Jill & Reese
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m- Dachshund Quadraparesis
Posts: 27
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Post by Jill & Reese on Dec 16, 2016 10:51:59 GMT -7
Are there any suggestions for a good bed for the recovery "suites"?
Thank you!
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Post by John & Marley on Dec 16, 2016 11:50:38 GMT -7
Depending on the size of the dog and the suite size, I have been using fleece , inexpensive fleece throws from Walmart and Ikea, they are like 4' x4' and I fold them up and lay them in side his crate. Laying two to three of them on top of each other - I check the thickness too make sure its not too padded so he doesnt twist his back from being uneven. The first time my guy went down I watched him trying to maneuver in his bed and lifting a leg made him hurt, So I prefer a flat uniform surface and in one end I roll up and fleece blanky and let him use it as a head rest if he needs.
The big plus with using the fleece is if he has a accident - the Whole bed isnt wet , just the top layer or two and a quick wash and only minutes in the dryer... as well as much cheaper than a bed- 3 - 4 fleece throws may cost uner $15.00
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PaulaM
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Post by PaulaM on Dec 17, 2016 9:01:35 GMT -7
jdiorio, could you tell us something about your dog. We would feel just aweful giving comment before we know all the details surrounding a disc episode that something crtical was not first discussed. Fill us in on the questions that are pertinent to your pup. ★1 What breed? What is your dog’s name? Your name, too? ★2 Did you specifically get a diagnosis of IVDD, aka: a disc problem, a disc herniation, a bulging disc, slipped disc? -- Is the vet a general DVM or a specialist surgeon (ACVIM neurology or ACVS ortho)? ★3 What was the date you saw the vet for conservative treatment or date of surgery? The hallmark component of conservative treatment is the crate rest part. With little blood supply discs are much slower to form good scar tissue than it takes a blood rich broken bone to heal. That 6 weeks of a cast for a broken arm to heal is similar to the recovery suite being a kind of cast for the disc. 100% STRICT crate rest 24/7 for 8 weeks provides limited movement to allow good strong scar tissue to form. Super tried and true tips for setting up the recovery suite: www.dodgerslist.com/literature/CrateRRP.htmSTRICT means: - no laps - no couches - no baths - no sleeping with you - no chiro therapy - no dragging or meandering at potty times. Carry to and from the recovery suite to the potty place and then allow a very few limited footsteps. Using a sling (long winter scarf, ace bandage, belt) will save your back and help to keep a wobbly dog's back aligned and butt from tipping over. A harness and 6 foot leash is to control speed and keep footsteps to minimum as you stand in one spot. An ex-pen in the grass is an excellent alternative to minimizing footsteps with the physical and visual to indicate there will be no sniff festing going on! ★4 Is there still currently pain - shivering, trembling, yelping when picked up or moved, reluctant to move much in crate such as shift positions or slow to move, tight tense tummy, can't find a comfortable position. Arched back. Holding front or back leg flamingo style not wanting to bear weight, head held high or nose to the ground. Not their normal perky selves? Full pain relief is expected in 1 hour and stays that way dose to dose. If not in control your vet needs to know asap to adjust meds. ★5 How much does your dog weigh? Please provide an accurate med list with doses in mgs and how many times a day you are actually giving if "as needed" or if a range was Rx'd. If the vet gave a range of mgs or x/day, let us know that too. Please include the all important stomach protector such as Pepcid AC when taking any anti-inflammatory med (steroid or NSAID). We follow vets who are proactive against not eating, vomit, diarrhea, bleeding ulcers by giving doxie weight dogs 5mg Pepcid (famotidine) 30 minutes before the anti-inflammatory. ★6 Eating and drinking OK? Poops OK - normal firmness & color -no dark or bright red blood? ★7 Currently can your dog wobbly walk? move the legs at all? or wag the tail when you specifically do some happy talk? ★8 Can your dog specifically sniff and squat and then release urine which is bladder control - OR- do you find wet bedding or leaks on you when lifted which are indication of an overflowing bladder and loss of control?
