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Post by Tina & Bear on Jan 4, 2014 8:24:11 GMT -7
Thank you. My dog had surgery last night and I am so overwhelmed about how we will meet his needs when at work. Your message helped. ...so did the responses.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,597
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Post by PaulaM on Jan 4, 2014 18:38:00 GMT -7
Welcome to Dodgerslist. We've started a new thread for Bear so we can get to know him better and keep track of his progress. Have you heard back from the surgeon how the procedure went? I know you'll have lots of questions on discharge day, make sure each one gets an answer before your leave. Here is a starter list where you can add on your own questions. www.dodgerslist.com/literature/dischargequestions.htm This page answers many questions about post op our members have had over the years: www.dodgerslist.com/literature/surgery.htmWhen Bear comes home please let us know and tell us a bit more about him: --What breed is your dog? -- Is there still currently pain at home? - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? Work with the vet, if yes, he can adjust so Bear is in full comfort. -- What are the exact names of meds currently given, their doses in mg's and frequencies? -- Currently can he wobbly walk? move the legs at all? or wag the tail when you do some happy talk? -- Do you find wet bedding or leaks on you when lifted up? Does he have bladder control? -- Eating and drinking OK? -- Poops OK - normal color no dark or bright red blood? -- If there is pain or neuro diminishment, dogs can benefit greatly with acupuncture or laser light therapy. These therapies can be be started right away to help relieve pain and to also to kick start energy production in nerve cells to sprout. So if this therapy is in your budget, seek out a holistic vet. ahvma.org/Widgets/FindVet.html www.serenityvetacupuncture.com/index.php/faq_/ [one vet's overview/prices] Chiropractic is not recommended for IVDD dogs. We look very much forward to learning more about Bear with your answers.
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Post by Pauliana on Jan 4, 2014 18:49:56 GMT -7
Welcome to Dodgerslist, my name is Pauliana what is your name? Please tell us all about Bear's IVDD and how he is doing after surgery.. What breed is he? His age and weight? Let us know when you get a chance about what medications they send him home with, the dosages and frequencies given.. If your dog comes home with a Steroid or a NSAID please ask the vet this way about Pepcid AC.. "Is there any medical reason why my dog can't take Pepcid AC to protect his stomach?" if there is no reason pick it up from the grocery or drug store. We give half a tablet of the 10 mg original dose Pepcid AC to our dogs 15 pounds and under.. Let us know what your surgeon recommends about crate rest. We recommend 6 weeks crate rest to allow the disc to form secure scar tissue.. Rest is the best thing for them..and also it keeps them from re injuring the disc in the early stages of healing.. Here is a list of discharge questions to ask the Vet when you pick Bear up from the hospital.. www.dodgerslist.com/literature/dischargequestions.htmMany members here work full time, and still take care of their dogs after surgery or when under conservative treatment. It can be overwhelming at first.. but once you and your Bear have a routine established and get more informed about IVDD it becomes less scary.. We have all been through this with our dogs.. so you are not alone...Start here to learn: www.dodgerslist.com/healingindex.htmSending comforting thoughts...and healing prayers..
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Post by Tina & Bear on Jan 5, 2014 9:02:43 GMT -7
Hi... I am so in awe with this site. I am feeling a little more motivated with the unknown of Bear's care. His doctor called and said that he is doing better and he finally ate some chicken last night. He doesn't feel any pain on his toes. . He had 2 discs that were pushing on his spine and did have a little bruising. She said we could go see him today...which has made me a little nervous. I'll update you after I get back.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 5, 2014 10:04:49 GMT -7
I'm sure you'll feel much better after seeing Bear today. And he'll be very glad to see you, too!
Please know that there is swelling after surgery that can take 2-4 weeks to resolve. That swelling is still pressing on the spine and causing the nerves not to connect properly. So it's not at all unusual if you don't see any improvements until that swelling goes down. My Jeremy's deep pain sensation took a few days to return after his surgery.
There is no timetable anyone can give you when to expect nerve repair to happen. In fact, there is no time limit for nerves to heal...it can take weeks, months, even a year or longer. However, it is known that neurological function usually returns in the reverse order of the damage. The first big sign you want to look for is that wonderful tail wag!
