Roy & Abbie
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Post by Roy & Abbie on Jan 14, 2015 19:45:05 GMT -7
Hi my name is Roy and Abbie, our almost 6 year old mini dachshund had her IVDD surgery today at the VEC in Toronto, we had a call around 5PM to say the surgery went well and that they were surprised how big the prolapse was. We will call in the morning to see how she is and post an update when we have something new.
I am a volunteer with Canadian Dachshund Rescue Ontario and as part of the adoption process we take time to educate potential adopters about IVDD so when Abbie was acting strangely we were quick to get her to the vets for treatment. Abbie is a quiet dog and is content to watch our two other mini's run around and play so we were surprised/shocked when we suspected IVDD but know all to well that time is of the essence.
Now I am on a steep learning curve and have found doggerslist to be an invaluable source of information about the post operative care and have spend time today preparing a 'recovery suite' as per the direction on this site.
Thanks to all who contribute to this amazing site.
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Post by Pauliana on Jan 14, 2015 22:45:23 GMT -7
Hi Roy, welcome to Dodgerslist. So glad we have been of help to you in getting ready for Abbie's homecoming after she is discharged. Here are some questions you will want to ask when you go to pick her up.. www.dodgerslist.com/literature/dischargequestions.htmPlease let us know what medications she comes home with, the exact names, doses and frequencies given. Bless you for educating adopters about IVDD! Keeping Abbie in my thoughts and prayers as she recovers from her surgery. So the whole family knows what things are emergencies tape this flyer to your fridge : www.dodgerslist.com/literature/FridgeInfo81907.pdf This is a comprehensive "must-have" $3 DVD on IVDD to add to your arsenal of educational resources. Friends, family and those who will be caring for your dog should also watch this DVD www.dodgerslist.com/store/DVDorder.htm
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Roy & Abbie
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Post by Roy & Abbie on Jan 15, 2015 8:28:50 GMT -7
Thanks Pauliana, The VEC called this morning to say Abbie was doing well and that she was better (in terms of movement) than she was when she was admitted so that is good news. They want to keep her for at least another 24 hours to monitor her for any bleeding etc.
I already printed out the discharge questions and have prepared a med table from the example on this site which I will complete when I know what meds she is on and doses. I have her recovery suite well under way and will be purchasing memory foam later today. I have made wire clips to hold her food an water bowl to the side of the x-pen so can adjust height to suit.
There is just my wife and myself + 2 other mini's Oliver, a 4 year old SH cream and Josephine, almost 2 years old and SH white with grey specs with tan on muzzle and paws.
Thanks for your support and for the wealth of information on this site- I will update when I know more
Roy
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Roy & Abbie
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Post by Roy & Abbie on Jan 17, 2015 9:48:15 GMT -7
Well Abbie came home yesterday and neurologist was very happy with her progress.
Abbie pees and poops on her own and is able to walk reasonably well during potty break - in fact the neurologist just called to check on her progress and told us to let her walk gently of a bout 3-4 minutes about 4 times a day as this will help her muscles
She is on Gabapentin 1 x 50 mg = Tramadol 1 x 10 mg every 8 hours for 4 days, the we go to every 12 hours for the following 4 days and then every 24 hours for the following 4 days.
Abbie goes back to the VEC in 2 weeks to have the stitches removed
Roy
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PaulaM
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Post by PaulaM on Jan 17, 2015 14:55:55 GMT -7
What a happy day to have Abbie back home PLUS doing so well post-op!!! Are the pain meds sufficient that you see no signs of pain nearing next dose (shivering, trembling, yelping when picked up or moved, reluctant to move much or slow to move, tight tense tummy )? Thank you for the update. Would you consider helping another trying to make decisions… We have a directory where you can share surgical costs: dodgerslist.boards.net/board/10/guidelines-posting State: Hospital: Address: Cost: Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments:
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Roy & Abbie
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Post by Roy & Abbie on Jan 18, 2015 6:56:44 GMT -7
Hi Paula, Abbie has never shown any signs of pain which is strange given her condition, she does not yelp when picked up or when she moves. We have seen her shiver but this is normally when she has been outside for her bathroom break (-10 C) and as for 'tight/tense tummy' this is a difficult one to gauge - Abbie came from a puppy mill in North Carolina and was/is very timid and skittish and tends to tense when we pick her up anyway.
