Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 3, 2020 18:45:07 GMT -7
Hi my names Lindsay
I have a cocker spaniel cross poodle called amber. we live in the United Kingdom.
amber weighed 9.08 kg pre surgery not sure of her current weight but even that is a little underweight for her.
she is currently under the Care of a veterinary neurologist and is 2 days post surgery. surgery was 1 July so has not been discharged yet. We have been Advised strict crate rest with additional details to follow. Advised PT exercises to take home. Amber went into surgery walking with sensation but very wobbly and was slowly deteriorating. Back arched head drooped no tail movement, lethargic and not eating.
apparently her surgery was very complex they were unable to remove all the herniated disc due to risk damaging the spinal cord I’ve been advised it was no way typical so we were at first very unsure what to expect . Post surgery day 1 she was unable to move her left back leg at all. Right Back leg was moving but weak and not weight bearing. We are just ending day 2 and left leg is moving but she has no idea where it is but she has sensation ion. Right leg has returned to quite good function but not yet weight bearing.
Meds we are of unsure of yet. We have several different combinations before surgery. They are currently weaning her off the medication she is on now at the vets and are monitoring her pain level. She was not having any major bladder issues initially but they believe she is having issues expressing her bladder this afternoon and she hasn’t eaten in 3 days maybe 5 if she didn’t eat the evening I dropped her off.
im currently setting up a place for her to rest. We have a crate and pen. Have been advised she will likely come home not walking and we don’t really 100 percent know what to expect especially as the surgery didn’t got as planned but things are looking promising so far much better than day 1. We have been advised 6 weeks crate rest so far and up to 4 months expected for healing. Possible in person physio to follow up for left leg if needed.
i hope it’s ok to post before we get her home. As wanted to introduce myself and let people know what point we are at. Prior to surgery we had 6 weeks of not appropriate rest as amber is very good at hiding her discomfort at the vets. Didn’t cry walked in even though she cried when moved and wouldn’t get up at home. 1 had one week of proper crate res rest before surgery but due to no improvement / decline in use of her back legs and increasing symptoms even on strong meds we opted for the surgery.
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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, 2020 20:39:09 GMT -7
Lindsay, welcome! We are glad you have joined us all here. Wow, only two days after surgery and already both legs are moving! Nerves are the slowest part of the body to self heal. So this much, bodes well for even more nerve repair to take place. The sooner they get proof of full pain control via oral pills that can be taken at home, the better she gets home sooner. Most all dogs do so much better at home with familiar people and their very own bed again. Are the hospital folks manually expressing Amber's bladder or is Amber able to pee on her own? I bet your mind is flooded right now with concerns, questions. Now is the time to jot those things down. Here's a starter list of questions to which you can add some of your concerns to ask your surgeon: dodgerslist.com/2020/06/03/discharge-day-list/This page is good reading by Dr. Isaacs, ACVIM (neurology) as he explains many post-op questions for our IVDD community: meds, crate rest, PT and discharge day. dodgerslist.com/2020/05/12/dr-isaacs-surgery-answers/See if there are any other things you can do to make post-op crate rest go smoother with these very useful tips and ideas: dodgerslist.com/2020/05/14/strict-rest-recovery-process/Please do keep us posted on how Amber is doing at the hospital and of course when discharge day will be. What meds she is sent home on and any directive about at home or at a clinic PT to do.
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Lindsay & Amber
New Member
FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 4, 2020 4:21:37 GMT -7
Hi thank you very much for your reply, i will have a look through all the documents. She initially was expressing her bladder. Unfortunatly she lost bladder function last night and they had to express her bladder this morning. Both back legs are now working which in my opinion sounds like an improvement from yesterday but she still requires support as back left cant support her weight and collapses under her.
The loss of bladder function is a bit concerning considering things were improving and there has been talk of a follow up MRI and revision surgery however we have already beennthrough the years insurance cover so im not sure what that will mean. She still has some disc fused with her spinal cord so we are waiting for one of the neurologists who was involved in the surgery to return next week before follow up deciscions are made.
