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Post by jen<3sadiemax on Jun 29, 2013 17:41:19 GMT -7
We have two dachsies- Sadie, a 3.5 yo 14.5 lb smooth red, Max a 1 yo long haired 10 lb cream.
Sadie was acting out of sorts on June 27th and vomited bile on the floor, was shaking and holding one foot up. My husband was home and thought she ate something or had a stomache bug. Although he didn't know it yet, he did a good thing by keeping her rested and didn't allow her to do much. When I came home that night we still thought it was a tummy issue, until we took her to potty and noticed the wobbly legs. I started my search and ended up here. Before I took her to the vet, I was 99% sure it was IVDD. The next am I made an appt and took her to the vet at noon, where she was diagnosed and given a steroid shot. She is currently on Dex 2 x a day for 10 days with pepcid 30 minutes prior. After the long weekend I will be seing another vet because he advised just 2 weeks of crate rest.
Current state is as follows:
-Wobbly legs, can only stand for a few seconds before flopping to one side. Did take about 10 steps in the vet office. -Doesn't appear to be in pain anymore. No shakes, no yelps when picked up. Seems comfortable -Picky with food since she figured out we sneak in her meds. Only eats certain things she likes (cheese, wet food, watermelon, apple, treats,etc) -24/7 strict crate rest - Cries when she has to pee, holds it until she is put down (all except once when she dribbled a bit on me) so I guess partial bladder control? Urinates quite frequently, at least every 2 hours. Has yet to poop today, yesterday was just 2 small, hard poops. - Has not been whining in crate
Planning to start acupuncture next week. Spoke with expert who said to do 8 - 12 weeks crate rest to be on the safe side.
Major concerns: how do I make sure her back is straight in the crate? She's trying to curl up so should I be correcting her?
How do I get her to eat and poop with more regularity?
Is pred better than dex?
Thank you to all the moderators who make this site what it is. It has been immensely helpful.
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Post by Pauliana on Jun 29, 2013 20:58:17 GMT -7
Welcome to Dodgerslist Jen! Which leg is Sadie holding up? Dex is the strongest of the Steroids and all Steroids cause extreme thirst as well as urination, so that is normal while on the Dex.. She will need to potty as you discovered about every 2-3 hours. If she is crying with she pee's she most likely has a UTI (Urinary tract infection) and it is imperative that you get a urine sample to your Vet for a Urinalysis. UTI's can lead to major kidney problems.. Here is some info on how to express Sadie for Pee and Poop, in case she doesn't have full bladder control. If the bladder doesn't get totally empty it can develop into a UTI. www.dodgerslist.com/literature/Expressing.htmThe medications can cause constipation. Pumpkin is a magical fruit - its high fiber can firm up stools and help with diarrhea or loosen the stool to help with constipation. The amount of water in the diet makes all the difference. To loosen the stool, add equal parts water to each kibble meal along with a teaspoon of plain canned pureed pumpkin 1x a day. To firm up the stool add 1 teaspoon pumpkin to kibble and no extra water 1x a day. Note alternatives: really ripe mashed fresh pear, just take off the peel off; microwaved and mashed peeled sweet potato. Oh they get suspicious with the medication.. My Tyler watched us every minute we were in the kitchen getting his meds ready and he would refuse to even try anything. We had a battle with that but we managed. We had to get creative and trick him.. Lunch meat worked. We gave him one piece without anything, then the one with the medicine and he just gobbled it. If he likes his canned food, great but don't change his diet because it becomes hard to tell when GI problems start due to medications when the food was changed that cause similar symptoms. Neil would sit with Tyler when he ate and encourage him.. When they are in pain or don't feel well their appetite declines.. Considering she is taking the strongest of the Steroids, I would ask the vet to add Sucralfate to help coat her stomach. I am glad you already have Pepcid AC on board. Is she on any pain medications? Dex is an anti inflammatory that treats the cause of the pain (swelling and inflammation but the pain doesn't stop until the swelling is gone). www.dodgerslist.com/literature/healingsweling.htm Dogs tend to be stoic and will not show pain unless it is extreme. Pain signals are holding a leg up, reluctance to move, yelping, shivering, shaking or trembling. Here is a link that has more information on pain relief for IVDD. www.dodgerslist.com/literature/healingpain.htmWhat are the names, dosages and frequencies of her medications? She will lay the way she feels comfortable and you don't need to correct that.. If it is a position that hurts she won't do it. The important thing is limiting movement. Carried to the potty spot and only a few footsteps to go potty. So glad you have researched and are the head of Sadie's health care team and are watching for the wrong treatment advice.. Kudos to you for knowing that 2 weeks crate rest wasn't right.
