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Post by Joyce & Apollo on Sept 21, 2020 23:59:49 GMT -7
[Original subject line: Apollo’s Home] Codeine 7.5mg/2-3x Diazepam 2.5mg/2-3x Prednisone 9/21 @1.25mg/2x, 9/24 @1x, 9/27 eod 14 d Pepcidac 5mg 30b-4 Pred (I requested) Trazodone 25mg/2-3x as needed [Moderator's Note. Please do not edit 10lbs Prednisone as of 9/21: 1.25mgs 2x/day for 3 days, then further tapering Codeine 7.5mgs 2 OR 3x/day Trazodone 25mgs 2 OR 3x/day Diazepam 2.5mgs 2 OR 3x/day Pepcid AC 5mgs 2x/day]My 10# poodle, Apollo, and I, Joyce, just came home today [9/22] Monday from a decompressive surgery for a severe herniated disc L2-L3. In 2019 he got 3 scripts for IVDD. The Vet is a ACVIM Neurology. He’s not moving but he can sit up. No tail wags! We’ve been home now 8 hrs and he got up only 1X and peed. I missed seeing the spot on diaper but he got urine on his leg too. They removed catheter at noon [9/22] today . No BM since Surgery 9/19 am. On 9/14 Apollo slipped on new pvc deck, but I didnt see it and I used rimadyl&gabapentin for 5 days. He’s eating and drinking and I added some pumpkin. I’m afraid to lift him and when carried his crate outside to potty he never stood only sat. So I’m not pushing him to walk. No one told me to make him move. I skipped his trazodone in case its the cause or problem. He’s acting comfortable but very still and not moving. Surgeon was off the last 2 days so Tomorrow i hope to get more info from her. Thank goodness I found your page today so I wasn’t totally in the dark. All advice and help would be appreciated!
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,722
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Post by Marjorie on Sept 22, 2020 5:05:25 GMT -7
Welcome to Dodgerslist, Joyce. 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. Know more about us and how we team up with veterinarians: dodgerslist.com/about-team-dodgerslist/Disc disease is not a death sentence! Struggling with quality of life questions? Re-think things: dodgerslist.com/2020/04/18/hope-quality-life/Not moving is a sign that Apollo may be in pain - it hurts to move. Be sure to give the Codeine and Diazepam 3x/day. We usually see vets prescribe Tramadol as a general pain med, Methocarbamol for the pain of muscle spasms (though Diazepam is sometimes given for that) and Gabapentin for nerve pain. Please don't wait until tomorrow to speak to the surgeon about this but rather contact the hospital to let them know of this sign of pain that you're seeing. Any of the vets there can pull Apollo's records and adjust the pain meds. "Codeine is not a recommended analgesic for dogs or cats. It is generally only available in combination with acetaminophen (Tylenol) which makes it completely unsuited to feline use. Its use in dogs is discouraged as most dogs lack the CYP2D6 enzyme primarily responsible for the conversion of codeine to morphine, its most active metabolite. That being said, there may be some analgesic value to codeine in dogs via the C6G metabolite." www.vasg.org/newer_options_for_chronic_pain_management.htmDiapers are not recommended. They hold the urine against the skin and that causes skin issues. Someone at the hospital or your regular vet needs to give you a demonstration on how to manually express Apollo's bladder. This is important since urine that lies for too long in the bladder can lead to urinary tract infections. Here is information on how to express for your review before your demonstration by a vet: dodgerslist.com/2020/05/05/bladder-bowel-care/Sniff and pee test: The only way for we humans to tell if a dog has bladder control is to carry them out to a spot where he or another dog has peed before, support his hind end (but not under his belly), let him sniff and see if he can release urine on his own. If he can, then he has bladder control. If not, then his bladder needs to be expressed. Neuropathic pain is not common but is something you should be aware of. This kind of pain is abnormal, phantom pain sensations with severe spinal cord damage. Signs are obsessive licking of paw, leg, genitals, tail. Escalates to biting, life-threatening chewing off parts. Immediately put on an e-collar (or lengthwise folded towel around neck and