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Post by Naomi & Jax on Jan 15, 2020 3:17:15 GMT -7
[Original subject line: Jax back surgery from spinal injury] January 1, 2020 Jax charged out into yard after a squirrel. He injured himself. Pain and back legs paralyzed. With in 22 hours he had back surgery. January 2 was his surgery. His breed is chihuahua /dachshund mix. 6 years old. His weight is 10.8 pounds. Currently his medication Vetprofen 25 mg 1 time daily. he is able to stand short periods. Appears to be squatting at potty time. Sitting better and seems to be popping up some from sitting potion. [Moderator's note: please do not edit 10.8 lbs. Vetprofen as of 1/8: 25 mg 1x/day tramadol 25mgs 3x/day gabapentin 25mgs 1x/day no stomach protection on board!]
Using a soft belt for sling. Pee by self outside. Not in bed. Poop comes when and where needed. eating and drinking and receiving treats well. Wags tail, stiff back legs when he anticipates me picking him up, but relaxes when movement done. Current therapy done at home by myself. Leg stretches 2-3 times a day , sitting correctly, then allowing to rise a little and lower for some resistance. Massage lightly. With water preserver he paddles in full bath tub for 5 minutes. Tub temp 85 degrees. Practice standing, does so for short periods. Manipulate legs as if walking. Crate rest is not a problem for him at all, trained to night night in kennel since puppy. 1 Concerns are future training concerning jumping up and down furniture. Jumping up. 2 Inside cat. They use to wrestle and chase ... not sure about the play with new situation. They can be separated as needed.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 15, 2020 6:47:33 GMT -7
Welcome to Dodgerslist, Naomi. So glad you’ve joined us all. We’ve got valuable information we’ve gleaned from the vets Dodgerslist consults with and our own experiences with IVDD since 2002 to share with you! It sounds as though Jax is doing very well so soon after surgery and that you're doing a great job caring for him. I am concerned that he stiffens when you go to pick him up (with movement) but then relaxes after the movement. Pain is most often seen upon movement and Jax is not on any pain meds. Pain hinders healing so please do speak to the surgeon/hospital about the possibility that Jax has pain and get pain meds on board.In addition, any time a dog is taking a NSAID such as Vetprofen, stomach protection should also be given to protect against the side effects of the NSAID. Ask if your dog has any health issues to prevent use of Pepcid AC (famotidine)? (doesn't need it, we wait til there is problem…are NOT answers to your question!) If you get a "no health" issues answer,then go to the grocery store to purchase over the counter Pepcid AC containing one single active ingredient (famotidine). Doxie weight dogs: 5mg Pepcid (famotidine) every 12 hours. NOTE: Pepcid AC (famotidine) for dogs is 0.44mg per pound, 30 mins before the anti-inflammatory and thereafter every 12 hours for as long as your dog is on the anti-inflammatory. www.1800petmeds.com/Famotidine-prod11171.html canigivemydog.com/wp-content/uploads/2011/10/can-i-give-my-dog-pepcid-ac-300x300.jpgA few questions to help us offer you support: 1. For how many days has the Vetprofen been prescribed for? 2. How many weeks did your surgeon direct for post-op rest? 3. Is the surgeon a general DVM or a specialist surgeon: ACVIM neurology or ACVS ortho? If there is severe neuro diminishment, acupuncture or laser light therapy can be be started right away as an adjunct to pain meds and to kick start nerve cell energy production. Options: Acupuncture vet who does home visits to avoid back moving during transports. For transport to necessary visits, pad out the recovery suite extra space with a rolled up towel/blanket to prevent body shifts during braking or cornering. CAUTIONS: ~~ Laser light therapy is contra-indicated with tumors which are detected via x-ray. ~~ Why Chiropractic is not recommended for IVDD dogs: www.dodgerslist.com/literature/chiropractic.htmHere's our page on after crate rest care, which gives a list of never again activities (You should discourage the wrestling that Jax does with your kitty if it's too rambunctious): www.dodgerslist.com/literature/AfterCrateRest.htmHere's our page on how to make your home back friendly with a link to a videos on ramp training and keeping all four feet on the ground: www.dodgerslist.com/literature/protectback.htmKnowledge is the power to fight the IVDD enemy and win!!The very best thing you can do for YOU, the caregiver, and for your dog is to get up to speed on IVDD as soon as possible. Begin absorbing the must-have overall sense of meds, care and how the treatment works. Your dog will be depending on your ability to learn: www.dodgerslist.com/literature/theater.htm --- PRINT OUT this link and tape to your fridge: www.dodgerslist.com/literature/healingpage.htm --- use the printout as your roadmap to avoid dangerous detours in your dog's care --- make notes/highlight to keep yourself on track --- follow all the links in the next days to become the IVDD savvy pet parent your dog needs. Use the “search box” to easily locate topics over at our Main www.dodgerslist.com website: www.dodgerslist.com/index/searchBOX.jpgHealing prayers for Jax. Please keep us updated on his progress and let us know what the vet says after speaking to them about pain meds and Pepcid AC.
