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Post by Julie & Perry on Jun 7, 2017 6:00:05 GMT -7
James, that sounds very very hard to go through. Could you put things in a locked cabinet? Have you contacted an Alzheimer's support group? I'm sure you love your wife but it sounds like you need help. Caring for her and Brie is a lot to do yourself. Have you checked into respite care or a home health aide so you have a few hours to care for yourself? If you get burned out it won't be good for anyone. Can friends or family help? I'm concerned about you.
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Post by Jean & Mimi on Jun 7, 2017 6:03:01 GMT -7
James,
You have a lot on your plate - it is too much to handle Brie's care all by yourself and then to help your wife too. Is there a support group that can help? Can you get some type of in-home respite care - just to give you a breather? I admire everything you are doing, but no one is an island - everyone needs help.
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Post by Romy & Frankie on Jun 7, 2017 10:08:03 GMT -7
I know how hard it is to lose someone you love while they are still there in front of you. My father had Alzheimers for seven years before he passed. It was very, very hard on my mother even with family nearby to help. At times it seemed like my dad's Alzheimers would kill my mother because she tried to do everything for him.
After a while my dad could not be left alone at home but my Mom was always reluctant to leave him with anyone except family, meaning me or my brother.
So she found a program where my Dad went to senior day care several times a week. It was one that focused on patients with dementia. It gave my Mom a break and my Dad left the house, saw other people facing the challenges he faced. They had music and art also. At 5:00 he came back home. This worked well for all of us.
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Post by Pauliana on Jun 7, 2017 22:29:07 GMT -7
Yes,I know very well about Dementia. My Neil's sister had a stroke at the age of 45 and she had dementia.
She could remember the past but had no short term memory. Her family took care of her but when they needed a break Neil and I would take care of her.. She was so young when the stroke happened but she lived a long time like that...and still had a good life..but it was never easy.. Thankfully she had a large family willing to help.. She passed away a few years ago in her mid 70's..
As Julie, Jean and Romy suggested you do need help to cope with all this. Both Brie and your wife need lots of care and you need assistance and more sleep.. Without enough sleep everything becomes even more overwhelming.
Try expressing Brie the last time before you go to bed..and sleep for the night.. Dogs produce less urine during the night.. Continue to express her as you normally do during the daytime.. And try the sniff and pee test at least once a day.. The growling when being expressed tells me that she may be gaining bladder control back. They start to not like expressing when control is coming back...
Since she likes to go on the road, drive her up there.. That's what we have to do for Tyler when he has a disc episode.. He likes to go on the road and not near the house.. so we drive him and let him do his thing and then carry him back to the car and back home..
Healing prayers!
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Post by James & Brie on Jun 11, 2017 3:24:39 GMT -7
I've been watching some you-tube video's on the importance of massage and physical therapy for Brie and there's just so much I can do at this point in time. That and the fact that Brie isn't like any of the dogs in the video's. By that I mean Brie fights laying down, even if I got her to lay down how could I work with her? I couldn't let her go for a second. So because I realize she needs post surgery rehab., and even though my wallet took a huge hit, I am going to sign her up at The Canine Rehab Center. Is this a good idea? What classes should I enroll her in? Has anyone invented a treadmill for a bathtub yet? Is it too soon to start something like this? Do I worry Too much? How are you all doin?
I'm to the point now where I muzzle Brie most of the time now, when I remove her from her crate. Once I get her out and put her down I take it off. It's only when I try to remove her that she will nip at me. But not all the time. She gets really resistant when she has a little surprise in there with her. Maybe she feels guilty or something because she wasn't hard to house train at all. When she needed to go she would go to the door and stand there looking at us and if we didn't react right away she would come back to where we were and start pushing her nose into our legs.
She has a lot to say, I wish I could understand her. Today she did a lot of barking with intermittent growling. But not like she had pain. I'm still giving her pain pills 3x/day. Well getting late. I'm going to express her one more time. Bye!
