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Post by Cindy & Otis on Dec 10, 2013 9:41:44 GMT -7
Otis is a 5 year old, 10 pound male Mini Doxie. He lives with my husband, Myself, a German Shepard named Scrappy and a cat named Wally. Otis feels that any inclement weather is a personal assault on his body and is favorite place in life is to be in my husbands lap.
On 12/5/13, we brought Otis to our vet because he jumped off the bed at 4AM and cried out in pain. After x-rays and anti-inflammatory meds Otis was walking and voiding on his own and came home at 2PM on crate rest. On 12/6/13 at 8AM while in his crate a disk in the thoracic region (I don't remember which one) herniated. We got him to Tufts Medical Center and he was in surgery by 8PM that night. Otis had no deep pain sensation before or after surgery. Today, we are going back to learn how to express his bladder and care for him and will possible be able to bring him home. Needless to say were are very nervous. I need words of wisdom, suggestions and a lot of support. Thanks in advance, Cindy
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
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Post by Marjorie on Dec 10, 2013 9:50:26 GMT -7
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Post by Cindy & Otis on Dec 13, 2013 9:32:41 GMT -7
Otis came home on Wednesday 12/12. After reading the information on this site, my husband felt more prepared. Otis is comfortable, eating and drinking well. It has taken a little adjustment for him to get uncomfortable with the crate. We have done well expressing his bladder but gets excited when he sees or hears us and leaks urine. This is just the second full day, hopefully it will get better.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Dec 13, 2013 12:56:48 GMT -7
Glad to hear Otis is now at home. How often are you expressing him….other than excited leaks does his bed stay dry until the next session?
What meds if any was he sent home on… exact names, the dose in mg's and how often given.
What was the surgeon's directives on PT and crate rest?
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Post by Cindy & Otis on Dec 13, 2013 23:33:19 GMT -7
We express his bladder approx. every 4 hours, ending at 12mn and starting again at 6am. He is on Prazosin 0.5 mg cap twice a day for 5 days. Gabapentin 50mg/ml suspension, give 0.9 ml every 8 hours. Rimadyl 75 mg, give 1/4tab by mouth once a day for 5 days. Cephalexin 250mg tab, give 1/2 tab twice a day for 5 days.
For PT we do passive ROM with him lying on his side. We flex and extend all the joint in his back legs. We do this 20 times 2-4 times a day. We then help him to stand up and position his feet underneath him and challenge him to stand on his own. We are supposed to do this for 5 minutes 2-4 times a day but he's weak so we try it 2-3 times and then stop. He is on crate rest any time we are not doing PT or hygiene. He will be on crate rest for 6-8 weeks. Today is the first day we noticed that he was lying on his side rather than on his stomach. He even switched from one side to the other! We have a follow up appointment on 12/20.
Twice Otis' bed was wet. This could be because we are still learning to express his bladder fully.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,579
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Post by PaulaM on Dec 14, 2013 9:26:25 GMT -7
It could be that while you are learning to be proficient in expressing, that you are not getting all the urine out at each session, thus his bladder reaches overflowing in less than 4 hours. So you might want to try expressing every 3 hours. The goal is to be able to feel the bladder in the last stage of emptying where your fingers of one hand can almost feel the fingers of the other hand.
Also Prazosin decreases the sphincter tone making it easier to express, easier for urine to escape when the bladder is on the full side.
Changing sides is very good and relaxed enough (not painful) to lie on his side. Not wanting to move or change positions would be a sign of pain as is shivering, yelping. Observation of discomfort or pain is something to update the vet about to get the pain meds tweaked to give full comfort post op. Do keep us posted on all of his neuro functions: Nerves heal typically in the reverse order of the damage to the spinal cord:
1. Deep Pain Sensation (Only correctly identified by a specialist.) 2. Tail wagging with joy at seeing you or getting a treat or meal. 3. Bladder and bowel control verified with the "sniff and pee" test. 4. Leg Movement, and then ability to move up into a standing position, and then wobbly walking. 5. Being able to walk with more steadiness and properly place the feet. 6. Ability to walk unassisted and perhaps even run.
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Post by Cindy & Otis on Dec 14, 2013 11:29:18 GMT -7
Thanks! We haven't had any leaking today so I guess we are getting better. Now that we know what to look for, we are anxious for any of the first signs of improved neuro function. Today he has been turning around in his crate!
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Post by Cindy & Otis on Dec 16, 2013 20:37:15 GMT -7
Tonight we noticed that Otis wagged his tail when my husband came in!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,579
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Post by PaulaM on Dec 16, 2013 20:52:46 GMT -7
Heheheh….it looks like Christmas is coming early to your house. Wonderful to hear that tail wagged upon SEEING your husband…that is great news indeed!
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Post by Cindy & Otis on Dec 26, 2013 19:14:02 GMT -7
It was a false alarm about the tail wagging, he has been wagging his tail just prior to and after he has a BM. At the Drs appointment Otis did not have deep pain sensation. He also has had some rectal bleeding caused from the medication he was on. He also is getting tired of being in the crate. We move him room to room with us but he wants out. I have bought some rescue remedy but I am not sure how much to give him. The box says 4 drops but that seems like a lot for a 10 pound dog. Any suggestions?
