Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Feb 29, 2020 12:58:40 GMT -7
Wyatt is a 4 year old male, Terrier mix, dog who had surgery for a herniated disc on Feb 23, 2020. He is currently 1 week post surgery and is now home. The first night home, I believe he may have been in some pain due to moving a lot from the vet to the car ride home and then again, trying to adjust to his new surroundings at home. Wyatt is not experiencing any pain at this time due to his strict pain medication regimen. For pain he is currently taking: - Gabapentin 100 mg capsule by mouth every 8 hours for neuropathic pain.
☆ 2 - Wyatt weighs about 18 lbs . - Gabapentin 100 mg every 8 hrs - Sulcralfate 1 g tablet (broken into 1/4 of tablet 2x daily) - Prilosec OTC 20 mg tablets (give 1/4 of a tablet 2x daily) - Metronidazole 250 mg tablets (give 1/2 tablet by mouth every 12 hours) - Fortiflora (probiotic) [Moderator's note: please do not modify 18 lbs Gabapentin 100 mg 3x/day Sulcralfate 250mg 2x/day Prilosec 5mg 2x/day Metronidazole 125mg 2x/day Fortiflora probiotic suplement]☆ 3 Wyatt is eating and drinking ok, he is able to tolerate his food and water without any problems. His bladder must be expressed, as he has no feeling in the lower half of his legs so he cannot tell when he needs to go. The vet informed me that he is able to poop on his own, but since he has been home, I have not seen him go yet. ☆ 4 My name is Taylar Roberts. Wyatt is a mixed breed. Possibly jack russel terrier mix with a dachshund mix. ☆ 5 Wyatt was diagnosed as having a herniated disc The surgeon was ACVIM neurology ☆ 6 The date of the surgery was February 23, 2020 Neurology has told us to keep him in strict bed/crate rest for 6-8 weeks I am currently looking for options for PT on my own, but the vet did give me a few passive exercises i can perform on his legs throughout the day. ☆ 7 Wyatt has no control over his bladder and must be e xpressed every few hours 3-4 times a day. ☆ 8 Wyatt is unable to walk at this time.
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Post by Romy & Frankie on Feb 29, 2020 14:38:54 GMT -7
Welcome to Dodgerslist, Taylar. We are so glad you’ve joined us all. We’ve got valuable information we’ve gleaned from the vets Dodgerslist consults with and our own experiences with IVDD since 2002 to share with you! It is important to know that disc disease is not a death sentence! Struggling with quality of life questions for your dog? Re-think things:
Are you comfortable expressing Wyatt now? Expressing can be tricky at first but with practice is gets much easier. You will know you are doing it right when you get a steady stream and there is no wet bedding or leaking when lifted.
If you are concerned that Wyatt has not pooped, consider adding some pumpkin to his diet. Pumpkin's high fiber content can loosen the stool to help with constipation. Note alternatives: really ripe mashed fresh pear, just take off the peel off; microwaved and mashed peeled sweet potato. --To loosen the stool, add equal parts water to each kibble meal along with 1 teaspoon of plain canned pureed pumpkin for every 10 pounds of body weight, 1x a day.
Once Wyatt is no longer constipated, you can also try to express for poop. While not expressing a dog with bladder control is a health risk, expressing for poop is more for hygiene and convenience. Dogs do not like to find unexpected poop in their beds and cleanup can be messy and time-consuming. We have information about expressing for poop here: www.dodgerslist.com/literature/Expressing.htm#poop
What helped my dog Frankie the most after his surgery was water therapy where he walked on an underwater treadmill. I do not think he would have recovered nearly as well without it. Water therapy can usually be performed after the stitches/sutures are removed. You can speak to your surgeon about this. This video shows how the underwater treadmill works.
We have some other info on water therapy you can do at home here:
Knowledge is the power to fight the IVDD enemy and win!! The very best thing you can do for YOU, the caregiver, and for your dog is to get up to speed on IVDD as soon as possible. Begin absorbing the must-have overall sense of meds, care and how the treatment works. Your dog will be depending on your ability to learn - excellent video series here:
--use the printout as your roadmap to avoid dangerous detours in your dog’s care --make notes/highlight to keep yourself on track --follow all the links in the next days to become the IVDD savvy pet parent your dog needs.
Please let us know how Wyatt is recovering.