duct taped closed) to prevent access to lower body. Contact vet immediately for Gabapentin or stronger Lyrica (pregabalin) for neuropathic pain. More info: dodgerslist.com/2020/06/10/neuropathy/?highlight=neuropathicLifting: Don't be afraid to lift Apollo. If his pain meds are sufficient and his pain is completely brought under control, lifting shouldn't be painful. Just learn how to lift the proper way by watching this video: QUESTIONS: What was the date of surgery? For how many weeks was crate rest prescribed?Post-op crate rest is to allow the surgical sites to heal. Super tried and true tips for setting up the recovery suite, the mattress and more! —> dodgerslist.com/2020/05/14/strict-rest-recovery-process/STRICT for a post-op dog means: ◼︎no laps ◼︎no couches ◼︎no baths ◼︎no sleeping with you ◼︎no chiro therapy whys: www.dodgerslist.com/literature/chiropractic.htm◼︎no dragging or meandering at potty times. Post-op dogs will follow surgeon's directives for PT during post-op rest as the offending disc material was surgically removed. Do speak to the surgeon about what PT is recommended. Here's our page on therapy for your review and discussion with the surgeon. Please check with the surgeon before starting any PT. dodgerslist.com/2020/05/27/surgery-dog-pt/If there is great pain or severe neuro diminishment, acupuncture or laser light therapy can be be started right away as an adjunct to pain meds and to kick start nerve cell energy production. Options: Acupuncture vet who does home visits to avoid back moving during transports. For transport to necessary visits, pad out the recovery suite extra space with a rolled up towel/blanket to prevent body shifts during braking or cornering. CAUTIONS: ~~ Laser light therapy is contra-indicated with tumors which are detected via x-ray. ~~ Why Chiropractic is not recommended for IVDD dogs: dodgerslist.com/2020/04/22/chiropractic/?highlight=chiropracticAlso water therapy can be performed after the stitches/sutures are removed. Some of these exercises can be done right in the bathtub. Many members have found underwater treadmills to be very helpful in regaining their dogs' use of their legs. Please check with the surgeon before starting any of these. dodgerslist.com/2020/05/28/surgery-dog-water-therapy/?highlight=water%20therapyGreen tea helps to neutralize the acidity of urine, prevents skin burn and leaves a nice fresh scent. Brew up a pot of decaf green tea, let it cool, dampened a cloth and gently wipe Apollo's belly and legs. Leftover tea can be kept in refrigerator and heated to use again. It's common for dogs not to have a bowel movement for several days following surgery. Good that you're giving pumpkin - that should help. 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 soonest 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. ﹆1 Remove yourself from the dark scary unknown. Be in command of the 4 phases of healing, what to expect with pain, with swelling, disc and nerve healing. Get up to speed: dodgerslist.com/healing-the-disc/﹆2 Two FRIDGE FLYERs to print out a) Help all of your family recognize emergency signs and action to take. dodgerslist.com/wp-content/uploads/2020/07/emergency-fridge-flyer2.pdf b) Avoid dangerous detours with the Conservative Roadmap for your fridge: dodgerslist.com/wp-content/uploads/2020/07/Roadmap-for-Fridge.pdf﹆3 Excellent IVDD video playlist: www.youtube.com/playlist?list=PLGTcmjenJIkUNy9ke7IvPlFIMKFfjBSen ﹆4 At the MAIN WEBSITE, use the orange SEARCH bar feature to easily access the treasure trove of more IVDD information. You will feel so very empowered to help your dog! dodgerslist.com/Please let us know what the vet says after speaking to them or if you have any questions or concerns at all. We're here for you and Apollo and will help you through his recovery. Do know that nerves can take a very long time to heal and it's very early days in Apollo's recovery. Healing prayers for Apollo.
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Post by Joyce & Apollo on Sept 22, 2020 16:56:17 GMT -7
Apollo’s surgery was [9/19] Saturday pm. He had an MRI and they found IVDD then L2-3 ID Extrusion and left Hemilaminectomy. I only spoke for a few minutes b-4 surgery and afterward. I got him back Monday noon.