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Post by Julie & Perry on Dec 18, 2016 2:52:37 GMT -7
If you're using a pack and play, Groupon has a memory foam dog bed that fits inside perfectly. Let me know if you need more information I can get it.
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Jill & Reese
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m- Dachshund Quadraparesis
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Post by Jill & Reese on Dec 19, 2016 10:52:54 GMT -7
★1 What breed? What is your dog’s name? Your name, too? Dachshund, Reese and my name is Jill ★2 Did you specifically get a diagnosis of IVDD, aka: a disc problem, a disc herniation, a bulging disc, slipped disc? Disc herniation at cervical 2/3 and 4/5 -- Is the vet a general DVM? He's the neurologist at Tuft's Animal Hospital. The closest emergency hospital to us. Dominik Faissler - DVM, DECVN ★3 What was the date you saw the vet for conservative treatment or date of surgery? I came home from work to find Reese covered in urine, vomit and completely cold and limp. I did not suspect IVDD with him at first because he was completely fine, never had an incident. Numerous tests and obviously an MRI, confirmed the disc herniation's. He had 2 go at one. He still had pain sensation in his toes, he was down in all limbs. Surgery was performed on 12/14.
★4 Is there still currently pain? No pain they said. ★5 I do not have an exact weight right now. Around 14#
He is still not home yet. But this is what I know:
★6 He is eating fine. He is still on IV fluids. ★7 He cannot stand on his own yet, but close. He wags his tail a lot. and Can lift his head and look around. ★8 They just removed his catheter this morning in preparation of him coming home. We will learn how to express if him he needs it.
Thank you for the response. I've been lurking for a week, reading posts. I've answered as many of the questions that I can for not above. Thank you!
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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 19, 2016 12:01:23 GMT -7
Jill, thank you very much for giving us all the detail surrounding Reese. I will move Reese's thread over to the surgery board where we can better monitor his thread. Were the neck disc episodes on 2/3 and 4/5 treated with conservative treatment or surgery? Was this another neck disc or one in the back? No matter if there are multiple disc episodes, each can be overwhelming when they happen. And of course discharge day is full of excitement and a flurry of activity. Now is the time to jot down your concerns and questions . Here's a starter list of questions to which you can add some of your concerns to ask your surgeon: www.dodgerslist.com/literature/dischargequestions.htmThis page is good reading by Dr. Isaacs, ACVIM (neurology) as he explains many post-op questions for our IVDD community: meds, crate rest, PT and discharge day. www.dodgerslist.com/literature/surgery.htm#medsSee if there are any other things you can do to make post-op crate rest go smoother in addition to exactly how to set up/layer the memory foam mattress PLUS many other very useful tips and idea during crate rest: www.dodgerslist.com/literature/CrateRRP.htm and www.dodgerslist.com/literature/cratesupplies.htm
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Jill & Reese
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m- Dachshund Quadraparesis
Posts: 27
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Post by Jill & Reese on Dec 19, 2016 13:04:46 GMT -7
Both of the disc herniation's were cervical and treated with surgery. He has the vent slot incision on the front of his neck.
I am most worried about expressing him and not being able to do it on my own well enough to not cause him issues. I am hoping that he can go on his own. But whatever he needs, I will do for him. I have already inquired about ongoing PT and starting laser therapy at office suggestion by the emergency hospital.
