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Post by Jaime & Sammy on Jul 31, 2014 9:25:31 GMT -7
Hi all,
I have been reading everything I can on the internet to find someone with a situation like mine, and while certain people have bits and pieces, obviously no one's dog is 100% like mine. I am TRYING to be hopeful, but these past 2 weeks have been really tough!
To start off, we have an almost six year-old doxie named Sammy. He was such an active, strong little guy (well not so little--he's NOT a mini, and he weighs 19 pounds but it's all muscle from his daily 2-3 mile walks). One night, he was rolling over, playing with us as he normally does--and the next morning, he wasn't himself. He didn't present any outward signs that he was in pain, but he was almost disinterested in seeing us, which is not his typical morning behavior. Sammy lives with my parents and has become my mom's "baby"--but he will always be mine as well, since i bought him and have been in his life prior to moving out of my parents house. I bought a townhouse, which did not have a yard, and Sammy was already comfortable living at their house with their huge backyard that he could run in---he also formed quite an attachment to my mom. This particular Sunday (7/20/14), we came home later in the evening to see him somewhat limping. Earlier in the day, he seemed hesitant to go up the porch steps. All of these were warning signs to me--especially when he went to lay on his side and seemed unable to get back up! Then we sat him up, and he couldn't walk or move his back legs..he just dragged them behind him. We immediately rushed him to an emergency hospital, as it was around 9 pm on a Sunday evening and our vet was closed. They took awhile to see him, but when they did, they confirmed he had DPS in his back paws/legs and assured us it was a good sign. They then recommended another animal hospital to keep him overnight and do an MRI the next day, with possible surgery. We then rushed him there around 11 pm, where they admitted him and kept him overnight. I must say, Sammy is an ANXIOUS dog and has always been that way, especially when separated from my mom. He has always howled and cried in the car, but at this point, besides some panting, he was good on both car rides over. The nurses at the 2nd place told us he still had DPS, and they kept him overnight.
All day Monday I waited for the call, which eventually came and confirmed his MRI had ruptured discs. They sent him into surgery, and we waited for the next call to hopefully tell us he came out of it ok. He did, thank god. BUT, after surgery and the sedatives wearing off, Sammy became a nervous patient and would cry and try moving if/when anyone came near him, including the neurosurgeon who wanted to check his DPS! Due to him already crying when the test was performed, the surgeon gave us a prognosis that he no longer had DPS and his chances of walking had gone from 80% down to 50-80%. This devastated us, as we rushed him to both places as soon as he went down, and he had DPS the night before, and supposedly prior to surgery! And obviously boarding him there and having all of that done was NOT cheap.
I know all of that was very lengthy, and sadly, that is not the issue for us anymore. We brought Sammy home 2 days post surgery due to his anxiety and our belief that he would be more comfortable at home (he was!) Besides pulling his catheter out a day before it was to be removed, we thought all was well. We watched all the videos we could on expressing, and while I still can't get the hang of it, both my mom and boyfriend have been able to (we also made one trip to our local vet to have him show us how to do it). We thought our little man was coming around, because his appetite was voracious and he was drinking a lot of water due to being on prednisone and tramadol. While he was having a lot of dribbles and leakage in between expressing, we dealt with it the best we could and kept on trying to express him. The suddenly this past Tuesday (7/29/14), he stopped leaking overnight and having dribbles! we thought MAYBE this was a sign he was getting some control of his bladder back...little did we know that yesterday, he would seem great in the morning (eating, trying to move, etc) but after coming home a few hours later, he would NOT be expressed, howled/cried and then started shaking. We rushed him to the local vet, where they completely emptied his bladder (and bowels) and told us it was VERY full. So apparently we were not expressing him fully enough, even though we tried for 15 minutes at a time prior to this and got several "spurts" out onto pee pads. We had an appointment back at the emergency hospital that his surgery was done at to get his staples removed later in the afternoon, so the vet tech at the vet had us ask our questions to them instead of the vet about his bladder (do they not want to step on any toes?) He was still shaking, but the vet tech said it could be from his spinal pain, or even anxiety at being brought in. We went with that---until we got him back home and he dranks lots of water and promptly threw it all up (it looked like a lot of saliva, mixed with water and bits of food). He did that twice. Then, we loaded him back in the car for the staples appointment, and not only was he still shaking, but he threw up more on the ride there.
