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Post by Cindy & Sophie on Mar 26, 2013 7:03:09 GMT -7
My Sophie woke up on Friday March 22, 2013 at 3:00am with a snorting fit and then proceeded to start to cry. Which then lead to her not wanting to stand up. She is unable to use her right front leg and right rear leg. Took her to the Vet at 8:00am. Took x-rays showed issues with disc in neck. Prescribed prednisone and muscle relaxers. She is urinating okay, but is having trouble with her bowel movements. Ended up getting an enima and was put on stool softeners. She really has no desire to try and walk unless food is involved. This is all new to me and I am looking for support and verification that I am doing the right for her. It breaks my heart to see her like this. I think my main worry right now is how often should I attempt to help her walk, I am giving her support with a sling. Should it just be at potty time? Is this an extended recovery process, weeks, months? And if there are any other people out there who have had their dachshund loose function on one side. I would love to hear from you on how your dachshund recovery went or is going. 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 26, 2013 11:36:32 GMT -7
Welcome to Dodgerslist. My name is Paula what is yours? I'm sorry to hear Sophie is having a disc problem. You can be instrumental in helping Sophie recover... it will demand some time of yours to read and learn. Outside of the single most important care of 100% STRICT crate rest 24/7 only out to potty for a full 8 weeks.. investing study time will be what Sophie needs to protect her with meds, treatments and recognizing when harmful advise is suggested. Have you already started here: www.dodgerslist.com/literature/healingpage.htmJust so we are on the same page are you doing STRICT rest this way …. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No baths, no chiro (aka VOM). In other words do everything you can to limit the vertebrae in the back from moving and putting pressure on the bad disc. You stand in one spot and Sophie can only take a very, very footsteps at potty time. The crate is the only surface that is firm, supportive for the spine, not inclining, always horizontal and keeps a dog from darting off at a TV doorbell and safe from other pets and kids from bothering them. The rest of the details of doing crate rest to ensure the best recovery in this excellent document: www.dodgerslist.com/literature/CrateRRP.htm The purpose of crate rest is to act as a cast of sorts to let the disc heal… only limited movement of STRICT crate rest allows that to happen…there are no meds to heal a disc. Immediate neuro improvement may or may not come during the 8 weeks of crate rest… as nerves may take more than 8 weeks to heal. We can best help you with a complete picture of Sophie's situation: --What breed is your dog? -- Is there still currently pain - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? Not wanting to walk unless for food sounds like reluctance to move and PAiN. Neck discs are very painful and appears you vet may be under medicating for pain if only giving a muscle relaxer. -- What are the exact names of all meds currently given, their doses in mgs and frequencies? Also today, phrase the question to your vet in this particular way: "is there any medical reason my dog may not to take Pepcid AC?" If there is no reason, we follow vets who are proactive in protecting the stomach by giving doxies 5MG Pepcid AC (generic name is Famotidine) 30 mins prior to steroid. Pepcid AC is a generally safe over-the-counter suppressor of stomach acid production for healthy dogs. Dogs don't speak up at first signs of trouble like a person would. By the time we notice black or red blood in the stools, things can quickly go from bleeding ulcers to a life threatening perforated stomach. 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: www.marvistavet.com/html/pharmacy_center.html-- Currently can your dog move the front right and back right legs at all? Can she wag the tail when you do some happy talk? -- Do you find wet bedding or leaks on you when lifted up?
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Post by Cindy & Sophie on Mar 26, 2013 12:18:07 GMT -7
Hi, my name is Cindy, Sophie is a smooth coat dapple dachshund. Sophie does wag her tail. She will stand still on her legs, but if she starts to walk she tips over. Her little paws fold under and she does not fix them herself. She does not use her right side very much. Other than to eat she has no desire to walk or stand. She shows pain if her neck has to move to far vertically up. She does not whince or yelped when picked up. She does not shiver/tremble unless we are outside trying to potty or she is at the vets office. She is was on
2 5mg tablets of prednisone for 4 days and today she started 1 tablet for the next 4 days. 1/4 tablet of methocarbamol 500mg tablets 3 times a day. 1 50mg tablet of stool softener a day.