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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 19, 2016 13:19:21 GMT -7
Jill, if bladder control has not returned, then just like most of us...you will get the hang of expressing at the end of a weeks worth of practice. It is a skill to learn what the bladder feels like with your fingers, how much pressure to apply and figuring out how often to express. Depending on which meds he is sent home on will affect how often. So that you can see you will be able to learn, go ahead and review the tips and video so you get more out of the hands on top of your hands expressing lesson if Reese needs your help in discharge day. Note you will also be able to express for poop! www.dodgerslist.com/literature/Expressing.htmAre all four legs weak/wobbly, or is it none of the legs move at all? The happy tail wag is important neuro function to return as the next will very likely be bladder control! 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. More info: www.dodgerslist.com/literature/healingnerves.htm
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Jill & Reese
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m- Dachshund Quadraparesis
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Post by Jill & Reese on Dec 19, 2016 14:07:26 GMT -7
As of this morning, he can almost stand on his own, and he is not sitting up. His front is stronger than his back at this point, but he is moving his legs well during PT and they feel as though he is stronger each day. When I visited with him yesterday (Sunday), he was actively stretching and moving his legs on his own, unprovoked much more than he had been on Saturday. He is barking for attention and he can lift/raise his head and look side to side.
Update - the nurse just called. He is peeing on his own. He doesn't need to be expressed! He is coming home tonight!
Thank you! Is there a way to be notified when there is a reply to a thread?
I think I typed and erased my first post so many times. I didn't have all of the information, and I was so overwhelmed. I knew all along this could be an issue for either of my boys at some point in their lives, but like so many thought it wouldn't affect us. No stairs, steps to the couch, healthy weight, active, routine chiro sessions, supplements. But, such is life. I just feel bad that I wasn't there for him when it happened.
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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 19, 2016 18:29:06 GMT -7
Jill, wonderful news on bladder control returning! You can bookmark Reese's thread so that you get an email whenever someone replies. 1. Go to your Profile> Profile Edit > Notifications: checkmark BOOKMARKS 2. Go to the XXX Board: checkmark your dog's thread, then use the ACTIONS button to select bookmark Can you explain more about the front legs. Is he able to rise up on the two front legs? Move the front legs at all? What does "he is not sitting up" mean exactly? What about the back legs (exclusive of any stretching), can he move them at all such to reposition in his crate, to try and scratch? Can he move himself upwards to try to get to a stand position or actually get into the stand position with the back legs? What kinds of PT is he doing.... water therapy? Under what circumstances do the legs move during PT? For any dog who was born with IVDD such as Reese or there is a suspicion he may be such as being genetically related to Reese, chiro is contraindicated. Drs. Isaacs & Galle, neuro specialists, have explained why this is so in this article: www.dodgerslist.com/literature/chiropractic.htm
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Jill & Reese
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Post by Jill & Reese on Dec 19, 2016 19:39:54 GMT -7
Reese is home now. We reviewed his paperwork and his PT. The PT is just ROM and passive stretching right now. So his joints do not get stiff from him laying down. And we stand him for a bit. Adjust his feet under him so he can get The feeling.
They put him in a harness under his arms so we could work w him and try to get him to potty. We successfully got him to pee outside on the sling. Yay!
He cannot stand or sit. His front legs are not strong enough to hold himself up yet. He moves his legs to stretch. They said he had adjusted himself side to side at the hospital. He has his neck supported w a rolled blanket. .
Up until this instance Reese never showed signs of any back or neck pain.
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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 20, 2016 9:26:26 GMT -7
Jill, that is very good news on additional confirmation of bladder control at your home! Reese is doing well and the shows real potential for there to be more nerve repair for the legs....all in time...have patience.
What medications was Reese sent home with if any? Neme of each, ? mgs for each dose and how many times/day to give?
For how many weeks does the surgeon want for crate rest. Some say 4 or 6 weeks and other depending on the dog might even say 8 weeks.
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Jill & Reese
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Post by Jill & Reese on Dec 20, 2016 11:58:17 GMT -7
Well, we survived the first night. It actually was better than I had anticipated it being. Bailey was so super excited that his best friend was home. Of course the interaction was quick and limited.
Reese ate well last night, and took all of his meds. We tried to get him to pee again before bed, but he did not. Around 2am, he was a bit fussy, so I kinda shushed him and of course he was trying to tell me he had to pee, so that was my fault. I took him outside to make sure he was empty. Cleaned him up and changed the bedding. Since 2am, he has peed 2 more times, both outside. Each of those 2 times, he lurched/had forward movement and sniffed and peed. Of course he pees on his front hands, but oh well. He didn't eat much this morning initially, but eventually finished his meal. I just think it's a hard angle for him. Same with water. I have the bowl raised on the inside of the pen, but he has no movement to get to it.