She seems to be moving more freely today which is a good sign I think.
I have no problem sharing her surgical info
Have a good weekend, Roy
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Marjorie
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Post by Marjorie on Jan 18, 2015 7:20:32 GMT -7
It's always a challenge when the weather is cold to tell whether shivering is from the cold or from pain. Does she usually shiver when going out in the cold? She's on a low dose of Tramadol so if you see any sign of pain (more shivering or trembling than usual or when not cold or other signs as Paula detailed), contact the surgeon to let them know so the meds can adjusted, especially during the taper of the Tramadol. It can take 2-4 weeks for the swelling from the surgery to resolve.
Prayers for a complete recovery for Abbie.
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Roy & Abbie
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Post by Roy & Abbie on Jan 18, 2015 8:49:59 GMT -7
Just seems to be when she has been outside, we place a light blanket over her and after about 5 minutes she pulls it off We are fortunate that the neurologist phones frequently to check on her progress so we can discuss any concerns we have - we can call 24/7 to get advice if needed, the hospital will pass on any messages to the neurologist who said 'anytime' Thank you for your kind wishes Roy
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Roy & Abbie
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Post by Roy & Abbie on Jan 31, 2015 13:28:47 GMT -7
Abbie had her stitches out on the 28th and neurologist said she was pleased with her progress. We were told to walk her a little more around the house to maintain the strength in her back end. Abbie is walking very well and would break into a run if not for the leash. She is completely off the meds now, eating and drinking normally.
On Wednesday one of my fellow Canadian Dachshund Rescue volunteers reached out for help as her dog (standard dachshund) was having problems, clearly in pain and had been to the local vet who was treating with meds. I advised her to take the dog (Dash) to the VEC in Toronto which she did that evening. Dash was examined by Dr. Kilburn (the surgeon who operated on Abbie) and from the symptoms Dash presented he was not entirely sure it was IVDD so recommended they do x-rays and an MRI. The MRI was positive in identifying IVDD and Dash had his surgery the following morning, I am pleased to say he came home today and is doing well.
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PaulaM
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Post by PaulaM on Jan 31, 2015 13:49:27 GMT -7
Roy, thank you for Abbie's update! Wonderful to hear Abbie is doing so well post op. Usually we see 6 weeks prescribed, how many weeks did the surgeon direct for crate rest except for potty times and doing his directed walking PT? Would Dash's mom be able to join us all on this Forum? We'd love to learn more about Dash and give support. Until she can join us there is lots of good information in setting up the recovery suite, tips to make the crate rest time go smoother here: www.dodgerslist.com/literature.htm
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Roy & Abbie
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Post by Roy & Abbie on Feb 1, 2015 7:40:40 GMT -7
Hi Paula, Neurologist recommended approx. 4 weeks then re assess. Abbie has had 2 weeks crate rest and walks for potty breaks. When she had her stitches out we were told to allow her to walk inside the house but out of the way from the other dogs. We were also encouraged to take her for short walks (5 minutes) if the weather was cooperating which it has not. We have her on her harness and walk her around the rooms on the main floor 3-4 times a day and then she is in the X-pen which is now opened to 4 feet by 4 feet. The neurologist has asked us to call in 2 weeks and update on Abbie's progress and then in a further two weeks. Re Dash I will contact his Mom and ask her to join the forum
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Roy & Abbie
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Post by Roy & Abbie on Feb 8, 2015 12:34:40 GMT -7
