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Post by Alisha & Dolce on Jul 26, 2013 17:23:53 GMT -7
Hi Everyone, i have come to thus great website and found a lot of interesting information. My dog dolce is 5 and a shorkie (shih tzu yorkie mix). He had surgery a few days ago. I can provide more details when I receive his full support. We have an appointment with a highly recommended physio/rehab vet in my city in 3 days for out initial consult. Any immediate tips for the next few days? Has anyone on this site used eastern healing methods in addition to physio and rehab? I am very happy to come across this site at this time. It has been a crazy week (from sudden onset to discharge from surgery) and I am glad to find this board for support. Anything is helpful for me at this time
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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 26, 2013 19:47:01 GMT -7
Welcome to Dodgerslist. My name is Paula, what is yours? What was the date of the surgery and the date of the discharge? Which hospital did the surgery? We'd love to support you better, can you fill us in on a few details about Dolce: -- Is there still currently pain - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? -- What are the exact names of meds currently given, their doses in mg's and frequency given? -- Currently can your dog wobbly walk? move the legs at all? or wag the tail when you do some happy talk? What directives did the surgeon give for home PT? -- Do you find wet bedding or leaks on you when lifted up? -- Eating and drinking OK? -- Poops OK - normal color no dark or bright red blood? We highly recommend that owners aquire an understanding of the disease their dog was born with… very helpful in making decisions and speaking with vets. This is a great place to start: www.dodgerslist.com/literature/healingpage.htm
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Post by Pauliana on Jul 26, 2013 20:07:46 GMT -7
Welcome to Dodgerslist, my name is Pauliana, what is your name? Dolce is very happy to be home to heal in comfort and it sounds like you have some wonderful therapy upcoming for her. Very much understand all that you and Dolce have been through as I have been through it with Tyler and all of our members, moderators and care advocates have been through it with their dogs.. You have come to the right place. If there is pain or neuro diminishment, dogs can benefit greatly with acupuncture or laser light therapy. These therapies can be be started right away to help relieve pain and to also to kick start energy production in nerve cells to sprout. So if this therapy is in your budget, seek out a holistic vet. ahvma.org/Widgets/FindVet.html Owners can be instrumental in helping their dogs recover. It takes being a reader as not all vets know this disease…but you certainly can know just one disease. www.dodgerslist.com/healingindex.htmwww.dodgerslist.com/literature.htmwww.dodgerslist.com/literature/healingsurgery.htmIn order to be of more support, so we know more about Dolce's care up to now, please answer these questions. What date was Dolce's surgery and what instructions did her surgeon give you when she was discharged from the Vet hospital? Is she resting safely in her crate or recovery suite now that she is home? Are you now doing 100% STRICT crate rest 24/7 only out to potty and for surgeon directed PT for 6 weeks? …. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No chiro (aka VOM)? www.dodgerslist.com/literature/CrateRRP.htmLooking forward to getting to know you and Dolce and hearing how she is getting along when you update.. Sending healing prayers..
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Post by Alisha & Dolce on Jul 28, 2013 12:41:46 GMT -7
Hi there Pauliana and Paula,
My name is Alisha. It's been a hectic few days ! More details: Dolce is a male, shih tzu yorkie, 4.5 years old, 13 lbs.
Dolce had surgery on July 23rd at Saint Hyacinthe Animal Hospital which is a teaching hospital for the university of Montreal in Quebec. I live in Ottawa, ON and while the surgery was available here the cost difference was approximately $7,000. I also could not get an appointment with a neurologist here until 4 days after his sudden onset. I would recommend this hospital to anyone who is willing to make a few hours drive to get excellent care. I spoke to them on the phone, got in the car and they were ready to see us Monday night when we arrived. He was kept overnight to prepare for the MRI, bloodwork, xrays, ultrasounds the whole 9 yards. They did a full work up to ensure there were no other conditions before surgery took place. They called to say he was a good candidate and that they were headed into surgery. We were able to visit him each day and i was blown away. Calls 3 x daily for updates, 24/7 attendant and 2 neurological residents at all times. He was discharged on July 26th in the afternoon. They would like to see him again in 2 mos for follow up and the neurologist asked I email her with any progress or videos. She likes to share them with the students who were involved in his care as part of their training.
Pain has been manageable. He is taking 10 mg of tramadol every 8 hours. I find after prolonged periods of rest ie: sleeping all night he is a little yelpy when I need to pick him up. Other than that he seems to be okay pain wise. No shaking or trembling etc.
Meds: tramadol 10 mg every 8 hours GABApentin 100 mg twice daily cephalex 250 mgs 1/2 tab twice daily dexamethasone .5 mg 1/2 tablet once daily with dinner. She said to just take them at this schedule until they're gone! Some 3-5 days, others 7 days.
