PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,570
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Post by PaulaM on Jan 12, 2014 15:30:15 GMT -7
Posting from Facebook conversation onto the Forum on behalf of Capulcu dodgerslist.boards.net/user/1610I have been following you guys for a while. double thumbs up for informing us, pet parents about IVDD. I also registered with your forum but as of today my situation is very very urgent and I don't know how to seek help so I decided to write to you. I have a 6 yr old Labrador-chihuahua mix. he looks like a short lab when ears are down if up looks like a bigger chihuahua. he's the love of my life. i love him to death, he's my first baby. unfortunately he has the ivdd as well. he was diagnosed years ago. we had hard time finding a good vet but we got lucky with one of them back when we were living in LA,Ca. we have moved to the bay area,ca 6 months ago and because my dog was ok I didn't feel the need to find a vet who has knowledge of IVDD. the vet that we go to doesn't seem to know much. 2 days ago my dog started to shake very bad. and I thought he was just scared of something because he has the fire anxiety. if there's any fire around us he shakes for hours and runs around like seeking for help. we didn't sleep that night. than I called the vet first thing in the morning and get an appointment which was the only apptnmt of a Saturday. he couldn't tell if he was in pain because of IVDD. he just prescribed Tramadol and sent us home. but unfortunately my dog is feeling worse. Tramadol didn't help. he's shaking, dragging his back legs, doesn't eat, drink or sleep. I can tell he's in great pain. I feel very bad for him and can't stop crying. now my biggest problem here is I can't find any Neuro or Ortho. searching the net like crazy. I was wondering if you could help. don't know how to start a forum or seek help. I am on disability and have carpal tunnel, I had to carry my dog outside 2 flight of stairs today and he's not light. he's 33 lbs. i am feeling sick too. my husband got the flu and also we have a 10 month old teething baby. I really need someones help if possible please. I appreciate any help any tip any idea. thank you very much. god bless The Vet didn't know much in regards to this issue. He prescribed Tramadol 50mg and only a half tablet every 12 hours. After I give it to him he usually begins panting, shaking and is extremely tired. My username is: edaak I have been following you guys thru Facebook for awhile, but only recently signed into forum. I schedule an appointment with a local Nuero surgeon to have him evaluated. My conern besides the obvious is the fact the he doesn't want to eat or drink anything. Update from Facebook: Thank you so much. I appreciate it. His shaking stopped for an hour or so but started again. I am on my way to the ER. I'll do my best for him. Poor thing can't move, eat, drink, pee or sleep. I'm very sad. His name is zeytin. I'll try posting his situation and picture when we're back home. Thank you so much again.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,570
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Post by PaulaM on Jan 12, 2014 15:48:10 GMT -7
Calpulcu, welcome to the Forum. Let us know if there is any stumbling block to going to the Emergency Room today, Sunday. With the pain you describe, this is a priority to attend to. Just the same as if you had that sort of pain. Pain slows the whole healing process not to mention the torture. For a 33 pound dog 25mgs of Tramadol is very undermedicated for pain. For disc episode the vet would prescribe an anti-inflammatory to work on that painful swelling. Because his legs are paralyzed the vet would likely choose a steroid over the less stronger non-steroid anti-inflammatories (NSAIDS) Is surgery a consideration for your family? Pepcid AC (famotdine) will need to be on board as anti-inflammatories are very hard on the GI tract. Pain meds will need to be aggressively used. Tramadol and Methocarbamol at likey every 8 hours. These pages will help you with med understanding" www.dodgerslist.com/literature/healingpain.htm [all about pain control] www.dodgerslist.com/literature/healingsweling.htm [all about the two classes of anti-inflammatories] Can he still wag his tail because you do some happy talk to him? Are you finding urine leaks in the bedding or when you lift him to go potty? Even if surgery would not be an option for your famiily, you will want to understand the neuro functions and be able to report changes to the vet. This is good reading for you: www.dodgerslist.com/literature/healingsurgery.htmHang in their, he can get better. The one thing to never hang in there is for pain....have not patience with that....there are meds to provide the comfort he deserves while healing. Look forward to learning more about your guy and his name! Update one of our moderators, Pauliana, found this vet recommendation in our Vet recommendation topic area..
