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Post by Pennie & Mercedes on Aug 21, 2022 2:35:11 GMT -7
i.postimg.cc/BnqHfBN0/Conser-Rest.png i.postimg.cc/HndzvQRF/dox.jpgRimadyl 12.5mg Twice a day Methobarbamol 125mg every 8-12hrs. Started on 8/19 [MED LIST/HISTORY- Moderator's Note. Please do not edit 11 lbs age? Rimadyl as of 8/19: 12.5 mgs 2x/day for ? days, then a test stop for: _pain / _neuro methocarbamol 125mgs which? every 8 or 12 hrs? Mercedes needs GI tract protector, Pepcid AC, on board w/RIMADYL! ] Cede is an 11 lb dachshund. I cannot get the link above to open. So I hope this gets me into the boards as an intro.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Aug 21, 2022 7:42:41 GMT -7
Pennie, we are glad you have joined us here on the Forum's Guest board for your first post. It is the place to get easy quick help. It looks like you HAVE registered! dodgerslist.boards.net/user/9060 It would be helpful to chose to login with your email and the password when you post. Then you can set up for mail alerts when a reply has been posted. So let's get started on more details about Cede so we can zero in on any area where he might need some assistance. QUESTiONS ★5 Is there still currently pain nearing next dose or having to move? – shivering, trembling, yelping when picked up or moved, – reluctant to move much in crate such as shift positions or slow to move - tight tense tummy - can’t find a comfortable position - Arched back. - Holds front or back leg like a flamingo bird? - head held high or nose to the ground. Full pain relief is expected in 1 hour and stays that way dose to dose. If not in control your vet needs to know asap to adjust meds. ★1 What age is Cede? Fill in the missing details about his meds: RIMADYL: For how many days is he to take 12.5 mgs 2x/day? METHOCARBAMOL: which do you actually give 125mgs every 8 or 12 hrs?Mercedes needs GI tract protector, Pepcid AC, on board w/RIMADYL! Dogs don't speak up at first signs of trouble like a person would. Red flag signs can progress from nausea> vomit> loose stool>.... Bleeding ulcers (red or black blood in diarrhea) can turn to a life-threatening perforated stomach lining. LEARN MORE: dodgerslist.com/2020/05/06/stomach-protection/
FIRST do ask your vet in this very, very particular way... --Is there a medical/health reason my dog may not take Pepcid AC (famotidine)? --Doesn’t need it, we wait til there is problem…are NOT answers to your question! --The dose of famotidine may require reduction in patients with liver or kidney disease. -- It may be prudent with heart patients to choose another class of acid reducer. ★3 Did you specifically get a diagnosis of IVDD?, aka: a disc problem, a disc herniation, a bulging disc, slipped disc? Where did the vet say the disc problem was: neck or back? — Is the vet a general DVM? — ER general DVM? — Or a specialist surgeon (ACVIM neurology or ACVS ortho)? ★4 Are you on the same page about the need for very STRICT rest to heal the disc? The hallmark component of conservative treatment is the crate rest part. With little blood supply discs are much slower to form good scar tissue than it takes a blood rich broken bone to heal. That 6 weeks of a cast for a broken arm to heal is similar to the recovery suite being a kind of cast for the disc. 100% STRICT crate rest 24/7 for 8 weeks provides limited movement to allow good strong scar tissue to form.