Im going to follow your advice and jot down questions from the list. The waiting and wondering is definitly hard. But the information I have gained from reading here has helped so much already.
Oops forgot to add today is day 6 without food. She is on some sort of replacement. Cant remeber what. Dont think there has beem any faeces either. But without food im bot suprised. Not sure she is drinking either.
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Marjorie
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Post by Marjorie on Jul 4, 2020 6:06:19 GMT -7
Often the swelling from the surgery can cause a worsening of condition. It can take about 2 weeks for that swelling to resolve so until then, it would be difficult to determine how much neuro function there actually is.
Have them check for a urinary tract infection while she's there. That can cause leaking and might be an issue at this point.
Please ask them what meds (names, dosages and frequency given) she's currently on and let us know so we can determine if they're sufficient to get pain under control. Not eating could be due to pain and there's no reason for her to be in pain with all the pain meds available to vets. My Jeremy (a Cocker Spaniel) was in pain in the hospital and I was told that it was to be expected following surgery. It wasn't until I found Dodgerslist that I learned how important pain control is. Also if Amber's been on a steroid, she also needs to be on a stomach protector, such as Pepcid AC (Famotidine). Please check that a stomach protector is being given if on a steroid or a NSAID and if not, advocate strongly for that. GI distress is a common side effect of the anti-inflammatory. Don't just assume that Amber is on the proper meds - ask and advocate on her behalf. Dogs can be very good at hiding their pain and not eating is a red flag sign of either pain or GI distress from the anti-inflammatory.
Hang in there. Those initial days following surgery are tough but it does get easier. Healing prayers for Amber.
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Lindsay & Amber
New Member
FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 4, 2020 6:27:48 GMT -7
Thank you i will ask all of the above this evening. I believe they are weaning her off her pain meds. And gastro issues as a result of meds could be a very real possibility as she was having issues [GI] the day before surgery. Ill double check what she is on this evening. And mention UTIs aswell. It did sound to me that pain could be contributing but i hadnt even thought about asking about meds! Thank you so much for prompting me ill make myself a list for this evening.
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Marjorie
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Member since 2011. Surgery & Conservative
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Post by Marjorie on Jul 4, 2020 6:40:47 GMT -7
If Amber could be in pain or have GI distress, please don't wait until this evening to call. You don't want her to be in pain all day. Call this morning. Any of the vets who are on call should be able to pull Amber's records and respond to your questions.
Plus it's early days to be weaning her off of pain meds. Swelling/pain usually last about two weeks and until then, meds are needed.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 4, 2020 11:28:27 GMT -7
Hi thank you sorry when i said evening i meant afternoon it was already early afternoon here in the uk. So ive spoken to the vetinary nurse and asked about medication she was on methedone directly after surgery now on max dose bupronorphine. They were going to start tapering this down today but she was painfull when vet examined her this morning. So they are going to wait at least another 12 hrs untill her next exam by a neurologist. Big relief however she has eaten. We had a chat and suspect although they had offered her many options she didnt like any of them. They were lovely options ( but shes a fussy eater and likes everything plain as csn be). So now we have figured out what she will eat and wants to be left in peace to eat it she apparently guzzled it down.
They also are not worried about her bladder we discussed the fact she may just be holding it because she cant squat yet. They dont believe its neurological or she would have a catheter in. Just supporting her to express her bladder half way untill she will go on her own.
Mobility no change from this morning they are trying a bungee type support instead and said she is trying reallg hard and are hoping the food will help.
Thank you so much for your advice i really appreciate it.
Still no discharge date yet. It wont be discussed untill monday and ill update when i know more. In the meantme ive prepped an area and crate for her coming home.
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Post by Romy & Frankie on Jul 4, 2020 13:45:09 GMT -7
Very good news that she is now eating. Being well nourished will help with the healing.