She leaks a little liquid from her anus. I use a strap to support her to go potty, but this morning she would just collapse if I did not hold her full weight. She did potty but did while lying down. Yesterday, she squatted with her tail up, to potty with assistance. She has not pooped yet today. When we went in for the enima the Vet seemed concerned that we were not making her walk more and thought she should be walking by now. I feel confused and am wanting to get another Vets opinion, but concerned on where to go. I want to do what is right for my Sophie and not do further damage to her. Looking for direction and advice. Thank you.
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Post by Cindy & Sophie on Mar 26, 2013 12:52:15 GMT -7
Forgot to tell you this, I ordered the literature and I am doing everything that you said to do in your post! 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 26, 2013 12:59:07 GMT -7
Cindy your vet does not feel comfortable in treating disc disease. See if you can get an appointment today with other who does know IVDD. This information will help you in selecting a vet: www.dodgerslist.com/literature/VetchkList.htm Most DVMs in a general practice see many different species- hampsters, cats, all breeds of dogs, reptiles, birds, maybe even farm animals. They practice many specialties in the course of a day: pediatrics, dentistry, surgery, internal medicine. Is it surprising, that keeping current and indepth knowledge of each and every disease for every species is probably not likely? However YOU can easily become a mini-expert on one very-important-to-you disease... Sophie is depending on your reading skills. This page will give you an overview of the entire healing process of each of the phases of healing, the meds, how long, etc. www.dodgerslist.com/literature/healingpage.htm#painShe shivers at potty time because she is being moved and it is painful. Neck movements are painful. She is being under medicated for pain. On the taper of pred is the time to assess for pain. Pain = swelling = more time on the original anti-inflammatory dose it needed. Today is the begin of taper and she IS in pain. Please help us by using exact names of meds..... stool softner. Since she is leaking liquid from her anus, that could mean not to use the softner any more! Potty while lying down can be suspicious of loss of bladder control. YOu will need to put on your detective hat. Any leaks on you when lifted (lack of bladder control) Any leaks in bedding (lack of bladder control) At potty time you MUST use a sling to support her rear, keep her spine aligned and butt from tipping over. If she sniffs, attempts in any way to squat and the releases urine that is bladder control. I would avoid enema's because they cause the animal to move it's back. A great big NO, NO with a current disc episode. Please understand the critical nature of reducing all back movement if you intend to give Sophie any chance to recover the neruo functions that have diminished (knuckling paws, loss of leg movement)
As damage to the spinal cord increases, there is a predictable stepwise deterioration of functions. When nerve healing begins, often it follows the reverse order. 1. Pain caused by the tearing disc & inflammation in the spinal cord 2. Wobbly walking, legs cross 3. Nails scuffing floor 4. Paws knuckle 5. Legs do not work (paralysis, dog is down) 6. --->?Bladder control is lost 7. Tail wagging with joy is lost 8. Deep pain sensation, the last neuro function, a critical indicator for successful surgery. Surgery can still be successful in the window of 12/24 hours after loss of deep pain sensation. Even after that window of time, there can still be a good outcome. Each hour that passes decreases that chance. Precious hours can be lost with a vet that gets DPS wrong. So if surgery is an option get to a neuro or ortho asap. Believe me things will go much better when you know this disease through your readings and have the ability to question suggestions, advocate with strength to get pain under control. Once pain is under control then Sophie can heal in comfort...have no patience with pain. When the meds have been prescribed properly pain will be in control in 1 hour and there after dose to dose of the pain meds. Advocate to get the pain meds and back on the full dose of Pred asap today hopefully with a new vet. Again here are the med used with a disc episode: www.dodgerslist.com/literature/cervical.htm#painGive Sophie a big kiss and tell her everything is going to be ok... because it is. Tell her you are now getting up to speed asap, getting a new vet to help with the pain today asap. Let us know how everything goes....we are fully behind you.
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Post by Cindy & Sophie on Mar 26, 2013 14:24:16 GMT -7
We are taking her to the VCA Aurora Animal Hospital ER tonight as soon as my husband gets home. Thank you for all the information. I pray that she will be okay !