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Marjorie
Moderator~ 
Member since 2011. Surgery & Conservative
Posts: 5,724 
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Post by Marjorie on Jun 11, 2017 4:41:12 GMT -7
James, do you think Brie is just being reactive to all that's happened to her? She wasn't like this when she first came home from the hospital, was she? Is she still growling when you express her? As it may have been a UTI that was causing her discomfort, a urinalysis should be done (take in a urine sample to a vet to have a urinalysis done) to be sure the infection has cleared up since she still isn't back to her usual self. If it hasn't, as mentioned before, a urine culture should be done to determine exactly which antibiotic is needed for this particular infection. When did the vet say the pain meds should be stopped? It's unusual for a post-op dog to still be taking pain meds a month after surgery. It usually takes about two weeks for the pain from the surgical incision to resolve. These meds all have side effects and should not be taken any longer than absolutely necessary. You should speak to the hospital about stopping them. If you feel she still has pain and still needs the pain meds, then a determination needs to be made as to what's causing her pain, possibly a UTI that hasn't been addressed properly. As for rehab, it shouldn't be too soon to start it but as always, you should check with the surgeon. Underwater treadmill, if available in your area and affordable, is a good therapy. There are water exercises that can be done in the bathtub. Acupuncture and/or laser light therapy can be beneficial in giving nerves a jump start in healing - just be sure you find someone who has taken extensive training and specializes in it rather than a vet who has just taken a few courses. I found the post-op exercises on this page to be very beneficial in getting my Jeremy to walk again - most are done while standing. www.dodgerslist.com/literature/massagepassiveexercises.htmOur page on water therapy: www.dodgerslist.com/literature/watertherapy.htmOur page on acupuncture and laser light therapy: www.dodgerslist.com/literature/watertherapy.htmIt's hard not to worry about our dogs. I've certainly done my fair share of it. Do try to take care of yourself, too. You're under a great deal of stress and it all must be taking a hard toll on you. Blessings to you all. |
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Post by James & Brie on Jun 30, 2017 23:37:04 GMT -7
Wow! It's been 19 day's since I posted. Hello again! Crate rest is over on July 4th. Brie is still not improving as far as any kind of bladder control, or moving her legs, but I'm staying as positive as I can that someday we'll see improvement. Until that time I will continue working with her. I finally got the vet to do the urine culture and they said that what was required was the Clavamox. She has been on Clavamox again, 93.71/2 MG 2x/Day since 6/25. They said she wasn't on Clavamox long enough for it to work and they gave me enough for a week longer. Brie hasn't growled or nipped at me since I last posted, so something, like the UTI, was probably causing her discomfort. I really wanted to get Brie into rehab but I just can't afford it anymore. So I'll do what I can. It's been a long endeavor and exhausting and the other day the tank on one of our toilets decided to develop a large crack. Lucky I was able to notice water on the floor before it had time to flood everything. So I've added another project onto the list and installed a new toilet. Good thing I'm a retired plumber. So I know you all told me not to. But I got the cart. But that's another story. Just thought I'd check in. [ 6 weeks crate rest- graduates on June 22,2017]
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jul 1, 2017 6:37:49 GMT -7
Good to hear from you, James. So glad that Brie has now stopped the growling and nipping. She must be feeling more comfortable now. Is she off of all meds at this time except for the Clavamox?
Please do keep in touch when you have the time. And stay strong and stay positive. It's still early days in her healing. Continued prayers for you all.
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Post by Ann Brittain on Jul 1, 2017 8:32:06 GMT -7
Glad to hear you and Brie are hanging in there. As others have pointed out, nerve healing is not the same for every dog.
As you mentioned, the cost of extended PT is high, but there are effective ways to continue therapy on your own. After Buster's surgery we continued the PT exercises the vet recommended. I also filled the bathtub with warm water and repeated the PT exercises with him in it for about 20 minutes every other day. The water therapy helped him regain muscle tone and strength. I kept a cup of his kibble nearby to use as an incentive to get him to move from one end to the other.
We waited to get Buster his "wheel chair" until after crate rest. At that time, he had improved but wasn't able to walk more than a step or two. Although we'd resisted getting the cart because we felt it would be giving up on him, it became an aide that helped him walk again. Since Buster doesn't take to being confined, we were very surprised when he took to the cart instantly. Even though he gets around on his own now, we still use the cart occasionally when we think he may be fatigued.
