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Post by nenaz73 on Jul 17, 2013 19:19:10 GMT -7
This has been a tough two weeks. My Molly went down around 6/28 when she wasn't in my care. i was out of town. When i finally got to her i took her into an emergency animal hospital since it was a weekend. I was told she had a calcified disc and it was recommended to go on crate rest and give her dosages of dexamethasone. If she doesn't recover she will need to see a specialist. She improved in those two weeks, regained bladder control, no pain, she is eating, alert, wagging tail and seems happy to see me. But she has yet to regain her legs. Took her in to see a neurologist today and he basically said she has no deep pain sensation. He went on to say she probably had an IVD rupture. She has a 5% chance of recovery with surgery and it would be a long painful road. And he went on to say "I wouldn't put her through that". Then he said "you could put her in a cart but that is no life. You will need to deal with sores, bladder or kidney infections." So my reply was "are you telling me then I would need to put her own?" His response "Well that is something you need to think of..." I am at a loss. Molly is happy right now. She can't get up but how am I suppose to put her down when there are no signs of suffering. I am keeping her on crate rest for now. Should I continue to hold on? She took her last dose of dexamethasone yesterday. Is the pain going to come back?
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Post by Stacy & Fred on Jul 17, 2013 19:44:47 GMT -7
Hi cris..I am really sorry about Molly. my name is Stacy, my dog Fred is on crate rest. Molly can still have a great quality of life!!!! Don't let the vet discourage you.There are awesome people here who will show and help you deal with Molly's situation. Dogs look at things differently..Molly isn't going to care about how she gets around..just as long as she does. You are right to question what your doctor is saying and great job for doing so!! Go to the dodgers list website and read read read. Read the success stories and you will see did the vet teach you how to express Molly? if done properly it will help with the bladder infections. Hang in there and dont rush into a decision you can't take back. There are lots of people with a lot of knowledge to help both you and Molly figure it out. Hang in there. Keeping you both in my prayers.
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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 17, 2013 19:56:04 GMT -7
Hi Cris, my name is Maureen. Welcome to DodgersList. I am so sorry that you are going through an IVDD episode and that your Vet is so discouraging, and so very very wrong. Believe that your dog CAN recover with Conservative treatment, and have a wonderful life even if they don't walk well or at all. In the early days of learning our dogs have IVDD, everyone needs a shoulder to lean on while getting things figured out, dealing with emotions, getting up to speed on meds, what disc disease is, etc. Your job in the coming days is to become a reader so you become the confident leader of the health care team.... to discuss confidently various issues from medications to recognizing if suggestions of activity would be harmful to the healing disc. All that takes being a reader. Start on our main website with "Overview: the essentials" yellow button it will give you the degree of understanding you need right away…. as time permits continue to read all the orange buttons and the blue button "Disc Disease 101 core readings" to complete your education. Here is the link www.dodgerslist.com/healingindex.htmthere is so much to learn to become the best advocate that you can for Molly. You are not alone anymore - we are all here to help you. Can you answer a few questions for us, so that we can help you? Is her pain under control? You said that she is peeing and pooping okay and Tail wagging when she is happy to see you.These are excellent indicators that she still has neural function. Can you list all off her medications? 100% STRICT crate rest 24/7 only out to potty for a full 8 weeks is the SINGLE most important thing you can do to help Molly-- it is the hallmark component of conservative treatment. …. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No baths, no chiro (aka VOM). In other words do everything you can to limit the vertebrae in the back from moving and putting pressure on the bad disc. The crate is the only surface that is firm, supportive for the spine, not inclining, always horizontal and keeps a dog from darting off at a TV doorbell and safe. The rest of the details of doing crate rest to ensure the best recovery in this excellent document: www.dodgerslist.com/literature/CrateRRP.htm The purpose of crate rest is to act as a cast of sorts to let the disc heal… only limited movement of STRICT crate rest allows that to happen…there are no meds to heal a disc. Immediate neuro improvement may or may not come during the 8 weeks of crate rest… as nerves may take more than 8 weeks to heal. I know that seems so overwhelming at first - we are here for you Don't give up, and if your Vet won't help you, then find one who will. Keeping you in thought and prayer
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Post by nenaz73 on Jul 17, 2013 20:22:18 GMT -7
Thank you all for responding. I have been reading the main site for about a week now. And will continue. Her pain seems to be under control for about a week now. She was taking dexamethasone .5mg every 12hrs and was decreased to 24hrs then to every other day. Her last dosage was yesterday. Basically the neurologist says I have until Monday to decide on surgery, cart or putting her down. And honestly I felt as if he was pushing me to put her down, but I can't. She seems like herself except for the fact that she can't get up on her feet. And she seems bored in her crate. I only take her out to pee and massage her legs. My fear is, since she isn't on medication will the pain return. Is it okay for her to be off meds? I am going to do more reading. I am not ready to give up. I will continue to crate her and will probably just take her back to her regular vet. I felt the neurologist lacked compassion and the thought of putting my Molly down has left me in tears all day. He just isn't giving her any chance.
