RE: LRP

By the way, I like “Kaiser.” I can’t say it,
but I can’t say “Lilly” or “Roddy” either.
J Dogs
are great at working with whatever I can say.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Sunday, June 13, 2010 6:22 PM
To: ‘malinda julien’
Subject: RE: LRP

 

Yes, I understand that you have other commitments, and I
don’t want you to put yourself out on my behalf. I also realize that you
can only do so much testing. There are certainly tests that you can do, and
that’s a great start. Yet, the fact is that dogs are so adaptable that
you can only go so far with tests. If a dog bonds with me, it might do things
for me that it wouldn’t otherwise. If a dog is fairly docile but willing
to please, that’s 90% of the battle. The rest comes as the dog works with
me and learns. The only thing about Kaiser that could be problematic is the
police training. For example, patrol K9s are taught to bark at perps as a first
warning, and that would be annoying. Lilly’s approach would please
Emperor Ming, move between me and the problem, give a rumbling growl, and then
escalate if necessary to the fangs.
J

 

 

From: malinda julien
[mailto:k9malinda@mac.com]
Sent: Sunday, June 13, 2010 4:43 PM
To: royall@conchbbs.com
Subject: Re: LRP

 

Scott, 

I am sorry I have been out of touch, been teaching K9 SAR
school ~ 

We are further testing Kaiser in all kinds of situations and
will definitely see if he or one of the girls are your dog 🙂

malinda

 

On Jun 13, 2010, at 2:02 PM, Scott Royall wrote:

 

Of course, let me know when you know. I’m eager to get the
guy comfortable before Fall.

 

From: malinda
julien [mailto:k9malinda@mac.com] 
Sent: Saturday, June 12,
2010 11:21 AM
To: royall@conchbbs.com
Subject: Re: LRP

 

we are working on it right now 🙂

mj

 

On Jun 11, 2010, at 7:47 PM, Scott
Royall wrote:

I agree, the available information makes the 2yo male the best
candidate. What’s the next step?

 

 

RE: Lilly – results

Lilly – results

So, apart from kidney stones (join the club, Lilly), and a spot
on the liver that’s likely to be benign, our little girl scans clean. We’ll
recheck the liver in three months.

 

From: Kate Lawrence
[mailto:KateL@gcvs.com]
Sent: Tuesday, June 08, 2010 3:20 PM
To: royall@conchbbs.com
Subject: Lilly – results

 

Mr. Royall,

Ok, I have
the results from Lilly’s diagnostics.  The chest radiographs did not
reveal any metastisis (yay!).  The abdominal ultrasound revealed stones in
Lilly’s bladder, which normally we would recommend surgery to remove, but I
assume with the absence of any clincial signs of a problem with her bladder and
urination, we will just make note of it.  There was a lesion identified on
the right side of Lilly’s liver that was suspicious-looking.  The
radiologist took a look at it and feels it is likely benign change to the liver
(she’s an older girl), but we don’t know for sure.  Based on that
information you have a couple of options.  First, we can move on and not
follow-up, just continue to love and feed her!  Secondly, we can continue
on, but follow-up with an ultrasound in 3 months or so to make sure the lesion
hasn’t changed.  If it has, we may recommend additional diagnostics as
necessary.  Finally, we can perfom an ultrasound-guided aspirate of the
area and submit it for cytology (i.e. get some cells from the lesion for
analysis).  This would be approximately $125-150, however we cannot
guarantee that the results will be conclusive, and a follow-up ultrasound may
still be recommended. 

I know this
can be a little confusing – please let me know if you have any questions or
need clarification.  We can do whatever you would prefer… just let
me know.

Talk to you
soon!

Thanks,

Kate
Lawrence

Client/Patient
Service Coordinator

Gulf Coast
Veterinary Surgery

713-693-1122

FW: possible candidate

—–Original Message—–
From: Scott Royall [mailto:royall@conchbbs.com]
Sent: Sunday, June 06, 2010 9:13 PM
To: ‘malinda julien’
Subject: RE: possible candidate

A male could work. Don’t rule him out.