She may not want to urinate because it is painful. I know that your vet is not concerned about the bladder, but leaking is often a sign of a UTI. A quick test will be able to determine this. When she gets home, you can support her with a sling or just hold her legs for support when she is urinating.
It is very, very early in Amber's healing. The fact that she can now move her legs is wonderful. Please do not be discouraged that there has not been an increase in mobility. Nerves are slow to heal and it can take weeks or months for improvement to be seen
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 5, 2020 2:41:11 GMT -7
Hi update on the bladder sistuation. Seems today they dont know if she is releasing her bladder on her own. Or if she can control those muscles she is weeing but they have said it is very hard to tell if she is choosing to or not. They have said it could be neurological which i will be upsetting if it is because she had no bladder issues prior but no one can really say right now. They are monitering this today and will update me later. Legs are showing a little improvement today not a lot.
Really difficult not to be disheartened when she went into surgery walking no bladder issues. She has come out not walking with potential bladder issues and spinal cord still compressed. Guess we will just have to see where it goes. Feeling positive about her legs but concerned about the bladder situation.
Update: amber also has an MRSA infection in her ear.
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Marjorie
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Post by Marjorie on Jul 5, 2020 4:52:49 GMT -7
Did they check for a UTI, Lindsay? How often are they taking her outside to potty? The only way to tell if a dog has bladder control is to carry them outside, place them in a spot where they or another dog has peed, support their hind end but not under the belly, let them sniff and see if they can release urine on their own. A sniff and pee test will show whether there is brain/nerve connection and whether she's making a decision to go on her own. Are they doing that at the hospital? You mentioned that they need to wait for a neurologist to return next week to examine her again. Did a neurologist actually perform the surgery? Try not to become discouraged. Swelling from the surgery can cause a worsening of neurological function. If in fact Amber has lost bladder control, that can be managed with expressing and you can learn how to do that. The nerves leading to the bladder can heal and bladder control can return so please don't despair. While you're waiting for Amber's discharge, the best thing you can do is to learn all that you can about this disease so you're armed with the knowledge to fight it. You can start your education here and click on each link: dodgerslist.com/category/healing-phases/
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 5, 2020 6:15:08 GMT -7
As far as I understand about potty time they go out for potty walks at least 2 times a day may be more as I havent specifically asked. I dont believe they have checked for a UTI. She has peed on her bed on a pad provided for her and out at potty time. But they still are unsure whether this is under her control. I just find the bladder situation a bit confusing as it seems to be different each day. Day 1: she was peeing in her bed. Day 2 she did a big wee then held it. Day 3 they had to express her bladder. Day 4 post op and they are unsure whether her bladder emptying is voluntary or automatic. It doesnt sound like a clear positive improvement. I know two cases are never the same. I also havent spoken to a neurologist today as they were in surgery.
Surgery was completed by 2 neurologists including the head of neurology as surgery ended up being more complex than was visable on the MRI herniated disc fused to her spinal cord. The main neurologist in charge of her care is back on monday and I believe amber being her patient will make the final deciscion in regards to what happens next.In regards to monday neither of thr primary surgeons are currently in the neurologist currently making deciscions woouldnt discharge untill discussed further with either of them.
She is still being funny regarding food but i suspect some of this is because she is away from home.
I am slightly concerned about not being able to get her to have food a fluids aswell as getting meds in her when i do get her home. Im all set in regards to a space for her.
I hope i havent missed anything.
Edit: thank you ive just re read your comment on bladder control and thats really reassuring. Apologies for me going over it again there has been a lot going on today and i missed it first time round.
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Post by Ann Brittain on Jul 5, 2020 7:18:13 GMT -7
It's been only a short time since Amber's surgery and, at this point, it may be premature to determine what the outcome will be. It will take time for her nerves to heal. I know how hard it is to be patient when you're so worried about your dog. It's also very stressful when you're not there and know that Amber may be out of sorts because she's in unfamiliar surroundings. Our Buster was at the vet's for six days after his surgery. Although he was getting good care, we knew he didn't understand why he couldn't come home.