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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 17, 2013 20:32:55 GMT -7
HE IS WRONG!!!! Our Stevie was completely paralysed, and didn't stand until almost 6 weeks of cage rest has passed. You may have learned all that you can from him - you know what has happened to Molly as far as an IVDD episode, so maybe you should look for a Vet that will help you manage her condition. Unfortunately I saw alot of that type of attitude when I was still working as a Vet tech, it's almost like they get angry at you for not bowing to their lofty pronouncements about surgery or death. HE IS SO VERY WRONG!! Dogs lead happy loving lives even if they can't walk or walk well - they just want love and acceptance (and food of course!)and they are happy. Here is a great article about IVDD and quality of life ( like you don't have enough reading to do) Great quality of life with IVDD www.dodgerslist.com/index/SDUNCANquality.htmIf your Molly needs a wheelchair for rehab or to move around at the end of 8 weeks we can help you find that too! Hang in there - we've got your back!
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Post by nenaz73 on Jul 17, 2013 20:47:49 GMT -7
I will, thank you. I will continue to read and I do feel there is hope with what I have read so far. I am so happy I found you guys. I do feel the support. :-)
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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 18, 2013 9:19:12 GMT -7
Cris can you confirm for us about the bladder control. Here is how nerves typically heal... 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. So you see IF she has bladder control then necessarily she would have to have deep pain sensation. If she leaks on you when lifted or you are finding urine leaks in her bedding that would be a sign of lack of bladder control. The only way for us humans to know if there is bladder control is with the sniff and pee test. Carry outdoors, set on an old pee spot to sniff it. See if urine is then released. Make sure the sling or your hands are not on the tummy area as that can press on the bladder. If urine comes out after sniffing, bladder control is returning. You should do a quick express check to verify there is full voiding until you are certain it is consistently happening. Let us know what you observe. I'm sorry you do not have a neurospecialist who is aware that conservative treatment is a viable way to heal. You are paying top dollar for this specialist's supposed knowledge about IVDD he does not seem to have. Time to get another vet, you and Molly need support not negativity. Many general vets know IVDD. Getting up to speed on disc disease you will be in a position identify a vet who knows the disease and hire them. www.dodgerslist.com/literature/VetchkList.htmMy Clark has been paralyzed since 2007, so I speak from experience. He has had a total of 1 bladder infection since 2007. He hops with his front legs for joy when he sees his wheelchair coming..so he can run and sniff the woodland trails, go for walks with me and the neighbor dogs or just enjoy chewing on a bone in the cool grass…what a life!!!! Dex is to get the swelling down. Swelling causes pain. So if on the taper there are no hints of pain (shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy) then no meds at all are needed. The rest of the 100% STRICT crate rest 24/7 only out at potty times for 8 weeks is to let the disc itself heal. It can take being at the anti-inflamamtory dose of prednisone (5mg 2x/day) for 1-2 weeks or even for some dogs more like a month before all the swelling is gone. On the taper the dose is lowered to less than the anti-flammatory dose and that is the time to assess just how well reduction of swelling is going by observing for pain. So let us know your observations on the sniff and pee test, if she is showing any hint of pain.