But, don’t rule the girls out either, because it’s easy to misunderstand
enthusiasm. I hate to keep bringing up Char, but she was a good example.
While she was pretty enthusiastic at your center, she quickly learned to
curl up in my Shell office for hours (SMART DOG!). I strongly suspect that
Lilly’s legendary calmness has been due in part to her hypothyroidism so
we probably don’t want quite that much calmness. 🙂

I realize that it isn’t practical for you to bring more than one dog, but
I wish you could. That’s partly because of my wanting to let the dog have
some choice, and concern about how well a 2yo would bond. I’d suggest that
any dog who doesn’t panic easily be considered as a candidate.

By the way, did you see the email about Lilly’s tumor? It was aggressive
bone cancer so her retirement decision is "out of her paws."

—–Original Message—–
From: malinda julien [mailto:k9malinda@mac.com]
Sent: Sunday, June 06, 2010 5:05 PM
To: Scott Royall
Subject: possible candidate

Scott,

I have a male 2yo which we just took out of the police program (not
aggressive enough) and he is a potential candidate for you. I didn’t
breed him and have no papers on him, but he is 2 yo male.
Good DDR breeding, dark black with tan points and under body. Dark face.

Would you be interested in a male? I know you said female, but the ones I
have are young (1yo) and pretty enthusiastic ~ would be a while (if ever)
if they became as docile / calm as Lilly
mj

RE: Lilly + BCP

Beale is a good egg. And, you are correct.

 

From: Kate Lawrence
[mailto:KateL@gcvs.com]
Sent: Friday, June 04, 2010 9:17 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

Mr. Royall,

 

I spoke with Dr. Beale, but wanted to confirm with you – at
this point you would like to check Lilly for metastastis radiographically,
and not pursue chemotherapy – correct?  If so, we are happy to do the
radiographs here in surgery instead of having you go through Oncology and have
to pay for additional exam fees.  Dr. Beale would like to start with chest
radiographs and an abdominal ultrasound for Lilly, and then based on those
results, we can either discuss further diagnostics to look for metastastis on
her extremities, or send her home with continued palliative treatment. 
The approximate cost for the chest films and abdominal ultrasound is
$500-550. 

 

Please let me know if this is what you’d like to pursue, and I will
get you and Lilly on the schedule for next Tuesday.

 

Thanks,

Kate
Lawrence

Client/Patient
Service Coordinator

Gulf Coast
Veterinary Surgery

713-693-1122

 

 


From: Scott Royall [mailto:royall@conchbbs.com]
Sent: Thursday, June 03, 2010 2:34 PM
To: Kate Lawrence
Subject: FW: Lilly + BCP

I know you’re not in oncology, but I figure you care about Lilly
enough to be liaison on this. Please arrange for a full-body scan next Tuesday.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Thursday, June 03, 2010 2:21 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

I understand why you dreaded breaking the news. The grim truth
is that I have to choose between spending thousands that I don’t really have to
buy Lilly two or three years of life made dubious by the cancer and the chemo.
Or do I make Lilly comfortable and  get a new dog while Lilly is able to
transfer what she knows? Given Lilly’s age, I don’t really have a lot of
choice.  Very sad.

 

I will contact GCVS for a full-body scan.

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Thursday, June 03, 2010 11:27 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

I’m afraid it is not good news about Lilly’s histopath
report.  It is osteosarcoma which is basically bone cancer.  It
tends to be a very nasty type of cancer and has high potential for
malignancy.  The more common location they arise is on the legs, not as
common on a digit.  I did some research. Even though it was on a
digit they say it is just as aggressive.  Amputation, whole body
radiographs to look for metastasis in bones and lungs, and adjuvant
chemotherapy is recommended.  The toe has 3 bones in it, her tumor
was in the last bone.  Thank goodness I took off that one plus the
one behind it.  But metastasis to other areas is the biggest concern at
this point.  I would not recommend you exercise her until we get this
figured out.  Referral to Gulf Coast Oncology would be the next step
should you pursue further treatment.  Time is a little bit of the
essence in that if it has spread already you want to start chemo as soon
as possible.  I will answer any questions as best I can for
you but an oncologist would know more, of course, than I would.  Let me
know what you think.  I can’t tell you how much I do not want to hit the
"Send" button on this one.