Healing thoughts for you both.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Feb 29, 2020 20:05:31 GMT -7
Taylor, on discharge day, did the surgeon say if Wyatt had deep pain sensation (DPS)?
Did he have DPS within 12 to 24 hrs of going into surgery?
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Mar 1, 2020 10:51:50 GMT -7
On the day of his surgery around 6 am, Wyatt still had deep pain sensation. By the time they performed his surgery about 5:30 pm, he no longer had deep pain sensation. As of discharge on Friday evening Feb 28, he still did not have deep pain sensation.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Mar 1, 2020 11:50:09 GMT -7
Taylor, the surgical swelling itself will cause a temporary set back. It often takes about 14 days for all of that swelling to go away where you will have a better idea about nerve healing. When nerve healing begins, often it follows the reverse order of the nerve damage. Surgery can still be successful in the window of 12-24 hours after loss of deep pain sensation. Even after that window of time, there can still be good neuro outcome. With nerve healing no one would be able to give you a data and a time. But there is a typical step by step return of nerve function: 1. Deep pain sensation, is the first neuro function to return. It is critical indicator for nerves to be able to self heal after surgery or with conservative treatment. Only take the word of a neuro (ACVIM) or ortho (ACVS) for this very tricky to identify neuro function. 2. Joyful tail wags after specifically seeing you return, some happy talk or getting a treat is something anyone can correctly observe! 3. Bladder control begins to return verified with the "sniff and pee" test. 4. Small leg movements. Such as trying to use them to reposition when lying down. Trying to scratch and itch 5. Attempting to move up into a stand. 6. Wobbly weak walking 7. Paws knuckle under less and less 8. Stronger more steading walking 9 Ability to walk unassisted and perhaps even run More info: www.dodgerslist.com/literature/healingnerves.htmWe'll be looking forward to hearing more about Wyatt on Monday when he is discharged... keep us posted!
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Mar 7, 2020 21:14:42 GMT -7
Wyatt is doing very well, he is currently 13 days post op. He has been getting a little restless with the constant crate rest, but he is adjusting better each day. On Monday, March 2nd, I took him to another vet to see if he would be eligible to start rehab. The vet informed me that Wyatt had regained some of his superficial and deep pain sensation. One of his sides is slower to respond than the other, and that he does not have proprioception of his feet. He still is unable to stand or walk on his own.
On Monday March 9th, I will be bringing him back to his surgeon to have his staples removed and see what the vet has to say about his current condition before starting any kind of therapy. He is eating well and defecating, but still must have his bladder expressed every few hours. Fingers crossed and prayers, he will be able to start his therapy soon!
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Mar 8, 2020 8:38:21 GMT -7
Taylar, glad to hear Wyatt is back home! What meds if any is Wyatt on now (name, mgs frequency)? All pain fully in control? What did the surgeon direct for number of weeks for post op crate rest which includes PT? What at home PT did the surgeon want for Wyatt? Let us know which of these exercises in the video below the surgeon wants. Appropriate physical therapy can help maintain the muscles with lost nerve connection. Therapy keeps muscles in optimal condition while in wait to receive regenerating axon terminals.
Post-op PT for the paralyzed IVDD dog Take only the word of your surgeon about this very tricky to identfy deep pain sensation. Let us know what your surgeon reports about deep pain sensation on your 3/9 visit.
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Mar 9, 2020 13:36:26 GMT -7
Wyatt had his appointment today with his surgeon to remove his staples. She informed us that he no longer has to be on his previously prescribed medications and should remain on crate rest for another 4 weeks until his next check up. She also examined him and said he still has no deep pain sensation (which the previous vet from last week said he did), and would most likely be a good candidate for a wheel chair and to start pt when his crate rest is over so he can get his upper body strength up for spinal walking.
She has approved him for rehab such as the acupuncture and laser therapy, but doesn't think he will benefit much from it, so the choice is up to me whether I want to invest in that. She has recommended home exercises I can do to keep his muscle tone (i.e. bicycles, "squats" to practice putting his weight on his legs).
I know it is not the end of the world if Wyatt were to be in a wheelchair but I am tying to keep hope alive that maybe one day he would be able to walk again. Although, he is much happier since he's been home from the vet, it is still very to grasp that he may never return to what he once was. Thank you for all the support!