"Clinic: SAGE Vet's name: Christina Vitale, DVM. Title: DVM, Neurology ACVIM Address of hospital 907 Dell Ave., Campbell, CA 95008
Phone number of hospital: 408-343-7243
Your comments or additional information:
The entire SAGE Center for Veterinary Specialty and Emergency Care is a top notch operation. Over the years, we have seen a couple of the surgeons for various issues. But the person to see for IVDD is Christina Vitale. She is the only Neurology specialist in the entire bay area, so she may be hard to get in with. But if you relay your dogs urgent symptoms, they WILL get you in immediately. Dr. Vitale and her OR nurse Shiela Renee were over the top knowledgeable, helpful, understanding, polite, and any other positive adjective you can think of. They made themselves available to me 24/7, or if they weren't available, I knew who to call.
--- Please call their number and see if you can get a hold of Dr Vitale, insist that it is an emergency.. They likely have an answering service and also if this is an emergency clinic, they will be open when others are closed and some are open 24/7 like the one is in our area. Please let me know if you reach her.. In the meantime I will keep looking for alternatives for you.. Please let me know if you were able to reach Dr Vitale at Sage Clinic. It sounds like the Emergency clinic for the Bay area.. Sending healing prayers and hugs your way.. -- Pauliana
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Post by Pauliana on Jan 13, 2014 11:04:44 GMT -7
Redirected to the Forum on behalf of Eda:
Hi Paulina, sorry to get back to you so late, today completely wiped me out and I am coming down with the flu along with my husband. We took Zeytin to the emergency pet hospital in Berkeley called Pets Referral Center. In typical emergency room fashion we waited over 2 hours to see a doctor. They could see my boy in clear pain and I told them it was an emergency, but all for not as we still were forced to wait in an emergency room that had only 2 other people waiting and an army of nurses working. I did manage to get 2 more meds prescribed: Metacam Methocarbamol.
Tomorrow we will head over to Walnut Creek to see the neurologist, Dr Adamo for a consultation. I'm praying that he's not gonna need an urgent surgery but just in case he needs it's an option even though I'm on disability and my husband is the only bread winner in the house. I would do anything for my baby. Dr. Adamo doesn't accept care credit but maybe he could do some payments. We will try to look into fundraising. I was wondering if you guys know any good web site about it. My husband started one from giveforward.com but I really have no idea what would work. Right now all I care is to put my baby out of misery.I can't thank you enough for the support. Your email about meds helped me a lot, we discussed it with the vet and went thru there. So thank you again.
Eda
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,570
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Post by PaulaM on Jan 13, 2014 13:11:40 GMT -7
Eda, thanks for the update. Sure hope now with an anti-inflammatory added (Metacam) and a 2nd pain reliever added (methocarbamol) that you are not seeing any hint of pain surfacing. Let us know. Can you give us the full information for all his meds: 33 pounds Tramadol: 25 mgs, 2x/day Metacam: ? mg/ ?x a day? methocarbamol: ? mg/ ?x a day? You did not list a stomach protector with the Rx of Metacam. This is important! The FDA and manufacturer pkg insert indicate gastrointestinal problems are side effects of using NSAIDs. Phrase the question to your vet this particular way:" Is there a medical/health reason my dog may not take Pepcid?" If there is no reason, then give it 2x a day. Read up on this drug.. it goes by weight of the dog: www.petplace.com/drug-library/famotidine-pepcid/page1.aspxIt can happen if a dog still has the last neuro function still in tact….deep pain sensors, they can heal under conservative treatment. Before your specialist appt, this article will give you a background in conservative vs. surgery so you'll better know the questions to ask and what the answers indicate: www.dodgerslist.com/literature/healingsurgery.htm-- Can Zeytin still move his legs at all? -- If you do some happy talk or dangle a treat, can he wag his tail with joyfulness?