Time and patience are the keys to getting Brie back to her normal life. Best wishes to you both. |
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Post by James & Brie on Jul 1, 2017 20:13:57 GMT -7
Thanks Marjorie & Ann. Yes Marjorie she is off all Meds., except for the Clavamox. What do you think I should do if this does not clear up Brie's UTI? They have already dinged me, the vets, for over $500.00 dollars. The second time around, just the visit and urine culture w/Susceptibility, urine collection, urinalysis and brief follow-up came to a cost of $346.00. Then I had to pay for the pills, again when they came in. And of course there was the previous time, where they said the treatment wasn't long enough. Guess work get's expensive.
That's why I got the cart Ann. Brie isn't one to stand & let you try to exercise her legs. And when it comes to getting her to lie down on her side, let's just say it would be easier to put out a brush fire with a pitchfork. She's like a cat, she's going to land on all fours no matter. With the cart I can work with her legs, plus she will be able to get around. I've tried it on her a couple of times and she is confused with [cart] it but doesn't seem to mind it. Giving up on her isn't something that ever entered my mind in making the decision to purchase the cart. I've noticed, in reading the forum that there is no set time when it comes to a dog walking again. If she's not walking in 5 years then she'll be well adapted to accepting that fact. I would however like to see her be able to gain bladder control, but after 5 years I should be well adapted to accepting that fact.
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Post by Pauliana on Jul 1, 2017 21:27:27 GMT -7
Hi James, Welcome back! Very glad to hear Brie isn't growling and nipping anymore.. It sounds to me like it was the UTI causing the growling, they can burn so that was why she was feeling testy and miserable. The Clavamox must have worked! Great news there! Love that.. fighting a brushfire with the pitchfork!  Just like Tyler won't let me touch his feet, Brie won't lie on her side when you want her to... They are set in their ways..and have their little quirks..but they are loved regardless. I am sure Brie will love her cart after she gets used to it.. and many do go on to walk after a time using their cart.. You are right, there is no timetable as to when a dog will walk but nerve healing has no time limits..It is an ongoing miracle in the making. Please do keep us posted.. |
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Post by Ann Brittain on Jul 2, 2017 8:39:13 GMT -7
James, I agree that the cart is a great way to do the PT exercises especially if Brie isn't cooperating with doing them. At first, Buster resisted the exercises, too, so I understand your need to adapt what you're doing to get Brie moving again.
We had some dark days following Buster's surgery, but we were determined to help him walk again. When I say getting the cart felt like "giving up" on him, I meant we'd begun to accept that he might never walk again, but never considered putting him down. At the time, it was becoming apparent that Buster was settling into depression which was distressing to watch. We hoped that getting him a cart would give him the independence he seemed to need. In hindsight, I believe it was the key to his recovery.
Buster eventually regained bladder control, but it didn't happen until several months after surgery. He had a UTI early on which was cleared up by medication. Even now that he's peeing on his own, we express him once in a while to be sure his urine looks clear with no strong odor.
He has never regained bowel control, but we've learned a few things that help avoid in house "accidents". We put him on a low fat, gastrointestinal food. He gets fed on a regular schedule which helps us predict when he may need to go. We don't give him any fatty foods or people food that could upset his digestion. He can tolerate a piece of lean chicken now and then. We take him out regularly to give him the opportunity to go in the yard. The food he's on helps him produce firm, dry stools which, if there is an inside incident, makes it easier to clean up.
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PaulaM
Moderator. 
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Jul 2, 2017 11:26:25 GMT -7
James, which brand cart did you select?
Which kind of vet did the urine culture, meds? Is it your local DVM vet or a specialist DVM+ vet or an ER vet?
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Post by James & Brie on Jul 2, 2017 21:37:03 GMT -7
Hi Paula- To answer your questions on both packages, Clavamox, the names are different. And after each name is DVM, only. Or should I ask the Vets.?
Your first question, that's one of those oop's questions and I have gotten a few of those from you. Here's my answer. You mean we get to select the brand? This was again something I was kept in the dark about with UC Davis. A selection, I was never given one and I just went with what they recommended. Doggon' Wheels is the company.
