{"id":1469,"date":"2019-12-31T11:55:16","date_gmt":"2019-12-31T15:55:16","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=1469"},"modified":"2022-07-11T10:23:43","modified_gmt":"2022-07-11T14:23:43","slug":"age-is-not-a-disease-kalis-story","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/age-is-not-a-disease-kalis-story\/","title":{"rendered":"Age is not a disease &#8211; Kali\u2019s story"},"content":{"rendered":"<p><span style=\"color: #000000;\">Kali, a 15 year old Australian cattle dog, was drinking and peeing more than usual. These are very vague signs, and thankfully her owner acted on them. Then Kali had vomiting and diarrhea.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1474 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-on-straw.jpg\" alt=\"Kali, a 15 year old Australian Cattle dog\" width=\"640\" height=\"480\" \/><\/p>\n<p><span style=\"color: #000000;\">Since these signs can be seen in multiple conditions, Kali had a physical exam. Blood work showed high liver numbers, so she had X-rays, which showed a liver mass.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1475 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-X-ray-1-2000x1376.jpeg\" alt=\"An x-ray pre-op\" width=\"2000\" height=\"1376\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-X-ray-1-2000x1376.jpeg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-X-ray-1-1100x757.jpeg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-X-ray-1-768x528.jpeg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p><span style=\"color: #000000;\">An ultrasound revealed that the mass was the size of a pear.<\/span><\/p>\n<p><span style=\"color: #000000;\">Statistics tell us that most liver masses are cancerous. Kali\u2019s owner didn\u2019t know what to do. \u201cFriends and family\u201d told her that it was not reasonable to do surgery on an ancient dog with cancer.<\/span><\/p>\n<p><span style=\"color: #000000;\">Yet amazingly, this loving pet owner decided to give her 15 year old dog a chance. She chose to have the liver mass removed at <a href=\"https:\/\/www.harmonyanimalvet.com\/\" target=\"_blank\" rel=\"noopener\"><u>Harmony Animal Hospital<\/u> in NJ.<\/a><\/span><\/p>\n<p><span style=\"color: #000000;\">Kali was given IV fluids. Pain medications and anesthesia drugs were chosen to minimize the impact on her liver.<\/span><\/p>\n<p><span style=\"color: #000000;\">BEWARE, the next picture is graphic. You have been warned!!!<\/span><\/p>\n<p><span style=\"color: #000000;\">In surgery, the mass turned out to be much larger than anticipated. Instead of being the size of a pear, it was the size of a cantaloupe!<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1472 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-intraop-2000x1500.jpg\" alt=\"A mass the size of a canteloupe\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-intraop-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-intraop-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-intraop-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p><span style=\"color: #000000;\">Because the risk was much higher than anticipated, I decided to call Kali\u2019s owner in the middle of surgery to brainstorm and to make a decision together. Removing a mass this large greatly increased the risk of bleeding.<\/span><\/p>\n<p><span style=\"color: #000000;\">Of course, leaving a mass this large had its own risks. Left alone, the mass would continue to grow and would likely rupture, which would lead to internal bleeding. After careful consideration, the owner decided to continue with surgery.<\/span><\/p>\n<p><span style=\"color: #000000;\">So we finished the surgery, which was not exactly an easy task\u2026 We did have some significant bleeding. But overall surgery went well.<\/span><\/p>\n<p><span style=\"color: #000000;\">Here is the mass postop. The coin next to it is an American quarter\u2026 (a bit under 1 inch or 2.5 cm in diameter).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1470 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-mass-2000x1500.jpg\" alt=\"The mass after the operation\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-mass-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-mass-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-mass-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p><span style=\"color: #000000;\">Kali stayed overnight on IV fluids, pain medications and antibiotics. Her red blood count stayed surprisingly high.<\/span><\/p>\n<p><span style=\"color: #000000;\">I stopped by the clinic the next day. Kali looked pretty good.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1471 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-face-2000x1500.jpg\" alt=\"Kali in recovery\" width=\"2000\" height=\"1500\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-face-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-face-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-face-768x576.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p><span style=\"color: #000000;\">Two days later, Kali was bright and alert. She was ready to go home to heal and rest.<\/span><\/p>\n<p><span style=\"color: #000000;\">A week later, the biopsy results came back as\u2026 benign! Unbelievably, this enormous mass, that everybody was convinced was cancer, turned out to be a benign tumor (hepatocellular adenoma).<\/span><\/p>\n<p><span style=\"color: #000000;\">Twelve days after surgery, the update was very positive: \u201cShe is doing wonderful! Feeling a lot better, more like herself. She has a good appetite and good energy.\u201d<\/span><\/p>\n<p><span style=\"color: #000000;\">One month later, her owner said that she \u201ccouldn\u2019t be happier. Kali is doing phenomenal. She\u2019s happy and back to her old self.\u201d<\/span><\/p>\n<p><span style=\"color: #000000;\">And the best part: \u201cChoosing to do surgery in spite of the odds and in spite of her age was totally worth it.\u201d<\/span><\/p>\n<p><span style=\"color: #000000;\">Then something unusual happened at home: <\/span><\/p>\n<p><span style=\"color: #000000;\">\u201cWe recently found her on the couch sleeping upside down&#8230; and it dawned on us that it has been almost a year or so since she stopped jumping on furniture. We thought it was because of her arthritis in her elbows&#8230; but now we believe the tumor was making her uncomfortable to jump and lay on her back.\u201d<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1473 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2019\/10\/Kali-on-couch.jpg\" alt=\"Kali sleeping on the couch on her back\" width=\"480\" height=\"640\" \/><\/p>\n<p><span style=\"color: #000000;\">So what\u2019s the morale of this story?<\/span><\/p>\n<p><span style=\"color: #000000;\">. Just because your pet is old, doesn\u2019t mean that you should give up.<\/span><\/p>\n<p><span style=\"color: #000000;\">. Don\u2019t (always) listen to friends and family. They have good intentions, but ultimately you should make a decision you are comfortable with. You have to live with your decision. They don\u2019t.<\/span><\/p>\n<p><span style=\"color: #000000;\">. Never assume. Just because everybody \u201cknows\u201d a mass is cancer, doesn\u2019t mean that anybody is right. The only test I trust is a biopsy read by a board-certified pathologist.<\/span><\/p>\n<p><span style=\"color: #000000;\">. As I have said many times before, \u201cAge is not a disease.\u201d<\/span><\/p>\n<p><em>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free <\/em>Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kali, a 15 year old Australian cattle dog, was drinking and peeing more than usual. These are very vague signs, and thankfully her owner acted on them. Then Kali had vomiting and diarrhea. Since these signs can be seen in multiple conditions, Kali had a physical exam. Blood work showed high liver numbers, so she [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[226,225,157,156],"class_list":["post-1469","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-hepatocellular-adenoma","tag-liver-mass","tag-phil-zeltzman","tag-veterinary-surgeon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Age is not a disease - Kali\u2019s story | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"description\" content=\"Kali, a 15 year old Australian cattle dog, was drinking and peeing more than usual. These are very vague signs, and thankfully her owner acted on them. 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