Brodie was diagnosed with Lymphoma (T-Cell) with Hypocalcaemia on May 9th and has been on Prednisone (20mg once daily), Denamarin (once daily) and lomustine every three weeks since then. The CCNU path is not as an aggressive treatment as the CHOP or several others but it's all we can afford to do as we were quoted close to $7k for 6 months of treatment for the Madison protocol.
Here is an outline of what we’ve witnessed with Brodie, incidentally this is from my own notes I’m keeping on everything, something I would recommend…
May 09 – Brought in for Lethargy/loss of appetite, foreign object in stomach shown in X-Ray. Blood test showed high levels of Calcium, aspirate of lymph node confirmed Lymphoma.
May 10 – Remained in Hospital overnight for Hypocalcaemia, first round of Lomustine treatment.
May 11 – Brodie comes home. Full of energy and happy as always.
May 21 – Brodie in for blood work. Blood checked for white blood cell count, platelet count and calcium. White blood cell count good, calcium levels slightly high, platelet count low. Nothing to worry about just yet, expected from lomustine.
May 12 – Present – Continued medications as prescribed with additions. Also changed diet. (Diet consisting of home cooked meals with Blue Buffalo Kibble).
June 04 – Second round of lomustine/blood work. White blood cell count good, Calcium back to normal levels, Platelet count still low. Lomustine still given although platelet count just above safe levels for lomustine.
June 12 – Appt for Blood work. Check platelet count (Previously Low)
More on diet change – Diet consisting of 90/10 lean beef browned and mixed with broccoli, spinach, lima beans, sweet potatoes. Also used cooked salmon in place of beef.
More on vitamins and such – 1tbsp cod liver oil added to food twice daily, Pro-biotic added to food once daily, milk thistle added to food once daily, vitamin E added to food once daily.
Symptoms/Quality of Life/Mood – Brodie has been in a good mood since the day we picked him up from the hospital. He has indeed had times where he is less active but will still bark if someone comes to the door or come lay in your lap if you sit on the floor. He is definitely less heat tolerant and wants to come inside sooner than before, even if we are still outside. This used to never happen as he was content outside as long as we were outside. He drinks water as though we are going to take his bowl from him any minute and has accidents in the house several times a week, mostly at night and sometimes in his sleep even. He is hungry at all times and will eat anything that is in his bowl (even his denamarin).
All said, he remains… Brodie to us. The only drawback I can find so far with doing the treatment is the cost. I know we made the right decision to treat Brodie even if we have to make the ‘dreaded’ decision sooner than we like.
Hope this helps, sorry it's written in such a template format, as mentioned, I stole most of this from my personal notes.
Good luck with your Bailey, it helps to know others are going through the same thing.