They took him, assessed him and told us they suspected a UTI and sent us home with amoxycillin. He did have a fever and continued to do so after taking him home, but we had hopes the antibiotic would kick in. Due to cost, he didn't have the urine cultured yet nor bloodwork since the surgeon knew we were already thousands in debt. Last night, he drank some water and slept through the night, but his pee pad was bone dry this morning when we woke him up (we were unable to express him before bed). We got some urine out of him this morning, but it was darker (some blood) and smelled. We hoped maybe by lunchtime he'd show some improvement (after his second dose of the antibiotic) but my mom has just confirmed his pad is soaked in urine with lots of blood. He did eat this morning, so he had his appetite back (which he had lost yesterday prior to all this), but he still feels fevered, and clearly the blood is a bad sign. I am going to bring him back to the animal hospital/surgeon, but it scares me because 1) he doesn't do well staying there, 2) i don't have an endless amount of money to keep paying for his stays/appointments/medicines, even though i love him with all of my heart, and 3) I'm missing work again to take him there and I worry about losing my job. My mom is his primary caretaker, but we have been staying with her while my dad is away this week and helping her throughout this. She has become VERY stressed and emotional, unsure as to whether she can "deal with this for the rest of his life" and sometimes in her bouts of crying, mentions that maybe we should put him down. I KNOW that UTI's are common when a dog loses his bladder control after the surgery, but is a fever common with that? The surgeon acted like it wasn't a common symptom, and it worries me. I KNOW that if we could just get through this hurdle of expressing him and getting his UTI under control (unless it's something more serious--i am hoping an xray and bloodwork shows something), that he could live a happy life even if he does never regain use of his back legs. I just HAVE to keep my mom on board, because every night that he is not 'better' she accuses me of keeping him in pain and saying she wants to do what is best for him and put him down--and I KNOW she loves him just as much as I do! I am at my emotional limit..I live in constant fear and worry for him, and it was so much easier a few days ago when he seemed himself. If this UTI/symptoms will pass, then I will do whatever it takes to get through this...but I just need some advice/encouragement. Will the antibiotics kick in? Will his fever break or is 24 hours too long (when he's had 2 doses of the amoxycillin)? HELP!
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Post by Sandra & Rudy on Jul 31, 2014 14:01:41 GMT -7
Hi Jaimie, I'm not a vet or anything near an expert but I have a dachshund, Rudy, who just had surgery on July 12 for a ruptured disc. He had no DPS going into surgery and had a 50/50 chance of getting feeling back. Surgery went well but post-surgery, like your Sammy, Rudy developed a bladder infection and had to go on antibiotics. We had him at home at this time and he was leaking everywhere and his urine smelt like nothing else on this earth. Within 24 hours, the infection seemed to be under control and everything got a little bit better. Sammy is dealing with a lot right now between the UTI, pain, and the medications he is on. It sounds like Sammy is still in pain and the medication can be really hard on his stomach. Someone will be online shortly to help you get everything sorted out. One of the things you can do right now is respond to some important questions about medications etc so that the moderators can provide you with advice and support as soon as they see your post. You can find the questions here - dodgerslist.boards.net/thread/28/introduce-dog-quickest-help. Get these questions answered as soon as possible. I know that someone will be online shortly that can give you the help you need to get Sammy on the road to recovery. Here is some important information on pain and medication - dodgerslist.boards.net/thread/77/dog-pain The experts on this site will be able to provide you with more info once they know exactly what Sammy is on. A question... do you have Sammy crated at your mother's house? He needs to be kept as still as possible at this point. A thought. Since this is difficult for your mom right now, would it be possible for you to take Sammy to your townhouse to look after him until you get Sammy's bladder infection and pain management under control? Being somewhere calm and quiet would help him in his recovery. I struggled with expressing Rudy's bladder, too so fully understand what you are going through. I finally found a method where I could express him while he was lying on his side. I'll send the link to the video that helped me in another message. Sending you and Sammy lots of positive thoughts, Sandra