So, Friday evening Abbie started walking backwards when I put her down after coming back inside after her potty break. Did not think too much about this as there is a transition between carpet and vinyl tile on the floor. She did this again later in the evening when we had her out of the x-pen for controlled exercise as per our neurologist recommendation then she stopped and just stood there. I knew something was not right so called the emergency hospital that had done the surgery, it was 10PM but they said they would have a vet call us back. At 11PM we got a call and explained and I asked that they have the neurologist contact us. Next morning the neurologist called an asked questions, Abbie did not want to move at all. The neurologist asked us to try a few things which we did and then told us to bring her in. We drove through the snow to get to the VEC in Toronto and the neurologist was there to meet us. They took her into the back to check her out and then came back to tell us they would need to do MRI to determine what was going on so they would be keeping her in and it look likely they would need to operate. We went home and had a call about an hour later to say that she had and extrusion in the same disc they had previously done the procedure on so Abbie was scheduled for another surgery. At 8:30 in the evening surgery [2/7]
the neurologist called to say the surgeon (different to the one who did the first surgery) had removed a significant amount of material and was puzzled as to how this could be. She went on to explain that the surgeon has to visualize what they are doing when removing the herniated material because they can't see inside the disc. We had a call this morning around 9AM to say Abbie was doing well, had eaten breakfast, had been potty break and had taken a few steps. This was a relief for us because we did not expect to know if she would have feeling in the back end so soon. Abbie will need to stay in the hospital a few days and is on the same medication as before which is Tramadol and gabapentin - presume same dose but will know more when she comes home. She was doing so well in her previous 3 weeks of recovery and now we are back to square one We had followed the recovery procedure to the letter - recovery suite 2 x 2 feet, padded sides, memory foam mattress, raised water and food bowls, carry in and out for potty breaks. Our next challenge will be negotiation of the bill, $5,200 last surgery and this was during normal working hours. This current surgery was on Saturday and is classed as out of hours Will post updates when we have them
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PaulaM
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Post by PaulaM on Feb 8, 2015 18:41:54 GMT -7
Roy, I'm sorry to hear that Abby needed another surgery. But very good news that she has been already able to take some footsteps.
We will be waiting to hear more as you learn more. Let us know how long the surgeon would want crate rest for this 2nd surgery.
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Roy & Abbie
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Post by Roy & Abbie on Feb 13, 2015 13:14:38 GMT -7
Abbie came home yesterday (Thursday 12 Feb) and has started crate rest. She is on the same meds as before -
gabapentin 50mg and tramadol 10mg.
She is eating and drinking OK and seems bright and has been out for potty breaks and taken a few steps. She slept well last night and seems OK today so hopefully she will make a good recovery - we just hope and pray that there are no further recurrences.
We have gabapentin and tramadol in capsuls so no taste if swallowed - I wrap them in a little cheese and they are gone in a flash.
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Post by Debbie Blackwelder on Feb 13, 2015 13:39:49 GMT -7
Hello Roy, how much does Abbie weigh? She is on a very light dose of pain medication, is it controlling her pain? I know 6 more weeks in the crate sounds like a long time to you right now but it will pass and soon this nightmare will be over. Good luck and we are glad you have her home.
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PaulaM
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Post by PaulaM on Feb 13, 2015 15:45:32 GMT -7
Roy, since this is a 2nd surgery, please do tell us how many weeks this time does the sugeon wants for crate rest.
Can you fill in Abbie's med list for us: ? lbs does Abbie weigh? gabapentin 50mg how many times per day? tramadol 10mg how many times per day?
As as Debbie says, if you should see any hint of pain, let your vet know so pain meds can be adjusted. Signs of pain are shivering, trembling, yelping when picked up or moved, reluctant to move much in crate such as shift positions or slow to move, tight tense tummy. Not their normal perky selves.
