Monday, 21 September 2009
An Update on Timmy
Meowmie has just come back from the consultation at the oncologist and we are not sure we want to put my Timmy through the things described. We have three scenarios...
1) If appropriate (CT scan will reveal all tomorrow, they didn't do it today) surgery and radiation can be performed to try and achieve a cure. This will involve a feeding tube post-op for an undefined amount of time - anything from a few days to a month - depending on how Timmy recovers (We have no idea what a feeding tube entails or how uncomfortable it would be for Tim, if at all). He will also lose part of his jaw...which could make eating, drinking, washing a bit messy. Survival times range from 3 months through to a year, some cats reach 2 years...however 90% of cats don't reach a year...
2) If surgery is not an option then they can treat him with radiotherapy and chemo combo, this is not a cure but can prolong his life a little. The window of survival ranged from 2 months to 14 months, with a median of something like 170 days There is a new study which involves giving radiation treatment twice a day for 7 days, split over the course of 10 days (there are days off between some treatments). Chemo is given as well. This will involve a full aneasthetic, twice a day. Timmy has a mild heart mumur so this is not ideal at all. Post-treatment again we are looking at feeding tubes for an unspecified amount of time and possible discomfort.
3) We do nothing, just manage the illness with palliative care and concentrate on quality of life over quantity. He could be gone within weeks.
The Meowmies just doesn't know what to do...part of them thinks that he is almost 15 (in December) and we should let nature take its course, and give him quality of life. Another part loves him so much that they want to do everything they possibly can for him...but is that the best thing for him, or is that just them being selfish because they can't bear the thought of letting him go?
The options we have been given just sound as if they are going to cause him lots of discomfort - and one of those options isn't even a cure! It seems a lot to put him through when the odds are stacked so highly against him...from what the Meowmies have been reading the survival times for cats who have been treated for FOSCC are very poor.
I fink the Meowmies have definitely ruled out Option 2 and unless the oncologist phones up tomorrow and is 100% positive that the surgery will be minimal and Timmy is a great candidate for a successful outcome...then Option 3 looks most likely :(