— On Wed, 6/2/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Wednesday, June 2, 2010, 3:56 PM

Does
the lack of response mean you disagree? It’s a little hard to read you, but
it’s fine to disagree.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Tuesday, June 01, 2010 5:09 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

Roger
that. This is Lilly we’re talking about, perhaps the best four-legged patient
you have! I just rechecked the paw and there’s almost no redness. The
incision flaps are staying closed, and the sutures are starting to loosen.
Thus my inquiry. The bad news is that she’s definitely becoming more lame.
That’s something I always worry about with an arthritic dog. A few days
without walks and they start locking up. I’m seeing lameness in both front
legs right now, and she’s not walked since the surgery. What do you think
about returning Lilly to limited duty Thursday if the incision stays closed?

 

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 3:53 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

You didn’t tell me how her foot was looking!!  Her sutures are absorbable
and will eventually fall out on their own.  It may take several weeks
for that to happen.  The stitches need to stay in 10 days at least, 14
days is better.  Usually by then you have a completed seal at
the incision unless there are complications.  After the initial
10 -14 day healing time we can remove the sutures manually if we need
to.  I do this only if they are bothering her or she begins to develop
a suture reaction.  I mailed a copy of your invoice to you.

— On Tue, 6/1/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Tuesday, June 1, 2010, 1:59 PM

When do the sutures come out?

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 1:39 PM
To: royall@conchbbs.com
Subject: Re: Lilly + BCP

 

Yes I called that in last week.  Increased her dosage a
little.  How is her foot doing?  I will send you Rimadyl or
bring it if I need to look at her foot.

— On Mon, 5/31/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: Lilly + BCP
To: "Marsha Anderson" <hipchick1@sbcglobal.net>
Date: Monday, May 31, 2010, 3:27 PM

Have you  told BCP to increase her thyroid supplement dosage
yet? She’s running out of that and Rimadyl.

 

 

 

FW: Lilly + BCP

 

 

From: Kate Lawrence
[mailto:KateL@gcvs.com]
Sent: Friday, June 04, 2010 8:40 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

Mr. Royall,

 

I cannot express in words how much it saddened me to see these
emails.  Of all our patients, it’s hard to see this go on for Lilly – she
is truly a joy and I know how much she means to you.  I apologize for
taking so long to get back with you – I was out of the office yesterday
afternoon.

 

Let me get started on the logistics for getting this scheduled and
I will get back with you today.

 

Again, I am so sorry to hear this diagnosis for Lilly, and you are
both in our thoughts.

Kate
Lawrence

Client/Patient
Service Coordinator

Gulf Coast
Veterinary Surgery

713-693-1122

 

 


From: Scott Royall [mailto:royall@conchbbs.com]
Sent: Thursday, June 03, 2010 2:34 PM
To: Kate Lawrence
Subject: FW: Lilly + BCP

I know you’re not in oncology, but I figure you care about Lilly
enough to be liaison on this. Please arrange for a full-body scan next Tuesday.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Thursday, June 03, 2010 2:21 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

I understand why you dreaded breaking the news. The grim truth
is that I have to choose between spending thousands that I don’t really have to
buy Lilly two or three years of life made dubious by the cancer and the chemo.
Or do I make Lilly comfortable and  get a new dog while Lilly is able to
transfer what she knows? Given Lilly’s age, I don’t really have a lot of
choice.  Very sad.