1. Deep Pain Sensation (Only correctly identified by a specialist.) 2. Tail wagging with joy at seeing you, getting a treat or due to your happy talk. 3. Bladder and bowel control proved by passing the "sniff and pee" test. Take your dog out to an old pee spot in the grass. Let him sniff and then observe for release of urine. 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 placed paws. 6. Ability to walk unassisted and perhaps even run.
So hang in there - we're here for you and looking forward to your update after your visit with Bear.
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Post by Tina & Bear on Jan 12, 2014 10:37:52 GMT -7
Bear came home from surgery 2 days ago. He is just sitting and/or lying down. We do his PT 3-4 times a day. He appears to be having problems with his penis. It looks a bit swollen and he licks it. Help. I will give complete info on Bear right after this.
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Post by Pauliana on Jan 12, 2014 11:36:13 GMT -7
Hi, we are a friendly group and would love to know your name? I know how overwhelming all of this is.. My dog Tyler also has IVDD and had surgery almost a year ago.. Is Bear able to urinate on his own? Tyler gets what we call a "potty hard on" (sorry to be so graphic LOL) when he has to pee really bad especially first thing in the morning, so we always rush him outside when he gets like that.. It would also be a good idea just in case to let your Vet know, in case it could be happening for another reason.. --What breed is your dog? -- Is there still currently pain at home? - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? Work with the vet, if yes, he can adjust medications so Bear is in full comfort. -- What are the exact names of meds currently given, their doses in mg's and frequencies? -- Currently can he wobbly walk? move the legs at all? or wag the tail when you do some happy talk? -- Do you find wet bedding or leaks on you when lifted up? Does he have bladder control? IF he does not have bladder control did the Vet teach you how to express him? www.dodgerslist.com/literature/Expressing.htmLooking forward to your answers so we can be of more help to you and Bear..
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Post by Tina & Bear on Jan 12, 2014 16:48:55 GMT -7
Hi. I am Bear's mommy Tina. He was given 2 pain meds tramadol 1/2 pill every 8 hers Gabapentin 1 pill every 12hrs Alprazolam 1 pill every 8 hrs acepromazine 1/2 pill every 12 hrs. All "as needed. He will randomly start shivering and his stomach does get hard. He does not have bladder nor bowel control but he does tell us when he has to poop as of yesterday. My husband and I make sure he is emptying his bladder at least 4 times a day. His penis still looks pink and Swollen . He does pee on his area about twice a day (which he does not like the feeling of). He had no deep pain 5 hours before his surgery . His surgery was Jan 3, 2014 at night. He came home on 1/9. Today I can see "his" personality before going down. His Dr said that he does have little feeling in his legs but I don't see it. Oh Bear is a terrier mixed with very short legs and a long body.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,597
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Post by PaulaM on Jan 13, 2014 13:37:29 GMT -7
Do report if you are still seeing shivering and tense tummy muscles..that is a sign of pain. Rather than giving pain meds on an as needed basis, give what was prescribed. Once pain surfaces is it harder to get back under control. The goal is for no pain to surface dose to dose of pain meds.
How is Bear doing today?
If you are finding urine leaks in his bedding then expressing the bladder 4 times a day is not often enough. The goal is that there is no leaking between expressing. Don't hesitate to return to the clinic and express there. Then the vet tech can check your work and give you more pointers. Try expressing every 3-4 hours and as he is staying dry you can then move up to every 4-6 even every 8 hours.
What directives did the surgeon call for re: crate rest and PT?
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Post by Tina & Bear on Jan 13, 2014 14:18:24 GMT -7
Hi. I was excited to hear from you. We took him to get checked and he wasn't getting emptied enough . He also got his staples removed and even though they said it doesn't hurt...Bear was in pain all the way home. He shivered and would not eat or drink anything and would sleep sitting down. The surgeon directed us to crate rest for 2-3 more weeks, and do the phys therapy with him 3 times a day. They took blood just to make sure he doesn't have a UT infection. They also said to use a sling and let him practice standing for muscle building. I will keep him on pain killers because I noticed that if we wait then it's harder to get him back to a relaxed and happier state. Thank you again. PS: did you see his photo?
