Clinical
Experience
as told by Dr. Ross Perry
Lou
Lou, you might picture as a mostly dirty off-white and pink
battle-scarred 12 year old female bull terrier.
In
veterinary practice (personal experience) and I presume in
human medicine as well, one of the hardest emotional aspects
of practice to deal with are those cases that are presented
for first time in a very advanced state of disease, especially
when the disease is glaringly obvious.
I
had been asked to treat Lou Lou over the last 10 years on a
very irregular basis and hadn't had the pleasure of Lou Lou's
visitations for a couple of years.
Lou
Lou, was presented for possible euthanasia on 18 Oct. 2002.
She
has a gross, foul smelling, open (ulcerated), weeping, rotting,
rapidly growing (presumed mammary) tumor involving the skin,
mammary and subcutaneous tissues along most of the left caudal
abdomen. The main mass was probably the size of my outstretched
hand.
There
was also gross swelling in the left groin (inguinal lymph nodes
etc). There were numerous patches of acute inflammation and
thickening of skin and subcutaneous tissues, some ulcerated,
consistent in appearance with metastatic (highly malignant)
cancer involving medial left thigh, other areas of abdomen
and extending forward to caudal chest area.
Incidentally
Lou Lou also had a rotten upper carnassial tooth abscess and
keratoconjunctivitis (dry eye syndrome) affecting one eye.
I
discussed the options apart from the obvious euthanasia.
In essence I advised as an alternative to euthanasia that we try dietary changes
with intensive immune support with Transfer
Factor Plus Capsules twice daily for 5-7 days before attempting surgical
excision of the primary mass, short term course of antibiotic (Clavulox 250mg
1 twice daily for 10 days. To follow with long term immunosupport with Transfer
Factor Plus.
My
client decided he only wanted simple treatment for Lou Lou
and didn't want to have to give a pile of tablets and powder
as well as capsules long term and elected to go for basic surgery,
short term antibiotics and long term Transfer Factor Plus.
Although I also canvassed more complex treatment and management
options the owner didn't want these and elected the simplest
option that I could give that in my opinion offered a chance
for healing. He elected the following:
Lou
Lou received Transfer
Factor Plus 1 twice a day for 5 days prior to surgery and
appeared to be improving in subtle ways (definitely not worse!)
and was subjected to radical radiosurgical excision of main
mass by me under isoflurane oxygen anesthesia, with Metacam
( a non-steroidal analgesic), intravenous drip (Hartmanns)
and antibiotic injection.
I
closed the wound with very strong slowly dissolving sutures
(Maxon). I also did some work on the carnassial tooth. She
made an uneventful recovery from the anesthetic and surgery
and the next day was seeking attention and wanting out of the
hospital. However her owner couldn't collect her until 25th
October, when she was sent home on Transfer Factor Plus and
Clavulox as planned and advice to let me recheck her in 10
days.
However,
I don't have any recall of getting to recheck her, just a report
on 16 December when her owner came into the hospital to buy
another bottle of Transfer Factor Plus that she's doing very
well.
On
3rd January 2003 Lou Lou suddenly deteriorated in health and
was presented in a state of collapse with cardiac arrhythmia
(very irregular heart) and I was instructed to euthanize her
as soon as possible.
This I did.
The
owner again remarked to effect "that Transfer Factor Plus did
a good job" and this reminded me that this was the same dog
that I had last seen "covered with metastatic cancer". There
was not a tumor in sight! Although the cause of her heart failure
was not investigated and a necropsy was not performed and histopathology
was not performed and no double blind studies were performed
and despite perhaps suboptimal dosage of Transfer Factor Plus.
I
am left thinking Transfer
Factor Plus played a pivotal role in a remarkable if not
miraculous remission from cancer in this dog.
Ross
Perry BSc(Vet)(Hons), BVSc(Hons) FACVSc
Dr.
Perry's Bio
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