Also, how do I post a picture oh Otis on here?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,579
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Post by PaulaM on Dec 26, 2013 19:27:16 GMT -7
Has he been put on Pepcid AC for his Gi tract. Has the Rimadyl been stopped? We have some emergency crate training information that may help along with tips: www.dodgerslist.com/literature/EmergencyCrate%20Training.htmRescue remedy's web site: www.bachrescueremedypet.com/how-to-use/when-to-use/RRis not a sedative, so expect it can take a couple of days to reach peak effectiveness. Also each dog is individual and you may need to try another product if RR is not working. Other products: Using any oral calmer in combination with a Pheromone diffuser seems to work best. 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 by going to your "Profile" Place a DAP pheromone diffusor at floor level where the recovery suite is: --Comfort Zone (DAP) wall plug-in diffuser 48ml www.petcomfortzone.com/dogs.html --Adaptil (DAP) wall plug in diffuser 48ml www.adaptil.com/ Use diffusor 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 You can put Otis as your avatar by going PROFILE> Edit Profile…there you will see the avatar information.
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Post by Cindy & Otis on Dec 28, 2013 12:15:04 GMT -7
All previous meds have been stopped. Otis was started on Metronidazole for the diarrhea, Tramadol as needed for pain and Fortiflora probiotics. The rescue remedy seens to work. I will check out the info on the links above. Thanks
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Post by Kristen & Yogi on Dec 28, 2013 19:55:13 GMT -7
I am so sorry to hear about Otis but glad to hear he is starting to recover! I will share that my Roxi had surgery on 10/11. Two weeks post op, she had no deep pain and the surgeon told us to get a wheelchair. I started her at PT...three times a week..with Acupuncture, laser light... That started the beginning of November and she had some deep pain. We were cautiously optimistic. She is now wobbly walking! We are still at PT..it is $$$$ I wish I had pet insurance! But..it is helping! Those first weeks post op are so hard! Prayers and good wishes for Otis!
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Post by Cindy & Otis on Jan 1, 2014 22:40:09 GMT -7
I think we are rounding the bend Otis is able to stand, wobbly, but stand. He can push himself up to almost standing if we set him in the proper position. He has tried to take steps but ends up dragging is legs so we stop him. We start PT on Saturday and hopefully this will help him improve. Otis is not neutered. This poses a problem because he gets excited when our cat or neutered Shepard gets near him. We will get him neutered when he seens stable.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,579
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Post by PaulaM on Jan 1, 2014 22:50:55 GMT -7
Cindy, sounds like Otis is progressing nicely….nerves are slow to heal. Will he be doing underwater treadmill…the water and moving floor combo really helps them get the legs moving.
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Post by Cindy & Otis on Jan 5, 2014 19:02:30 GMT -7
Otis started PT on January 4th. The closest PT is over 1hour away they do have the underwater tread mill. The therapist gave us exercises to do at home in the tub and we will get to PT as much as we can.
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Post by Pauliana on Jan 5, 2014 20:24:42 GMT -7
Sounds great, Cindy!
It's hard when Vet's and therapists are a distance away, so it is nice she gave you exercises for Otis to do in the tub at home in between therapy visits..
Thanks for the update!
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Post by Cindy & Otis on Jul 5, 2014 15:26:47 GMT -7
Otis update: It has been just over 6 months since Otis went down. During this time we have done water therapy, then physical therapy with laser, bought wheels and are now considering acupuncture. Otis has reflexes back but not deep pain sensation. He is able to stand, wag his tail and can hold his bladder longer. Our problem is with his bowels. After surgery in December, Otis developed colitis. The stress of the surgery and his separation from us at the time of the surgery caused it. He had frequent stools and a lot of blood. At that time we changed his diet and he was on medications. The colitis came back in June when I gave him a bone that contained to much fat followed by us going away for a long weekend. We did bring Otis with us. The difference this time is that Otis appeared to know when he was going to have a bowel movement. He will now turn to look at his rear when he needs to poop. I am wondering if this is part of the healing process or if he just feels it in his bowels. Also, have some dogs regained walking after six months. Cindy
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,579
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Post by PaulaM on Jul 5, 2014 18:05:05 GMT -7
Cindy, yes, we know that dogs can regain function closer to a year or even past a year. One of our moderator's dogs did just that. www.dodgerslist.com/monthstory/goosieSullivan.htmwww.dodgerslist.com/monthstory/ollieWahbe.htmMany other success stories to read here: www.dodgerslist.com/monthstory.htmIf he can wag his tail because he is happy, not anything related to potty time, then yes of course he necessary MUST have deep pain sensation. So can he wag his tail specifically because you did some happy talk to him? Bowel control is when he knows poop is traveling near the exit but has the control to stop it until in an appropriate place like outdoors. Lack of bowel control means he can feel poop approaching the anus but he has no control to stop its exit. My dog does not have bowel control but he gets very fidgety when he senses poop coming....that's my cue I'm late to express him!!!!
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