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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 26, 2013 15:08:50 GMT -7
All of the vets are general DVM's as opposed to board certified neuro (ACVIM) or ortho (ACVS) specialists if I have the right Aurora Hospital www.vcahospitals.com/aurora/our-team/veterinarians There are a good many DVM veterinarians in this country who do know IVDD... finding one is our job. By doing your own reading, making your own notes, your own list of questions, you OWN the future conversations with a vet. Your vet will understand why you are hiring them, what your financial situation is re: treatments, surgery, etc. You become the captain of the health care team. So naturally you will want to be an integral part of making decisions and work closely with the vet you have hired. Dr. Nancy Kay, DVM, ACVIM highly recommends this kind of relationship with your vet and it is especially the case with IVDD: "Gone are the days when you simply followed your vet's orders and asked few, if any questions. The vet is now a member of your dog's health-care team, and you get to be the team captain!" www.speakingforspot.com/PDF/Medical%20Advocacy%20101.pdfOur treasure trove of IVDD information is here: www.dodgerslist.com/literature.htmWhen you can let us know the details of the ER visit.
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Post by Cindy & Sophie on Mar 26, 2013 15:42:28 GMT -7
We are in Illinois. Thank you for the information. I will let you know how the visit goes.
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Post by Linda Stowe on Mar 26, 2013 19:08:26 GMT -7
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Post by Cindy & Sophie on Mar 27, 2013 16:10:28 GMT -7
The visit to the ER was not one of the best experiences. The tech did most of the examination and carried on a nice conversation with us. The Dr. seemed to be totally focused on surgery and really did not want to have any other conversation. I asked about other treatment plans and she basically said that they would not work. I asked about cost and she left the room came back with, what I felt, was an exorbitant amount. Don't know maybe I am way out of the loop of surgical cost for a dog. Wanted to keep Sophie and do surgery today. I felt as if I was being pressured to do something I was not at all comfortable with, so I declined, paid the fee and brought Sophie home. The only positive is that she did give Sophie medicine to manage the pain. She is on Tramadol 1/2 tablet every 6 to 8 hours for 7 days.
Visited my regular Vet today to have a conversation about how I would like to proceed at this time. We have decided to remain with the conservative route, for now, He told me Pepcid was okay for her to take, put the prednisone back up to 2 tablets a day and he remains on a 1/4 tablet of the muscle relaxer, methocarbamol 3X per day. And the stool softner. We are also in deciding on the laser therapy.
I have studied your website and feel empowered to be a good advocate for Sophie. She is on strict crate rest 24/7. She pooped outside today. Her tail is wagging. Her eyes are engaging. She still has deep tissue pain. She is eating and drinking good. She does not seem to be in pain with medication regime she is currently on. She still needs assistance to stand and only stands with assistance to potty.
Sophie and I thank you so much for your support and continued support. I have learned so much in the last two days.
The only question I have right now is what is the average cost of surgery?
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Post by Nancy & Polly on Mar 27, 2013 16:33:57 GMT -7
I know we were quoted about $8,000.00. The actual bill came in at a little over $6,000.00. The estimate allowed for a number of things to go wrong, that fortunately did not. I'm in Seattle. I believe it's a little cheaper in other parts of the country. We've had a good outcome, but I live in constant fear of it happening again, because we can't afford another surgery.
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Post by Pauliana on Mar 27, 2013 19:38:44 GMT -7
Costs vary widely around the US.. When Tyler was being evaluated at Purdue University Teaching Hospital, in West Lafayette, Indiana, they quoted us up to $2700 for the surgery including the CT scan, but the bill came to just under $2000. Thankfully that was what we were allowed on Care Credit and they were kind enough to stay within that for us.. We were both former employees at Purdue, the employee discount they gave us helped us a lot. Tyler got the best of care, around the clock, since they are open 24/7. His Neuro vet called us with updates 3 times a day.. and Tyler's student intern also kept us posted on how he was doing..
Pauliana
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Post by Nancy & Polly on Mar 27, 2013 23:06:38 GMT -7
Wow, that is a huge difference.
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Post by Cindy & Sophie on Mar 28, 2013 4:31:19 GMT -7
Pauliana,
Thank you for the info. May I ask what the cost was before your employee discount and get the Purdue contact info from you. I am trying to figure out what I can afford and to make sure that I am spending what I have wisely.