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edaak
New Member
Posts: 4
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Post by edaak on Jan 16, 2014 20:11:54 GMT -7
hello all, I am sorry to reply so late, but the flu got the best of me. today is the first day I can hold my head up, sit up and actually see clearly. last couple days were a nightmare, but hopefully we'll be better soon. my dog zeytin is doing much better. after many days of pain and suffering, he asked for food for the first time and drank water today. I am very happy, yaaaay. poor thing as soon as he felt better he wanted to play with his toy. which I did not let him to. we are taking very short walks actually my husband carries him down the stairs, puts him on a lawn until he's done. then back upstairs. I don't ever let him jump on couch or bed. so basically he is restricted. had hard time laying in his own bed for 2 days but I think now he is getting used to. because normally he loves to sleep on our bed. even though we have stairs he would never use it. so from all this I understand one thing, I need to train him for create and stairs. I should be prepared for anything bad can happen. now when it comes to his health situation, I would like to give you more detailed information. I am sorry last time I didn't mention Pepcid but I actually read a lot and knew that I should give him anyway. so briefly all from the beginning I will tell you what happened so that people in the bay area can know where to go, what to do : my dog zeytin's pain started last Friday night. he suddenly started shaking very badly. this is a symptom that we have never experienced before. that's why I did not understand what was wrong with him. so that night I couldn't tell if it's IVDD or something else. the next morning he was still shaking bad, he did not want to come out of under the table, didn't want to eat or drink or even didn't want us to touch him. I called his primary vet Dr. Han from Richmond veterinary pet hospital and got an apptnmt right away. it was for 4 pm and time did not pass for us. he was in great pain. Now I regret for something so much that I did not ask to Doctors assistants if he had any IVDD experience or not. because instead of losing time like that I could have taken him to another doctor where we could get better help. Dr. Han is very good vet don't get me wrong, he was concerned, he cared, he listened to me very carefully but unfortunately didn't know much about IVDD. he examined zeytin very carefully, checked his fever and read the report from his previous doctor Kim. but he couldn't tell if he was in pain because of his back or not. and I could not either because didn't recognize the symptoms this time. anyway he asked me if i'd like to try tramadol. I accepted and went home with 50mg. tramadol, half every 12 hrs. unfortunately it didn't work on him. his shaking became even worse, his back swell. because it was sunday I took him to Pets Referral center at Berkeley. that place has annoyed me off sooo much!!!! even though there wasn't many pets around with emergency we had to wait 1,5 hrs! he was shaking, panting, his legs were weaker and crossed. he did not want to lay down at all, I think he was not comfy like that. so after my questioning the receptionist couple times in front of other pet parents I think they were annoyed and took us into a room. there we had to wait another half hr until the real doctor saw us after a nurse who took the vitals. the doctor talked and talked and talked. even though I told him that we set up an appnmnt with a neurologist tomorrow and all he had to do was examine him and give some stronger pain meds and anti-inflammatory meds, he tried talking us into some other treatments that would be costly. at the end of the 2.5 hrs we could leave the place finally with some methocarbamol 500 mg and metacam. Thank God! so we went home I gave the meds to zeytin right away. he felt better after couple hrs. but still was not eating or drinking. I squirted water at times and the Pepcid as well into his mouth with a syringe. he hates it. first two days he didn't do anything but on the third day he tried to bite the syringe the next day, on Monday his back was still swollen but at least he didn't have as much pain. we took him to the East Bay veterinary specialists and emergency in walnut creek to see Dr Adamo. he is a neurologist and we read great reviews about him. He really deserves all that. he is a very good doctor and could tell he knew what he was doing. after 3 days of suffering I felt for the first time that we are in good hands and my baby is going to be ok. they will take good care of him. the building is nice, clean and airy. there are many nurses and vets around. it is pricy but I think he deserves it. before he examined zeytin in the room he took us outside to see how he is walking. zeytin was walking ok because he was not in much pain anymore and some what happy. and he examined him in the room. checked his reflexes, legs, paws and back. than they took him to take an x-ray. he came back with good news that he didn't need an emergency surgery and will be ok with conservative treatment with activity restrictions and meds. in the report he wrote says: T12-T13 narrowing of the intervertebral