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Post by kikidox on Mar 20, 2013 11:39:28 GMT -7
Hello, my sweet Theo hurt his back last night. He was walking hunched up and felt tight and grunted so I crated him immediately. This morning, he had lost all movement in his back legs. Went to our vet and she tested him for deep pain and he seems to have lost that too. I know he only has a small window to get successful surgery in that case but we don't have the funds to get him this surgery. My vet put him on Tramadol, Gabapentin and Dex with Apo- Omezaprole (supposed to be the best for protecting his stomach) to help with the pain. He can't seem to be able to lay down. He keeps wanting to sit up and I tried to help him lay down but, as soon as he does, he grunts in pain and gets up after a minute. I don't know what to do to help him get comfortable! Any ideas?
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Post by Linda Stowe on Mar 20, 2013 12:16:22 GMT -7
Hello Kim and welcome to Dodgerslist. Is Theo a Dachshund? Wonderful that you got him crated immediately and he has stomach protection on board. Dex is a very strong steroid so do watch for any vomiting or any diarrhea or blood in the stool. We always like to encourage members to research the drugs their dogs are on. Marvistavet is a very good source www.marvistavet.com/html/pharmacy_center.html I always have this bookmarked. Since you mention he can't get comfortable and grunts in pain the meds have not been tweaked enough to control the pain. Do get back with your vet to let them know. They have options to either put another med on board such as Methocarbonal (for muscle spasms) or change the frequency of the Tramadol. Can you tell us the dosage and frequency of the meds. Do you find leaks in his bedding or leaking when you pick him up? Did the vet show you how to express. A dog without DPS likely does not have bowel or bladder control. Do you find wet bedding or leaks on you when lifted up? Is he eating and drinking OK and is there any blood in his stools? We have some very good articles on our webpage and a good place to start is www.dodgerslist.com/literature/healingpage.htmRemember there is always hope and its very early yet. Do keep upbeat around Theo as he will pick up on your emotions. Let us know what the vet recommends for controlling his pain.
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Post by kikidox on Mar 20, 2013 13:14:51 GMT -7
Hi Linda, Thank you so much for your quick reply. Yes, Theo is a long hair dachshund. Today is his 6th Birthday... Not a very good one. I have known about crate rest because of you guys so I thank you for that. In fact, everything I know about IVDD and its care, I got from you over the years. I thing all dachshund owners should know about IVDD and get educated in case this happens. Theo only started his first dose of Tramadol, Gabapentin and Omeprazole at noon today when we got home from seing my vet. He had thrown up in his crate on his way back from the vet so she told me not to give him the Dex right away and wait till the med for his stomach was fully working and try to put food in his stomach. He ate just a little bit so I was able to give him his Dex at 2. He has been drinking fine but doesn't want to eat much. The one thing that concerns me is that he is sitting up in his crate and can't lay down. When he does, it hurts him to the point he sits up again in less then a minute. I will call my vet about that because I think the meds should have provide a bit of comfort by now. He takes 10 mg of Omeprazole once a day to protect his stomach. 50 mg of Gabapentin every 12h 1 mg of Dex every day 50 mg of Tramadol every 8h The last time he peed and pooed were on his own last night when he still was able to walk. My vet said his bladder wasn't full this morning. No, she didn't show me how to express it. I did get a bit of leaking when I picked him up a little bit ago but just enough to wet his hair around his penis, nothing more. I think he might need to go pee. I am trying to find the video I had seen once on bladder extraction on your site and will try and help him. He hasn't eaten enough to really need to poop I think. So far, he hasn't thrown up again apart from his car trip before he got all his meds. He was on an empty stomach. I am keeping calm around him because he seems to be wondering what is going on. He is a nervous guy so I am calming him down but I am not giving him bad vibes. I want to help him and don't want him to suffer. These will be my guides in what my decisions will be. Thank you for your support. <3
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Post by natureluva on Mar 20, 2013 13:31:42 GMT -7