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Post by Cindy & Sophie on Mar 28, 2013 4:38:50 GMT -7
Soooo, I guess the next question is: How much is the average cost of a MRI?
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Post by Linda Stowe on Mar 28, 2013 7:33:29 GMT -7
Surgeries at vet teaching hospitals are normally cheaper. VCA Hospitals are generally higher on all costs I've found. The University of Illinois in Champaign-Urbana does these surgeries also. Two of mine have had surgery there. Now that being said, the U of I does not have a neuro on staff. They have boarded ortho surgeons. Generally, too at the teaching hospitals the last year residents do the surgeries. There are also good surgeons in the Chicago area. Just as the surgery costs vary, the MRI's do too. They are not cheap and I would guess probably 1/3 the cost of the total surgery price.
Sophie seems to be doing very well on conservative so far, so unless she looses more neuro functions, I would stay with it although if surgery is an option for you, it certainly doesn't hurt to know where you would want to head in case of an emergency.
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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 7:49:38 GMT -7
Advanced imaging (MRI, CT and myelograms) can run about $1000+ These types of pictures are how the board certified neuro plans out the surgical procedure. The cost of the surgery would then include the procedures, the Image, the number of days of stay and any PT they may do. Prices range widely around the USA from $2500 to $8000+ The higher costs are in the Eastern states such as New York, etc. and out west, California. So it may be worth your while to check with adjacent states at either University veterinary hospitals or private hospitals. The important thing is finding a board certified neuro (ACVIM) or ortho (ACVS) to do this most delicate of surgeries. Board-certified neuros (ACVIM) and ortho (ACVS) surgical specialists can be found at University vet teaching hospitals. You can locate others in your area here: www.acvim.orgwww.acvs.org/AnimalOwners/DiplomateDirectory/Look into Care Credit now just in case things go into crisis mode and surgery is needed. It is best to know all your options, financially and where surgery would be done, ahead of time. No or low interest credit for veterinary costs can be obtained from Care Credit. You find out online if you qualify: www.carecredit.com/faqs.htmlHere are some reported costs by our members: Animal Emergency Referral Center, Northbrook, Illinois 60062 $4,000; 3/23/09 Approximately $100 in medications Skilled surgeon and good care. Hospital is extremely busy - face/phone time with doctors limited.
University of Illinois Teaching Hospital, Urbana, Il $3000 10/18/12 Left side hemilaminectomy - 1 disk 2 day stay and rehab
Veterinary Specialty Center Buffalo Grove Illinois 60089 $5,100 12/11 MRI, One day ICU, surgery, two days postop excellent compassionate care, 24 hour support
University of Missouri-Columbia Veterinary Medical Teaching Hospital , Columbia, MO 65211 $3,148.95 / 7/20/12 - 8/4/12 Right sided hemilaminectomy at L1-L2 & L2-L3; 2 weeks hospitalization; etc.
Eastern Iowa Veterinary Specialty Center, Cedar Rapids, IA 52404 01/20/12, $3700 surgery, meds, sling, 4-day stay local cost for laser therapy is $23 per session; acupuncture $40
University of Tennessee, Knoxville, TN Maximum $4,000.00/April 2012 MRI, overnight stays, medication University of Tennessee Vet Hospital, www.vet.utk.edu/cs/index.php Knoxville, TN 865-974-8387 3/2/2011 $3400 including 3 day stay, CT & myelogram excellent care, accept CareCredit www.carecredit.com/
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Post by Cindy & Sophie on Mar 28, 2013 18:35:46 GMT -7
Sophie had a good day today has urinated three times outside and has pooped outside once this morning. She is standing better and is attempting to use her right legs and feet when she walks. She is by no means walking on her own, yet. But Little improvements...giving us hope for her recovery. It was a beautiful day and she enjoyed sitting outside in her crate for a while. Her sniffer was working overtime. She noticed the birds, rabbits, a chipmunk and the children next to us, who she does not like at all and proceeded to give them a bark, which was nice to hear. She is very vocal and since she got sick we have not heard her bark, it was music to my ears. Her sniffer was working overtime. Her appetite is good and made it know from her crate that she would really like some of our dinner, too! If you were to see her in her crate you would think nothing was wrong with her, until she would try to move. It was so nice to have a good day!