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 13, 2014 17:07:41 GMT -7
Yes, we did see his photo and he's a real little sweetie! Did they help you learn how to express by giving you a hands on your hands demonstration? It can take some practice to get expressing down. As the bladder gets smaller, it slips away and you have to feel for it again. You can cup it with one hand to try to keep it in one place. Sometimes it ends up by the hip area. You can almost feel one hand touching the other when it's empty. We usually see surgeons recommending 6 weeks of crate rest following surgery. The surgeons at Texas A&M University explain the why of crate rest best: "Many clients are confused as to why exercise restriction is often necessary after spinal cord injury in veterinary patients. Vertebral column injury and surgery can disrupt the normal stabilizing structures of the spine such as muscles, bone, joint capsules, and the intervertebral disk. Excessive, unrestricted activity after surgery or certain injuries can lead to vertebral column destabilization and prolonged healing of the injury site. The intervetebral disk, in particular, is very slow to heal and healing may be incomplete; excessive vertebral column motion after disk surgery may therefore lead to recurrence of disk herniation. Additionally, animals that are weak or incoordinated may accidentally traumatize themselves, leading to orthopedic and soft tissue injuries." So post op crate rest for 6 weeks means, you do all the PT the surgeon wants. PT is always supervised, slow and deliberate and with your full attention on the dog. When you are not doing PT then back in the crate til graduation day. After crate rest has been completed do a slow gradual reintroduction back into physical activity. Schedule idea: www.dodgerslist.com/literature/AfterCrateRest.htmWhat PT was prescribed? Here's our page of exercises if you'd like to run them by the surgeon to see if he'll approve them or if they're similar to the ones you've been given. www.dodgerslist.com/literature/massagepassiveexercises.htmAcupuncture and laser light therapy are helpful treatments that can be very beneficial to assist with re-establishment of nerve connections in the body and usually can be started right away if that's within your budget. www.dodgerslist.com/literature/healingacupuncture.htmAlso water therapy can be performed now that the stitches have been removed. Some of these exercises can be done right in the bathtub. Please be sure to check with the surgeon before starting any of these. www.dodgerslist.com/literature/watertherapy.htmPrayers for a speedy and complete recovery for Bear.
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Post by Tina & Bear on Jan 15, 2014 8:19:40 GMT -7
Hi. Bear has a urinary track infection . I am waiting on antibiotics because the type of infection he has requires a different type of antibiotic. We were given instruction on "How" to perform his Phys Therapy but when we get home and do them it's not as easy then at the clinic. Thanks for clarifying the pain medication concept because it has helped a lot. I am looking into finding an acupuncture place near us (little Elm, Tx). Keep prayers coming for Bear and us
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 15, 2014 8:41:19 GMT -7
Unfortunately, UTIs are common with IVDD dogs who don't have bladder control. I hope that clears up quickly. You may need to express him more often until you become proficient at it to be sure the urine doesn't lie in his bladder too long where bacteria can breed. There's a video of some of the PT exercises on the link that I gave you in my last posting. If those exercises are the ones prescribed, it might help to look at the video to learn how to do it. Don't hesitate to call the vet to go back for further instructions so the PT is done properly. Here's the link again: www.dodgerslist.com/literature/massagepassiveexercises.htmPrayers are continuing.
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Post by Linda Stowe on Jan 15, 2014 12:48:05 GMT -7
Tina, I am in Frisco and this is the vet I used for acupuncture and know others who have used her also www.animalacuvet.com/BTW, where did Bear have surgery?
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Post by Tina & Bear on Jan 15, 2014 14:32:32 GMT -7
Great!! Bear had his surgery at Center for Vet Specialty Care in Carrollton. I will check the Frisco.
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Post by Tina & Bear on Jan 19, 2014 14:32:54 GMT -7
Well after antibiotics Bear is doing better. He appears to be getting restless in his crate and barely entering his 3rd week. He can stand now for about 8 seconds. Yay! His back legs aren't as week. As for my husband and I,,,we are tired but the positive is that we sleep hard.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,597
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Post by PaulaM on Jan 19, 2014 17:41:54 GMT -7
Tina, glad to hear getting the infection under control is making Bear feel a whole lot better. See if you can help Bear relax in his recovery suite. 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.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 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 Be aware you might be inadvertently training for unwanted behavior. To dogs rewards are: food, looking at them, talking to them, eye contact, approaching the crate, petting. So anytime you see unwanted behavior ignore it, turn your back, leave the room if you have to. Preferable is to start teaching what you do want before there is too much practice in doing the unwanted behavior. Anytime your dog is sitting or lying down quietly, give a reward. Soon your dog will see they get rewards for four feet on the floor, quietly sitting, etc.