STRICT means: – no laps – no couches – no baths – no sleeping with you – no chiro therapy – no dragging or meandering at potty times. Super tried and true tips for setting up the recovery suite: dodgerslist.com/2020/05/14/strict-rest-recovery-process/POTTY TIMES Carry to and from the recovery suite to the potty place and then allow a very few limited footsteps. Using a sling (long winter scarf, ace bandage, belt) will save your back and help to keep a wobbly dog’s back aligned and butt from tipping over. A harness and 6 foot leash is to control speed and keep footsteps to minimum as you stand in one spot. An ex-pen in the grass is an excellent alternative to minimizing footsteps with the physical and visual to indicate there will be no sniff festing going on! ★6 Eating and drinking OK? Poops OK – normal firmness & color -no dark or bright red blood? ★7 Currently can Cede walk in a normal way? - wobbly walk? - move the legs at all? - wag the tail when you specifically do some happy talk? ★8 BLADDER CONTROL? Can your dog specifically sniff and squat and then release urine which is bladder control – OR- do you find wet bedding or leaks on you when lifted which are indication of an overflowing bladder and loss of control?
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Post by Pennie & Cede on Aug 21, 2022 15:24:17 GMT -7
Surgery 8/21
Cede is a mini doxie born 1/3/2017. She weighs 11.3lbs. She rapidly progressed from painful to paralyzed. I am waiting on a call from the Neuro surgeon. She is in the OR as I type this. She has still got deep feeling [DPS]. The MRI shows extrusion at T13-L1. She was on Rimadyl 12.5mg 2x daily for 5 days. Methocarbamol 125 mg every 8 hrs for 4 days. She has ramps throughout the house. I was very diligent in how she is picked up and held and carried. I am a retired OB nurse, so I have understanding of the anatomy in humans. No matter how much prevention you do... sometimes it just happens. She has jumped of the recliner foot ( i keeo it at 1/2 mast for the dogs, but she is so quick, any door opens and she bails off. She has a luxating patella and was getting a lot less exercis over the last few months. Maybe her muscles were a bit less toned. I am going to need to do a lot of learning over the next two days.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Aug 21, 2022 16:10:06 GMT -7
Pennie, we'll be waiting to hear how the surgery went when you are able to give us an update on what the surgeon said. Having DPS going into surgery bodes well for nerve healing to take place after the surgery has removed all pieces of disc material from where it should not be. You will want to bookmark/favorite in your browser Cede's thread for quick return. Here is Cede's thread: dodgerslist.boards.net/thread/8744/
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Post by Pennie & Cede on Aug 21, 2022 17:29:38 GMT -7
Mercedes had her surgery today. The surgeon taked about continuing with Rimadyl instead of stetoids. He said he recommends the Pepcid AC. I will get further instructions when she's discharged. At this point, she is only 2 hours.
[MED LIST/HISTORY- Moderator's Note. Please do not edit 11 lbs 5 y.o. Rimadyl as of post-op 8/21: 12.5 mgs 2x/day for ? days Pain meds for at home when discharged? Pepcid AC ?mg ?x/day ]
She was unable to stand or walk but still had deep pain sensation. Her entire course was 6 days from first signs to full paralysis.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Aug 21, 2022 17:39:19 GMT -7
Pennie, after the surgery, did the surgeon say if she still maintained DPS?
Post-op the meds will be tailored for a dog after surgery. The meds will be to address any temporary surgical caused swelling. Often the surgeon uses the same anti-inflammatory a dog had been taking prior to surgery. In Cede's case that was Rimadyl. Glad to hear Pepcid Ac while on Rimadyl is recommended.
Thanks you for the update now that Cede has turned a page in treatment to surgery. That is what we'll concentrate on— post-op stuff. Look forward to your next update.
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Post by Pennie & Cede on Aug 22, 2022 7:02:55 GMT -7
Thank you, Paula for reaching out. I am not very functional on this site yet. Having anxiety over my pup is not helping either. I spoke to the surgeon last night and he was very clear that she had a full intrusion, "not an explosive one") and would not have made recovery without the surgery. They entered the left side and he did not see any bruising of the cord. He also said that the DPS was a good sign for prognosis. This morning the surgical resident, not my favorite bedside manner so far, called and told me that unlike yesterday she doesn't have DPS on her right side. He told me that they are keeping her another day to monitor this. He said that he doesn't believe she is in pain but she is restless and trying to move around in the cage. She tries to get up and walk but just 'hops' 'spins' around. She is not eating, which for When I leave her home with the hubby, whom she likes... she whines and cries at the door until I come home. I have to admit, I feel the same way about her! She doesn't like strangers and she is in a strange environment. She is terrified of big dogs barking and I'm sure she has a lot of that going on around her. They have put her on trazadone to try to keep her quiet. I think I'm going to need a dose of that! I appreciate you reaching out. My day today is to shop for the things I'm going to need on hand when she gets home. I'm no longer on the conservative board... so how do I change that?