Hi Kim, I am concerned that Theo can't get comfortable. How is he doing right now? If he is still in pain despite the meds, ask your vet for an injection of opiate pain medication to give him immediate relief. If he doesn't have deep pain sensation, then he does not have bladder control. Please get a HANDS ON demonstration from your vet on how to express Theo's bladder asap. You will need to express 4 to 6 times per day until control returns. Watch our expressing video beforehand to help you: www.dodgerslist.com/literature/Expressing.htm If you are not already getting it, we highly recommend acupuncture and laser light therapy for IVDD. They both stimulate the nerves to heal and reduce pain and inflammation, and acupuncture has the additional bonus of relaxing the dog. I firmly believe acupuncture helped my Goosie regain his bladder control more quickly, and his movements were stronger after his treatments. These treatments can begin asap, as long as you can safely transport your dog to and from the appointments (crated). You can ask your vet for a referral to a holistic vet that does acupuncture and laser light therapy, or you can search for one in your area here: www.holisticvetlist.com/ If finances are an issue, consider applying for Care Credit - low or no interest loans for veterinary costs: www.carecredit.com/faqs.html. Also, there are excellent financial links here: www.speakingforspot.com/helppayingforveterinarycare.html Please let us know how Theo is doing. Best wishes, ~Lisa
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Post by kikidox on Mar 20, 2013 16:20:34 GMT -7
Hi Lisa,
I have talked to my vet again and she told me to up his dose of Tramadol. I did and he is panting less and starting to lay down more often but still not very long. He did eat a little bit from my hubby just now. Not much but it's better then nothing.
I have watched the video on expressing and tried it twice with no success. Either I don't have it right or he doesn't need to go just yet. I will try again and if I can't get him to go, I will take him to my vet first thing in the morning so she can show me how.
Is laser and accupuncture also good in cases where the dog has lost all movements and deep pain sensation or is it only good when they still have that? Theo has lost all that and I wonder if that will help him? I have heard that, at this point, only surgery could save him. I don't know if this is true or not? I welcome your opinion.
I've been busy taking care of him and reading things about his care and haven't had the chance to read about the Care Credit. Is it available in Canada? Maybe I should have mentionned I was near Montreal, QC, Canada. I will try and look at all these sites you gave me. Thank you.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 20, 2013 19:02:27 GMT -7
Kim can you update us on the Tramadol, dose in mg and frequency to give. I would get Pepcid AC on board today and keep your vet in the loop in the morning. 5mg Pepcid AC every 12 hours. give Dex with a meal. The first days Theo is without full protection with Apo-Omezaprole. It is supposed to be very good after 3-5 days of use when it reaches peak effectiveness. Do plan on going for a lesson on expressing, it is a skill that needs to be demoed to you. Make sure he's had 1/4 cup liquid to drink one hour before the lesson so you have something to practice on. www.dodgerslist.com/literature/Expressing.htmLet us know that Theo is now fully comfortable dose to dose of the pain meds (Tramadol and Gabapentin). Healing can't get under way until pain is under control We'll be looking to hear back how the expressing lesson went.
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Post by kikidox on Mar 21, 2013 8:51:46 GMT -7
Hi Paula,
you guys are all amazing. Theo wasn't getting any relief even with another 50 mg of Tramadol. He hadn't been able to lay down for more then a minute all day and I could see he really was in pain. He was getting exhausted and started to cry at 10pm. We took him in to the ER and they decided to do surgery on him right away since he had lost his deep pain sensation since the morning and was in obvious pain in his back. He is doing well this morning. He hasn't gained any movement or pain sensation yet but he is comfortable. I pray he will recover.
I have to mention that a dear friend of mine contacted a group she knows that organise fund raisers to help dachshunds in these kinds of situations and they contacted me about Theo and offered ther help. That is why I was able to get him his surgery. Now, I have to have faith we will be able to raise the funds so I can reemburse his bill. I just couldn't see him like this anymore. He needs all the prayers you have if you do pray and, if not, all the positive vibes you can sned him!
I might need help with learning to express him eventually. And many more questions along the way. Thank you for your support. I will update when I know more when he gets out.