disc space. no signs of vertebral tumor or disc infection. then he explained all the treatments and restrictions and medications. it was so relieving to now that my baby will be ok and because he still young he might not need a surgery yet or at all if we are very careful with restrictions. thanks to Dr Adamo. I recommend him to everyone who is looking for a good neurologist. he answered all our questions very carefully and he was very nice. now zeytin is on: tramadol 50 mg tab 1/2 tab twice daily for 2 weeks methocarbamol 500 mg 1/2 tab twice daily for 2 weeks metacam oral suspension once daily based on 37lbs for 10 days which is like 20 ml gabapentin 100 mg cap 1 cap 2-3 times daily I still give him some Pepcid but zeytins stomach is good an started eating so I am not forcing him much.I regularly check his poop to see if there is any change. finally thank you so much for your support again. It meant so much for me. I was following dodgers list from facebook to hear the good stories of dogs who survived and to have hope for my dog too. I knew that I won't be left alone and you guys proved it. thank you so so much. I will gladly help to anyone in the bay are who seeks help for an advise or refer a doctor. we will move down back to South California to orange county in couple months. i am hoping to find a doctor as good as DR Adamo. I will check the lists from now just to be prepared. i hope it won't happen again but we never know. god bless and have a good night
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,570
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Post by PaulaM on Jan 16, 2014 21:25:52 GMT -7
Eda, good to get your update and that you are feeling better yourself. Just to clarify is Zeytin now on 100% STRICT crate rest 24/7 inside his recovery suite…crate, ex-pen? An when your husband carries him to and from the potty place, is Zeytin only allowed to take a very, very, very few footsteps to do his business? It would be best to NOT squirt liquids into Zeytin's mouth. Better idea is to make water always available inside his recovery suite and let him drink what he wishes. Do you have his bowls set up in the suite? Here is a homemade bowl attachement idea: It is important to continue with Pepcid AC (famotidine) the entire time he is on meds. The idea is to be proactive with Pepcid rather than waiting to see if stomach problems crop up. Zeytin doesn't need another problem on top of the disc problem he is dealing with. Dr. Adamo certainly does have very good credentials! ebve.com/bio.htm Please do consider making a vet recommendation so future members quickly needing an IVDD knowledgeable vet who does understand conservative treatment can find him here: dodgerslist.boards.net/board/10/guidelines-postingvet recommendations: Name of Vet Name of Clinic Street Address City: State or country: Type of vet (general/board certified surgeon, acupuncture, etc.) Comments:
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edaak
New Member
Posts: 4
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Post by edaak on Jan 18, 2014 20:03:32 GMT -7
hello paula, zeytin is doing much much better that he wants to play. i feel bad to turn my back to him when he wants to but we have to suck it up for awhile. he is unfortunately not in a crate rest. we tried before many times but he refuses to be in it. if it takes hours to get out of it he doesn't mind crying for hours. so he has 2 different beds in different spots in the house, fresh water is always available, no playing, no extra walking, no jumping. about the syringe of Pepcid, i have to do it otherwise there is no way he would drink it up. i know my dog very well. when i rescued him 6 years ago, he had kennel cough, neumonia and an operation. he didn't eat for 1 month. whatever we tried on him was not successful except the syringe. he is a very smart and stubborn dog. so i really have to do the syringe to protect his stomach. which we are doing ok now. he doesn't want to bite anymore i will go ahead and do the vet recommendation right away. thank you for your answer and have a good weekend
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,570
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Post by PaulaM on Jan 19, 2014 14:04:24 GMT -7
Eda, thank you for the vet recommendation. In all my years of being with this group since 2007, I've not seen one dog harmed by being inside their recovery suite. But I have seen way too many dogs not inside the recovery suite having suffered with more pain as the disc relapsed from too much movement. Dogs can pretty well be counted on to do the unexpected in a brief moment. They are so much faster than we are. I get it that crying is a most annoying behavior. Crying however will not damage the disc. Feeling better and wanting to play, means you can count on Zeytin surprising you, darting to the door when the TV door bell rings, etc. We parents have to do what it takes to provide a safe healing environments. When a child doesn't want to wear a cast for a broken arm anymore, parents don't give in. When a dog cries and whines he wants out of his recovery suite, parents know the recovery suite is the only safe place for that healing disc and they find a solution to help their dog relax in the