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Post by jen<3sadiemax on Jun 30, 2013 7:48:02 GMT -7
Thank you so much for your reply Paulina!
She only held her front leg up that first day (however, she has been known to do this since she once had to wear a cast on that leg for 6 weeks due to a broken foot- poor little girl has gone through so much) so we can't be sure if that was an indication of pain or just her normal pose that she does every once in a while.
She doesn't cry when she pees, she just cries to indicate to us that she wants to be taken out for a potty. We thought we were doing pretty well since her first night on crate rest she didn't have any acidents, and let out a little indicator cry at 4 am where I took her for a big pee, and her crate was dry in the morning.
Last night was not as successful. After being by her side 24/7 since this happened, and both being complete wrecks over what is going on, we decided to give ourselves a little break, so left her in her crate in the bedroom alone for less than 2 hours while we visited with neighbours on the street for a Canada Day block party. We came to check on her once and took her for a medium sized pee. When we came back in for the night we noticed she had relieved herself in her crate and we both felt horrible for leaving her. Then I heard her little cry at 4:30 in the morning and when I went to take her to potty, noticed she had wet herself again. I did take her to the pad and she peed again, so we don't know how long that pee had been there. This morning when we woke up she had peed in her crate again which I think had happened quite recently because she wouldn't pee when taken to her pad.
She is peeing A LOT. Yesterday she peed a total of 10 times. We also gave her water before bed. Should we limit water intake at night? A bit of her water intake she drinks normally, the majority we mouth feed her via syringe because she refuses to drink. It doesn't seem to be a lot of water we are giving her, we just want to make sure she is hydrated with the dex. Is there an optimum amount of water she should drink everyday? Perhaps we should measure it out and make sure that's what she gets. She does also get water from food.
She isn't on any pain meds which concerned me at first, however she really doesn't seem to be in any pain. I'd like to avoid drugging her up if she doesn't need to be. Any indication of pain I will seek meds immediately though. The vet (the one I'm not that thrilled about) said he didn't think she was in pain after examining her.
She ate pumpkin the first day, and now she will not. She figured out her meds were crushed into it. I will try again today without any meds and hope I can get her to eat. She has little interest in food but will eat a treat or cheese of course. She won't touch her kibble but will eat her wet food so that's what we are giving her to make sure she's getting proper nutrition.
Our other pup seems to be doing okay, but I worry about him over this period and hope he doesn't get depressed from not being able to play with his best friend. It's heart breaking for both of them.
I hope that the tears dry up soon - this is by far the most difficult thing I've gone through beyond losing a family member, and I feel so powerless. I keep thinking "what if" I hadn't done this, or let her do that, or let this person pick her up. I also keep thinking about her favourite activity, speed running along the sand bars so fast you could barely see her! To think that she can never run that hard again just breaks my soul.
Meds she is on is just dex 0.5 mg twice a day and pepcid (vet said not to bother but we are doing it anyways) 5 mg twice a day 30 minutes prior. Should we start her on glucosamine?
My last concern is her going potty so often. Having to take her out of her crate to go pee 10 times can't be good for her healing, but we can't not let her relieve herself. What do you think?
Thanks again for all your assistance. I don't know what I would do without the information available here. Reading and learning has been my saving grace while I sit beside her. We are lucky that I don't work for another week, and when I do go to work, my husband works from home mostly so will be with her. I can't imagine leaving her for long lengths of time.
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StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
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Post by StevieLuv on Jun 30, 2013 8:15:14 GMT -7
Hi, my name is Maureen. I am so sorry that you and Sadie are going through this. The frequent peeing is because of the steriods, it is a really common side effect. A nuisance to deal with, but it will go away as her steriods are tapered off. I used to have to take Stevie out every 2 hours, and still had to change her bed sometimes. Great news on her ability to feel when she has to go!!! (even at 4:30 in the morning), and good for you for using the Pepcid - great advocating for your girl! Some members have has good succes with low sodium chicken broth to maintain hydration and tempt appetite. I am not a fan of with holding liquids in the evening to lower the need to pee - the steriods create the hunger and thirst and I know how rotten I feel when I am thirsty. We all feel awful and cry alot when IVDD strikes, we all feel helpless and alone. You are not alone, we are all here for you and will help anyway that we can. Keeping you in thought and prayer(((higs))) ps- Happy Canada Day from a fellow Canuck (I'm in BC)
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Post by jen<3sadiemax on Jun 30, 2013 8:41:06 GMT -7
Thanks so much Maureen! It is incredibly hard but definitely easier knowing we are not alone. Good to know about the chicken broth - will try that because she refused her wet food this morning. I could only get her to take her meds with peanut butter and bread.