This am [9/22] I called about Apollo not moving and to speak to My surgeon but she works only Friday & Saturday. The staff said Codeine could be given every 6 hrs but I said no if its not working I don’t want to increase it and how the Cyp2d6 enzyme problem. She said he may not be in pain but a learn behavior to avoid pain he’s not moving. I felt he’s not moving from pain. She’ll let other surgeon know And I also asked for sulcrafate script. Today Apollo is a bit better, he’s stood 2x on his own, peed a few, and called out and barked 2x. I managed to carry him out without any problems. Stood around but content. His attitude is better now, resting, rather than rigid and up tight. My Vet said maybe I’m duplicating using both diazepam and trazodone. He didn't think diazepam did much for muscle relaxant... but I was not told its optional. Trazodone is “as needed” as is codeine. This maybe not the right time but I would like to explore CBDs.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Sept 22, 2020 17:08:56 GMT -7
Joyce, it is unclear..... are you now (today, 9/22) reporting that Apollo no longer is showing any sign of pain? SIGNS OF PAIN:
◻︎ shivering-trembling ◻︎ yelping when picked up or moved ◻︎ slow to move ◻︎ tight tense tummy ◻︎ arched back, ears pinned back ◻︎ head held high or nose to the ground. ◻︎ restless, can't find a comfortable position ◻︎ slow or reluctant to move much in crate such as shift positions ◻︎ looks up with just eyes and does not move head and neck easily. ◻︎ not eating due to painful chewing or in too much overall pain ◻︎ holds front or back leg flamingo style not wanting to bear weight ◻︎ not their normal perky selves Let us know IF he is showing pain, which you see. Also call and get back to alert the vet you if you are seeing pain. It is not right to let an animal suffer when pain meds can be adjusted. Also, can you clear up this things for us: -- What is the dose of sucralfate and how often do you give it. -- Codeine 7.5mgs 2 OR 3x/day Which do you actually give? Trazodone 25mgs 2 OR 3x/day Which do you actually give? Diazepam 2.5mgs 2 OR 3x/day Which do you actually give?
-- For how many weeks does your vet want for post op rest which also includes supervised and controlled PT? -- What is the supervised and controlled PT your neuro directed?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Sept 22, 2020 17:12:57 GMT -7
CDB when on Big gun meds not a good idea. We just don't know enough about CBD oil to recommend for an IVDD disc episode. Not enough scientific research has been done on it to determine how effective it would be on pain/inflammation for dogs or as a sedative and what the optimal dose would be. We know what does work (pain meds, anti-inflammatory drug and Pepcid AC) and that's all we can recommend. Herbs, supplements, potions can adversely interact with the necessary big gun medications your vet has prescribed for a disc episode. Read about meds humans should not take with CDB oil. Research for dogs is on-going and may in the future line up with the meds for humans that are contraindicated with CDB oil. www.healthline.com/health/cbd-and-drug-interactions-what-you-need-to-know
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Post by Joyce & Apollo on Sept 23, 2020 14:57:04 GMT -7
Today 4 days after surgery I’vd noticed Apollo’s back legs are wobbley walking and stood still with back legs stretched back further than normal, frozen for a few minutes. He’s still slow to move, reluctant to move in crate not shifting positions much, not perky. He’s not interested in moving for leash or food. No bm but pumpkin primed!
Codeine 3x, Diazepam 3x, trazodone 3x but today stopped Traz to see if he perks up ... Not.
[Moderator's Note. Please do not edit 10lbs Prednisone as of 9/21: 1.25mgs 2x/day for 3 days, then further tapering Codeine 7.5mgs 3x/day Trazodone 25mgs 3x/day STOPPED Diazepam 2.5mgs 3x/day Pepcid AC 5mgs 2x/day]
Spoke w/other Neurologist yesterday... about how to reduce drugs slowly if they cause Apollo to be too sedated. He seemed a bit more active and less tense yesterday. Today i left 2 vet messages. One question is if he had any long lasting drugs on board when I got him Monday?
Neurogist will give me Sulcrafate if I really want it normally only use if signs as he said Sulcrafate wont protect but only repairs damage. Not sure since no signs, on pepcid though. We were on rimadyl 5 days, off 2.5 days, on prednisone 3 days now and taper tomorrow. I wonder if its too soon to taper Pred?
I asked about PT and he approved massage and petting his back legs to extend them but stop if reluctant. Thank you for all your help! Is there some pain that I need to accept that its from surgery and not able to stop with out bad drug effects?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Sept 23, 2020 16:27:20 GMT -7
Joyce, often it takes about 2 weeks for all of the surgical caused painful swelling to subside. Til then a combo of pain meds is typical. IF the two pain meds diazepam&codeine are not working to provide relief, then speak with the neuro about a different combo. There is no one size fits all pain med combos. Instead of diazepam, ask about methocarbamol for the muscle relaxer Instead of codeine, asl about tramadol as the general analgesic. Ask if gabapentin for nerve pain should be considered.