 

I will contact GCVS for a full-body scan.

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Thursday, June 03, 2010 11:27 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

I’m afraid it is not good news about Lilly’s histopath
report.  It is osteosarcoma which is basically bone cancer.  It
tends to be a very nasty type of cancer and has high potential for
malignancy.  The more common location they arise is on the legs, not as
common on a digit.  I did some research. Even though it was on a
digit they say it is just as aggressive.  Amputation, whole body
radiographs to look for metastasis in bones and lungs, and adjuvant
chemotherapy is recommended.  The toe has 3 bones in it, her tumor
was in the last bone.  Thank goodness I took off that one plus the
one behind it.  But metastasis to other areas is the biggest concern at
this point.  I would not recommend you exercise her until we get this
figured out.  Referral to Gulf Coast Oncology would be the next step
should you pursue further treatment.  Time is a little bit of the
essence in that if it has spread already you want to start chemo as soon
as possible.  I will answer any questions as best I can for
you but an oncologist would know more, of course, than I would.  Let me
know what you think.  I can’t tell you how much I do not want to hit the
"Send" button on this one.

— On Wed, 6/2/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Wednesday, June 2, 2010, 3:56 PM

Does
the lack of response mean you disagree? It’s a little hard to read you, but
it’s fine to disagree.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Tuesday, June 01, 2010 5:09 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

Roger
that. This is Lilly we’re talking about, perhaps the best four-legged patient
you have! I just rechecked the paw and there’s almost no redness. The
incision flaps are staying closed, and the sutures are starting to loosen.
Thus my inquiry. The bad news is that she’s definitely becoming more lame. That’s
something I always worry about with an arthritic dog. A few days without
walks and they start locking up. I’m seeing lameness in both front legs right
now, and she’s not walked since the surgery. What do you think about
returning Lilly to limited duty Thursday if the incision stays closed?

 

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 3:53 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

You didn’t tell me how her foot was looking!!  Her sutures are absorbable
and will eventually fall out on their own.  It may take several weeks
for that to happen.  The stitches need to stay in 10 days at least, 14
days is better.  Usually by then you have a completed seal at
the incision unless there are complications.  After the initial
10 -14 day healing time we can remove the sutures manually if we need
to.  I do this only if they are bothering her or she begins to develop
a suture reaction.  I mailed a copy of your invoice to you.

— On Tue, 6/1/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Tuesday, June 1, 2010, 1:59 PM

When do the sutures come out?

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 1:39 PM
To: royall@conchbbs.com
Subject: Re: Lilly + BCP

 

Yes I called that in last week.  Increased her dosage a
little.  How is her foot doing?  I will send you Rimadyl or
bring it if I need to look at her foot.

— On Mon, 5/31/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: Lilly + BCP
To: "Marsha Anderson" <hipchick1@sbcglobal.net>
Date: Monday, May 31, 2010, 3:27 PM

Have you  told BCP to increase her thyroid supplement dosage
yet? She’s running out of that and Rimadyl.

 

 

 

RE: Lilly + BCP

Well, that’s something.

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Thursday, June 03, 2010 6:02 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

Some small degree of good news.  I just got the final
pathology report – they had to decalcify the bony part of the toe to finish
their study.  They do not see cancer cells in the marrow cavity or outer
proximity of the bone behind it and say that excision of the primary mass
appears complete.

— On Thu, 6/3/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Lourez Bullock’" <lourez_bullock@sbcglobal.net>
Date: Thursday, June 3, 2010, 4:16 PM

I
don’t think she’s currently hurting. She’s definitely stiff when she first
gets up, but the limp quickly subsides with movement.

 

I’m
going to get her scanned next week, hopefully.

