{"id":2296,"date":"2022-09-02T16:30:29","date_gmt":"2022-09-02T20:30:29","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=2296"},"modified":"2022-09-02T17:43:45","modified_gmt":"2022-09-02T21:43:45","slug":"the-sad-and-avoidable-cautionary-tale-of-wiggles","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/the-sad-and-avoidable-cautionary-tale-of-wiggles\/","title":{"rendered":"The sad and avoidable cautionary tale of Wiggles"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Wiggles, a 12 year old Terrier, recently had surgery at a colleague\u2019s practice.<\/p>\n\n\n\n

Her problem?<\/p>\n\n\n\n

She had mammary (breast) tumors.<\/p>\n\n\n\n

Before that, my colleague (wisely) recommended to take chest X-rays to make sure that if it were cancer, nothing had spread to the lungs.<\/p>\n\n\n\n

This is considered standard of care, meaning this is the right thing to do in modern practice.<\/p>\n\n\n\n

For whatever reason – financial, lack of trust, poor understanding, miscommunication – I am not here to judge \u2013 the owner declined the X-rays.<\/p>\n\n\n\n

So Wiggles had surgery to remove the tumors.<\/p>\n\n\n\n

Everything went well. She recovered smoothly and went home.<\/p>\n\n\n\n

I came to that hospital a couple of days after that do perform surgery on a totally different patient.<\/p>\n\n\n\n

As I walked through the kennel, I was rather surprised to hear a dog actively struggling to breathe, and clearly suffering.<\/p>\n\n\n\n

Of course, having a really hard time seeing a pet struggle, I inquired about her, and this is how I learned the whole story I shared above.<\/p>\n\n\n\n

While I was performing surgery, the nurses did the only reasonable thing to do: they took chest X-rays on Wiggles.<\/p>\n\n\n\n

Here is one of them below.<\/p>\n\n\n\n

Do you see anything abnormal?<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


Here is the X-ray again, this time with red lines around the areas of interest.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


Well, I am sad to say that each mass or nodule or tumor inside a red circle is a sign of metastasis (or spreading) of breast cancer to the lungs.<\/p>\n\n\n\n

No need to wait for the biopsy to come back.<\/p>\n\n\n\n

Wiggles had cancer.<\/p>\n\n\n\n

Terminal cancer.<\/p>\n\n\n\n

The suspicion is that she was OK before surgery, and anesthesia and surgery pushed her body \u201cover the edge.\u201d We call this phenomenon \u201cdecompensation.\u201d<\/p>\n\n\n\n

After a probably unpleasant discussion about the new findings and the dire situation with her family vet, the owner elected humane euthanasia.<\/p>\n\n\n\n

I tend to only write about happy stories and optimistic outcomes in this blog. I feel that there is enough misery in the world. I don\u2019t need to add more sadness, drama and negativity.<\/p>\n\n\n\n

So why did I choose to write about the sad story of Wiggles?<\/p>\n\n\n\n

Because she and her family went through a lot, medically, financially and emotionally, and it all could have been avoided.<\/p>\n\n\n\n

I don\u2019t say this to make her owners feel bad \u2013 I feel terrible for them.<\/p>\n\n\n\n

I decided to share this story with the hope that at least, it doesn\u2019t happen to one of my clients or readers.<\/p>\n\n\n\n

Now, of course, the other cautionary tale is that ALL of this could have all been prevented by spaying this poor pup before her 1st heat.<\/p>\n\n\n\n

I realize this is controversial for some, so please hold the hate mail.<\/p>\n\n\n\n

Don\u2019t believe the ridiculous things you hear and read.<\/p>\n\n\n\n

The ONLY way to prevent mammary tumors is to spay a female – dog or cat – before their 1st heat.<\/p>\n\n\n\n

Unlike what you will read elsewhere, this is not based on dogma, or brainwashing, or made-up facts, but based on science \u2013 the only thing I believe in.<\/p>\n\n\n\n

And keep in mind that this is coming from a vet who hardly ever spays a dog. I\u2019m a surgeon, so I tend to do the fancier surgeries.<\/p>\n\n\n\n

I truly don\u2019t have a bone in this fight.<\/p>\n\n\n\n

My hope is to help prevent other pets and their families from going through the horror of breast cancer.<\/p>\n\n\n\n

Here are some undeniable scientific facts:
. Over 25% of non-spayed female dogs will develop breast or mammary tumors!
. The risk of a dog having mammary tumors is 0.05% if a female is spayed before the first heat.
. The risk goes up to 8% after their first cycle.
. Then it shoots up to 26% after their second heat.
. If a dog is spayed after 2 years of age, then there is no more protection against breast tumors.
. However, it will protect her against other conditions, including pyometra (an infected uterus \u2013 a deadly condition). This is the reason why most vets typically recommend spaying before the 1st heat cycle.
. In dogs, approximately 50% of mammary tumors are benign and 50% are cancerous
. In cats, 90% of mammary tumors are cancerous, so spaying is even more important!<\/p>\n\n\n\n

I hope one pet lover learn from this sad story.<\/p>\n\n\n\n

Even if only one pet is spared, then this blog will be more than worth it.<\/p>\n\n\n\n

If you would like to learn more about how your pet can have safe surgery and anesthesia, contact us through www.DrPhilZeltzman.com<\/a><\/p>\n\n\n\n

Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified
www.DrPhilZeltzman.com<\/a>
<\/p>\n","protected":false},"excerpt":{"rendered":"

Wiggles, a 12 year old Terrier, recently had surgery at a colleague\u2019s practice. Her problem? She had mammary (breast) tumors. Before that, my colleague (wisely) recommended to take chest X-rays to make sure that if it were cancer, nothing had spread to the lungs. This is considered standard of care, meaning this is the right […]<\/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":[],"class_list":["post-2296","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nThe sad and avoidable cautionary tale of Wiggles | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drphilzeltzman.com\/blog\/the-sad-and-avoidable-cautionary-tale-of-wiggles\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The sad and avoidable cautionary tale of Wiggles | Dr Phil Zeltzman\u2019s Blog\" \/>\n<meta property=\"og:description\" content=\"Wiggles, a 12 year old Terrier, recently had surgery at a colleague\u2019s practice. 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