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Mar 9, 2020 14:56:19 GMT -7
Taylor, realistically after only 17 days after a surgery, there really is no way to tell how much his body needs to approach the nerve healing mark of getting back deep pain sensation. When it is known that nerve healing is the slowest department of the body to heal, that we ought to think more in terms of months rather than days/week, there is no reason to be down. No matter what, it IS in the cards for Wyatt to return to an active, happy pain free life. So what if he needs the assist of a wheelchair until more nerve healing happens. Most surgeons do not follow up on their patients much past weeks of the surgery. Dodgerslist we have members coming back in months, and years to give up dates. Please do learn to feel it in your heart there is, indeed, good hope for every dog. Browse the variety of ways, get a sense about time for nerve healing. Know your pup will also have his own success story to tell! Just a small sample of success stories written about since Dodgerslist was founded back in 2002. See the pattern for yourself and set in your mind that you be stepping in to play an important and instrumental roll in your dog's care: www.dodgerslist.com/monthstory.htm Laser light therapy can help to kick start energy needed by nerve cells to self repair. So that might be a good option if it fits your pocket book. Water therapy at home and those post op massage and exercises. Read more about that here: www.dodgerslist.com/literature/massagepassiveexercises.htmAs the end of crate rest approaches, you will best see the direction of nerve healing to know where money is better spent: -- on a wheelchair so Wyatt can get back into fun family activity while waiting on nerve repair -- or looking into underwater treadmill, as you detect the first evidence of a happy tail wag due to your happy talk to him. Remeber only take the word of a specialist about tricky to identify deep pain sensation (DPS). Anyone, however can do some happy talk and then correctly identify a wagging tail! Life is a journey. No matter where you are in the travels, live in the now. Dogs know to take life a moment at a time and enjoy it for all it has to offer. They move forward in life in the best way they can. We can learn a lot from them!
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Mar 10, 2020 7:42:18 GMT -7
I am keeping my hope and faith that he will continue to make progress no matter how small or how long it takes.
Unfortunately, I had to bring Wyatt back to the vet this morning. I had noticed over the past two days he was harder to express and I thought maybe it could be due to him regaining tone in his bladder. After 1 pm, I was no longer able to get any urine when expressing his bladder and knew that something wasn't right. I tried many times over the course of the day and even 3 am this morning with no luck.
I brought him in this morning and the vet said she would need to do an ultrasound to see if he was making urine. The ultrasound showed he was making urine and that his bladder was very distended. She also noticed that he had a lot of sediment in his bladder that may be caused by a UTI.
They decided it would be best to board him for the day so they could use a catheter to drain his bladder as well as run tests on his urine. She told me I will be sent home with Acepromazine to help relax his bladder. I asked her if there was anything on my part that could have caused this, and she told me it happens often in dogs who are paralyzed due to not being able to completely empty their bladder. I'm hoping this a minor setback and that we can continue along the healing process.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Mar 10, 2020 9:49:18 GMT -7
Taylar, when learning a new skill such as expressing, a UTI can happen. Being able to recognize when the bladder has been voided, helps to keep UTI's away.
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
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Post by Taylar & Wyatt on Mar 10, 2020 20:53:17 GMT -7
Urine analysis came back negative for a UTI bt did have a lot of protein in his urine. Vet gave me 10 mg Acepromazine (1/2 tablet) to try tonight, but I was still unsuccessful in emptying his bladder.
I haven't had any trouble over this these last 2 weeks expressing him, so now I'm starting to get concerned something else is going on. He will be taken back to the vet in the morning to start his acupuncture and to see what else is going on with his bladder.
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Marjorie
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Post by Marjorie on Mar 11, 2020 5:37:56 GMT -7
Wyatt may be getting some bladder control back. It can be difficult to express a dog with bladder control. The only way to tell is to do a sniff and pee test.
Take Wyatt out to a spot where he or another dog has peed before, support his hind end by his hips/thighs, not under his belly, and see if he can release urine on his own. If so, then he has some bladder control. You can try to do a quick express after he goes on his own to be sure he has completely emptied his bladder.
Three months after my Jeremy's surgery, his surgeon told me that he would never walk again. Three months later, he was walking. It's very early days in Wyatt's healing so there is no way of knowing yet how much healing he will have.
Please continue to keep us updated. Healing prayers for Wyatt.
