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Post by julibug on Aug 10, 2013 20:45:08 GMT -7
My 4 year old dashound fell yesterday. She had trouble with her back right leg and was not walking on it. She scooted a few feet and that was it. Took her to the vet, he said he thought it might be an issue and mentioned surgery but we chose to try and treat it medically. He kept her overnight and administered steroids and muscle relaxers through an IV. We went to visit her today and she had gotten worse, and had no feeling in either of her back legs. We got an xray for piece of mind and to make sure nothing was broken. We decided surgery was what was best for her.
We got to the surgery center and saw the Dr....he said she had no feeling in her back legs and that surgery was best for her. He gave her a 50/50 chance of getting back to "normal." He said that the fall was the final straw, her being overweight probably wasn't helping, but that she probably had these problems to an extent for a while now. We agreed on the surgery and left her. They immediately took her and started an IV and administered the CT scan. Then on into surgery. They called after surgery and said she had a HUGE ruptured disc that covered 3 of her vertabrae. My poor baby. He said there was damage to the spinal cord but didn't know to what extent or if it was just pressure from the disc (fingers crossed that's what it was.)
Anyone been in similar situations? I am praying she regains feeling in the next couple of days and recovers from this. I've had doxies my entire life and never had one with back issues until now, needless to say I'm an emotional wreck and just doing what's best for her as I CANNOT lose her.
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Sabrina
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Post by Sabrina on Aug 10, 2013 21:20:50 GMT -7
Hi, I'm Sabrina - what's your name? And what is your girl's name? I'm new to IVDD and my dachshund has not had surgery, but I wanted to point you to some resources incase the forum is quiet overnight. IVDD is frightening, but Dodger'sList has been such a help to me - I'd be lost without it! The biggest comfort I've found is that IVDD itself doesn't mean that your dog can't have a happy life: YES, Your Dog CAN Have a Great Quality of Life! - www.dodgerslist.com/index/SDUNCANquality.htmWas the surgery today? I'm assuming your girl will be at the hospital for a few days, giving you the perfect opportunity to read up on IVDD so you can be her advocate. This is a great place to start: INDEX to Overview: Phases of healing - www.dodgerslist.com/healingindex.htmSome other reading that I think would help you: Answers about IVDD surgery - www.dodgerslist.com/literature/surgery.htmRecommended disc disease (IVDD) questions upon discharge - www.dodgerslist.com/literature/dischargequestions.htmOther folks with more knowledge and experience will be by, and I'm sure a mod will move you over to the "surgery" forum, but I just wanted to help point you towards some solid info so you can find some comfort knowing you can learn how to help your girl! )))Hugs!((( -Sabrina
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Post by sophiesmommy on Aug 10, 2013 23:14:13 GMT -7
I'm so sorry to hear about your little one!! I'm very new at this myself as my Sophie just had surgery on Wednesday August 7th! I know it just helps to connect with someone who gets it and you've certainly come to the right place! I brought Sophie home today and really the only advice I can give is that you need to have everything in order for when she comes home. You can certainly find everything you will need here! You won't lose her you just may need to adapt to a new normal at least for a while! Hang in there and absorb all the information you can from here!! I think I've read everything 2-3 times and it really helps!! There are so many success stories out there! I have just decided that even if my Sophie does not regain use of her legs she will still be the same sweet baby shes always been just with some hot new wheels!! Either way I'm happy as long as shes with me and pain free!! My thoughts and prayers are with you!!! Best of luck!!
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Marjorie
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Post by Marjorie on Aug 11, 2013 4:19:54 GMT -7
Welcome to Dodgerslist. I'm so sorry to hear about your dog. You've done exactly the right thing by getting your dog immediate care. My Jeremy also lost deep pain sensation, was completely paralyzed and incontinent. He had surgery and was also given a 50/50 chance of walking again. His spine was very bruised - they said when they saw it during surgery, it was purple. It took many months, but nerve healing did take place and Jeremy did learn to walk again. Your dog made it through the surgery and now needs time to heal. Sabrina has given you some very important links for you to read. Take the time to read the information contained there so you can prepare to care for your girl when she comes home. You need to prepare a recovery suite for her release from the hospital. She'll be on crate rest for six weeks while she recovers from the surgery. Here are some tips for getting that ready: www.dodgerslist.com/literature/CrateRRP.htmPlease know that we're here for you. Take it one day at a time and please keep us updated. Blessings to you both.