safety of the recovery suite. Using any oral calmer in combination with a Pheromone diffuser seems to work best for relaxtation. It takes several days for these to start working - it isn't immediate but they are a much better option if you can avoid heavy duty prescription sedatives. Of course always keep your vet in the loop on all things you give your dog. Place a DAP pheromone diffuser at floor level where the recovery suite is. Some brands to consider: --Comfort Zone (DAP) wall plug-in diffuser 48ml www.petcomfortzone.com/dogs.html --Adaptil (DAP) wall plug in diffuser 48ml www.adaptil.com/ Use a diffuser with one oral calmer from below: Oral calmers: 1) ANXITANE® S chewable tabs contain 50 mg L-Theanine, an amino acid that acts neurologically to help keep dogs calm, relaxed www.virbacvet.com/products/detail/anxitane-l-theanine-chewable-tablets/behavioral-health 2) Composure Soft Chews are colostrum based like calming mother's milk and contain 21 mg of L-Theanine. www.vetriscience.com/composure-soft-dogs-MD-LD.php 3) Rescue Remedy is a liquid herb combo to help with relaxation www.bachrescueremedypet.com Plain Benadryl (Diphenhydramine) with no additional medications added. Buy at your grocery store or pharmacy. Get the dosage from your vet. The wrong dose can have dangerous side effects, so your vet needs to prescribe the proper amount for your dog. Other product brands may be available in your area or on-line… just shop by the active ingredient(s) on the label and the quantity for best price Check to see if you are being trained by Zeytin! To dogs confirmation that you are learning what he wants are: food, looking at them, talking to them, eye contact, approaching the crate, petting. So anytime you see unwanted behavior from Zeytin ignore it, turn your back, leave the room if you have to, let him know you are not his student. Preferable is for you to teach HIM what you want before there is too much practice in doing the unwanted behavior of crying and getting out of the crate. Anytime Zeytin is sitting or lying down quietly inside the suite, give a reward. Soon he will see he gets rewards for four feet on the floor, quietly sitting or lying down, etc. Have a treat waiting after potty time inside the recovery suite…so he learns that good things happen in his suite. A warm buddy rice sock to rest his head on or lean against: Fill a sock with 1-2 cups of dry rice. Knot the end. Microwave for 1-2 minutes. Test in crook of your arm for warm not hot temperature. Wrap in a towel so it's not too hot for the skin and place in crate. Let your dog snuggle against when you are present to supervise in case your dog has a desire to munch on the warm rice. Note: human heating pads can get too hot burning skin on an IVDD dog. Snuggle Safe is a commercial product that will keep warm the whole night. tinyurl.com/4jk2cx7 [snuggle safe] Put a garment you have been wearing and have not washed in the suite. Make the crate or ex-pen more cozy by draping a blanket over part of the top. Play classical music or one of the wildlife TV shows.
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edaak
New Member
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Post by edaak on Jan 23, 2014 12:55:09 GMT -7
hi Paula,
thank you for taking time and writing all the information. i used to give some rescue remedy to zeytin time to time when he'd get anxiety from fire smell. so i'll get some more. i love anything that is not chemical, all natural is always good.
he is doing much much better. i don't think he is in pain anymore at all but we will finish all the meds of course. he's doing very good job to lay in his bed and rest. as you mentioned as well, i just turn my back at him or go to another room if he wants to play with me. it must be very hard for him to accept his disease, not sure even if he knows what is wrong with him. he is such a good soul, everytime i say good night to him i cry and i think he understands that he needs to stay in his bed.
i am keeping close eye on him. can't wait to see him happier.
thank you very much for all the suggestions again and again, they are worth the world to me
eda
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Sabrina
Helpful Member
My Charley-dog, a Dodger'sList grad enjoying life!
Posts: 471
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Post by Sabrina on Jan 23, 2014 19:16:46 GMT -7
Hi Eda, I'm Sabrina. I'm so happy to hear Zeytin is doing better! With his meds: has your vet instructed you when to stop them? From the last med schedule you posted it looks like the pain meds were prescribed for 14days, but the anti-inflammatory (metacam) only for 10 days? If this is the case, check with your vet about backing off of/stopping the pain meds when the anti-inflammatory (metacam) is stopped. The reason is, if Zeytin is still having pain then there is still swelling/inflammation going on, and he'll need longer on the anti-inflammatory. But if he is off of the anti-inflammatory and the pain meds mask the pain, you won't be able to tell if he still needs the anti-inflammatory. Rule of thumb: Pain = swelling/inflammation = more time on the anti-inflammatory www.dodgerslist.com/literature/healingsweling.htm))Hugs!((
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