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Apr 3, 2020 13:25:09 GMT -7
Wyatt's 6-week update:
He has completed 4 rounds of acupuncture as of Tuesday this week. I have seen small improvements in his hind legs as well as movement in his tail now. He still is unable to walk but his reflexes are improving and I think his bladder tone may be increasing as well. I still have to express him every few hours, but it is harder to do [express] over the past weeks. Wyatt is still as much of his old self as much as he can be, which I am glad that he is still trying to do things for himself and adapt to his situation. I will continue his acupuncture in 2 weeks and then hopefully get him started on physical therapy.
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Post by Romy & Frankie on Apr 3, 2020 13:47:21 GMT -7
It is excellent to hear that Wyatt is getting back to his own self and you are seeing improvements. Dogs adapt quickly. Six weeks post-surgery is still quite early in the recovery process. There is still plenty of healing that can take place. Six weeks after Frankie's surgery there had been no improvement in neuro function. Frankie did eventually regain the ability to walk and bowel and bladder control.
Tail movement, no matter how small, in response to seeing you, hearing you speak to him, getting a treat etc. is brain directed. Tail movement around bladder or bowl elimination is reflex. What type of tail movement have you been seeing?
Many dogs get harder to express as they begin to regain bladder control. Keep doing sniff ad pee testing. Carry him to an old potty spot, support his legs, let him sniff and see what happens. Do this regularly. If he does start to urinate on his own, in the beginning try expressing afterwards to make sure his bladder is empty.
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
Posts: 9
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Post by Taylar & Wyatt on Apr 3, 2020 19:18:39 GMT -7
At first, his tail movements were limited to only the tip. Now he's able to move about 3/4 of his tail but it doesn't stand up like it use to. I'm super excited to see him be able to move his tail no matter how small the movement is. When I bring him outside to sniff and he pee he is only able to dribble some pee out, so expressing is the only way to make it come out. I'm determined to do what it takes, despite what his surgeon thinks. His surgeon didn't think acupuncture would work on him, but I believe without it, he wouldn't have had the small improvements he has today.
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PaulaM
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Post by PaulaM on Apr 3, 2020 19:50:20 GMT -7
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PaulaM
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Post by PaulaM on Apr 3, 2020 19:59:55 GMT -7
Taylar, if you have verified first you doing some happy talk and THEN comes a wag even if weak that is a sign of nerve healing taking place. Let us know what exactly you did when observing tail movement.
IF a happy wag THEN tail movement, then continue to periodically take him outside for the sniff and pee test. IF he can't snifff, cirlcle and then make the decision to release urine, express for him.
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Taylar & Wyatt
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MALE - JRT/Dox mix 4/20 (4wks) or 6wks?
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Post by Taylar & Wyatt on Apr 4, 2020 10:29:59 GMT -7
He wags his tail on his own sometimes when he's just laying down and other times it's when he's excited. Sometimes when I talk to him or when he sees something outside that excites him causes him to move his tail.
When I take him outside and hold him up by a towel, he sniffs an area that he use to frequently urinate on and then is able to let out a few dribbles of urine. I then express his bladder in the area that he was sniffing.
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Post by Romy & Frankie on Apr 4, 2020 13:28:21 GMT -7
If Wyatt is wagging his tail when he sees you or sees something exciting outside that is brain directed and an indicator that future healing can take place. I know that you have seen the typical stages of healing but I will put them again here for your easy reference.
1. Deep Pain Sensation (Only correctly identified by a specialist.) yes2. Tail wagging with joy at seeing you, getting a treat or due to your happy talk. yes3. Bladder and bowel control proved by passing the "sniff and pee" test. Take your dog out to an old pee spot in the grass. Let him sniff and then observe for release of urine. 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 placed paws. 6. Ability to walk unassisted and perhaps even run.
When a dog can wag his tail in response to something happy or exciting, he has now reached the second stage of healing. A dog that can wag his tail has DPS because for that tail to wag in response to something happy the brain must be able to communicate with the rest of the body. It works like this, dog sees owner (brain level) dog wags his tail in response to seeing the owner. (body level) When a dog does not have DPS (which is the last neuro function to be lost) the brain signals cannot reach the body through the spinal cord because the spinal cord is too damaged. So a happy tail wag is excellent.
Wyatt is also showing signs of bladder control returning, since when you take him to the potty spot he releases some urine. He does not have full control yet so you are right to keep expressing him, but he is heading in the right direction. So right now, Wyatt is moving towards the third typical stage of healing.
Wyatt is making very good progress.
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