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StevieLuv
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Post by StevieLuv on Aug 11, 2013 9:44:45 GMT -7
Hi julibug, my name is Maureen, what's yours and your little girl's too. I have moved your thread to the Surgery side of the board so that the best information and help can be provided to you. As hard as it is, try not to worry too much, and believe in the power of healing. No one, not even a surgeon can tell whether she will walk again. Some dogs stand up a week after surgery, and others, require a much longer time. Each dog recovers at a different rate and to a different degree. Nobody can predict how much function a dog will regain, not even a surgeon. It will take at least 2 weeks for the post operative swelling to subside. After the swelling is down there is still the healing of the surgical area and then the nerves themselves - and nerves can take along time, weeks to months. www.dodgerslist.com/literature/healingnerves.htmMarjorie and Sabrina have given you some great advice and links to important information. You have lots of reading to do and a recovery suite or crate to prepare while you wait for your little girl to be discharged from the hospital. It is a great idea to print out the list of discharge questions to take with you, it also gives you a place to write down the answers that they give you. If she cannot pee or poop on her own yet make sure to ask for a hands on lesson on how to express her bladder - and we have information here to help you with that too www.dodgerslist.com/literature/Expressing.htmI know haw overwhelming this all can be - but remember that we are all here for you, and you aren't facing this alone. Everyone here has gone through, or is currently going through IVDD with their dogs. Keep your chin up, cry when you have to and present your most sunny and positive face to your little girl. You CAN do this and we can help. Keep us posted (((hugs)))
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Post by julibug on Aug 11, 2013 14:56:11 GMT -7
My name is Juli and my lil girl is Roxi.
Thank you all for the literature and tips. I will definitely get on my homework.
Dr called this am and she is resting comfortably. No change neurologically but he said that is to be expected with all that they removed yesterday and that it would take days to weeks for the cells to grow back on the spinal cord. They are monitoring her potting, eating etc. Just praying she gets feeling back.
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Post by julibug on Aug 12, 2013 15:58:19 GMT -7
Dr had this am and said no neuro change that it takes time and each dog is different.
My mom and sis n law went to see her around lunch and she sat there , laid her head on their leg and turned her body to make sure she got love
I went this afternoon and she looked good. The tech brought in some dry food and she was not interested because she wanted the chicken she had brought in too. She scooted her little booty about 6 inches and gobbled up the chicken. She was trying to move around, but just couldn't get it going. I was messing with her back rt leg, pinching the pad between the "toes" and the 1st time she slowly pulled it back. I made my sis n law (she went with me too, 1st visit definitely needed a support system) watch the 2nd time and it took a few seconds but again she pulled it back a little. Then she was laying on the mat and looked as if she was lifting the back left leg. It went up and then back down. And then the tech came to take her back to her cage because she was tired, and being very dramatic about it, that's my girl....anyway he picked her up and all of sudden she peed ALL over him. Poor thing, his scrubs were soaked...it was ALOT!!!
I was encouraged by all of these signs and took them as improvements. Am I just being hopeful or are these legit improvement/encouraging signs??
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PaulaM
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Post by PaulaM on Aug 12, 2013 16:33:01 GMT -7
Julie, as your surgeon noted it takes time for nerves to return. After two weeks post op when all the temporary neuro setbacks caused by the surgical procedure swelling is down, then you will have a better idea of the direction of healing. I know you will want to watch for the milestones in neuro healing and be able to recognize them. This list will have you watching for the first tail wag specifically due to being happy to see you or getting a treat. Here's the complete list and order they typically happen in: www.dodgerslist.com/literature/healingnerves.htmBasically the neuro functions you are wanting to observe for take place along with some head level involvement. So the sniff (head) and pee test is what we give to see if bladder control is back. Otherwise release of urine when lifted is caused by reflex..overflowing bladder. The happy (head level emotion) tail wag is another neuro milestone. It is still very early and plenty of time to heal. The important thing at t his point is to be out of pain so healing can take place in comfort and she can come home.
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Post by julibug on Aug 12, 2013 16:35:46 GMT -7
Ok...thank you. Was hoping today was a sign of good hope
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Post by Pauliana on Aug 12, 2013 19:18:46 GMT -7
Hi Juli! So glad to hear Roxi is through surgery and you and family have been able to visit her. That will keep her morale on the upswing as she recovers and soon she will be coming home! Be sure and let us know what medications they send her home with, as well as their dosage and frequency given.. I very much remember what it was like when we left Tyler at the hospital for his disc surgery.. It was Dodgerslist moderators and members that got me through the whirlwind of emotions and upset.. It really helped me to read all the Dodgerslist info on the website and also all the personal experiences of the members and their beloved dogs.. Our Tyler recovered very well, indeed and I am praying the same for your Roxi! Here are some of our success stories to give you some encouragement: www.dodgerslist.com/monthstory.htmAs you learn about IVDD and become more familiar you will learn to care for Roxi.. We are here to walk that road with you..