There is no reason to accept pain, when pain meds can be adjusted to Apollo's needs. Pain actually hinders the healing process and just can't be allowed.
PUMPKIN This high fiber food can cause constipation or relieve constipation. To help with constipation give 1 teaspoon once a day. Be sure to soak Apollo's kibble food in equal kibble as water or broth over night to provide extra hydration. Had you been soaking his kibble?
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Post by Joyce & Apollo on Sept 24, 2020 13:24:53 GMT -7
Paula, your help and support has meant the world to me! My surgeon abandoned me since she only works Fri & Sat and office mgr said other neurologists don’t chg her drugs so It 24 hrs waiting for an answer for them to decide if I can talk to vet or drive 90 minutes to their er. I told them i would not come there. Covid excuses but there office is not covering for the other 5 days w/ their 2 other doctors, no drug changes w/o act of God or anyone who can make a decision or help guide me, very poor communications. The Neurosurgeon, part owner, did call me Tuesday talked about progress but set back happened Wednesday. Tomorrow I’ll get first call from my surgeon, maybe!
Good news, todays better, Apollo had bm at 2 am and today he’s now getting up for food. Yes its soaked and I made chicken soup to sooth me too. He is alert now and I see his personality come out this afternoon. So if i understand this my hoping for a bm ... even walking 50 feet if he chooses to do it, could be bad for him on day 4. So do I need to reduce this to get steady improvement or should i expect to have a lot of bad days, ups and downs, this next 4 wks? Not sure but maybe tomorrow My surgeon could give me the alternate drugs for any set backs apollo has next week or two. When or how can I know if the Muscle Relaxant is working or needs to be changed? How do i tell difference between muscle spasms and pain? Thank you, Joyce
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Post by Romy & Frankie on Sept 24, 2020 13:55:47 GMT -7
I am glad that Apollo is feeling better today. Is he now pain free?
Not being able to get a timely response from your surgeon is concerning and must be very frustrating. Usually any vet that works in that hospital will have access to Apollo's records and would be able to adjust the medication. If you have been persistent and have consistently been unable to get anyone to consider adjusting the medication, your regular vet may be able to step in here. Your regular vet may insist on seeing Apollo if he hasn't examined him lately, but it wouldn't be a 90 minute trip.
Post-surgery dogs are sometimes prescribed short, supervised walks as part of their physical therapy. Post-surgery crate rest is less strict than conservative crate rest. Follow the surgeon's directions on Apollo's walking.
Muscle spasms are painful. Your vet prescribed the diazepam so she must have thought muscle spasms were likely. Since Apollo is still in pain, trying a different muscle relaxer just makes sense. The pain meds should be adjusted until pain is relieved within an hour and there is no pain between doses. It is not unusual for a vet to adjust medication based on the dog's condition.
Recovery from IVDD surgery is not linear. Some days Apollo will be stronger than other days, but any significant change should be reported to the neuro right away.
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Post by Joyce & Apollo on Sept 24, 2020 18:58:26 GMT -7
Apollo Is feeling better! Thank you! Can U tell me how many days of Prednisone @ 2x a day is usual before tapering to 1x a day for 3 days. Surgeons office did not call me with my request to ask. These large hospitals loose sight of customer service. Joyce
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Sept 24, 2020 19:08:00 GMT -7
Joyce, does "feel better" mean that dose to dose of the two pain meds (diazepam and codeine) Apollo is fully free from pain round the clock? We LOVE the detail!!!
After surgery, prednisone can be Rx'd to help get the surgical caused swelling down. There is no "usual" number of days.The doses follow a very strict regimen of tapering. The pred taper signals the body to resume making its own steroid hormone (cortisol) to run certain body functions. In fact Apollo is was sent home on a taper dose and is currently in following a further tapering down after those 1st 3 days on 9/21.
The pain meds might be given for around 14 days to mask the surgical caused pain. Some dogs need it that long and others don't. If you are seeing pain, then phone the surgeon, call your own vet to discuss adjusting the pain meds for full comfort.
