星期二，跟radiation oncologist 电话长谈了一下。他说虽然这个技术在宠物医院治疗的data不多，但从有限的data来看，效果还不错。特别是adrenal gland tumor, most tumors shrink 30% and patients can live about 3 years. It is minimal invasive, side effects is not very significant. Maybe some irritation, diarrhea. Most patient tolerant the treatment without significant side effects. But the tumor is very close to her right kidney, maybe can cause a little damage.
想到手术时的consult说的可能要切断 part of liver, maybe kidney, 而且要在大动脉和静脉周围动手，这些副作用不值一提了。而且也没有可能当天见不到的可能性，警花的肿瘤可能是locally aggressive, 这个治疗虽然不能像手术那样拿掉它，能缩小或维持现状也行。毕竟她已经12岁了，如果8岁以下，我还是会选择手术。12岁的German shepherd 相当于七八十岁的老人，手术不仅危险，恢复也是问题。如果radiation 挺过去，能活3 年，她15 岁了。 想来想去，决定stereotactic radiation. 现在还不知道这个决定是否正确，但尽力了。
既然决定了，把周三的手术取消了。radiation oncologist needs Addional CT for positioning purpose. We decided to do another CT on Wednesday. He also wanted to do Cushings disease test to see if the excessive thirst and urination is due to Cushings disease. That was scheduled on Friday.
The second CT scan is 2weeks from the first, the tumor size remains the same. Her Cushings test is back positive. So it's very likely her tumor is producing excessive hormones causing the Cushing disease. That being said, the tumor is likely a slow growing benign tumor. As long as the treatment can shrink or maintain the size, we can live with it.
是不是胰腺癌，我查了很多资料，看到如果是，最多就几个月，所以拒绝了，不想让她受这个罪。好在她后来查出来是Addison disease, sort of opposite of cushion disease, 她现在每天吃药，经常回去检查，前几周也突然使劲喝水，赶紧给医生打电话，因为她刚检查完，说什么都正常，才一周，医生就让再观察几天。还好几天后就好了。现在看病是很麻烦，见不到医生，只能电话里说。
谢谢宠坛各位叔叔阿姨的祝福和鼓励。祝福的话永远不嫌多。警花妈妈虽然不能一一感谢，大家的祝福都收藏转带给警花了。
星期二，跟radiation oncologist 电话长谈了一下。他说虽然这个技术在宠物医院治疗的data不多，但从有限的data来看，效果还不错。特别是adrenal gland tumor, most tumors shrink 30% and patients can live about 3 years. It is minimal invasive, side effects is not very significant. Maybe some irritation, diarrhea. Most patient tolerant the treatment without significant side effects. But the tumor is very close to her right kidney, maybe can cause a little damage.
想到手术时的consult说的可能要切断 part of liver, maybe kidney, 而且要在大动脉和静脉周围动手，这些副作用不值一提了。而且也没有可能当天见不到的可能性，警花的肿瘤可能是locally aggressive, 这个治疗虽然不能像手术那样拿掉它，能缩小或维持现状也行。毕竟她已经12岁了，如果8岁以下，我还是会选择手术。12岁的German shepherd 相当于七八十岁的老人，手术不仅危险，恢复也是问题。如果radiation 挺过去，能活3 年，她15 岁了。 想来想去，决定stereotactic radiation. 现在还不知道这个决定是否正确，但尽力了。
既然决定了，把周三的手术取消了。radiation oncologist needs Addional CT for positioning purpose. We decided to do another CT on Wednesday. He also wanted to do Cushings disease test to see if the excessive thirst and urination is due to Cushings disease. That was scheduled on Friday.
The second CT scan is 2weeks from the first, the tumor size remains the same. Her Cushings test is back positive. So it's very likely her tumor is producing excessive hormones causing the Cushing disease. That being said, the tumor is likely a slow growing benign tumor. As long as the treatment can shrink or maintain the size, we can live with it.
怎样才能一次上传多张照片，和在照片之间夹有文字说明？
谢了！
2次 CT 都说压迫vena cava，希望放疗能杀死一部分肿瘤。我猜测可能良性，因为有激素释放。
是不是胰腺癌，我查了很多资料，看到如果是，最多就几个月，所以拒绝了，不想让她受这个罪。好在她后来查出来是Addison disease, sort of opposite of cushion disease, 她现在每天吃药，经常回去检查，前几周也突然使劲喝水，赶紧给医生打电话，因为她刚检查完，说什么都正常，才一周，医生就让再观察几天。还好几天后就好了。现在看病是很麻烦，见不到医生，只能电话里说。
再次祝福警花！
她的肿瘤已经压迫vena cava 了。右侧anatomy 太复杂。
For her: speed recovery and happy life afterwards
for me: be smart, don't make wrong decisions.
thank you！
是实际存在的问题。
上帝祝福警花和妈妈。
https://www.mayoclinic.org/tests-procedures/stereotactic-radiosurgery/about/pac-20384526