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Post by Linda Stowe on Mar 21, 2013 13:30:16 GMT -7
Kim, thankful you were able to get the surgery. When pain can't be controlled with the meds, then surgery is then advised. Good to hear you might be able to get some monetary relief too. Would love to know the name of the group if you feel free to share.
Do let us know when you hear from the surgical clinic on how Theo is doing. Anxious for an update.
Hugs
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Post by kikidox on Mar 21, 2013 19:43:05 GMT -7
Hi Linda, I spoke to the vet after dinner and he is stable. He is not in pain anymore but there is no improvement yet. I know it can be a while before we notice any change. I will know more as we go. I know it can be a slow day by day process. He did go for a little walk (with back end supported) and was happy about that. I am relieved that he doesn't seem to be in pain anymore. The rest will come in due time.
The group that will be helping me is a group of people that belong to a Facebook group. I don't think they want to stay "private" since they will be sharing Theo's fundraising page and all but I will ask them if they mind me posting them here before I do.
Again, thank you for your support. I can't wait till I get him home and in my arms again.
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Post by Linda Stowe on Mar 21, 2013 19:49:19 GMT -7
Remember there is swelling from the surgery itself and within 10-14 days the swelling goes down. Often you see more improvement after that.
I know how you feel. Its so lonely without them and you worry.
Keep us updated as you hear from the surgeon.
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Post by kikidox on Mar 21, 2013 21:34:05 GMT -7
Oh Linda! You don't know how happy you made me hearing this! I remember that Zira, my first dachshund that went down with IVDD and requiered surgery had started to have walking movement with her legs when held around the waist by a scarf exactly ten days after surgery. She barely moved her legs but it was there! I have it on video in her therapy session. In fact, she went from that to fully walking in just three weeks. I give credit to her surgeon, the vet that gave her hydrotherapy + laser and also your website for posting a video on physical therapy to do with crated dogs post op to make sure they maintained muscle tone which I did three times a day with her. It was our little loving time. It's all coming back to me now about how she also hadn't regained movement or deep pain sensation when she came home and I was worried. Yet, three weeks later, she was walking normally. I have to have faith. I have to remember all this. It's all a blurr right now because of the stress but your comment unlocked my memory on the 10-14 days swelling post op. You gave me hope that I can add to all the pieces of hope people have been sharing with me today. Thank you.
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Post by robinlee on Mar 22, 2013 5:39:09 GMT -7
Kim, My River went into surgery with deep pain sensation and still did not walk without help for 2 weeks because of post op swelling. Glad your boy is pain free know
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Post by kikidox on Mar 22, 2013 18:57:13 GMT -7
Hi Robin, Thank you for sharing River's story and for getting in touch with me through FB. I didn't realize we knew each other. So nice to hear good stories.
I visited Theo today and I didn't find him to be in a state I would have liked him to be. He was still shivering and panting and didn't want to lay down when he was with me. He also hasn't eaten since Thursday and didn't touch anything I had brought (home cooked) for him. He only drank some water. I tried to help him lay down and massage him and pet him to get him to relaxe but nothing helped. It was heartbreaking. I aksed the vet if it was normal and he said he was on the maximum dose of meds they could give him and he didn't show signs of pain when he touched him so it must be stress. I do hope he is OK and does get comfortable soon.
The group I was talking about that is helping me with raising funds are a wonderful group of people that created/are members of the Dachshund World group on Facebook. They have been amazing in both moral support and guiding me through all this. They will also organize a fundraiser and auction. Some Dachshund lovers are the best!
I am talking to the vet again tomorrow morning. Theo might be coming home. I hope he feels better tomorrow.
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Post by Linda Stowe on Mar 23, 2013 10:00:25 GMT -7
Kim, I'm sorry to hear Theo isn't doing as well as you would have liked. What meds and dosages do they have him on? Some meds will make them hyper and others will make them not want to eat? Is he at a facility with a boarded surgeon?
Have you talked with the vet today and is Theo coming home?