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Post by Joyce & Apollo on Oct 5, 2020 10:44:08 GMT -7
Its 16 days after surgery and Apollo is doing and feeling well! I massage, pet and brush him. He’s walking only for potty times and good in his crate/xpen. I got him off codeine 10/1 which caused appetite problem. I thought I’d use the Trazodone to keep him quiet if needed. Surprisingly, Saturday Surgeon emailed she wants him on Diazepam for 1 more week.
[Moderator's Note. Please do not edit 10lbs Prednisone as of 9/21: 1.25mgs 2x/day for 3 days final taper dose 10/5 Trazodone 25mgs 2 OR 3x/day Diazepam 2.5mgs 3x/day]
Why would he need it this 3rd week if Trazodone would quiet him. Our household is quiet. Is it only to keep him quiet? She also said “no PT will be needed” but in 1 more week i can start walking him 5-10 minutes 3-4 x a day. She specifically doesn’t want him stretching his spine w/PT. I honestly am afraid to turn him or manipulate him and still use towel to pick him up. I’m afraid to leave house in case he would start barking. I think Diazepam makes him bark weird over nothing sometimes but maybe trazodone is more quieting. What is week 3 supposed to bring? Thank you, Joyce
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Oct 5, 2020 12:22:04 GMT -7
Joyce would you bring us up to date so we have a basis for commenting: -- Prednisone is still tapering or now stopped? -- Trazodone 25 mgs is given twice or three times a day? -- Diazepam 2.5 mgs is " " " " ? -- Is Pepcid AC 5mgs 2x/day still on board? There are many uses for this drug depending on dose, disease, etc. To my mind it is always good for an owner to understand the "why" of each med. Go ahead and ask what is the intended outcome with using diazepam. Also inform your self on diazepam at the Mar Vista Veterinary Drug Directory: www.marvistavet.com/diazepam.pml Slowly easing a dog back into physical activity is a safe approach. It can take surgical sites 4-6 weeks to heal. With a walking dog often there is not a need for formal Clinic PT. But rather the PT is walking under supervision and controlled speed via harness and leash. Check your dog's harness for features needed by an IVDD dog's back, and those with the features: dodgerslist.com/2020/05/19/harness-with-leash/ There are many good harnesses in the market. IVDD dog owners should look for a harness that does not wrap around the neck nor sit on the soft tissue of the neck. Each dog may have their own time table of healing dependent on the extent of nerve damage, etc. I'd say 16 days post-op, your Apollo is doing quite well! ! !
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Post by Joyce & Apollo on Oct 5, 2020 15:03:45 GMT -7
Apollo had 5 days Rimadyl, had surgery 9/19, started Prednisone 9/21 for 3 days, tapered 1x daily 3 days, every other and [Prednisone] finished today. Same with pepcid. We stopped codeine 10/1 because his appetite was off. And he’s not painful!!! We stopped Diazepam 9/30 but went back on 10/3 after Surgeon said to use 2.5 3x. I dont understand why he needs it at night if he’s sleeping. I have not used Trazodone but thought that’s what was I’d use next to keep him relaxed. Rx 25 mg 2-3x. Is this easier on his liver and body than the Diazepam? I think to use both would knock him out and he’s calm. Dont think office will help me since Surgeons off till Friday but I’ll call. I’ve watched videos of people laying their dogs on their backs for leg exercises but wonder what week does it happen. I’d be afraid to turn him over on his back. Thank you Joyce
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Oct 5, 2020 15:43:57 GMT -7
What are the credentials of the "people" How comfortable are the "people" in their knowledge of IVDD? Not every veterinary professional can know every disease of all the breeds, and species they treat. But you can know just one very important to you and be in position should well intended but harmful advice be given to just politely say "no thanks" Check out some things here: --- dodgerslist.com/2020/06/15/back-friendly/ after graduation back friendly activities --- dodgerslist.com/living-with-ivdd-tips/ Tips and ideas for life ahead after graduation I would say if Apollo choses to lie on his back, then he should do that. There are plenty of IVDD safe exercises that do not require you turning him upside down. I would stick with your surgeon's directive of walking only. After the surgeon gives the ok, you can begin working your way up to longer 30-60 min walks and even running and swimming when the weather is right. The idea is to strengthen the core muscles that support the back. Diazepam in dogs is excreted mainly in the urine (kidneys) not by the liver. Cats, a different species, can have an unpredictable liver failure with Diazepam. It would be best if you bring up your concerns with your vet. Owners can't be fully on board or be able to research things, where there is no understanding for what reason a med was prescribed and expected to do.