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Post by Tina & Bear on Jan 22, 2014 17:02:47 GMT -7
bear is in his 3rd week of healing. Now he seems to not be wanting to drink water. Hell take a couple drinks but turns away from it. He isn't peeing on his pad either. I'm not sure if his new antibiotic is causing this...its called Chloramphenicol. He has been drinking less water for 2 days now. Any advice?
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jan 22, 2014 18:18:31 GMT -7
I don't see this as a side effect of Chloramphenicol but I would check with your vet about it. How long has it been since he's urinated? You can try adding some water to his kibble or give him some chicken broth.
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Post by Tina & Bear on Jan 22, 2014 19:56:04 GMT -7
That helped! A little chicken broth had him drinking his water. He urinated at 3 and the next time was at 7:20. He is still urinating w assistance. His legs appear a lot stronger and harder to do his leg therapies (hope its a good sign).
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,597
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Post by PaulaM on Jan 22, 2014 22:39:17 GMT -7
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Post by Tina & Bear on Feb 15, 2014 11:48:39 GMT -7
Hi again. I'm back! Bear just completed 6 weeks of post op crate rest. My husband still has to express him in between jobs and night time. Most of the time Bear waits for him and doesn't pee on his pad usually, my husband is tired of having to do this :/. I try to help but I haven't gotten this down like him. His back legs are very strong and harder to rotate his legs for PT. During his PT he tends to give strong jerks. And his tail has a small wag and he can kind of lift his tail so it's not so limb or stuck to his bottom lol. Oh his UTI healed but we think it's coming back again because he is throwing fits when my husband wants to pick him up to express him. Bear tries to bite him . I'm thinking of taking him to his vet to be sure. He started acupuncture and has his appt for his 2nd one on Monday. I just gave him a motrin because I bathed him and gave him PT and he had a bowel movement but he kept crying and barking at me even when I tried to ignore him....he finally fell asleep in his crate. I think he is getting sad or ? Of not being able to move. Idk. He completed all his meds a couple weeks ago. Let me know what you think we should do next please....thank you.
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Post by Pauliana on Feb 15, 2014 21:30:15 GMT -7
Hi Tina,
Human medications such as Motrin are dangerous to dogs, so please put a sticker on that Motrin bottle "For humans only!" How much Motrin did you give Bear? How is he now? I would take him to an ER Vet right away..
From the Pet Poison Helpline: 24/7 Animal Poison Control Center
Ibuprofen (Motrin, Advil)
Poisonous to: Cats, Dogs
Level of toxicity: Generally moderate to severe, life-threatening
Common signs to watch for:
Vomiting Bloody vomitus Diarrhea Black-tarry stool Weakness Pale gums (anemia) Abdominal pain Lethargy Loss of appetite Halitosis (secondary to kidney failure) Seizures Death
Non-steroidal anti-inflammatory drugs (NSAIDs) are a class of drugs that are commonly used in people and animals for the relief of pain and inflammation associated with arthritis, headaches, cramps and for the relief of mild fevers. Humans frequently use NSAIDs such as aspirin, ibuprofen, naproxen and acetaminophen. Dog-specific NSAIDs include common brands such as Rimadyl, Dermaxx, Previcox and Metacam. There are no NSAIDs designed for long term use in cats and this class of drug is used sparingly in cats because it is poorly tolerated (it can result in severe kidney failure with overdose, poisoning, or repeated doses).
Pet owners should never give any medication to their dog or cat without consultation with their veterinarian. Some pet owners give NSAIDs without realizing the dangers to their dog or cat. When pets ingest small overdoses of an NSAID, it can result in severe stomach ulcers, causing signs of vomiting, bloody vomitus, diarrhea, black-tarry stool, weakness, pale gums (anemia), abdominal pain, lethargy, and loss of appetite. With larger ingestions, halitosis, kidney failure, liver failure and neurological problems (e.g., tremors, seizures) can develop.