 

From: Lourez Bullock
[mailto:lourez_bullock@sbcglobal.net]
Sent: Thursday, June 03, 2010 4:03 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

I’m so
sorry, Scott.  My worst fears realized.  Dear brave girl – she just
keeps on trying, when the pain and discomfort is so evident.  It has
broken my heart to look at her struggling to keep up her end of your and her
bargain.  You are so lucky to have had the devotion, support and
friendship of such great dogs.  Please don’t let her suffer.  I’m
glad you have such an understanding vet, who obviously holds Lilly in the
high regard she deserves.

 

I’ll see
you later for your dinner.

 

 


From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Thursday, June 03, 2010 2:21 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

I
understand why you dreaded breaking the news. The grim truth is that I have
to choose between spending thousands that I don’t really have to buy Lilly
two or three years of life made dubious by the cancer and the chemo. Or do I
make Lilly comfortable and  get a new dog while Lilly is able to
transfer what she knows? Given Lilly’s age, I don’t really have a lot of
choice.  Very sad.

 

I
will contact GCVS for a full-body scan.

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Thursday, June 03, 2010 11:27 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

I’m afraid it is not good news about Lilly’s histopath report.  It
is osteosarcoma which is basically bone cancer.  It tends to be a
very nasty type of cancer and has high potential for malignancy.  The
more common location they arise is on the legs, not as common on a
digit.  I did some research. Even though it was on a digit they
say it is just as aggressive.  Amputation, whole body radiographs to
look for metastasis in bones and lungs, and adjuvant chemotherapy is
recommended.  The toe has 3 bones in it, her tumor was in the
last bone.  Thank goodness I took off that one plus the one
behind it.  But metastasis to other areas is the biggest concern at
this point.  I would not recommend you exercise her until we get this
figured out.  Referral to Gulf Coast Oncology would be the next step
should you pursue further treatment.  Time is a little bit of the
essence in that if it has spread already you want to start chemo as
soon as possible.  I will answer any questions as best I can
for you but an oncologist would know more, of course, than I would. 
Let me know what you think.  I can’t tell you how much I do not want
to hit the "Send" button on this one.

— On Wed, 6/2/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Wednesday, June 2, 2010, 3:56 PM

Does the lack of response mean you disagree? It’s a little
hard to read you, but it’s fine to disagree.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Tuesday, June 01, 2010 5:09 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

Roger that. This is Lilly we’re talking about, perhaps the
best four-legged patient you have! I just rechecked the paw and there’s
almost no redness. The incision flaps are staying closed, and the sutures
are starting to loosen. Thus my inquiry. The bad news is that she’s
definitely becoming more lame. That’s something I always worry about with
an arthritic dog. A few days without walks and they start locking up. I’m
seeing lameness in both front legs right now, and she’s not walked since
the surgery. What do you think about returning Lilly to limited duty
Thursday if the incision stays closed?

 

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 3:53 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

You didn’t tell me how her foot was looking!!  Her sutures are
absorbable and will eventually fall out on their own.  It may take
several weeks for that to happen.  The stitches need to stay in 10
days at least, 14 days is better.  Usually by then you have a
completed seal at the incision unless there are complications. 
After the initial 10 -14 day healing time we can remove the sutures
manually if we need to.  I do this only if they are bothering her or
she begins to develop a suture reaction.  I mailed a copy of your
invoice to you.

— On Tue, 6/1/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Tuesday, June 1, 2010, 1:59 PM

When do the sutures come out?

 

From: Marsha
Anderson [mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 1:39 PM
To: royall@conchbbs.com
Subject: Re: Lilly + BCP

 

Yes I called that in last week.  Increased her dosage a
little.  How is her foot doing?  I will send you Rimadyl or
bring it if I need to look at her foot.

— On Mon, 5/31/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: Lilly + BCP
To: "Marsha Anderson" <hipchick1@sbcglobal.net>
Date: Monday, May 31, 2010, 3:27 PM

Have you  told BCP to increase her thyroid supplement dosage
yet? She’s running out of that and Rimadyl.