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Post by Naomi & Jax on Jan 15, 2020 15:44:00 GMT -7
Marjorie thank you kindly for your answer and information concerning Jax. Here are some answers to your questions. Vetprofen was given to Jax 7 days ago. Nothing was said about his tummy. So far he hasn’t had a problem. Sure will watch this. He has 2nd week follow up tomorrow. I will inquire of stomach protection and concern of stiff back legs/ meds. Surgeon said crate rest for 4 weeks. He is so good at crate rest, longer is not an issue. For pain Dr said only give pain meds when needed. Jax is so good he doesn’t complain, I should have realized the stiff legs may be from pain. I failed to ask that question. ( overwhelmed) We have Tramadol 50mg 1/2 every 8 hours Gabapentin 25mg 1 tablet.
Jax’s surgeon is DVM,MS,CCRP (3 1/2 hour drive) from our location. Jax’s Dr. DVM. AVMA. AAHA. LVMA. CVMA
NOW under the care of Dr.
With Jax nature, he knows no limits and for a small dog he is fast as lighting. I am anticipating adjustments in lifestyle. As of now crate rest is strict here. Until released. The future with the cat must change. As well as other to help Jax stay safe.
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Post by Naomi & Jax on Jan 16, 2020 18:08:24 GMT -7
Jax had his 2nd post surgery appointment. Dr said he is making improvements but needs to strengthen muscle in back legs. Dr suggested pinching his toes to make his muscle reflex naturally . He is standing well, still knuckling.
I asked Dr about Jax’s stiff legs. She did not think it was pain. His examination did not reveal discomfort. But we do have meds as listed above for pain. Dr. felt Jax did not need any tummy med as he is eating well and no signs of discomfort.
I notice Jax’s personality is starting to shine through again.
There is a wealth of information on this board. I appreciate it immensely! What lies ahead with and after recovery is of great concern.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 17, 2020 5:49:37 GMT -7
I'm glad that Jax did well at his exam, Naomi, and glad that no discomfort was found on examination. It may be that Jax was anticipating pain and reacting when you went to pick him up. Good news! I am sorry to hear that the vet does not take the danger of NSAID side effects seriously. We follow vets who are proactive in taking precautions BEFORE a problem starts rather than trying to heal a problem after one begins. The FDA and manufacturer pkg insert indicate gastrointestinal problems are side effects of using NSAIDs. The natural defenses of the stomach to shield against stomach acid is hindered when taking NSAIDs. Serious gastrointestinal toxicity such as bleeding, ulceration, and perforation, can occur at any time, with or without warning symptoms. We ask that all members read about each med their dog is on or may take as a safety measure. This directory is in alpha order and is my go to place for my own dog's meds: www.marvistavet.com/html/pharmacy_center.htmFor your eductional reading and consideration:Statistics show that NSAIDs kill more animals than any other class of pain medicine, damage more vital organs than all other prescription medicines combined and are responsible for the death of at least 16,000 people every year. The US Food and Drug Administration (FDA) maintains an even higher rate of NSAID-related deaths with approximately 20,000 deaths in the United States alone. While Rimadyl (carprofen) currently appears to be the most notorious among NSAIDs, medical forums mention other NSAID formulations which produce similar side effects." Christopher Durin, DVM. The Risks of Prescription Medicines in Dog Arthritis. www.thedogfiles.com/2011/05/03/use-of-dog-arthritis-medication-questioned/North Carolina U. recognizes the high incidence of GI irritation in dogs with disc problems. The reasons are that pain and body changes are stresses. Just as humans can experience ulcers when under stress. NCU and 11+ hospitals working with NCU prescribe a GI protectant. Dogs presented to NCU with IVDD often develop GI upset whether they are given steroid medications or not. cvm.ncsu.edu/wp-content/uploads/2015/07/CopingwithStressfulTimes4.28.pdfIt is important to realize that subclinical gastroduodenal ulceration is likely to be present in dogs with type 1 disk extrusions, even without the administration of potential ulcerogenic drugs (e.g., NSAIDs, glucocorticoids), so the use of such drugs should be minimized if at all possible. Curtis W. Dewey, DVM, ACVIM Neurology Cornell University.A Practical Guide to Canine and Feline Neurology 2nd ed Blackwell Publshing 2008, Chapt 10 "Myelopathies: disorders of the Spinal Cord"; By Curtis W. Dewey pp331-332 NSAID use is not benign, and serious toxicity can occur even when taken in commonly advised doses. Adverse gastrointestinal effects, including bleeding from NSAID use, is estimated to account for the 15th most common cause of death in the United States."Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of anti-inflammatory drugs. N Engl J Med. 1999, 340: 1888-1899. Try not to stress about what lies ahead in regard to Jax's recovery. Just take it one day at a time and enjoy every day with Jax. Nerves can take a very long time to heal, think more in terms of months, even a year or more, rather than days or weeks. Jax has a good home, food and your love so he'll be just fine. Learn all you can about this disease so you're prepared. We're here for you and Jax whenever you may have any questions or concerns or just want to vent. We've all been through it ourselves so do understand. Hugs to you and Jax. Please continue to keep us updated.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,535
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Post by PaulaM on Jan 28, 2020 19:39:39 GMT -7
[Moved to the Forum on Jan 28, 2020 on behalf of Naomi]:
Jax is almost 4 weeks post surgery. Under the care of Dr., progress good.
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