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Post by julibug on Aug 13, 2013 18:08:05 GMT -7
I am preparing to bring my sweet girl home soon, hopefully on the 5th day. I have read where to give the vitamin c, glucosamine.....what else? How many mg? How often? I have her crate (pack n play) set up and ready to go.....she will be on crate rest in style!
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PaulaM
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Post by PaulaM on Aug 13, 2013 20:23:24 GMT -7
Vitamin C is not really recommended, you can learn more about it here as well as the glucosamine. www.dodgerslist.com/literature/Supplements.htmSabrina gave you the link to discharge day questions a good list to add your own questions to. Let us know when she is home, any meds send home and what the surgeon wants for crate rest and PT. I know Roxi will heal much better once home in familiar surroundings and with you at her side.
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Post by julibug on Aug 14, 2013 18:13:48 GMT -7
Saw her today and she laid down and rolled over on her side. Then the door opened and she sat up on her own, back legs under her. We were happy to see this, as we were not sure this would be possible. The Associate Dr we are dealing with gave us no hope, but did let it slip that a tech mentioned that he thought he saw her move her tail. The Dr of course brushed it off....he is determined that she will never walk, well my family is dedicated to sweet Roxi and are going to do everything we can to move his lil man self wrong. She will get to come home tomorrrow, granted my dad can express her bladder. My mom and I tried today and had difficulties, we were afraid that we were going to hurt her. The poor baby had not been expressed since last night. According to the supplement link it says to wait the supplements until after crate rest? I know she is coming home with meds, I believe the one that starts with a T....not sure what else though. Can I get more clarification on the supplements? And tips for expressing the bladder, it's not as easy as you tube shows
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Marjorie
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Post by Marjorie on Aug 14, 2013 18:46:16 GMT -7
Hi, Julie. How wonderful that Roxi is coming home tomorrow! I wouldn't worry too much about starting her on supplements yet. She's been through a lot and her system has to settle down a bit first. She'll probably be sent home with medications to take and you don't want to start giving her something new because then you won't know whether any possible problems she might have, such as diarrhea or upset stomach, are from the medication or the new supplements. Maureen had given you a link to Dodgerslist's page about expressing but I'll pass it along again since I know we've been giving you a lot of links. www.dodgerslist.com/literature/Expressing.htmKeep trying with the expressing. It takes some practice but you'll get the hang of it. Have the doctors shown anyone in your family how to do it or is that what your dad will be getting a lesson on tomorrow? They should put their hands on your hands and show you how. It sounds like you're standing strong and not letting a negative doctor discourage you. Good for you. Let us know how tomorrow goes.
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Post by julibug on Aug 17, 2013 18:38:11 GMT -7
Lots to report on Roxi.....She came home on Thursday. She was VERY excited! When I first brought her in, the other doxies were very excited to see her. I sat her down and she started scooting to keep up with them. We contained her and let the all the sniffing progress. We then put her in her crate, which is a pack n play and she rested for a while. We had some more luck expressing the bladder and got some out! Friday: Day 6 -- Today she went potty for the first time on her own. My mom took her out with the other 2 doxies around lunch time. She was in her sling and walked around outside, raised her tail and pottied. Mom thought it might have been an accident....well at 2:30 she went back out with the others and pooped. At 4:45, she again went out with the others and she pottied again! I was here to celebrate this one! We called the Dr, and he said this was a VERY good sign and that we no longer had to express her bladder anymore, unless she went 8 hours without going. During a therapy session on this day she put some weight on one of her back legs. And we thought we saw a horizontal tail wag, just 2 back and forths! Saturday: Day 7 -- Well Miss Roxi has pottied outside on her own (with the sling of course) several times today. We take her out with the other 2, tell her to go potty and she goes. We get her out of her crate, put her sling on and once its Velcro'd and buckled we tell her let's go potty and she heads to the backdoor. She waddles out there and takes care of her business like a champ. She is very fast in her sling and has NO idea that her back legs aren't working. Although, during one potty break today she put weight on a back leg and squatted a little bit. This last potty break she came in and walked all the way to the kitchen to get her a drink of water from the big water bowl....she then walked back to her crate and waited for us to put her in it. It looks like some of the swelling from surgery could be going away, her sling is starting to get real loose. She is still on pain meds, Tramadol (sp?) every 8 hours and another pill that starts with a P once a day. She is in her crate the majority of the day, except for her potty breaks and 3-4 therapy/massage sessions, which last about 15-20 minutes. And of course, she is getting the walking from her potty breaks, in and out! How many therapy/massage sessions should she be getting at this stage of recovery?