He was prescribed 4-6 weeks of crate rest. I am thinking more along the lines of 8, but we will see how he progresses. We go on 12/27 to have his sutures removed and on Jan 10th for his 1 month recheck.
As far as pain medications go: [14lbs] Caraprofen (25mg) - Give 1/2 tab 2x a day with food for 1 week Amantadine (10mg/ml) Give 1.8ml once a day for 2 weeks Gabapentin (50mg/ml) Give 1.2ml up to 3x a day for 3 weeks Clavamox (125mg) Give 1 tab 2x a day with food for 1 week Prazosin (.25mg) Give 1 cap 2x a day until recheck
The neuro said he's been practicing for 20 years and he's never seen a dog come in with 2 herniations in the neck.
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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 20, 2016 12:17:45 GMT -7
Jill, are you finding that the pain meds are providing full pain relief dose to dose? That is you do not see any: shivering, trembling, yelping when picked up or moved, reluctant to move much in crate such as shift positions or slow to move, tight tense tummy, can’t find a comfortable position, Arched back, pinned back ears. Not their normal perky interested in life selves.
Keep up the good work of attentive nursing care.. it will pay off!
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Jill & Reese
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m- Dachshund Quadraparesis
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Post by Jill & Reese on Dec 22, 2016 12:01:52 GMT -7
Reese is now 8 days post op. I am sure that I am worrying more than I should, but I feel like he might not be progressing at home. He wasn't moving his head as much as he had been, so we were given Tramadol (50mg - 1/4 tab every 8-12 hours). He will occasionally wag his tail, although not as often as he did. Same with his stretching/movement of his legs on his own, not as often. He is sleeping well.
[14lbs Caraprofen (25mg) - 12.5mgs 2x/day for 1 week Amantadine (10mg/ml) 1.8ml (18mgs) 1x/day Gabapentin (50mg/ml) 1.2ml (60mgs) up to 3x a day Clavamox (125mg) 125mgs 2x/day Prazosin (.25mg) Give 1 cap 2x a day until recheck Tramadol 50mgs tab: 12.5mgs every 8? or 12? hours]
He is good about pottying. We have had 2 accidents - one the first night he was home, and the other last night. I take blame. The first 2 nights he fussed, the first time, I didn't listen and he peed. The next night he fussed so I took him out and he peed. Last night, either he didn't make any noise or I didn't hear him. Woke up to pee. He has pooped outside twice now. Nothing today yet (so it's been 24+ hours).
I have him in the office with me during the day in a soft crate. I take him out about every 3 hours to potty and then move his legs and joints. Is this too often? While I still have to hold him , as he cannot stand, he is making some forward motion to sniff around and is starting to squat with his back legs to pee. Yesterday when he pooped, he arched his back a bit, more that he had the day prior.
How soon can he start laser therapy?
Am I just being overly paranoid? I did email the vet with my concerns, but I haven't heard from her yet. Thanks.
-------- Dec 20, 2016 at 12:23pm Paula Milner and Julie & Nala like this Post by Jill & Reese on Dec 20, 2016 at 12:23pm He's not shivering or whining or yelping when I move him or move his legs for his exercises. He's not moving much though, he's mostly been just sleeping. He barked a bit for some attention, and wags his tail when I talk to him.
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Post by Romy & Frankie on Dec 22, 2016 13:59:00 GMT -7
Eight days post surgery is very early in the recovery process. It seems to me that Reese is doing just fine. When your vet responds to your email you should be reassured that things are going well.
Usually laser therapy can be stated at any time. Check with the surgeon first though.