 

 

 

 

RE: Lilly + BCP

I understand why you dreaded breaking the news. The grim truth
is that I have to choose between spending thousands that I don’t really have to
buy Lilly two or three years of life made dubious by the cancer and the chemo. Or
do I make Lilly comfortable and  get a new dog while Lilly is able to transfer what
she knows? Given Lilly’s age, I don’t really have a lot of choice.  Very sad.

 

I will contact GCVS for a full-body scan.

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Thursday, June 03, 2010 11:27 AM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

I’m afraid it is not good news about Lilly’s histopath
report.  It is osteosarcoma which is basically bone cancer.  It
tends to be a very nasty type of cancer and has high potential for
malignancy.  The more common location they arise is on the legs, not as
common on a digit.  I did some research. Even though it was on a
digit they say it is just as aggressive.  Amputation, whole body
radiographs to look for metastasis in bones and lungs, and adjuvant
chemotherapy is recommended.  The toe has 3 bones in it, her tumor
was in the last bone.  Thank goodness I took off that one plus the
one behind it.  But metastasis to other areas is the biggest concern at
this point.  I would not recommend you exercise her until we get this
figured out.  Referral to Gulf Coast Oncology would be the next step
should you pursue further treatment.  Time is a little bit of the
essence in that if it has spread already you want to start chemo as soon
as possible.  I will answer any questions as best I can for
you but an oncologist would know more, of course, than I would.  Let me
know what you think.  I can’t tell you how much I do not want to hit the
"Send" button on this one.

— On Wed, 6/2/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Wednesday, June 2, 2010, 3:56 PM

Does
the lack of response mean you disagree? It’s a little hard to read you, but
it’s fine to disagree.

 

From: Scott Royall
[mailto:royall@conchbbs.com]
Sent: Tuesday, June 01, 2010 5:09 PM
To: ‘Marsha Anderson’
Subject: RE: Lilly + BCP

 

Roger
that. This is Lilly we’re talking about, perhaps the best four-legged patient
you have! I just rechecked the paw and there’s almost no redness. The
incision flaps are staying closed, and the sutures are starting to loosen.
Thus my inquiry. The bad news is that she’s definitely becoming more lame.
That’s something I always worry about with an arthritic dog. A few days
without walks and they start locking up. I’m seeing lameness in both front
legs right now, and she’s not walked since the surgery. What do you think
about returning Lilly to limited duty Thursday if the incision stays closed?

 

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 3:53 PM
To: royall@conchbbs.com
Subject: RE: Lilly + BCP

 

You didn’t tell me how her foot was looking!!  Her sutures are
absorbable and will eventually fall out on their own.  It may take
several weeks for that to happen.  The stitches need to stay in 10
days at least, 14 days is better.  Usually by then you have a
completed seal at the incision unless there are complications. 
After the initial 10 -14 day healing time we can remove the sutures
manually if we need to.  I do this only if they are bothering her or
she begins to develop a suture reaction.  I mailed a copy of your
invoice to you.

— On Tue, 6/1/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: RE: Lilly + BCP
To: "’Marsha Anderson’" <hipchick1@sbcglobal.net>
Date: Tuesday, June 1, 2010, 1:59 PM

When do the sutures come out?

 

From: Marsha Anderson
[mailto:hipchick1@sbcglobal.net]
Sent: Tuesday, June 01, 2010 1:39 PM
To: royall@conchbbs.com
Subject: Re: Lilly + BCP

 

Yes I called that in last week.  Increased her dosage a
little.  How is her foot doing?  I will send you Rimadyl or
bring it if I need to look at her foot.

— On Mon, 5/31/10, Scott Royall <royall@conchbbs.com>
wrote:

From: Scott Royall <royall@conchbbs.com>
Subject: Lilly + BCP
To: "Marsha Anderson" <hipchick1@sbcglobal.net>
Date: Monday, May 31, 2010, 3:27 PM

Have you  told BCP to increase her thyroid supplement dosage
yet? She’s running out of that and Rimadyl.