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Post by Pauliana on Aug 17, 2013 21:18:26 GMT -7
Hi Juli! Roxi is doing very well indeed! So glad she has bladder control and bowel control. Great sign.. Keep watch she may be walking soon.. So glad she is home to heal with her family! What medications did they send home with her and the dosages and frequencies given? Tramadol is every 8 hours but what is the dosage? The one with the P might be Prednisone? Is she also on Pepcid AC to protect her stomach from the Prednisone? If not call and ask the Vet if there is any medical reason why she can't be on Pepcid AC? Always ask your Surgeon how many times he wants the PT to be done..Here is an article on PT: www.dodgerslist.com/literature/massagepassiveexercises.htm
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Post by June & Cookie on Aug 18, 2013 7:27:38 GMT -7
Hi Juli! How exciting that Roxi is showing improvement so soon, that's very encouraging and you must be feeling a lot of relief right now. Its m giving me hope for my Cookie who had surgery on 8/15, she's still in the hospital and has had no deep pain yet, but its only been three days.
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Post by julibug on Aug 18, 2013 17:28:49 GMT -7
Paulina -- Roxi is on Tramadol 50 mg - she takes 1/4 a pill every 8 hours and she is on Previcox 57mg and she takes 1/2 a tablet once a day. So far no issues with her bowels, they are solid and daily. She has never been one to go several times a day. At the hospital they were doing PT 4 times a day, so we are doing it 3-4 times as well. Junenh - Yes keep the Faith girl. The Dr gave Roxi a 50/50 chance and when we went to visit her last Wed, the 4th day after surgery the little Associate Dr did not give us any hope and implied that she would never walk again and we needed to think about a possible wheelchair. This is the same Dr that upset me Tues morning on his daily check in, when he started talking about making decisions. Well, my family stepped in and we made the decision to bring her home on the 5th day regardless of what the Dr said and my mom even told him on that Wed visit that she would like nothing more than to prove him wrong! HA! As soon as we got Roxi home, in her surroundings, her family around her and her puppy friends she started excelling. We do not know if she has deep pain sensation.....during her therapy when we are messing with her back feet she gives us dirty looks, we had more tail wags today and she is starting to put some weight on her back legs. And when we clean her incision each day, she gives us "the look." LOL! Roxi has always been very stubborn and that is working in our advantage right now! Best advice.....visit her daily in the hospital, bring her home....baby her and love on her as much as you can and keep the Faith! The bigger support system you have and she has the easier it will be! Roxi has her own little cheer squad!
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PaulaM
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Post by PaulaM on Aug 18, 2013 19:38:28 GMT -7
Juli, Previcox is an anti-inflammatory…. a non-steroid anti-inflammatory. Please ask the vet in this particular way: Is there a medical/health reason for my dog not to take Pepcid?" If there is no reason, we follow vets who are proactive in stomach protection by giving doxies 5mg Pepcid (famotidine) 30 minutes before the NSAID and there after every 12 hours. The FDA and manufacturer pkg insert indicate gastrointestinal problems are side effects of using NSAIDs. The natural defenses of the stomach to shield against stomach acid is hindered when taking NSAIDs. Serious gastrointestinal toxicity such as bleeding, ulceration, and perforation, can occur at any time, with or without warning symptoms. This directory is in alpha order a good place to look up all meds your dog is on: www.marvistavet.com/html/pharmacy_center.htmWe have not heard that the incision needed to be cleaned everyday. Can you tell us how you clean it, did the surgeon tell you clean it? Is her pain controlled with her at home meds? No shivering, yelping? Give her time…her nerves ARE healing ... bladder control is back and she is attempting to squat, I would not be surprised to hear of leg movements next.
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StevieLuv
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Post by StevieLuv on Aug 18, 2013 20:08:19 GMT -7
What an encouraging update! Good for you for listening to your heart and not that negative...ijit.... You go Roxi!!!! Prove him wrong!