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Post by Julie & Perry on Dec 22, 2016 15:31:41 GMT -7
It's hard to see your pup not feeling well. However, just remember Reese has had a spinal cord injury and surgery. He needs time and rest to recover. Just give him a few weeks and I'll bet you'll see his spunky self again!!
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Jill & Reese
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m- Dachshund Quadraparesis
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Post by Jill & Reese on Dec 26, 2016 12:03:02 GMT -7
Reese is now 12 days post op.
We had his first laser therapy on Saturday. He seemed a little bothered by it. Is this normal?
Yesterday and today he's started to be fussy with eating and taking his pills. He's usually not a picky eater. I've tried pill pockets, kong paste, cheese, wet food. Any suggestions?
He gets his stitches out tomorrow. He's more vocal, a little more active (stretching, wagging, more alert), and he's trying to kick/move his rear left leg when he pees. I can see he is a bit stronger when I'm holding him. A few times when he has been propped up he's kinda tried to get himself up. He been interested in his favorite toy too.
Thank you!
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PaulaM
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Post by PaulaM on Dec 26, 2016 15:00:53 GMT -7
JIll, if you have any concerns, do phone the vet to give specifica on what you are observing for "a little bothered"
The three treat method might work: Put the pill into the well of a small mashed banana ball, a cream cheese ball, liverwurst ball or inside of a sticky small marshmallow and sealed completely and that no bittler pill dust from your fingeris on the exterior. Use the three treat method. Prepare 2 treats with no meds inside PLUS the med ball. Give plain treat while holding med ball in front of eyes. The idea is your dog will be greedy after the first treat to get the 2nd. Immediately hold the 3rd plain treat so he will hurry to swallow the med ball to get to treat #3.
Sound very much like Reese is getting back to his interested in life self with his toy. If you have seen him attempt to try and move upwards to a stand position (excluding moving at potty times), that is a wonderful nerve function to have witnessed just beginning to return. Can you tell us more about the nerve function that tends to self repair before legs that is the bladder. Have you seen a sniff, then maybe a squat and then release of urine yet?
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Jill & Reese
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Post by Jill & Reese on Dec 26, 2016 15:29:45 GMT -7
Paula, thank you for the Med tip. I used hot dogs tonight and he ate them all up, but I will keep those in mind for the next time.
He is definitely sniffing and peeing. He sniffs and almost instantly squats while trying to move his rear left leg out.
As far as the laser goes, he didn't yelp or cry but he didn't want the machine near him. He has been more lively and talkative since the treatment though. I reached out to the Doctor.
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Post by Julie & Perry on Dec 26, 2016 16:55:26 GMT -7
I wonder if he's afraid of the machine? Maybe try bringing a few yummy treats he gets during the treatment. My dog had laser therapy this last episode and it really helped.
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Jill & Reese
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Post by Jill & Reese on Jan 2, 2017 8:19:36 GMT -7
Reese update:
Reese has been home for 2 weeks now and is 19 days post op.
Last week we battled a bit of nausea due to a new antibiotic that Reese was prescribed. He didn't want to eat. We added in an anti-nausea Med and Pepcid. He's eating better than he had been but not great. He's being super picky.
We had his sutures out last Tuesday. He healed very well and they are happy with his progress. Admittedly, I hadn't posted because I was a bit discouraged in his slow progress. But progress is progress, and he is much more active than he was.
We have a great schedule with potty time and we have not had an accident in over a week.
Reese can get himself from a lying position into an upright laying position and he is scooting himself forward. Yesterday he tried to stand.
We are doing laser therapy and PT at a local rehab facility and following up w our exercises at home.
We got a help me up harness to help him a bit better once we are more stable in his legs.
Has anyone else had their dog down in all 4 legs that can comment on their experience?
Thank you!
Post by Jill & Reese on Dec 26, 2016 at 5:02pm Julie, I did give him some treats, and of course being a dachshund, he was distracted enough that we finished. We are going again this week and I bring bring "better" treats lol.