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Roy & Abbie
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Post by Roy & Abbie on Feb 14, 2015 9:37:19 GMT -7
Hi Debbie, Abbie is approx. 9lb and the meds seem to be controlling her pain (although I have read other posts and the dogs of similar weight seem to be on a higher dose?), we sit on the floor besides her recovery pen most of the time and do not see any shivering - the only time she shivers is when she has been outside for her bathroom breaks, we have tracks cut in the snow and it is around -12C, forecast down to -23 tonight so I am putting the shivering down to the cold as when she has been back in for a few minutes she no loner shivers.
We are patient and are both retired and will all this snow have no plans to go outside or anywhere other than the grocery store for food for the next few weeks.
We have no intention or desire to rush her recovery - our main focus is to do everything we can to ensure a full and complete recovery.
Hi Paula,
We don't know for sure what the med schedule was while she was in the hospital but if anything like last time it was 1 x 10mg tramadol and 1 x 50mg gabapentin every 8 hours for the first 5 days (she was in hospital 5 nights this time).
She is still on the same dose 9 lbs [10mg tramadol + 50mg gabapentin] but every 12 hours for 5 days then it reduces to the same dose every 24 hours for 5 days (tramadol AM & gabapentin PM).
On the previous surgery Abbie was in hospital 2 nights post op then came home, this time 5 nights post op before coming home. I have noticed that although the potty walks are short, seems to be walking better this time than the previous??
These are our instructions:
Monitor incision for any redness, swelling, discharge, pain or breakdown of the incision line. If you notice any of these clinical signs, contact the VEC.
For the next 4 to 6 weeks, restrict Abbie to a crate or small room when she is unsupervised.
Carry outside for short leash walks on a level surface for bathroom breaks only. Sling of hind end as discussed/required. To be reassessed at the time of suture removal.
For the next 4 to 6 weeks do not permit Abbie to have access to stairs or be allowed to run, play, or jump (including on and off furniture) and avoid slippery surfaces such as hardwood or ceramic floors. No playing with toys.
Do not allow Abbie on the bed to avoid her falling or jumping off the bed during the night.
If you have other animals in the house please prevent them from playing for the next 4 to 6 weeks.
Physiotherapy as discussed.
No baths until suture removal to allow proper healing of surgery site, but you can use a wet towel to clean her feet and hind end.
Monitor Abbie for any discomfort, lethargy, decreased appetite, vomiting, diarrhea or any abnormal behaviour. If you notice any of these clinical signs please call the VEC.
Recheck appointment 2 weeks from the surgery date, at this time the sutures will be removed (this will be Feb 21 approx.)
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Marjorie
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Post by Marjorie on Feb 14, 2015 9:56:14 GMT -7
Hi, Roy. I'm glad to hear that Abbie is doing well and seems to be walking better and that her pain is under control. Each dog is different so if this light dose of meds is keeping her pain under control, that's fine. Just keep an eye on that shivering as being picked up and moving during potty time can cause pain. Does Abbie usually shiver when it's this cold? My Jeremy doesn't shiver ever except when he's in pain. Each of us knows our dog best.
I just want to reinforce that some of the activities that the surgeon said not to allow for the next 4-6 weeks should not be allowed ever again, such as going up or down stairs and jumping. Here's our page on after crate rest with a list of never-again activities and those that are allowed: www.dodgerslist.com/literature/AfterCrateRest.htm
Here's a link, too, on how to prepare your home for after crate rest with tips on how to make your home back friendly: www.dodgerslist.com/literature/protectback.htm
I do note, too, that the instructions say confine for next 4-6 weeks in a crate or a small room. I do hope that you will keep her confined to a crate for the 6 weeks as that is what is mostly recommended after such a serious surgery.
Your list of instructions say "Physiotherapy as discussed". What PT did they discuss with you?
Here's a current list of meds just so we can refer back to it easily:
9 lbs. Tramadol 10 mg every 12 hrs for 5 days then every 24 hrs for 5 days Gabapentin 50 mg every 12 hrs for 5 days then every 24 hrs for 5 days
Blessings to you and Abbie.