When the bladder is full, pee will leak out, but the bladder won't fully empty. If she's been able to do more than 'leak', that would seem to be positive.
Her lack of normal appetite could also be due to medication and/or lack of activity.
Hopefully you'll be more information when you're able to talk to her vets.
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Lindsay & Amber
New Member
FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 5, 2020 8:02:56 GMT -7
Thank you that really helps it is increadibly stressfull and although i get 2 updates from the vets still have a lot to learn and understand hopefully she will be home soon which i know will be good for her. Hopefully i will know more in A couple of days. Thank you all so much it has helped me understand a lot in the last couple of days. Will be able to update when home with meds ect.
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Post by Ann Brittain on Jul 5, 2020 8:29:40 GMT -7
From my experience, these first few days are the hardest. As soon as Amber comes home, you'll be there to see her progress. She'll be happy to be back with her people which will lift her spirits and help her heal.
One thing we learned during Buster's recovery is how sensitive dogs are to our emotional state. We realized that he was picking up on our anxiety which was stressful for him. My tip would be to remain cheerful and positive with Amber. A normal, calm environment will help her adjust while she recovers.
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Lindsay & Amber
New Member
FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 6, 2020 2:59:52 GMT -7
Just a little update. Amber is walking. Just a couple of wobbly steps but can support her weight she is still being supported to help with her wobbly gait but all are very happy with her progress.
Still on IV meds which they are going to taper down today and see how her pain is.
No further updates on her bladder but neurologist believes she should be able.tp empty her bladder on her own.
If she os ok without the bupromorphine and bladder is good then she can come home soon. Will be discussed further tomorrow.
Just trying to decide now whether a crate or XPEN is more appropriate for her as dont want to hurt her lifting her out a crate door but also with her becoming more mobile will she try and pull herself up. I have both prepared.
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Marjorie
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Post by Marjorie on Jul 6, 2020 3:55:59 GMT -7
Good news that Amber has taken a couple of wobbly steps, Lindsay! Usually a dog is discharged from the hospital 3-4 days following surgery. They are taken off of the IV meds and given oral meds to be given at home. The oral meds that we see given at home are Tramadol, Methocarbamol and/or Gabapentin. Sometimes a dog will come home with a Fentanyl patch. Pain can sometimes continue for a couple of weeks following surgery and is not a reason for continued hospitalization. Bladder control is also not a reason to keep a dog hospitalized. If Amber does not have bladder control, you'll need a lesson on how to express her bladder. Loss of bladder control is due to nerve damage and since nerves are very slow to heal, if Amber has indeed lost bladder control, that may take months to improve but it can improve. Please don't let bladder expression intimidate you, it just takes a bit of practice but then it's quite manageable. Here's our page on how to express the bladder for your review in case you need to learn how: dodgerslist.com/2020/05/05/bladder-bowel-care/As for a crate or ex-pen, the area Amber will recover in should only be large enough for her to stand up when able, turn around and lie down with legs comfortably extended. Any additional room should be filled in with rolled up towels/blankets. dodgerslist.com/2020/05/14/strict-rest-recovery-process/Dogs do so much better when at home with their loved ones so I do hope that Amber will be home with you soon.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 7, 2020 6:07:21 GMT -7
Amber is being discharged today on way to pick her up now. 4-6 week crate rest with no physio yet due to amount of trauma on the spine during surgery. Im to watch her closely for the next week and update vets next week.
No updates on meds yet. Will know in a couple of hours. Pen prepared with a suitable place to rest. She is able to successfully go to the bathroom. Going to update on mobility level later when ive seen her with my own two eyes. Thank you for the advice I have been preparing her space as i suspected she may be home today.
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Marjorie
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Post by Marjorie on Jul 7, 2020 6:09:54 GMT -7
Great news, Lindsay! I'm sure you and Amber will be very happy to be reunited at home again. We'll be waiting for an update once you get settled.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 7, 2020 8:56:01 GMT -7
Ok so shes home.