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Aug 22, 2022 9:25:02 GMT -7
Pennie, that is good there was no bruising of the cord seen. And also good to hear she CAN move up into a stand with those back legs. Learning to walk again can be a bit like a baby learning to walk...just takes time to learn/perfect that skill again for Cede. Often the surgery itself causes a lot of swelling. So it is not unusual at all for there to be some temporary neuro setback as reported regarding DPS this morning. It takes about 14 days before all the painful surgery swelling resolves to have a better idea of the neuro healing path. Most dogs often do much better at home in familiar surroundings, and with the people they love. So it is good to hear she is likely to be discharged 8/23. DISCHARGE DAY I bet your mind is flooded right now with concerns, questions as mine was on discharge day. 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/** dodgerslist.com/wp-content/uploads/2020/05/dr-isaacs-surgery-interview-1.pngThis 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/You can rest assured that the moderators of this Forum do all the behind the scenes work of moving posts to where they ought to be. So have no worries. All you need is to concentrate on having Cede's thread link in your browser so you can quickly return and update us. Looking forward to your next update and any questions that come to you mind as you are preparing your list of questions for the surgeon.
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Post by Pennie & Cede on Aug 24, 2022 4:55:55 GMT -7
Our girl is home!!! She is on: Amantidine 25mg daily x 2 weeks. Gabapentin 50 mg q8-12h x 2 weeks currently giving at 8hs Trazodone 25mg q8h as needed. She hasn't needed it yet today.
[MED LIST/HISTORY- Moderator's Note. Please do not edit 11 lbs 5 y.o. gabapentin 50mgs 3x/day for 14 days amantidine as of 8/24: 25mgs 1x/day for 14 days traZODone 25mgs 3x/day; not yet needed]
She was very thirsty when we got her home yesterday evening. Her mouth was very dry and her breath was terrible. (2 hr drive.)
Thankfully, She urinated on her own this morning! We have applied ice to her incision to help with swelling. She has responded to touch of her back feet. Still no bm but the instructions said to call if nothing by day 5. Her homemade dog food has lots of 🎃 &🥕 so plenty of fiber. Her kennel is up on a table where my back is safer and she can see everything. She IS going to come out of this with good function. She's a tough little girl.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Aug 24, 2022 7:53:57 GMT -7
Pennie, so glad to hear Cede is home this morning!! How happy she must be back with her family.
Did the surgeon say she now has bladder control? Tell us more about the release of urine you observed so we understand better. -- Did she sniff an old pee spot outdoors and then a purposeful release of urine in that appropriate spot? -- Did she release urine where she sleeps (inappropriate spot)?
Tell us more about leg movement -- tickling the paw pads can elicit a jerk out or in of the leg due to reflexes -- Any leg movement during potty time is often due to reflexes
For us humans to be able to distinguish between reflex and brain directed, we have to see some sort of head level involvement with the tail, with a limb or with release of urine so we know the movement was done with purposeful thinking. --- Sniff (head level nose) on an old peed spot, then release of urine would be brain directed. --- Itchy sensation at neck and then tries to scratch would be purposeful movement. Tickling paws, etc can cause reflex leg movements of pushing in or out. Tickling is good to incorporate in your at home PT as it makes the muscles fire. --- Have you seen her use or attempt to use back legs to reposition her body in the recovery suite?