Ann, we also feed Brie a GI Low Fat canned food (Royal Canin). And I was thinking the same as you in buying the cart, giving up was related to her walking again. Thanks for your input it's always appreciated and I do use a lot of the info. i'm given on this site.
Pauliana your a real gem. Thanks for keeping my spirit up during yet another unforseen adventure through life. Wow! That sounds like one of my 60's quotes.
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jul 3, 2017 8:40:06 GMT -7
Doggon' Wheels are recommended by vets and are custom made so should be just fine. You may want to take a look at this page to make sure the fit is correct. www.dodgerslist.com/links/cart.htmHere's a link on how to train a dog to use a cart that might be helpful: eddieswheels.com/index.cfm?p=z.0My Jeremy loved his cart as it gave him freedom of movement and he could go for walks again. Hopefully Brie will adjust to hers and love it, too. |
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Post by Joann & Baxter on Jul 3, 2017 18:00:42 GMT -7
James....my Baxter has had an eddies wheels cart since October. He loves it. He uses it like a walker and it allows him freedom. At first he would get fatigued in it quickly because the dog is still using their front to propel themselves. After a couple of months he stood in it much longer. If you find a large grassy area, brie will be free to sniff and love it I hope. I'm lucky enough to have a big park across the street from me. Another thing is to be careful about injuring her toes in cart. Baxter refused to use the stirrups and because he had some leg function my vet agreed to leave his feet down, but he figured out that on pavement he could go really fast in his wheels and scratched his feet up. Booties didn't work, so now I strictly limit him to non rough surfaces. Good luck and lots of love from me and Baxter!
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Post by James & Brie on Jul 7, 2017 1:51:54 GMT -7
Thanks Joann! I'll be keeping Bries legs in the stirrup's for a while, right now she doesn't know they're are in the stirrups. The cart will be another learning process for both of us.
Hi Marjorie! After reading all of the literature that came with Brie's cart I can tell right off that the fit is not right. This is what happens when you are purchasing something you aren't familiar with. Of course I could have read up on carts in the Dodgerslist, ahem! Or if I would have known how long it actually took to get Brie fitted to the cart, I could have asked to read the instructions. Maybe they needed them? Because when they brought Brie out they put the cart on her to instruct me in how to do it and it looked Okie Dokie, of course. Yet when reading all that came with it, then putting it on her, and then looking at it, nope.
So i'll see what they have to say here on Dodgerslist. Either the front has to come up or the rear has to lower, and I don't know which area to mess with. The cart isn't perpendicular with Brie's back. It's a bit high in the back. Also the yolk might be a bit tight. I wish I would have seen that while I was in Davis. My fault for not being prepared. I wasn't to keen on the lead woman there as she seemed to pick apart certain issues that she brought up. Such as, it takes a good hour to make that drive and then take Brie's crate out of the cart and walk a good distance to the admin. building, wait there until someone shows, which is always later never earlier than your appointment time. Somewhere in that time Brie made a little poo. I don't ever let Brie wallow in her poo, I'm on it and we clean Brie's blankets every day, a lot of times 2 or 3 times a day.
Also, now this is the day after Brie was discharged, she said that Brie had pee in her bladder and they had to express her. Then she came into the little room where we were waiting. She brought in about 3 or 4 of her students and started going off about how she never wanted to see her in this condition again, with poop in the cage and Brie having to be expressed. She was saying this in front of the girls and they were just looking at the ground, like they've seen this before. But I kept my cool, I know what I do for Brie and I was hoping that since they didn't do any hands on expressing with me the day of discharge that maybe she could. I didn't ask. I just sat there and nodded my head.
I guess that El Commandant wasn't there when we got Brie's cart, because someone else came out with the cart. Maybe I should call her and ask why the cart wasn't fitted correctly? But I won't. So where was I? Oh yeah, that's why I'm not too keen on her.