Meds are as follows [9.08 kg / 20.02 pounds] Prednisolone 2.5 mg twice a day Paracetamol 100 mg 3 times a day Gabapentin 200 mg 3 times a day Amantadine 3.6 ml 2 times a day Diazepam 2mg 3 times per day (2 wkz) Trizchlor [chlorhexidine] 1 daily Cindamycin 88mg 2 times a day
Cindamycin and teizchlor for her ear
She cant walk unsuppirted really this afternoon but i think she is tired. She walked a little at the vets and could pull herself up. To tired to pull herself up now.
She can move both legs but really struggles with her left and sometimes drags it or has her toes turned under.
She has been for a big wee. Ate a big bowl of food. She is still hungry but i dont want to overdo it so will let her sleep.
Ill hear from physio in a few days. Check up with our local vet in 10 days. And follow up with neurologist in 4 weeks. To call nuerologiet next week and anytime inbetween if concedned about decline.
Think thats the lot covered.
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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 7, 2020 11:25:17 GMT -7
Imagine Amber is so happy to be home in familiar surroundings. She'll get a good nights sleep now and be rested tomorrow just as you will be! Tomorrow you will better be able to see your refreshed Amber in better light. It takes a lot of energy to heal and while healing deal with the extra effort it takes to do everything.
The knuckling under of paws and dragging the left leg is nerve damage that has great potential to repair itself with time.
Please keep us posted and let us know that all pain is fully in control right up to the next dose of the pain meds (gabapentin, diazepam, paracetamol and amantadine).
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 7, 2020 15:09:16 GMT -7
Thank you! Just a quick update
Amber is comfortable. Pain seems to be well managed no sign that she was in pain before her last dose of meds given at 22:00 GMT. Next dose in the morning.
Shes asleep for the night now. We are all really happy to have her home glad i can take care of her myself.
Ive just read this from her discharge:
Removal was difficult and durotomy was performed ventrally while trying to grab the disc with some forceps.
Im not sure what this means but sounds scary.
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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 7, 2020 17:01:45 GMT -7
Not an easy surgery, then. But that has passed and now you are on the road to getting Amber healed post op.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 8, 2020 8:07:09 GMT -7
Thank you for replying. I know ive been on here a lot lately. Thank you for taking the time to respond its really helped. Its hard not knowing what the outcome will be based on a deciscion i made to go ahead with surgery. Knowing it was complex makes me all the more confused to as what that means for recovery but realistically i know no one else really knows either. Im feeling positive i know we are in a good place with her wobbly walking. She could probably go unsupported when she is all healed but we are just trying to avoid any trauma from falling as her left leg gives. Hoping for further improvement as she heals. She is to come of amantadine and Diazapam next week so will be interesting to see where we are then.
She stood to eat her dinner today to out of choice shes definitlty getting stronger.
Will pop by update next week.
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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 8, 2020 8:27:27 GMT -7
Lindsay, what you report is ALL good. Amber, refreshed by a good night of sleep, is showing you where she is. Being able to move up in to a stand is fabulous as that takes muscle strength to do it. I won't be a bit surprised at some point you will be observing more improvement in nerve healing for faster to place her paw correctly, less wobbliness, no dragging any leg, etc. Have a happy and pleasant day ahead! Stop by anytime, we always have time to go over anything on your mind. A nurse with a positive outlook is the very best medicine for Amber! Try some "Greeting Nose Work" with Amber in the "NOSE WORK AT HOME" section. You will find out why you just are not able lie to your dog. They always know how you really feel, if you are positive or down. dodgerslist.com/2020/06/16/have-fun-nose-work
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 10, 2020 0:19:41 GMT -7
Hi Thank you for replying just a little update and a quick question.
amber is doing great. Resting well and when she wakes after a long rest her left leg shows really good movement for a short period of time. But she tires very quickly and gets wobbly so still supporting her with a sling to prevent her falling.
