January
26,2002
This
survey has been deveoped for owners of cats who have (or have had) vaccine
related fibrosarcoma in order to share with other cat owners (commonly
known as "staff").
The
results will be compiled and shared and the results published through Feline_VAS_Support@yahoogroups.com,
a list-server organized and moderated by Gigi for the benefit of owners
of cats with VAS.
Please
respond to the following questions about your cat and return survey to
magick@tampabay.rr.com
Just
type in your answer to the best of your ability after each question
I do not
want my name or my e-mail address identified with my answers__________
.
I don't
care if you identify me or not, I just want to see if there are any commonalities
__________ .
Background/Lifestyle
Information:
BreedColorLong
or short haired
Age
Weight
(before VAS)
DOB
Where
born
Where
did you get kitty?
How long
in your household?
Do you
know how many previous households and, if so,
how many
and where?
Is cat
neutered?At what age?
Is cat
tatooed?
Is
cat computer chipped?
Is cat
neutered?At what age?
Personality/emotional
makeup (Aggressive, shy, introverted,
extroverted)
Type food
cat eats:BrandDryWet
L:ifestyle:IndoorOutdoor
Other
Pets in household:
Types
-- please list, together with numbers of each
(Dogs,
cats, gerbils, parrots, lizards, husbands, etc.):
Additional
information:
Medical
History:
Previous
illnesses:
Treatments
for those illnesses:
Abscesses
from cat fights?Treatment:
Skin problems
(describe)
Known
allergies:
Previous
hospitalizations:
IV ever?
Treatments
Blocked
bladder ever?
If female,
did she have kittens?How many litters?At
what age?
Treatments
(list antibiotics and whether they were adminstered orally
or
by injection.If injection, list
injection site if you know it.)
Subcutaneous
fluids?
Additional
information:
Dental
history:
Abscesses?
Broken
tooth/teeh?
Tooth
Cleaning?
Additional
information:
Vaccination
History:Please
list each vaccination, what it was for,
and(if
known) where each inection was given:
Any post-treatment
massage at injection site?
Multiple
vaccinations?
List dates
if you know the dates:
Frequency:
Other
injections, e.g. shots, e.g., depo medrol:
Vitamins
and supplements administered before VAS:
Additional
information:
Post-VAS-diagnosis:
Location
and size of first tumor:
Biopsy?Please
enter here:
Radiation?
How many
treatments?
Before
or after surgery?
Chemotherapy?What
drug?
Surgery:
Date(s)
Type of
surgical veterinarian:(surgeon?
oncologist? general vet?)
Results:(how
aggressive?Clean margins?)
How did
cat respond to surgery? (slow healer, fast healer)
Did veterinarian
suggest further treatment?If so,
what?
Additional
information:
Recurrences:
Location
and size of any supsequent fibrosarcoma (Please copy
and
paste this section PRN if more than one recurrence)
Biopsy?Please
enter here:
Radiation?
How many
treatments?
Before
or after surgery?
Chemotherapy?What
drug?
Surgery:
Date (s)
Results:(how
aggressive?Clean margins?)
How did
cat respond to surgery? (slow healer, fast healer)
Outcomes:
Length
of each remission
Supplements
administered to cat
Quality
of life
Appetite
Additional
information:
How long
remission between each surgery?
Any other
information you would like to add?
Return
to magick@tampabay.rr.com
©
MGUltd January 26, 2002