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Post by kikidox on Mar 23, 2013 13:29:46 GMT -7
Unfortunately, Theo passed away not long ago. He had developped myomalacia and his breathing was starting to be difficult so I had to give autorisation for them to euthanise him before I even got there. I was on my way because I wanted to hold him in his final moments but he was an hour away and he deteriorated rapidly. I didn't want him to suffer any longer.
Thank you for all your support. I hope no one ever faces this situation with their baby. I know this is an impossible wish but that's what wishes are for...
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Post by Linda Stowe on Mar 23, 2013 13:59:39 GMT -7
Oh no, Kim I'm so sorry to hear that Theo passed away. Myelomalacia is a disease that can follow on the heals of any spinal injury. You did all you could for him and I'm sure he felt your love even though you couldn't make it there. May he rest in peace. My sincere condolences to you.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 23, 2013 14:26:44 GMT -7
Kim, my heart is broken to hear this. I know you wanted to be with him, but you gave the gift he needed quick release from the disease that has no cure...Myelomalicia.... as it has a very painful end as the nerves to the lungs begin to shut down. This information can help you to better understand what happened. www.dodgerslist.com/literature/Myelomalacia.pdfChoosing some sort of action can help during these grieving days. On behalf of sweet Theo, a legacy of helping to educate about IVDD. Ask Linda to send you a free packet for your vet and business-sized cards to hand out whereever you see owners of IVDD prone breeds. www.dodgerslist.com/literature/litorder.htmThere is a lovely website called the Dachshund Memorial Garden where you can pay tribute and even place a photo. Many touching poems to help in this time of grief: www.dachshundmemorialgarden.comJoin a pet grief group for support: www.dailystrength.org/c/Pet-Bereavement/support-groupJohn Denver's poetry in song says when you feel most alone love will bring you home: [Perhaps Love] Leo now lives where love resides eternally – in your heart! Leo did not leave you, just his body did. "There is no death, only a change of worlds." -Chief Seattle. Godspeed dear Theo! ((Warmest hugs)) with my most sincere condolences
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Post by Nancy & Polly on Mar 25, 2013 22:16:13 GMT -7
I am so sorry for your loss. You gave him the best possible care.
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Post by pennyh on Mar 27, 2013 7:31:03 GMT -7
Kim, I am so sorry for your loss. Theo had a very special mom who loved him very much. Bless you.
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Post by kikidox on Mar 28, 2013 19:01:50 GMT -7
Hi,
Thank you for all the nice words. Sorry if I didn't reply earlier. I needed a little time before I could. I wanted to thank you for all your support through this. I wish it had turned out better for my baby but it wasn't in God's plans. I do feel as though we did everything we could to provide best possible care for him and that gives me peace of mind. Now, I have to wait for my heart to heal but I know that will take a very long time. He will always hold a very special place in my heart and my memories.
Paula, I wanted to ask if the litterature on IVDD was available in french as I live in a mostly french speaking area? My vet would probably understand english litterature but the rest of the population isn't always bilingual.
Also, thank you for posting the myelomalacia link. I had seen other links but it does help to understand and make sure there was really nothing we could have done other than humanely send him to the Bridge.
Take care and continued healing prayers for all the little ones who need them.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 28, 2013 22:09:13 GMT -7
We do have a French translation that is printer friendly and maybe would not be too costly to get some extra copies made at your local print shop or copier??? We do not have any printed French materials. It would be a wonderful legacy in Theo's name to help educate about IVDD... thank you, Kim! www.dodgerslist.com/literature/dodgersfrench.pdf May your heart mend soon and move to thinking about the wonderful times you spent together ... how much your life was enriched by the mutual love you shared.
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Post by kikidox on Mar 29, 2013 21:36:03 GMT -7
Hi Paula,
Thank you for that link of information in french. I will definately read it with a clear mind tomorrow and I will bring a copy to my vet's so she can make copies to give out to patients in need of information. I will also have some printed out to give away myself. I have always naturally warned people avout the risks but my message might have more impact with the litterature.
Again, thanks for the great support.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 29, 2013 22:11:38 GMT -7
You are quite welcome, Kim. Anytime we can be of help, please let us know.
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