For how many weeks does the surgeon want for post-op rest. Some say 4 weeks and with other cases it may be 6 weeks.
What did the surgeon direct for at-home PT?
I sounds like you have a nice set up for her recovery suite up on high. Dogs do love to be able to keep tabs on what's going on.
We look forward to your next update confirming all pain is fully managed with gabapentin and amantidine round the clock.
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Post by Pennie & Cede on Aug 24, 2022 13:13:04 GMT -7
I guess I was overly hopeful... *The surgical resident said she was "able to urinate on her own." Period. The nurses/techs on the phone all said she was able to urinate and did not need to be expressed. *I guess the reflexes are what I was seeing during passive ROM of her feet, ankle, knees and massage of her hind quarters to keep things limbered up.
* She has not urinated on the potty patch. She tenses up and doesn't want to sniff or be in the sling. The one they sent home doesn't offer much support to her back end. I have tried with a doubled fleece bathrobe belt to hold her butt up, but she doesn't move her feet or tail at all. So NOW I'm worried. * I am not happy with the discharge process and the lack of instruction from the tech. I basically got the "Bum's Rush" and no real education per se, I have filed a complaint with the surgeon and am awaiting a response. If you don't know what you don't know..... how do you know what you don't know? Now I know. I found an additional email that outlined the rehab component. That was in the spam folder witht the discharge instructions handed to me with the meds, sling, dog and a wave good bye.
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Post by Romy & Frankie on Aug 24, 2022 13:58:49 GMT -7
I am sorry that you felt your discharge instructions were not helpful. That sometimes happens. When my dog, Frankie, was discharged from surgery, we were also told he was urinating on his own. There were large wet spots on the pee pad on top of his bed and I thought he was urinating on his own. From Dodgerslist I learned that Frankie was not urinating on his own, his bladder was overly full and overflowing by reflex. Frankie would need to be expressed.
If your Cede also has wet bedding and leaks on you when lifted you may need to express her. When our dogs cannot empty the bladder on their own, we must express because stale urine in the bladder is a health risk, often leading to a UTI. Expressing is a matter of physics. We put pressure on the bladder greater than the strength of the urinary sphincter and push the urine out. Sometimes you have to hold that pressure many seconds longer than you think before the sphincter is overcome and urine is released.
Expressing is a skill that must be practiced and learned. The best way to start is to get a hands-on lesson from your vet. Your regular vet should be able to show you how to do this. After this, practice. You will know you have gotten it right when you are getting a steady stream and no longer see wet bedding. We have some info on expressing here:
You can continue taking Cede to her potty patch and giving her the opportunity to sniff and pee.
I don't think you have a reason to worry that you are not seeing any movement at this point. It is very early in the healing process. This happy tail wag is the first stage of nerve healing that can be easily seen and understood by pet parents. Nerve healing is slow and tail wagging may not be seen right away. Tail wagging around pottying is usually reflex.
It is much too soon after surgery to look for very much progress in nerve healing. Nerves are very slow to heal, but they can and often do heal.
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Post by Pennie & Cede on Aug 25, 2022 4:00:41 GMT -7
We finally had an actual potty run yesterday evening. She has had a dry bed overnight and also had her first BM. We have passive ROM and standing exercises x10-15 mins 4-6x a day.
She is much more comfortable with the homemade sling loops over each rear leg. My bathrobe isn't going to miss that belt.
Mom is less of an anxious ninny today.
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Post by Pennie & Cede on Aug 29, 2022 18:44:31 GMT -7
Happy to report: Miss Mercedes is wagging her tail. Is able to stand on her legs (We have the Gingerlead on but we are not holding her up except for potty times. She has been holding her bowels and letting me know when she has to go by ringing a bell in her suite. She does urinate on her own but she also has done it in her bed. She is starting to get bossy and bored. She has always been a couch sitter beside me when I read. In order to have a bit of peace, I have put her harness on her and attached it to my belt so she can't launch. She sleeps under a blanket for several hours and then we go outside. So she is much happier. She is still knuckling her rear feet but she has shown some movement when I try to adjust her stance. She is a pigeon toed girl and the injury has made that more of an issue. So first week is done and she seems to be doing pretty well.