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PaulaM
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Post by PaulaM on Jan 2, 2017 13:26:15 GMT -7
JIll, sounds like Reese is making good progress for him (good bladder control and now attempts to move up into a stand!!!) . Every dog is different in there recovery time. It is hard, but we just to have patience to let mother nature and Reese's body work at their speed. What are the names of the meds. if any, is he still on currently: dose in mgs and how often for each med. Travis' story is very inspirational, his and many other stories are on our " Success Page" Every dog is s success no matter how long it takes to walk, it matters not how they get from point A to point B in the meantime. Travis's story: dodgerslist.com/monthstory/TravisVilardi.htm
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Jill & Reese
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Post by Jill & Reese on Jan 4, 2017 8:05:13 GMT -7
Paula, thank you for that story about Travis! It brought tears to my eyes reading it. So wonderful.
We had another PT session on Monday afternoon and started some hydrotherapy. He moved all 4 legs in a swimming motion! He is responding better and better each day to our home PT exercises - straightening the legs, motioning them, and a little squeeze on the toe for a flex/reflex. I have been letting him have some "tummy" time so to speak and letting him try to sit up, get himself up into a prone position. Last night he tried a few times to stand again!
We are still struggling with his appetite a bit, but I am sure that is related to some of the meds still. Currently he is taking:
[14 lbs] Amantadine (10mg/ml) 1.8ml (18mgs) 1x a day Gabapentin (50mg/ml) 1.2ml (60mgs) 3x a day Clavamox (125mg) 125mgs 2x/day Prazosin (.25mg) Give 1 cap 2x a day until recheck Tramadol 50mgs tab: 12.5mgs every 8 hours
We go back for his one month followup on Tuesday, 1/10.
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PaulaM
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Post by PaulaM on Jan 4, 2017 9:45:50 GMT -7
Jill, what wonderful news being able to move all four legs with the help of buoyancy of water. With time the muscles will all get stronger to be able to overcome gravity and move on land. Reese's body is really doing a fine job of self repairing nerves and relearning how to coordinate nerve messages with muscle actions.. it is just to us, it seems slow.
You might try simmering up some nutritious thick broth. Just take a chicken part + a cup or two of water and simmer till tender. When cool the broth will jelly up with a disc of fat at the top. Discard the fat, remove the bones and skin. You can also do the same with a nice size hamburger patty or a knuckle bone. Then when cooled discard the hardened fat tat the top. A teaspoon of the crumbled meat and some of the warmed broth should help with his appetite. Store bought broth has salt and often toxic to dogs onion in it AND it is watery when cooled....not the nutrition of thick homemade broth.
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Jill & Reese
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Post by Jill & Reese on Jan 9, 2017 18:27:43 GMT -7
I am happy to say that Reese has taken his first wobbly steps as of Saturday! He's been doing great. Sitting upright and even standing. We have his one month followup tmr.
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Post by Pauliana on Jan 9, 2017 22:22:45 GMT -7
Jill, such wonderful news to hear that Reese is standing and taking wobbly steps! It is so great to see nerve healing in action!
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Jill & Reese
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Post by Jill & Reese on Jan 12, 2017 13:45:18 GMT -7
I can officially say that Reese is now walking. He is wobbly of course, but he's mobile!
We had his one month followup on Tuesday. They are VERY happy with the way he is progressing, given his condition when he arrived. We stopped the Tramadol and we are weaning the Gabapentin. We added in Mirtazapine to get him eating like a dachshund again. He's down about 2.5#. Modified crate rest for the next 4 weeks and they want to see him back. We will continue with laser, PT and hydrotherapy.
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Post by Romy & Frankie on Jan 12, 2017 14:45:06 GMT -7
Reese seems to be doing great. He is definitely mobile. His tail is wagging 100 miles an hour also. It is very nice to see him doing so well.
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Post by Julie & Perry on Jan 12, 2017 15:16:31 GMT -7
Hooray for Reese!! That's great to see him up and moving. And that little tail is wagging like crazy!
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