Question about H20 - should we just be letting her drink when thirsty, or is syringe feeding water okay? We want to make sure she is getting enough and she turns her nose up to it.
Happy Canada day as well! We lived in BC until a month ago when we relocated to Manitoba for my husband's job. Miss my home province already, especially since discovering there are no IVDD neuro surgeons in this province. Conservative treatment seems to be our only option unless we are able to get her on a flight quickly and safely in time for surgery if paralysis sets in.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Jun 30, 2013 9:53:03 GMT -7
While on dex if Sadie has bladder control, then you would likely need to carry her out to potty every 3-4 hours as steroids can make them more thirsty. During the dark hours the body produces less urine so, just wait for her cue even if at 4:30 am to go potty.
I would let her lap up water as she desires and not syringe feed her water. Since she is eating wet food she, the water content is part of her daily water intake.
She may like some frozen broth cubes to lick on during the day…they are entertaining and hydrating.
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Post by jen<3sadiemax on Jul 1, 2013 8:08:23 GMT -7
Thank you Paulina. From her log, she seems to be needing to pee every 1.5 - 2 hours. Her night cues have stopped since the first night. We had another night with 3 pees in the cratedespite setting our alarm to take her for a potty very couple of hours. I'm not sure what this means, since she doesn't have any accidents in the day.
She is now drinking on her own and we haven't syringe fed her water since that first day. SHe does seem very thirsty. I made some broth cubes last night as well.
I spoke with a fellow doxie owner last night and was given a lot of hope. Her 9 yo doxie went down a bout 5 years ago and after insufficient vet care, she took her girl to a holistic vet where they did acupuncture and gentle chiro. The results were immediately. She went from being just as bad as my Sadie (unable to stand up) and actually worse (unable to wag tail) and within one session her dog was standing, walking, and back to normal. Her dog had a second episode a couple years later that she treated the same way, and again, same positive results. Her freind's doxie just went down a week and a bit ago and has just started treatment seeing great results as well.
Despite her positive experience, I do still believe we should continue the strict 8 week crate rest no matter how well alternative methods work. I do still want to try them though. Unfortunately she was diagnosed on the Friday before a long weekend, so I don't think they are open until tomorrow. Before I go in, I want to be properly informed. I've read on here NOT to start chiro until after 8 weeks, but have read on some holistic sites that chiro that is gentle and is only realigning areas other than the injury can be quite helpful.
Please chime in - what are your thoughts? These 3 experiences with chiro that I heard about are really making me feel like it could be beneficial. I don't want to get my hopes up, but the results sound so positive.
Thanks for your forthcoming advice! I really appreciate it!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Jul 1, 2013 9:55:28 GMT -7
Chiro is simply NOT every recommended for a dog known to have disc disease. With disc disease all discs can potentially become degenerated enough to tear…there is no way to know when or if this may happen. Please do read up on why chiro is not recommended for a dog born with disc disease as Sadie was. www.dodgerslist.com/literature/chiropractic.htmThe more we educate ourselves on what disc disease is, the better able we are to ignore offerings of treatments that can harm our dogs. Please do take time to read all of the buttons on the "Disc Disease 101" page: www.dodgerslist.com/literature/chiropractic.htmAcupuncture or laser light therapy can be started at any time and are highly recommended not just to help with pain, but to help stimulate nerves cells to regenerate.
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Post by jen<3sadiemax on Jul 2, 2013 8:26:05 GMT -7
Thanks Paula.
There seems to be so much contradictory information out there. I even just read that limiting mobility after the first few days of injury slows down healing because it limits spinal circulation from a Dachshund Rescue Organization. They also promote chiro during their healing, so I'm just very confused. I am still committed to the 8 weeks rest however.
I am trying to get an acupuncture appt today or early this week. What is the best way to transport her? Would it be best for my husband to drive and for me to hold her so I can absorb some of the shock of driving so she isn't straining her back?