I havent yet beem given any PT exercises for her. Just wondered when its normal to start passive range of movement exercises? Ive a follow up call with her neurologist in a few days and was told i will hear from PT but id like to get an idea. Especially so i can look at getting funds together to pay for PT. Her insurance policy will cover her for hydrotherapy but not PT as we are at our limit on that part of her policy. Im hopong underwater treadmill might be cocered by hydrotherapy. Her policy does renew in novemeber however so will cover any ongoing PT then if needed.
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Marjorie
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Post by Marjorie on Jul 10, 2020 4:58:24 GMT -7
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 10, 2020 16:13:34 GMT -7
Thank you! Ive had a look at the links and found them really helpfull we have our sling and are walking to a from toilet time 4 times a day. I didnt realise we could consider this our PT. She is doing really well but had a little stumble this afternoon so im going to limit activity tomorrow. She definitly has better reflexes and more sensation in her left leg and is getting stronger. However it does give out on her she has a limp but is placing her foot correctly and can lift the leg when not tired. Ive also seen more sensation around her spine to and a bit more tail wagging. Ill have a chat with the surgeon regarding follow up PT and exercises we can do at home next week.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 12, 2020 14:38:12 GMT -7
Just a breif update and some positive news. Amber suffered no averse affects from her stumble although at the time she seemed more sore and seemed to struggle to push herself up. We spoke to a physiotherapist yesterday as a follow up to her surgery and we were advised to move to a figure 8 sling and that we can start some PT exercises and massage. I followed the advice for creating a figure 8 sling from the website and its worked brilliantly.
Since starting the exercises ive seen a big improvement. Bearing more weight on her left, less lame and getting stronger. She can actually walk completly unaided now stand and go from a sit to stand. She still has another 3 weeks of strict crate rest apart from PT but we are also going to book her in for her first PT appointment in the next 2 weeks.
Cant remember if ive said this but she is no longer wobbly. She can use her left leg but prefers not to. I believe the main problem area is left thigh to just below the knee. But improving every day the massage helps.
Diazepam is only for another 2 days then i suspect keeping her calm and rested is going to become even more of a challange. She is becoming more active and more enegetic the stronger she gets. Admantadine only has another 2-3 days left also.
Oh and also what ive missed a lot and was pleased to see today her tail was back to wagging like a propeller.
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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 12, 2020 15:37:48 GMT -7
Lindsay, what joyful news! How wonderful to hear so soon after surgery Amber is making speedy healing of nerves to bring back so much neuro function. So happy for you to have your tail wagging Amber back! Hows the ear infection...clearing up? We appreciate your feedback to know our NEW website and our support here has been helpful to you in caring for Amber. Thank you! Look forward to more of your lovely updates.
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Lindsay & Amber
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FEMALE - spaniel/poodle . . 10/10Torn Knee ligament 4wks rest
Posts: 69
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Post by Lindsay & Amber on Jul 13, 2020 0:24:31 GMT -7
Thank you! Im really suprised how quick her progress has been. She was pretty unwell post surgery worse than expected. but Its finally starting to feel like i made the right deciscion.
The ear infection is from the outside looking much better however i have a feeling its not quite cleared up inside the ear canal. But its much less irritated and sore which is massive improvement. She has a follow up appointment with her PCP on friday where she may need an alternative topical treatment and still has several weeks of clindamycin left to so we sre on the right track.
And honestly the advice Ive been given here and information I have learnt from the website has made a massive difference. I doubt the outcome would have been the same had i not had all this extra support. Especially as we dont have the same acess at appointments at the moment due to covid 19. When the pysiotherapist called I could even visualise what she was explaining because id looked at the website and all the links beforehand. It will also help my younger dog who is genetically related now i know what to look for.
Its been really nice to share the positives from the last couple of days and even read back through my posts and see the progression she has made.
So thank you once again! Hopefully i will be back with more positives soon.
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