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Post by nenaz73 on Jul 18, 2013 16:10:46 GMT -7
Well I haven't noticed any leaks or any wet spots for over a week. No poop in her bedding either for the last 5 days. I have put her back on her regular potty schedule, which was morning, after I get out from work and before bedtime. I live in a apartment complex so we are required to have her do her business in a certain area. So when I take her there she stands for a while as if she is taking in the sights, sound and wind. Then she will take some steps and seems to sniff then she releases. I will continue to monitor it. But I am so glad to hear about Clark, Paula. It gives me hope. Oh and there seems to be no signs of pain. I will be continuing crate rest for the next 61/2 weeks in order to complete the eight weeks. Then go from there. Thank you so much for the informative site, which i will continue to read, and this soothing support forum!! I did have one question, don't know if anyone could answer it for me but on Saturday her vet pinched her back toes and she looked back but there was no yelp or sign of aggression. He said it seems as if she might have some slight sensation but he referred me to the neurologist. So when the neurologist checked for deep pain sensation yesterday by pinching my Molly's back toes. She did not react. No yelp, no look back, no aggression (I have never seen my Molly aggressive), no nothing. I had mentioned how Molly stood up when i gave her a treat. Neurologist said it was a reflex. I just find it odd but I am no doctor. So tonight after I took her out and she totally sniffed and pee. I bought her back in and took out a treat and she totally stood her self up but putting more weight on her right foot. But then I calmed her down and quickly told her to lay down. I don't want her to do too much. So basically... is that a good sign... Or is just a reflex???
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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 19, 2013 8:31:26 GMT -7
Those are good signs! Does she wag her tail for you too? How nerves heal - order of recovery Here is how nerves typically heal... 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. You can see that she is in a good place (between 3 and 4 on the list)- even if the neurologist didn't see the DPS - she is way past that
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Deborah & Angel
Helpful Member
No current back issues... Living Life.. <3
Posts: 294
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Post by Deborah & Angel on Jul 20, 2013 8:04:35 GMT -7
Cris, Thank you for NOT putting your FurBaby down, I sometimes wonder why these vets...are vets. Your FurBaby has every right to live life to the fullest, doesn't matter if she can walk or not...they just want to LIVE.. Praying for you and your Furbaby, we are here for you..hang in there...many (((hugs))).
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Post by nenaz73 on Jul 20, 2013 13:33:16 GMT -7
I have good news!! Or I definitely say it is. My Molly scratched her ear with her left foot, then got up and adjusted herself in her crate!! I am so incredibly happy. And just 4 days ago I was told she was paralyzed and I had to consider putting her down!! So for those who are experiencing this, please educate yourself on this site. It is so helpful and the support is awesome. Thank you all for the well wishes. I still plan to continue the eight weeks of crate rest and so hoping for a full recovery!!!
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Post by Nancy & Polly on Jul 20, 2013 15:38:49 GMT -7
Woohoo! thats fantastic news!
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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 20, 2013 16:48:17 GMT -7
Cris, this is fantastic news. During crate rest we focus on the disc healing and not so much looking for nerves to heal as they can be slow….. Molly is on a roll!!!!! Go Molly. Cris, we hope you will order some of our free literature to help educate owners…we only need to give these dogs a chance, the right environment to heal in and believe in them that after crate rest not matter the degree of healing they WILL get back to having a happy life. Here is where you can obtain our free literature and jump on our education bandwagon: www.dodgerslist.com/literature/litorder.htm
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Jul 20, 2013 17:53:54 GMT -7
How wonderful!! That's why we can never, never give up on these dogs. You never know how they're going to be a month from now or a week from now or even a day from now. Go, Molly!!
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Deborah & Angel
Helpful Member
No current back issues... Living Life.. <3
Posts: 294
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Post by Deborah & Angel on Jul 21, 2013 7:31:30 GMT -7
FANTASTIC!!! More improvement are sure to come. Give it time and be patient, we are all Praying for you and your FurBaby..
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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 22, 2013 20:33:16 GMT -7
Wonderful news!!!!
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Post by nenaz73 on Aug 4, 2013 17:23:52 GMT -7
Just an update... I have been busy and have not had a chance to update since everything is going back to NORMAL!! Yay. Molly has continued to improve and is well on her way to 100%. She remains crated while I am away and while here she is limited. There will be no more jumping on furniture and the use of stairs. I am so happy with all the information on here and the support that was provided for those difficult weeks. Thank you all. And I have been spreading your info to all those who will hear me!!
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Post by Nancy & Polly on Aug 4, 2013 17:50:59 GMT -7
Please consider keeping her crated until the full 8weeks are up. I know it's difficult, but so many times crazy things happen, and the dog gets reinjured.
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Post by nenaz73 on Aug 4, 2013 18:15:38 GMT -7
Yes, that is my fear!! I will. :-)
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