Happily we had no crate accidents last night! We were able to get up and take her pee by setting an alarm every couple of hours so that she could relieve herself.
The steroids must be working as she was trying to scratch her ears with her back legs yesterday (I helped her out with that) and is now trying to take a few steps when she goes potty (her rear is still supported by a sling because she cannot stand for longer that a few seconds on her own).
Our younger dachs Max is acting weird. He won't look at her and doesn't want to get close to her (he is usually IN LOVE with her and gives her kisses every morning). I think he may suspect that she is injured and he doesn't want to hurt her. Poor little guy feels so lost without his play friend.
Should I be starting to do bicycles or moving her back legs yet? Massaging?
Thanks again everyone. I have so much more hope that I did that first day. I'm still devastated this has happened but I do have hope she will recover.
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Post by jochs311 on Jul 2, 2013 19:04:07 GMT -7
Hi Jen, Tucker has started his accupuncture and is doing very well with it. I recommend it. This is tough. I know what you are going through. Sending healing thoughts and prayers your way. ((Hugs))
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Post by jen<3sadiemax on Jul 2, 2013 19:05:59 GMT -7
After doing some more reading, I am having some other concerns. I read on that medication link I found somewhere on here that Dex is 10x stronger that prednisone - why would the vet prescribe her dex when most everyone on here is on pred? Also, he gave us 10 day prescription with no taper - should I call the vet and ask for instructions on tapering? Is 10 days long enough for steroid treatment, or should I ask for 15 days?
Also, I finally got through to the holistic vet who does acupuncture (of course this had to happen right before a long wekend) and they book at least a month in advance. They were able to squeeze me in next Thursday, which will be 2 weeks since she went down. I did call another acupuncture vet who is open this Friday, but I don't have as much info on them. Is it worth it to get her into the acupuncturist on Friday before she goes to the holistic vet acupuncturist next Thursday (which is where we will continue treatments)?
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StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
Posts: 1,335
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Post by StevieLuv on Jul 2, 2013 19:08:43 GMT -7
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Post by Pauliana on Jul 2, 2013 20:46:01 GMT -7
Hi Jen,
The best way to transport Sadie to her appointments is in a travel crate/carrier that is cushioned on the bottom and sides with towels or soft light baby blankets. Rolled up on the sides. I use a a very small puffy baby quilt for Tyler's carrier. Holding her on your lap isn't something you should do during her recovery because it doesn't keep her back aligned.. Any excess movement endangers her early healing disc.
I would try to get her in to the Acupuncturist that can get you on Friday if you can and in the meantime see what else you can find out about them..Don't let go of the next Thursday appt until you are sure which one you want to take her to. You not only want to get her started in Acupuncture but you also want the best person for the job.
Max knows that Sadie is injured and it is instinctive in dogs to avoid or even torment the injured member of the pack. Max is choosing to avoid her but don't leave them alone together if Sadie is out of the crate just in case.
Ask your Vet about when he wants you to start the Dex taper.
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Post by jen<3sadiemax on Jul 3, 2013 8:36:10 GMT -7
Thanks Paulina! I have booked the Friday acupuncture appt and will keep the Thursday one as well. The one we are waiting for is the best option - she was a general vet for 25 years before becoming a holistic one and specializies in acupuncture, physio and chiro with quite a bit of IVDD experience. She's also 3 times the cost, but I think it will be worth it. Regardless, I'm hoping the acupuncture she gets on Friday will be helpful. She's not a vet but does work out of a veterinary clinic, so I'm sure it must be fine!
Called the vet and spoke to one of the girls at the front- she said no mention of tapering on the file so no tapering needed - should I push this further? She's on .5mg DEX twice a day.
My concern right now is getting her to poop. She is eating and drinking normally, urinating often and a lot, but hasn't had a bowel movement since 4:30 the day before yesterday. Nothing. I massaged the area around and can feel a very hard poop in there, but she's not trying to push it out. What do I do? Do I just wait? Do I take her to get an enema? Any natural remedies, like using coconut oil to lubricate and help her out? She must feel so bugged up.
On the bright side, she's definitely more herself now. Started whining last night at bedtime because she wanted ot be in the bed with us and not in her crate (every other night she's gone to sleep in her crate just fine, but I suspect she's feeling better now and thinks she should get out). She was also barking at me in a demanding matter while I prepared her breakfast this morning. I think since Max is "free" she was very worried Max would get the food and she wouldn't. So that is definitely a return to her normal self! She also isn't knuckling over as much, if at all, when we sling her to go potty. Small break throughs but so rewarding!