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Post by julibug on Aug 20, 2013 14:10:17 GMT -7
Roxi update.....Roxi is a mess! She is ready to run and play and does not realize her back legs do not work. Today she has wet her bed a time or two but we are not sure if that is excitement potties as she has always done this, or if it is just part of getting the potty control back. She still goes when we take her outside. When doing Roxi's therapy....anytime I mess with the pads on her left back foot...she pulls against me. If I rub between her paw and the first joint on either leg she pulls the leg like it tickles. When I quit rubbing it...she will straighten it back out. When I rub it again she moves it again. Her right back leg is still real weak but it seems to be getting stronger. She will move the foot if I touch in between her toes and that just started yesterday. We have also seen a few tail wags....mainly when going potty but, hey....it's a start!
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PaulaM
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Post by PaulaM on Aug 20, 2013 17:23:27 GMT -7
Glad to hear you are incorporating those tickles and paw pad pressures in the PT routine as they help the muscles to fire and make the joints move…it is a good thing! Bladder control is being able to wait and decide on the exact spot to release urine. So as long as you continue to see her sniff and then release urine outside she has a degree of control. Submissive or excited pee can be confusing but you say she has always done that. It is still plenty early in the healing stage for nerves…for even more to happen…. just gotta have patience.
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Post by julibug on Aug 21, 2013 11:50:57 GMT -7
I have been paying very close attention to Roxi today at potty time. I am taking her out every two - two and 1/2 hours and that seems to help. She RUNS outside (sling of course) and sniffs around and then assumes the squat position....really cute and goes potty. No wet bed today. She has always been one to have a mind of her own and to do HER own thing.....she pulls the back right leg away from me during her PT time....and yesterday for the first time did the same with the back right leg. We now have some resistance on the right side....reflexes or whatever....we will take it. Each day it seems something is changing. We still have a LONG way to go but one day at a time!
Opps, the back left leg is her stronger leg and she does not think it needs PT but I beg to differ..... The right one is still very weak but she is starting to pull it away and stiffen it up sometimes too. And when we started all of this....it was pretty limp...so we will take whatever is going on.
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Marjorie
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Post by Marjorie on Aug 21, 2013 13:57:49 GMT -7
That all sounds encouraging, Julie! I remember when Jeremy's hind legs were paralyzed and I started to feel slight resistance when I was doing PT. The surgeon told me it was just reflex but that resistance kept getting stronger until there was actual movement. Hang in there and hopefully you'll see some movement soon, too. And I agree - PT for both legs would be beneficial. You are still keeping Roxi on crate rest, right? So soon after surgery, she should still be carried out and back to do her potty. Crate rest following surgery is for six weeks. Here's what Dr. Isaacs says about it on Dodgerslist: Crate rest is important post-operatively to help prevent damage to the surgical site. If a dog gets too active bleeding can occur that leads to a hematoma (blood clot) compressing the spinal cord. Also, it takes 2-4 weeks for the rent/hole in the intervertebral disk to heal and seal over. So, if a dog gets too active post-operatively additional disk material can rupture and we are right back or worse than we were to to begin with. Therefore, it is very important to keep your dog strictly confined for 2 weeks and then after rechecking with the surgeon at 2 weeks devising a plan to slowly reintroduce activity. www.dodgerslist.com/literature/surgery.htm#restPT
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PaulaM
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Post by PaulaM on Aug 21, 2013 20:10:55 GMT -7
Julie you may find that setting up an ex-pen in the grass or some of that poke-in-the-ground garden edging fence will give Roxi visual and physical cues that there is not going to be any running around at potty times. Set up the fenced potty place to be about 6 foot in diameter. If that is not possible are you using a harness and 6foot leash with the sling to help control her speed?
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Post by julibug on Aug 26, 2013 12:28:10 GMT -7
Roxi is doing great! And yes she is confined to her crate rest. She got her staples out Saturday and the vet was most impressed with her. He pinched her foot and she jerked it back. So, he did it again and she jerked it back again. She pulls her legs from us during her therapy time and if we tickle the bottom of her feet or the back of her leg, she pulls it. Everyday we see a little more strength....and she can wag her tail now.....we still have a long way to go but each day brings a little more hope!
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PaulaM
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Post by PaulaM on Aug 26, 2013 13:48:46 GMT -7
Julie, wagging her tail with joy to see you or to get a treat would be a very good neuro function and an indicator for even more healing to take place. Sounds like Roxie going in a very good direction….we look forward to your next update!
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Marjorie
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Post by Marjorie on Aug 26, 2013 16:29:14 GMT -7
I know what a wonderful sight that wagging tail is, Juli! Way to go, Roxi! Keep up the good work and thanks for the great update.
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