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Post by Joyce & Apollo on Oct 16, 2020 19:29:10 GMT -7
Its 4 weeks from surgery 9/19, sent video to Neurologist surgeon. asking what’s next? Hope she gives details! Surgeon only works 2x week at a very large hospital, 3 neurologists (2 r also N surgeons)plus oncology and other specialties. A neuro coord dble checked records detailing why Apollo needed to take 1/2 Diazepam 3x gor week 3 and she said I could do what I want! He’s off [diazepam] drug this last week and he’s quiet. Somewhat reluctant to walk much, 5 minutes at the most. Sent video to surgeon and hope to hear back saturday b-4 she’s off again. Apollo is comfortable and just starting to chew grass and enjoy being out in the sun in Port townsend WA. Thank you Paula for your support! **
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Oct 17, 2020 8:14:16 GMT -7
Joyce, congratulations on finishing the 4 weeks of REST the surgeon directed! Now is the time to begin a slow and gradual re-introduction back to family life and activities. We'd love to see Apollo walking. Would you be able to upload a video? You will need a Google account which is used to sign in at YouTube (see below if you do not have one) Please do share with us any particular's your neuro recommends for Apollo's PT. Celebrate Appllo's graduation! Add a graduation photo to our Gallery to give other members inspiration about your IVDD Survivor! dodgerslist.boards.net/thread/2262/add-dog-dodgerslist-photo-galleryGRADUATION, A SLOW RE-INTRODUCTION Determine how you are going to ease back into more normal activity at graduation. The idea is to gradually give more freedom under controlled conditions. Not free riegn of the house and yard immediately! LOL Take a look at our information and then come up with a plan to gradually increase activity over about a month's time following the end of crate rest. Here is a sample schedule to slowly introduce your dog back to family life and physical activity: dodgerslist.com/2020/06/15/back-friendly/?highlight=sample%20scheduleLots more ideas and tips: dodgerslist.com/living-with-ivdd-tips/We invite you to hop on to Dodgerslist's educational bandwagon team. Education about disc disease is our number one mission! We wish we did not have to hear of another dog that was put to sleep because of disc disease nor one denied the correct principles of crate rest to help them heal. We would like all of our members to pay forward for the help they have received with their dog by helping us educate!
We depend on you. Here are three ways to help... -- "Share" our FB posts www.facebook.com/Dodgerslist-- Hand carry our literature to your vets. When in conversation at the grocery store line or wherever you may meet breeds most prone to IVDD (Dachshunds, Beagles, Poodles, Spaniels, Shih Tzus, Pekingese, and Chihuahuas) give out our little cards. Ask Linda to send you a free packet: www.dodgerslist.com/literature/litorder.htm-- Would you consider helping another trying to make decisions… We have a directory where you can share surgical info. Here is where you share your dog's info: dodgerslist.boards.net/board/13/member-reported-surgery-costs-recommendationsState: Hospital: Address: Cost: Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments:
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Post by Joyce & Apollo on Oct 21, 2020 19:32:24 GMT -7
I received this response from our surgeon: Dear Fell family, Thank you for the videos and pictures. Now that he is four weeks out from surgery, he can have more access out of this kennel. Also you can take him for walks (five to ten minutes the first week, gradually increasing it over the next month). He can definitely have a bath! As far as a nail trim, does he struggle and flail, or lay there calmly? If he struggles, you should wait another three weeks. The peanut looks a little too tall for him, what exercises are you doing with the peanut? Honestly, he probably does not need much in the way of physical therapy at this point, aside from leash walks. Keep up the good work! Kate Finnerty
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,493
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Post by PaulaM on Oct 22, 2020 8:23:57 GMT -7
Joyce, thank you for Apollo surgery cost facts. It has been moved over to the Directory where you can also add any personal comments about the care, the service, etc that could help other members when deciding for surgery. dodgerslist.boards.net/thread/7730/surgery-tacoma-waVery nice report from the Neuro on Apollo's progress!!!
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