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Jul 3, 2013 9:20:41 GMT -7
Jen, wonderful news that Sadie is feeling like perky self again. Dex is a steroid. Most vets recognize the need for a taper off of steroid so that the body is again signaled to start making it's own steroid hormone. The hormone is critical for the adrenal glands in regulating the body's systems. Marvista vet web page says a dex taper should include an every third day dose. www.marvistavet.com/html/dexamethasone.htmlPumpkin is a magical fruit - its high fiber can firm up stools and help with diarrhea or loosen the stool to help with constipation. The amount of water in the diet makes all the difference. To loosen the stool, add equal parts water to each kibble meal along with a teaspoon of plain canned pureed pumpkin 1x a day. Note alternatives: really ripe mashed fresh pear, just take off the peel off; microwaved and mashed peeled sweet potoato. To firm up the stool add 1 teaspoon pumpkin to kibble and no extra water 1x a day. If she has bladder control, she likely has bowel control too. So she may not like you expressing for poop and just needs help with constipation. www.dodgerslist.com/literature/Expressing.htm#poop
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Post by jen<3sadiemax on Jul 3, 2013 13:39:01 GMT -7
Thanks Paula! We have added pumpkin and water to her food everday and she hasn't pooped. It's been almost 48 hours ... is there anything else we can do?
Thanks!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Jul 3, 2013 13:51:10 GMT -7
You might try expressing for poop, since you say you can feel the crown of it. The upward finger technique shown in the vide is what triggers the reflex to move feces through. The other finger technique is kind 0f like squeezing toothpaste out of the tube. More details here: www.dodgerslist.com/literature/Expressing.htm#poop
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Post by jen<3sadiemax on Jul 4, 2013 6:46:07 GMT -7
I am happy to report that Sadie pooped! I followed the instructions in the video (both versions) and neither helped her poop right away, but an hour or two later after dinner, Sadie pooped! It was very hard at first but the stool turned lighter and softer as it came out, likely from all that pumpkin we've been feeding her! Then last night she woke up and had potty break around 4 am and pooped again! This time is was quite soft (almost the consistency of soft serve ice cream) but I'm sure she's relieved to have all of that out of her system. We still support her while she goes potty with a sling (QUESTION - should we do this throughout her entire 8 weeks?) but she seems to be getting some balance back and is standing better and actually squatting to pee. When I position her back leg for her, she moves it back.
My other concern are her nails. She was about a week overdue for her nail trim when she went down, and now they are too long but we don't want to hurt her by getting them trimmed. We may just ask the vet what they think tomorrow, because they really do need to be cut.
Thanks again everyone! It's been a week today since she went down, and I have so much more hope today than I had a week ago - thank you thank you!
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Jul 4, 2013 11:55:01 GMT -7
Jen, what good news on the poop. The sling is just used as backup and safety should her butt start to tip and to help keep her back aligned. At the point you are seeing that she is very stable, then you would not need to use a sling anymore. The priority is protection of the back and the spinal cord. After crate rest has been completed, then you would address nail clipping. Nails can always be clipped, but if the spinal cord becomes too severely damaged from movement during clipping, she might be paralyzed for life. Please help us educate more short legged breed owners and vets everywhere. Disc disease is a disease you can live with and there are TWO treatments for this disease: conservative and surgery. July is Disc Disease Awareness Month
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Post by jen<3sadiemax on Jul 4, 2013 19:19:32 GMT -7
Thanks Paula.
Her nails are really really long. They grow incredibly fast and we know we need to start drummelling them every week because getting them clipped at the vet every 4 - 6 weeks isn't doing the trick. They will be very long after crate rest - any suggestions on the best way to slowly tackle those nails and get them short again?
Thanks so much! I most definitely will spread the word as I know quite a few people with doxies.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Jul 5, 2013 9:13:36 GMT -7
The priority is always the spinal cord above all else. She is not supposed to be walking around other than a very, very few footsteps during potty time. After crate rest has been completed, then it will be safe to have her nails trimmed. If need be take her to the vet for a nail clipping and from there you can get back on your regular dremmeling sessions.
Thank you for helping us spread the word there there is hope for each dog who was born with this disease…educated owners make all the difference!
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