If you think your dog or cat were poisoned by ibuprofen, call your veterinarian or Pet Poison Helpline immediately for life-saving treatment advice. The sooner the poisoning is diagnosed, the sooner we can fix it!
Content written by: Dr. Cat Angle, DVM, MPH, Pet Poison Helpline
Poison type: Medications
Alternate names: Advil, NSAID, Motrin, Pamprin, NSAIDs
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Post by Tina & Bear on Feb 16, 2014 15:49:06 GMT -7
OMG!!! Ppor Bear. Well he is still the same before I gave him the motrin. I will call his vet. In the mean time he appears to cry when I leave his side. He started doing this about a week ago. He wants out of crate (which I put him there when I cant watch him). He seems so sad and whimpers.
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Post by Tina & Bear on Mar 3, 2014 13:46:35 GMT -7
Well ive been coming back to this support feeder for over 2 weeks and have not had any . Its been 2 months since bear had his surgery and he wags his tail and can stand for up to a minute....but NO walking. I look at him wanting to run and jump like he use too and he tries to play but cant. He eventually stops and cries a little and falls asleep. I dont know if we are being selfish keeping him like this... he shakes in fear when we put him in his wheels for even 5 min.what else can we do?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,597
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Post by PaulaM on Mar 3, 2014 14:27:35 GMT -7
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Post by Tina & Bear on Mar 3, 2014 14:42:57 GMT -7
Hi. I always have him with us out of crate when I or my husband get home. He doesnt like to scoot around too much. He can hold his pee until we take him out but he does leak if we take long. He barks a certain way that lets us know he has to go out to poopy. As far as tail wag, he lifts his tail at base near body and moves it side to side when I touch it. We rented a cart from K9. He went to a wonderful phys therapy person in carrolton. She advised to wait on putting him on wheels or allowing him from scooting because he'll get too comfortable and not walk. Unfortunately her schedule doesnt fit ours.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Mar 3, 2014 17:42:02 GMT -7
Tina, as Paula said, nerves can take a very long time to heal. My Jeremy had no tail movement or leg movement for months following his surgery. Then during the third month, he started to have some movement and was able to walk 6 months following the surgery. He continued to improve for more than a year after his surgery. At one point, I was sure he would spend the rest of his life in a cart but he proved me wrong! Two months seems like a long time to you but hang in there - improvements can still take place. Try to take him outside often enough that he doesn't leak. Leaking indicates that the bladder is overflowing and that can stretch out the bladder. Also urine remaining too long in the bladder can cause urinary tract infections. Being that you rented the cart, it doesn't sound as though it was custom fitted. A good fitting cart is essential as anything that might rub and cause discomfort will make it much more difficult to get Bear used to the cart. Check out our page on carts and see if the cart you have rented has all the necessary requirements. Dogs to Go carts are custom fitted and cost under $100. www.dodgerslist.com/links/cart.htmEddies Wheels site has some good points on teaching a dog to use a cart that might be helpful to you: eddieswheels.com/training-a-dog-to-use-a-wheelchair/A cart can give Bear the mobility he craves. And it can also be used to rehabilitate him. You'll need a cart where his hind legs can just touch the ground. Did he have a favorite spot where he liked to walk? Take him there in the cart and he'll be so interested in sniffing around, he might completely forget he's in the cart. Have you tried the exercises that we have outlined here: www.dodgerslist.com/literature/massagepassiveexercises.htmThese were really helpful in getting my Jeremy's legs moving again. Also, acupuncture and hydrotherapy can be helpful, too, if that's within your budget. Some of the exercises shown can be done right in the bathtub. www.dodgerslist.com/literature/watertherapy.htmBottom line is - no, you are not being selfish keeping him like this. You gave him the surgery he needed and now the nerves need time to heal and he will adjust. Be sure to tell him he's getting better every day and believe it yourself. Use a positive, happy voice around him so he doesn't feel there is anything wrong. Dogs pick up so easily on our emotions. It's a great sign that Bear has some bladder and bowel control and indicates nerve healing. Please keep us updated on Bear's progress. Continued healing prayers for Bear.
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