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Roy & Abbie
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Post by Roy & Abbie on Feb 15, 2015 9:07:33 GMT -7
Hi Marjorie, We have three furkids and they all shiver when coming in from the cold. It was -27 this morning (-37 with wind chill) and I was shivering Our dogs are always carried up/down stairs, the only step that Abbie has previously jumped up is from the garden to the deck and deck to porch. I have built a ramp which the other two use but Abbie has always avoided the ramp so we will work on that once she becomes more mobile. Abbie will be in the 2' x 2' pen for the duration of the crate rest, we have no intention of letting her roam even in a small room. PT - there was not much discussion about this apart from letting her walk a few minutes 4 -5 times a day (harness and leash of course). I think she will have enough with the walking during bathroom breaks - Abbie is very fussy and always has been about finding right spot. as soon as she is done I pick her up and carry her back inside to her pen. After reading you information on physical rehabilitation "The importance of passive exercise continues until voluntary movements begin to return, then passive exercise is no longer needed" I am not sure if you are recommending PT as Abbie can walk so has voluntary movement?? As always your support and advice is so much appreciated
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Marjorie
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Post by Marjorie on Feb 15, 2015 9:23:55 GMT -7
As long as a dog can walk, walking often IS the only physical therapy that they need. Your surgeon knows best as he knows what he saw during the surgery. We just like to keep on top of what's been advised. You're doing a great job in caring for Abbie, Roy - keep up the good work!
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Roy & Abbie
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Post by Roy & Abbie on Feb 17, 2015 13:12:35 GMT -7
Thanks Marjorie, Abbie seems to be walking easier each day and is bright and alert which is a good sign, we only walk her during potty breaks. She is booked in next Wednesday to be reassessed and to have the sutures removed. I now have the neurologist email and have been emailing updates every second day Thank you for your support and for providing this fantastic website - the wealth of information is awesome
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Roy & Abbie
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Post by Roy & Abbie on May 1, 2015 20:01:48 GMT -7
Just an update after speaking with the neurologist today. Abbie is doing really well despite her sneaking past us and down 4 steps into the garage on Tuesday . Tomorrow (Saturday May 2nd) will be her 12th week post op recovery and we followed the advice of the neurologist to the letter. Abbie has been doing full walks for about a week now (upgraded from part walk part carry for a couple of weeks prior with carry decreasing as the days went by). She trots along without a care in the world and seems to have all her energy and strength back. She is now allowed to interact with our other two dachshunds Oliver and Josephine but no 'rough housing', we have to report back in a couple of weeks. Thanks dodgers list and moderators for all your help, support and advice.
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Post by Pauliana on May 1, 2015 20:46:41 GMT -7
Happy crate rest graduation, Abbie.. don't do stairs little girl! All you have to do is look cute and your Dad, Roy would carry you up or down.. Nothing like service like that,right?
I am so happy you are back to your fun life again.. Be safe and enjoy!
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Roy & Abbie
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Post by Roy & Abbie on May 2, 2015 6:22:57 GMT -7
Thank you Pauliana
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PaulaM
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Post by PaulaM on May 2, 2015 8:23:09 GMT -7
Roy, congratulations on Abbie's graduation! You have been so dedicated to the necessary care and now you are rewarded with Abbie back to enjoying life with her family. I know you are continuing to arm yourself with knowledge about this disease, that will be very helpful in living with an IVDD dog. We'd like all members to tell their vet about this Forum and share how Dodgerslist has helped you care for your dog. Just ask Linda for some free literature. Our brochure for your vet would make an excellent addition to his toolbox for educating future clients. Also don't leave the house w/o the small cards… you never know when you meet an owner of breeds prone to disc disease (Dachshunds, Beagles, Poodles, Spaniels, Shih Tzus, Pekingese, and Chihuahuas are most affected) order here: www.dodgerslist.com/literature/litorder.htm
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