12 August 2017

Nettie's Last Tanovea Treatment

Nettie's Last Tanovea Treatment.

- [Dr. Sue] We're live.

- We're live. [Dr. Sue] Woo hoo! Hi everybody it's Monday. - [Alyse] Monday fun day. - [Dr. Sue] Monday fun day. We are here with Nettie Spaghetti. And Lees I'm gonna go over you. Hi Nettie. This is her last Tanovea treatment so I'll tell you about that in a minute. But the girls have been patiently waiting for me. Nettie already has her intervenous catheter in so that's a catheter placed into her vein. The girls shaved and prepped her leg and now she's getting Tanovea. So she already has her catheter in, and like I said it's flushed. So it's ready to go. And now Alyse is putting on our little face seal connectors. So that is our closed system, closed meaning that it's gonna keep the chemotherapy from getting into the environment and exposing my fabulous awesome team. That is the chemo, right? - [Sonya] Yes it is. - There it is. Oop I missed it, show me again.

That's a horrible photography. Why are we letting me do this? So it's a large syringe but even though the chemo's a pretty small amount what was it 2 mls? - 2.3 - 2.3 mls but it is diluted out and it is given slowly over 30 minutes. So I don't know why Nettie's so excited today. She's not having gas though yet, right? - [Sonya] No not yet. - The last time we showed you guys her treatment she was gassing out team oncology. It's not the real reason they wear masks but I'm sure it helped a little. - Yeah, I could still smell it though. - [Dr. Sue] You could still smell it, it doesn't help? So this is Alyse, she's one of my fabulous oncology nurses. And Sonya who is our assistant, who is always-- You're just, you're like the You're always with us. You're the, what's the word? - [Alyse] She's the calming-- - No you're like, you're the consistent. You're the consistent. - [Alyse] She in an order-- - The nurses may change but Sonya's always stuck in chemotherapy.

- I am always here, always here. - [Dr. Sue] So they're gonna give the treatment slowly. We're in our dedicated chemotherapy room. Actually we could do it anywhere now, right? So this is the first week that the oncology service is the only service in our hospital which is a little bit weird. But that's okay. But our hospital unfortunately was closed. And July 31st was the last day for the entire hospital but team oncology is here through August taking care of our patients. And then we're not sure yet where we're all gonna be but we're hoping to figure that out in the next couple of days or weeks because we need to know where our patients will go so they can get their treatment. This is Nettie's last treatment so. Tanovea's a brand new drug for Lymphoma. It was just approved this spring. I can't remember, I think it was in April. So it's a conditional licensure which means we're still collecting more information but it has shown to be safe and well tolerated and can be used for dogs right now that are newly diagnosed with Lymphoma or as what we call a rescue agent where we're trying to rescue them

and get them back into remission. So Nettie in December of 2015, she's been through two courses of chopped multi-agent chemotherapy but then relapsed pretty quickly. And so we tried a couple things but ended up with Tanovea and she's tolerated it really, really well. Sometimes dogs get nauseous but she's had nausea with other drugs but she's really tolerated this one well. She's had no low white blood cell count issues. She does lose her hair sometimes during chemotherapy but her coat actually is looking pretty good this visit. - [Sonya] Not as thin. - [Dr. Sue] Not as thin, you're gorgeous as ever. She does agility and she's a very energetic, happy dog. Like she'll run on the beach. God bless you. And that's about it. I'm gonna come around. Can't see what I'm doing, I apologize. Here you go Nettie. What do you wanna ad Alyse anything? - [Alyse] We love Nettie. - [Dr. Sue] We love Nettie. - [Sonya] Very much. - [Dr. Sue] Nettie Spaghetti we'd like you

to have a super fantastic long remission and get a break from chemotherapy. I know your mom would like that as well. Hopefully she's watching. She knows how much we love you. Sonya any thoughts? - No. - [Dr. Sue] No. Team oncology's kinda quiet today. - It's raining. - [Dr. Sue] It's a rainy, rainy Monday. - It's dreary, it's Monday. - [Dr. Sue] We all just came back from the vacation. What else have we got? One of the big questions, I know I have mentioned this, if you've seen my videos before is most people are so surprised that their pets are not sedated. Most of our pets are not sedated, except for a few of our angry kitties right now. But most of our pets are not sedated. They're awake during their treatment. And we just hang out with them. We tend to do big dogs on the floor on a blanket and then smaller dogs and cats on the table. Nettie's about medium so it's a little bit easier for our backs so we often do them on a table.

They can sit up if they want. They can just kind of chill out with us. And that's about it. If there's any questions I'm about to run out and see another patient. Just put something down in the comments below and then I will try to reply tonight when I get home. Nettie we love you. I'm gonna do a little close up on you. - [Alyse] Hey Nettie look over here. - [Sonya] Nettie Spaghetti. - [Dr. Sue] Oh such a good girl Nettie. We love you. So like I said, she's gone back into remission and really tolerated this new protocol very well. So we're very excited about that and we're hoping that she kick cancer's butt. She also gets some Sirenia with her treatment to prevent nausea and then I have mom do Sirenia after treatment at home for the week, just to try to prevent any nausea cause she has had some serious nausea with some of the other drugs. But again we have been very proactive with her Tanovea. And that's about it. This is where we make up our chemotherapy. So a lot of people ask why it's got to be done in the back.

This is our hood. So it sucks away all the toxic fumes away from us so we don't breathe it in and then we use that closed system as an additional safety precaution to keep which has really been shown to decrease the amount of chemotherapy exposure to the nurses that give it. And this is a similar system that is used for people as well. And those blue mats that we have in the hood. And over here is also just an added layer of protection and that will also if any chemotherapy did leak that gets absorbed up to that and then it goes into these special yellow bins. So these are just for chemotherapy. Hospitals have to pay a little bit more to get rid of that waste. And so all chemotherapy stuff goes into our special yellow bins. This is our chemotherapy refrigerator. So definitely don't want to put your lunches in there but we-- I've worked at places where that has happened so we have all of our chemotherapy in our refrigerator. Everything's labeled and we made sure everything's gonna be used before it expires.

So we have everything all kind of in order. And you can see we can use it in multiple patients. So you can see the different face seal connections on in there. And I'm very proud there's no hummus in the fridge. Like I said that hasn't been done here but other places. - [Alyssa And Sonya] Bye. - [Dr. Sue] Thank you for letting me visit. Nettie you keep kickin cancer's butt. Alright girlfriend? Alright I'll step out and take off my mask. And so again our dedicated chemo room. Bye guys. And that's it. Thanks everyone for joining. I'll be sure to let you guys know where team oncology will be. Hopefully we're all gonna be able to stay together and provide continuous care for our patients. It's definitely a little bit weird to be in our hospital without anybody else but we're making the best of the situation and it's all about the patients. Yeah it's Carol, her breathing.

She always get a little bit excited in the chemotherapy room and breathes a little bit more but then when she gets down she's fine. But she's just a very happy excitable dog. This is my quiet treatment room behind us. Over here this is our chemotherapy room with our board for the day and then all of our ter-dos. And as you can see we have Nettie's congratulations sign. So we're super proud of her. It's definitely been a long journey for her mom and we're just happy we can help her and make sure she continues to feel well. So I'll keep you guys updated. Thanks for joining. And hopefully we'll have a good week and the sun will come out tomorrow. Bye guys.


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