Her meds have not changed. We are going to start Laser Therapy next week. And I am learning the massage/exercises 1-4 only, on your page and hope to begin them, too.
Thank you so much for all the info on surgery/cost/location. I am blessed and thankful to have found Dodgerlist. And I pray things continue in the positive direction for Sophie.
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Post by Pauliana on Mar 28, 2013 18:49:08 GMT -7
Cindy,
I will go find my bill from Purdue and be back with info for you...
Pauliana
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Post by Pauliana on Mar 28, 2013 19:12:27 GMT -7
I'm back..
It looks like they gave us about a 10% discount. The cost without discount was $2175.50.. He had one herniated disc..Instead of a MRI he had a CT scan..The charge for the CT scan without contrast- 40 images was $450.. That as well as ER admission and hospital stay for two days and medications was included in the total price.
Costs also depend on what they find on the MRI or CT scan.. How involved the disc problem is.. and other variables. The best thing to do is call them and see if they would give you a ballpark figure.. A proper estimate would be made after Sophie was examined..
Purdue Veterinary Teaching Hospital 625 Harrison Street, West Lafayette, Indiana 47907
Small Animal Hospital 765-494-1107 Animal Emergency Service 765-496-7911
Very happy to read that Sophie had a great day. Fingers crossed for her complete recovery without surgery.. Pauliana
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Post by Cindy & Sophie on Mar 29, 2013 12:27:43 GMT -7
Thank you so much for the info. and the willingness to share Pauliana. I appreciate it very much.
Sophie hates being in the crate and now that she has found her voice she is barking her opinion. I believe that she is getting a little better. She is using her back right leg and squatting in her normal position to urinate and poop. Her front right leg seems to be the major issue, although she is starting to put weight on it and is trying to move it when she walks. Her little paw still folds under though.
Another beautiful day, so we will be spending time in her crate out in the backyard, she loves being in the sunbeams!
Thanks again for your answers and support! Don't know what I would be doing if I had not found Dodgerslist.
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Post by Cindy & Sophie on Apr 1, 2013 4:10:51 GMT -7
Have a quick question: Sophie is spoiled and never really has spent time in her crate. To say the least she does not like it and growls, whines and barks all night. As I sit here and type she is barking1 Is there something that she could take to calm her down so she would sleep and then we could sleep? I gave up and got up with Sophie at 4:30am. She is an early riser She had breakfast and took her meds. went out to potty and actually took steps on her own, squatted on her own and did her business. Used her r ight front leg and did not knuckle , either! So , she is making small improvements. Her meds. are all the same, other than she ▼decreased pred to one tablet 5mg per day.
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Post by natureluva on Apr 1, 2013 6:50:11 GMT -7
Hi Cindy, keeping our pups happy while on strict crate rest is challenging. You could invest in a pet stroller. I used one during and after crate rest and it was a Godsend! I was able to roll my dog right up next to me while I watched tv. I could easily pat her through a gap in the zipper. My dog enjoyed being elevated. He could see so much more around him. It was easier to pick him up out of a stroller too. When he was off all meds, I took him on stroller rides on smooth surfaces in quiet areas. You would be amazed at how much mental stimulation dogs get on stroller rides! They "feel" like they're walking. And if Sophie is more of a couch potato pup, she may even fall asleep on her stroller rides. Only thing is, you can't leave your pup unattended in a stroller. If you are interested in a stroller, here is a link to help you: dodgerslist.com/literature/strollers.htm During the evening, you could put her crate on a sturdy nightstand next to your bed so she is close to you while you sleep. I actually put my dog's crate right on my bed, since one side of it is against a wall, there was no way the crate could fall. If she is too rambunctious in the crate, you could ask your vet if you could give plain Benadryl and ask for a dosage amount. You could also try herbal calmers such as Composure Soft Chews, along with a pheromone spray. Here are some dvds to keep our pups entertained and to calm them while we're gone: petsittervideos.com/ and www.petmusic.com/ You're doing a great job with Sophie! We look forward to your next update. Best wishes, ~Lisa
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Post by Cindy & Sophie on Apr 1, 2013 13:00:08 GMT -7
