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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24466
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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Is there a charge to discuss with you?

Customer Question

Is there a charge to discuss with you?
Submitted: 9 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 9 months ago.

I'm sorry that your question wasn't answered in a timely manner. Yes, your deposit is shared with me if you rate positively. To answer you directly, a rescue protocol of chemotherapy needs to be considered at this time and you need to be aware that complete response rates for relapsed lymphoma are generally lower, ranging from approximately 30-50% with remission durations of approximately 2-4 months.

At the first idnication of relapse of lymphoma, if the relapse interval is less than 2 months following the cessation of treatment, reinduction using the initial frontline protocol can be attempted but "rescue" protocols may be more effective options in many cases. If the relapse interval is greater than 2 months following the cessation of treatment, remission reinduction should be attempted using the induction protocol that was intially successful. If reinduction chemotherapy doesn't achieve remission, a patient is considered resistant to frontline therapy, and rescue protocols are recommended: typically, single drug or combination protocols that utilize drugs not employed in standard (i.e. CHOP protocols).

Please respond with further questions or concerns if you wish.