So once I get this cart properly fitted I'll take Brie to the clubhouse, they have some area's there where grass actually grows. Right now with the day's being so hot I imagine the street's in our park are pretty hot, so I'll take her there in my truck. She doesn't know what to make of the cart yet so we'll take it slow. She backs up a lot but I read that that's them trying to disengage from the cart. Patience, patience, patience. Now I'll go read your suggestions, thanks.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Jul 7, 2017 7:31:28 GMT -7
James, would you be able to snap a picture showing the side view of Brie in her cart? Then either upload it to the DL Photo Gallery OR you can email it. LOGIN LOGIN www.dodgerslist.com/gallery/thumbnails.php?album=4 : username: Dachsiepassword: dodgerslist14Or you can email (owner's name, email addy, dog's name + photo caption) to : photogallery@dodgerslist.comJames, can you remind me, do you express Brie's bowels to try to avoid poops in bedding? Keeping a chart of feeding times and when poops plop out can help you figure out when mother nature will be pushing feces out. Then you will likely be able to express for poop.
How is Brie doing with the extra week of Clavamox? |
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Post by John & Marley on Jul 7, 2017 12:44:27 GMT -7
James
Post some pictures of her in her cart currently and hopefully some members using the same Make Cart can give you some tips from their personal experiences.... Never dealt with a Cart, but with a few choices out there I highly doubt a VET TECH is in-tune with how to best set one up.
Also the pics maybe be able to be sent to the CART Manufacturing COMPANY and see it they can walk you through adjustments over the phone to minimize trial and error and frustration on your end..
On a personal note, I have had one dog who had his 2nd surgery in 5 yrs who at 10 weeks Post Op showed no movement in his legs, now in 2004 there was no COLD LASER , and NO Dodgerslist to get full info,
so we started looking into carts- well low and behold around week 12 there was some movement, 6 months out walking with a gimp swinging leg and a 1yr old post op walking normal and running....
During those 12 weeks he got daily massages twice + a day and lots of TLC,
There is no set timetable,
Best of Luck.
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Post by James & Brie on Jul 11, 2017 15:41:18 GMT -7
Paula- I was going to attempt uploading some pic's. of Brie in her cart. Unfortunately my password doesn't work. I even went back to this page and copied the info. you wrote down & that didn't work either. This is the kind of stuff that sinks my ship. So once I figure out this mysterious puzzle, I'll put them on there. And yes I express Brie for poop. About 4-5 hrs. after a meal. I finished with Brie's Clavamox. It's not doing the job. The strong odor is gone but there is the presence of an odor. I can't afford these culture sample cost's, you would think that after botching this twice now that I'd be due a freebie.
Thanks for the info. Ann, I'm looking forward to that lo and behold moment. I emailed our vet about the situation with Brie's cart and their answer was to take her to Davis to get it fitted properly. Ok! That's who originally fit it.
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Post by Romy & Frankie on Jul 11, 2017 15:48:55 GMT -7
The password is dodgerslist14. But if you are having trouble just email the pictures to:
photogallery@dodgerslist.com
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Post by James & Brie on Jul 11, 2017 20:49:24 GMT -7
I used that PW Romy, no luck. I'll try it again using my email address as a UN instead of Dachsie. Thanks!
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Post by James & Brie on Jul 17, 2017 19:23:20 GMT -7
So I go to the photo's page, put in the UN & PW, click on the picture that says add your photo. Then I click on upload folder and I get " you don't have permission to do this"  ? |
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Jul 18, 2017 8:47:48 GMT -7
James, it would be easiest if you email the JPG(s) to the address below. We'll upload the picture (s) AND your captions for you. Here is the email address: photogallery@dodgerslist.com |
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Post by Julie & Perry on Jul 18, 2017 9:19:58 GMT -7
James, you totally have my sympathy in your struggles with technology!! I too have difficulty figuring these things out. Good for you for being persistent. Healing thoughts and wishes for your Brie. Please take care of yourself also.😊
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Nov 1, 2021 9:00:30 GMT -7