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Post by Pat & Lucky on Jul 31, 2014 19:20:15 GMT -7
I am new to dogerslist as my Dachshund Lucky also had back surgery first of June. I just want to encourage you and tell you to keep on trying to empty his bladder. It took me a couple of weeks but now I've finally got it and he stays dry all night and during the day. His surgeon prescribed a medicine that helped relax his bladder so it made it easier for me to learn. I now can do it quite easily but it does take patience and practice. I too, am just learning how to care for him so not one to give advice but want you to know you're not alone and I will be keeping you and Sammy in my thoughts.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,611
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Post by PaulaM on Jul 31, 2014 19:43:10 GMT -7
Sandra has giving you some good suggestions. We do need to have answers to the questions so we can best help. Since he needs to be expressed, and he needs a person with him who has positive energy, can-do attitude it would be better if you can care for him at your house. Is that possible? Don't give up as Pat says, expressing is a practice thing that you CAN learn. Amoxycillin may not be the correct match for the bacteria. Usually in 24-48 hours if the antibiotic is the right match you'd begin to see changes to the positive. The fever, the blood in the urine is something to follow up with the vet asap and not delay. The concern with UTIs is that they do NOT move upwards to the kidneys and become life threatening.. Sammy got the UTI because his bladder was not correctly being expressed and it also could have been due to the catheter too. Expressing the bladder is a learning thing, a practice thing. You can also express for poop. Don't be hesitant to go back to the vet and express there and have the vet tech check your work..they should not charge for that...ask up front if they would charge. Re-review this video and the tips. www.dodgerslist.com/literature/Expressing.htmPlease fill us in on these very important questions: -- Is there still currently any hint of pain - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? -- If not on any meds, Sammy needs to be expressed every 3-4 hours. Was that being done? The learning part is to be able to feel the shape of the bladder so that at each session you can be assured the bladder is empty. When you can feel the fingers of your other hand, the bladder is flat, is empty. Could you, your mom feel the bladder when it was flat? -- Would you give us a list of exact med names currently given, their doses in mg's and frequencies? -- Eating and drinking OK? How are poops today- normal color and firmness, no dark or bright red blood? -- Currently can your Sammy move the legs at all? or wag the tail when you specifically do some happy talk? -- What directives did the surgeon give for crate rest and for at home massage and range of motion? -- 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.
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Post by Jaime & Sammy on Aug 1, 2014 6:58:15 GMT -7
Hi all, Thank you SO much for responding and being so understanding! I am happy to report that today is much better--for all of us! Sammy's fever seems to have gone away, and last night, he slept well and we were able to express him before bedtime (and again this morning!) We filled the prescriptions for diazepam and prozasin (sorry if I am not spelling that correctly) for his bladder issues, and I must say, he was a lot easier to express after his first dose! I don't think we like the diazepam though--it made him really tired (so tired in fact, that his third eyelids came out, which is creepy but I know it is part of the sedative affect). In any case, here is my new question. Sammy has been eating, drinking, and much easier to express, as I mentioned. His shaking is gone, his fever is gone (or at least down to the point where he no longer feels hot to the touch), and he was actually playing with a toy this morning like he used to. We are keeping him on strict crate rest, only removing him to potty, either on a pee pad or outside. I noticed yesterday that his eyes were getting runny though. He has always been sensitive to allergies, but the past few months his eyes haven't been runny or goopy. I am wondering if perhaps this is a side effect of the new meds? Last night I noticed his eyes looked a little red too, but I thought it was the diazpam. Today, his eyes seemed better but still watery and one is a little reddish. Should I call the vet and ask? or has anyone had this experience? Besides that, he seems fine! I decided to have the urine cultured so I can make sure we have him on the right antibiotic (amoxicillin), and hopefully the prozasin continues to make his bladder relaxed and makes expressing