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It is difficult to write about Luna right now because lately we have all been a little bit apprehensive.

But you have been with us through it all, and I don’t want you to miss this chapter just because it is a scary one.

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Luna is still the dorky, goofy, fun dog she has always been. Right now she is demanding canned food from Russ. (Update: He caved.)

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In December, Dr. Krapfl did an abdominal ultrasound on Luna and found irregularities in her spleen. He did a recheck ultrasound in January, and her spleen was even more abnormal. We did blood work, including a clotting profile (tests to make sure Luna is able to stop bleeding in a normal amount of time), to assure the next procedure would be as safe as possible.

Dr. Clemans did an aspirate (small sampling of cells) of her spleen.

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The cancer is back.

Luna doesn’t know. Please don’t tell her!

We restarted chemotherapy last Wednesday. Her next dose is tomorrow.

Luna is also on Lasix.

“Why Lasix?” I asked Julie at VCA MidWest Vet. “I don’t know,” she said. “I will find out.”

The purpose of the Lasix is to prevent hemorrhagic cystitis - bleeding into the urinary bladder. It is new since we did chemotherapy last time, and Dr. Clemans has added it to her protocol.

I hung up with Julie and yelled at Russ, “Dr. Clemans is practicing cutting edge medicine! CUTTING EDGE!” After a few minutes, he said, “so…cutting edge, huh?” and went back to reading. He was, I am sure, quietly impressed.

Between Dr. Krapfl and Kelly and everyone at Gentle Doctor and Dr. Clemans and her team at VCA MidWest Vet, and all of you praying and cheering her on…this little dog has a great team surrounding her. Beautiful things are bound to continue happening.

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