He has some voluntary movement day 3 post-op in the hospital. I notice one leg is much stronger and he now almost pivots when he is getting comfortable. We do his at home PT exercises 3-4 x daily. Wagging the tail when he is excited. The other thing I have noticed is that he is dreaming quiet a bit and in his dreams he moves his back legs. I'm not sure what this might indicate?
No leaks, eating and drinking well. He is on the wet food and loves it. He had a bowel movement on the 2 days ago in the evening but nothing since. It was normal. I hope he will go for me in a few hours when I take him out again. He is peeling outside every 4 or 5 hours and 8 hours overnight between med doses. No accidents so far and he had full bladder and bowel control pre and post op.
I will definitely post more details as I get them. We should receive a report from the hospital in a week or so and physio doctor should have some more directions for me when we see him Tuesday. I'm concerned about the cost physio will be but I am willing to spend the money if he shows improvements. He is on mostly crate rest. I have sat outside with him in the grass after he pees and he seems to enjoy laying down. He really doesn't desire to go far. The neurologist said the dragging was okay? I am not allowing it much he only seems to need to move to get comfortable again. He is sleeping a lot which I think is a good thing.
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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 28, 2013 14:44:33 GMT -7
Alisha, the pain med may be wearing off by morning and that is why the yelps. See if you can get a adjustment for night to help. Maybe giving Gabapentin 3x a day is something to discuss with the vet. On your list I see no stomach protection. Ask about that too in this particular way: "is there any medical reason my dog may not to take Pepcid AC?" If there is no reason, we follow vets who are proactive in protecting the stomach by giving doxies 5MG Pepcid AC (generic name is Famotidine) 30 mins prior to steroid. Cortisteroids (Prednisone, Prednisolone, Dexamethasone, etc.) are involved with stimulating gastric acid secretion causing GI upset to the more threatening bleeding ulcers or holes in the stomach or intestine. We ask that all members read about each med their dog is on or may take as a safety measure. This directory is in alpha order: www.marvistavet.com/html/pharmacy_center.htmlDreaming is a head level action which tries to send a message to the legs. So leg movement during dreams IS a good thing. PT can be done at home. What did your surgeon direct for PT and for crate rest? PT is done when there is supervision, control over the speed of the dog with a leash, harness and sling. Allowing them to drag around in the grass is not PT, he is not practicing the art of walking nor strengthen the back legs. I think Texas A&M Vet Hospital explains it best: So do the PT your surgeon directs in a controlled and supervised way, but avoid him being out of the crate without a leash and harness. Dogs will do the unexpected in a blink of an eye. Sounds like Dolce is on a very good path of healing his nerves already! We have a directory to put your vet recommendation in to help new members: dodgerslist.boards.net/board/10/guidelines-posting
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Post by Alisha & Dolce on Jul 29, 2013 9:58:04 GMT -7
Hello,
Just got off the phone with the vet, she said to go ahead with the GABA pentin 3x daily to see if that helps. No more Cortisteroids starting today unless he appears to be painful again, if so I am to restart and continue for another few days. We have been on crate rest and I find he's becoming more and more frustrated being in there and wants to move around more. Any tips for crating? We never used one before and it's a real struggle. Lastnight he was up every few hours barking in my face. Did anyone's pet have some separation anxiety after? I can imagine he feels venerable and needy but I can't leave the room without him getting very upset. He isn't usually like that.
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Post by Pauliana on Jul 30, 2013 13:44:37 GMT -7
Hi Alisha, The Steroid Dex should be tapered and not just stopped. The taper signals the body it needs to start making it's own. This should explain it to you better: " The animal is usually started at a high or 'loading' dose for a few days, and is then dropped to a long term maintenance level. Finally, a reduced dosage is utilized that slowly weans the animal's body off the medication. During the maintenance stage, it is preferred to use oral medications and give them only every other day in the morning. This also reduces the chance of suppressing the hypophyseal/pituitary gland feedback system on the adrenal glands. By gradually decreasing the level of steroids at the end of the treatment, veterinarians greatly reduce or eliminate potential problems with the adrenal glands being unable to function normally as described above." ww.peteducation.com/article.cfm?c=26+1461&aid=1422 The tapering off of a steroid is a health necessity that also allows a peek into the status of swelling. If pain returns, your vet needs to know and likely more time on the steroid would be prescribed. No signs of pain means the steroid has done the job.There really is no way to know how long it can take to resolve swelling. As for Emergency crate training here is some information to help.. It is rough when they aren't used to a crate and the medical need comes up when they have to be in a crate to heal. It is hard for them and very hard for the family too. All you can do is try to make it as positive as you can. By placing the crate in the midst of family life so they don't feel neglected.. Praise them lavishly when they are quiet in the crate and ignore whining and barking.. They eventually learn which behavior recieves the reward and the attention.. www.dodgerslist.com/literature/EmergencyCrate%20Training.htm
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