Jame's Post copied to Brie's thread 11/1/21 from Jaclynn & Willow thread:  Hi Jaclynn & Willow- Our name is James & Brie, it's been a long time since I have posted on Dodgerslist dodgerslist.boards.net/thread/5067/james-brie-surgery-spaniel-russell?page=3 also. I just had to reach out to you as your story is breaking my heart. Again! I know how hard it had to be to make that decision. I came back to this web site looking for something, sympathy, help, someone to say no. I don't know. I don't even know how to use the site anymore. It took me awhile just to get here. I joined this site in 2017, thinking I'll do whatever it takes to get my baby Brie walking again. And I got a lot of help here, more than any other site or person, DR. could give me. Brie had a disk, from IVDD, blow out in May of 2017, she also ended up in that 5% range. She was almost 3 years old at the time, she is my first dog. Brie was loved and spoiled very much by my Wife and I. And we both did everything we could to see her walk again. She could get around with her wheelchair, we also got the water, (swimming), exercises, and acupuncture. Nothing worked. That's ok though, we love her anyhow. I was, am, the one who expresses Brie and I read everything I could to make it painless for her. Unfortunately, this female is very difficult to express her urine. Because of that the last 3 years of her life has been one UTI after another. It has been a really tough time for her. She is resistant to most treatments now and it's getting harder and harder for me to express her. It's me and her now as I lost my wife to Dementia and Cancer in March. Last night when I tried expressing her and got very little pee, I got really worried because everything is closed. What really hurt though was after I put her in her bed, she wouldn't let me touch her again, she would snap at me when I tried. The vet told me this day would come. Then when I read your post it really hit home. I have to make that decision. I wish I was a pro at expressing, but the vets say they have to use a needle to extract, because she is difficult. This will be the most difficult decision I will ever be faced with, as I don't plan on getting another dog. My heart can't handle anymore heartaches. If I can't express my dog I have no alternative and i'm dying inside. I feel for you Jaclynn. You tried for 2 years, whereas a lot of people would be done "before" the surgery. I still have to make that terrible decision. But over the years I've had to put pressure on that little bladder and now it's just too sore for her, she doesn't hate me, I know, she's just tired and hurt. Best of luck in your future endeavors and sorry I got carried away. |
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Nov 1, 2021 9:22:26 GMT -7
James, I'm so sorry to hear of cancer taking your wife. My sincere sympathy for the loss of your dear Helga.
James, just throwing out and idea since expressing is now so difficult that it is causing pain. Use of catheters is usually a last resort thing when a dog can't be expressed. Is cathing Brie something you have already discussed as a possibility now with your vet?
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Post by James & Brie on Nov 1, 2021 14:50:23 GMT -7
Yes, I have mentioned this before. I received negative results from them, something about infection or something like that. It was a while ago. But I will try anything, I will bring the subject up again. Right now it's just terrible. She, Brie, seems like she gets air in her bladder or bubbles of some kind. When I express her you can hear and feel it being expelled, to the point where at times her urine just explodes out of her. This happened once when they asked me to show them how I express Brie. But they didn't seem concerned. I'm really concerned and am at a loss, because it's getting to where I can't express her sometimes, I just can't get a drop out of her. I have her on Prazosin right now, 2 ml by mouth twice a day. She's been on that for over 2 years now. This has turned into a nightmare for both of us, I try not to hurt her, but I must because she looks hurt and will try to bite me. Brie is also on Gabapentin 100 mg & FortiFlora.
[MED LIST/HISTORY- Moderator's Note. Please do not edit ]
weight? 6 y.o.
prazosine
gabapentin 100 mgs ? x/day]
I also have ordered new parts for her wheelchair, because she is gaining weight from lack of exercise. She started getting sores on her front under legs. She won't walk in her wheelchair because of pain in her tummy.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Nov 1, 2021 15:02:26 GMT -7
James, cathing incorrectly that is not being absolutely sterile in the procedure can induce bacteria into the bladder. The vet will teach you how handle things in a sterile manner.
We are not vets, so we are not knowledgable about your "air in bladder" observation. If a dog is trying to bit or snap at you, that means they are in pain. So cathing which does not press on the bladder may be a non painful way to get the urine out of the bladder.
Please stay in touch let us know what your vet says. If need be a 2nd opinion vet just as we humans do.
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Post by James & Brie on Nov 1, 2021 15:21:08 GMT -7
Yes, thanks for your advice. I don't know why I got away from this site. I've always appreciated all the caring advice I've received from everyone in the community. Now I get desperate and who do I turn to. IVDD is a subject, it seems, that Vets don't care to discuss much. And most people aren't aware of.
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Just like Tyler won't let me touch his feet, Brie won't lie on her side when you want her to... They are set in their ways..and have their little quirks..but they are loved regardless.
? 