easier on us all. I know it may sound like I am worried about silly things, but this has all been such a trying experience, I want to make sure I am doing everything right!! as for the questions, I will gladly take him home with me to make sure my mom isn't stressed and emotional. Right now though, seeing him turn the corner with the infection/fever has made her spirits so much better! So i don't think I need to worry about that anymore either. He still has no real movement in his tail or hind legs, but at times, he does turn his head like he knows we are touching them. The neuro did say when he took his staples out that his pain progression has surpassed where it was post-surgery (down his back, towards his tail) so that was a plus. We still have hope! I am going to look into hydrotherapy and perhaps laser or acupuncture if I can. Thank you all SO much for all of your help and encouragement! If anyone can fill me in on the eye situation, it would be much appreciated. I also just want to say that I appreciate knowing we are not alone with the expressing! it has only been 2 weeks, and I know no one is a pro overnight! It's nice knowing I WILL get the hang of it, just like all of you have!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,611
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Post by PaulaM on Aug 1, 2014 8:48:24 GMT -7
Jamie, so glad to hear things are moving in a more positive direction for your mom, for expressing, for fever and pain. Is he only on Amoxycillin, diazepam and prozasin? How often do you guys express... every 3 hours or ??? Do you have a rectal thermometer. Feeling if a dog is hot is not accurate (normal rectal temperature is 100.5 to 102.5 degrees Fahrenheit) You should report the red eye to the vet. Let us know what he says. Knowledge is the best defense in fighting and winning with the disease Sammy was born with. So you and your mom are savvy this page is a wonderful place to get a good overview of each of the phases of healing: www.dodgerslist.com/literature/healingpage.htm Hope to hear you will be able to follow each of the informative FULL ARTICLE links and complete your readings in the next couple of days. This "Disc Disease" DVD is a wonderful way to help other family members and friends understand and even others who might be around or taking care of Sammy: www.dodgerslist.com/store/DVDorder.htm
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Post by Jaime & Sammy on Aug 1, 2014 9:42:22 GMT -7
Thank you so much Paula! I will be reading the articles and getting the DVD this weekend.
He is on Amoxycillin, diazepam and prozasin, along with prednisone. We were told to discontinue his tramadol. Like I mentioned before, unless we absolutely need it, we will not be using the diazepam.
I do have a rectal thermometer, and I will be heading home in a few to take his temperature and assess his eyes. If they are still the same, I will be calling the vet to see what they can say, and I will report back.
We express him more often than that lately--we try every 2 hours, IF we see that he has some leaking or overflow. Otherwise, yes, it is every 3-4 hours. We have also been crazy people and get up in the middle of the night (around 2-3 am) to check him and make sure he isn't leaking and express him then if need be--but usually (and I don't know if anyone else has a doxie like this) he is dry and he doesn't want to be disturbed! His bedtime is around 9 or 10 pm and if you try and wake him up, he becomes cranky LOL. But we are doing all we can to make sure he is expressed often and fully. I also now have a contact at our local vet that will come to the house if we need help expressing, which is a godsend. As of today, we haven't had to call her yet!
I will report back when I have more information. Again, thank you so much!!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,611
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Post by PaulaM on Aug 1, 2014 10:48:43 GMT -7
Since he is on pred, yes, you are correct to be expressing every 2-3 hours. Once off of Pred expressing can likely go to every 4-6 hours during the day light hours, maybe even every 8. During the dark hours the body produces less urine. So you might set your alarm to check him mid way for expressing and maybe he can sleep the night without leaking. What dose of Pred does he get: ?mg, ?x/day? Cortisteroids (Prednisone, Prednisolone, Dexamethasone, etc.) are involved with stimulating gastric acid secretion causing GI upset to the more threatening bleeding ulcers or holes in the stomach or intestine. Phrase the question to your vet in this particular way: "is there any medical reason my dog may not 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. This directory very good for learning about each of your dog's meds: www.marvistavet.com/html/pharmacy_center.htm
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