Carried her out to potty this afternoon and she stood, took a couple of steps with no knuckling and did her business all on her own today!! Woohoo, for Sophie I am so proud of her! She has her first laser therapy appointment tomorrow at 830am
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Post by Pauliana on Apr 1, 2013 13:40:59 GMT -7
Hi Cindy, Lisa gave you some great suggestions.. Perhaps some of those ideas may help. Dogs really know how to make their displeasure known. I know it's hard when they are growling and barking to not run to them right that moment to make them stop but the best thing to do is give them a reward when they are NOT making noise to train them away from that behavior. Do you have a towel or light blanket over the back part of the crate? This gives it a den like feel and might make her feel more relaxed. So happy to hear that Sophie is making some great improvements! The Laser treatments should help a lot. Please let us know how her Laser appointment goes! Pauliana
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Post by Cindy & Sophie on Apr 3, 2013 7:06:56 GMT -7
Sophie did a good job at the Vets for her Laser Therapy, although she was tired when we got home. Don't know if that is from the treatment or the anxiety of being at the Vet or a little of both. Lisa, the Composure chews are a life saver First night of good rest for everyone, since this has begun! Thank you, Thank you!!! Today is last day of methocarbamol (muscle relaxers)and Tramadol. She is on 5mg of Prednisone, Pepcid and still using the stool softner. She is progressing When I carry her out to potty, she stands, walks and potties on her own and if I would let her, she would wonder around the yard for a while. She is busy barking and wagging her tail! So thankful.....have a blessed day Cindy
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Post by lmingras on Apr 3, 2013 10:09:53 GMT -7
Hi Cindy. I second the suggestion of a pet stroller if you feel like Sophie needs to get out of her crate. I live in a high rise so it's much easier for me to take my dog in the stroller down so i don't have to carry him the whole way. We end up going for more walks too because he just loves sitting in it watching everything go by. I didn't think he would like it much but I was pleasantly surprised. Some can be pretty expensive but I ended up getting mine for 40 bucks on ebay with free shipping. Also as far as MRI's, my dog had one last year because I took him to the neuro and she made it sound like it wasn't an option whether he should have one or not...ended up costing me over $3,000 and they just found that the disc was herniated at about 20%. We put him on crate rest for 8 weeks and he was fine afterwards. The neuro wanted to initially do the surgery but it was going to cost $8,000 and we definitely couldn't afford it, so we went for conservative. Sometimes the surgeons think more along the lines of surgery all the time when conservative treatment can do the trick. It sounds like Sophie is doing better every day which is great!
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Post by natureluva on Apr 5, 2013 6:27:03 GMT -7
Hi Cindy, glad the Composure is working for Sophie!! It is amazing stuff. How is she feeling now that she is off of the pain meds? Are you noticing any pain? Have you started tapering the steroid yet? Sometimes, when tapering the steroid, pain can return. If this happens, notify your vet and they may prescribe a longer course of steroid. Signs of pain are panting, trembling/shaking, a tight-feeling tummy (like a drum), lack of appetite, reluctance to move, and yelping.
You're doing great. Just continue with the strict crate rest so her disc can fully heal! Please update us when you can. Best wishes, ~Lisa
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Post by Cindy & Sophie on Apr 5, 2013 7:23:11 GMT -7
We hit the two week mark today, since this all began. Sophie is doing good! She went to her 2nd laser treatment yesterday, they seem to be helping She has started to walking and would run if I would let her. She is barking her entrance to the backyard when I carry her out to potty. She exhibits no pain Woohoo! for six more weeks! We pray that she continues to heal and regain her "Sophie". She is on 5mg of Prednisone for 1 more week and then we go to every other day, pepcid and we are still using the stool softener. Thanks for all the support! Have a great weekend!
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Post by Cindy & Sophie on Apr 9, 2013 8:31:57 GMT -7
Sophie has been doing Laser Treatments for a week, now. I believe they are helping She walks a little better each new day! She has also started exhibiting quite a bit of her normal personality, which is wonderful and gives us hope for her complete recovery! Her meds are the same and will not change until this Friday the 12th, the 3 week mark, when she will go to 5mg prednisone every other day. Thank you for the support, this forum has been good therapy for this doggy momma:)
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