubDate>
			<dc:creator>icpurple</dc:creator>
			<guid isPermaLink="false">105@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>I'm posting looking for consolation, I suppose, that I'm not being<br />
selfish if I decide to euthanize my 13 year old Lab, Prizley. I've had<br />
him most of his life, and we have another dog one year younger<br />
as well as 2 cats.. For over a month now he's been increasingly<br />
Anxious at nighttime, moaning, groaning, pacing, and now<br />
barking. Frequent trips outside and mini meals at night bring<br />
little relief until he is able to fall asleep, usually somewhere<br />
 between 1- 3 am, but sometimes he keeps going until the sun<br />
comes up. We tried senilife, but didn't notice much positive<br />
 results by the end of the first month, so have been trying to<br />
manage with Benadryl and xanax for about two Weeks, still not<br />
much improvement. The veterinarian has told me she supports<br />
My decision when "it's time", and seems to be out of ideas of<br />
other things to try. Prior to the senility/CDS, he's had a history of<br />
Arthritis, GI issues, and relatively minor lung problems, so was<br />
 already taking 5 or 6 other meds, which apparently will<br />
Counteract many anxiety meds. Fortunately his other conditions<br />
 are managed effectively with meds. his appetite has consistently<br />
Increased within the past year as transitioned from dry food to<br />
 meat and veggies and now canned organic grain free food.<br />
 walks daily with , sometimes only for 5 mins, but then times<br />
  Like tonite will lead the way for 30 minutes. He sleeps<br />
 during the day mostly, so I feel horrible about thinking of<br />
ending his life primarily because of inconvenience to me<br />
 my sleep schedule? after reading the dementia article earlier<br />
I put him in a tshirt and gave him some melatonin about an<br />
hour ago. Sadly he  continues to whine and pace, so I feel like<br />
I need to prepare myself to seriously consider how long we can<br />
Keep doing this.. Anybody have any ideas or thoughts? thank you..
</p>]]></description>
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			<title>Lena McCullough, DVM on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-104</link>
			<pubDate>Mon, 26 Dec 2011 10:30:44 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">104@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>Hi Sharon,<br />
I haven't used any of those products accept the artemisinin.  I assume the hepasunate should also not be given with radiation but you could check in with your vet on that.<br />
Hope everything goes well.<br />
best wishes,<br />
lena
</p>]]></description>
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			<title>Lena McCullough, DVM on "Cancer questions"</title>
			<link>http://pathwithpaws.com/forums/topic/cancer-questions#post-103</link>
			<pubDate>Mon, 26 Dec 2011 10:29:10 +0000</pubDate>
			<dc:creator>Lena McCullough, DVM</dc:creator>
			<guid isPermaLink="false">103@http://pathwithpaws.com/forums/</guid>
			<description><![CDATA[<p>From Sharon -<br />
Lena,</p>
<p>Okay I have collected the following:</p>
<p>Artemisinin 100 mg</p>
<p>Hepasunate 50 mg</p>
<p>K9 Plus wafers</p>
<p>GNC Ultra Mega Superfood Complex</p>
<p>Meeker Rasperry powder (waiting on it – not here yet)</p>
<p>So – now trying to figure out what to give whom and how much</p>
<p>Bailey is the one with the amputated leg – he has not yet started chemo – he weighs 80 #</p>
<p>Bongo cannot have surgery – started radiation therapy – he weighs #116</p>
<p>I know that Arte cannot be given while undergoing radiation – same with Hepasunate?</p>
<p>Any recommendations greatly appreciated. Bongo is also on Tramadol 50 – 4 tabs every 8 hours; Carprofen 100 1 every 12 hours; and Gabapentin 600 1/2 tab every 8 hours</p>
<p>Thank you again</p>
<p>Sharon
</p>]]></description>
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