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PaulaM
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Post by PaulaM on Aug 30, 2022 8:04:44 GMT -7
Pennie, you are reporting some good signs of nerve healing happening!!! No doubt you will be seeing more nerve healing take place. No one can give you the date just the order as listed below. Nerves heal typically in the reverse order of the damage to the spinal cord. This is the textbook order of nerve function return. 1. 8/22 Deep Pain Sensation: the first neuro function to return. DPS is the critical indicator for nerves to be able to self heal after surgery or with conservative treatment. Trust only the word of a neuro (ACVIM) or ortho (ACVS) surgeon about this very tricky to correctly idenfiy neuro function. 2. 8/23? Tail wagging with joy at seeing you or getting a treat or meal. 3. 8/24 Bladder control verified with the "sniff and pee" test. 8/29 bowel control 4. ? weak leg movement to reposition her body in her suite, and then ? ability to attempt a move up into a standing position, and then ? wobbly walking.5. ? ability to walk with more steadiness ? properly place the paws without knuckling under paws. 6. Ability to walk unassisted and perhaps even run. LEARN MORE: dodgerslist.com/2021/02/06/nerve-healing-after-disc-episode/4 QUESTIONS 1) For how many weeks does the surgeon want for post-op rest. Some say 4 weeks and with other cases it may be 6 weeks.2) What did the surgeon direct for at-home PT? Any of these demoed in video below? Appropriate physical therapy can help maintain those muscles with lost nerve connection and keep the joints flexible.
Post-op PT for the paralyzed IVDD dog:
3) Do you think urinating in her bed could be: ---- maybe not taken out soon enough (every 3-4 hrs) and she had no choice? Or that it is just that her nerve healing is not yet repaired 100%? 4) Would you consider adding a safety factor? Place her crate on the coffee table. Pull the table right up to the couch so you can touch each other thru the wires. -- Couch cushion can slope into a person and cause a dog to have to unexpectedly reposition them selves. -- Even if leashed, just an abrupt attempt to try to jump could jar the surgical site in mid healing. Dog's always do the unexpected. -- The recovery suite always has a level mattress, never sloping. The suite always provides safety from unexpected attempts to dart/jump with the TV doorbell, something floating past a window. Dogs can do the unexpected in a blink of an eye that makes it difficult to stop them in time.
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Post by Pennie & Cede on Aug 31, 2022 18:29:00 GMT -7
1.Her DPS returned after day 2 of surgery. Per the surgeon. 2. She does the tail wag when hubby comes home and loves on her. 3. She has never been a sniff and pee. She has always just walked to a spot, thrown her nose up and sqsutted. That is what she is doing now. She has a set of bells in her suite or carriage. She will fling them when she needs to potty. Every time she slings those bells, she either urinates or stools. 4. She fights my repositioning of her left leg. she uses a rolled up blanket to position her self but will roll forward on that roll to gain a standing position. This is usually when she is ready for a feeding. Excited Not walking yet, though today, one foot that has been knuckling, seemed to be working in the direction. 5. ? ability to walk Not yet. ? properly place the paws--- Only on one leg and that seems inconsistent.
4 QUESTIONS 1) 4cweeks begore revisit. But they may send for rehab by 3 weeks. It depends on our progress at home. 2) Appropriate physical therapy can help maintain those muscles with lost nerve connection and keep the joints flexible. 3) I did miiss her initial cues. However, three nights with dry bed and using her doorbells in the suite shows me she knows she has to go. 4) She has not strayed from her spot. I am very aware of her movements and she does not settle in the kennel. Rather than drug her, the couch seems to make her more comfortable. Even wearing a harness. When she gets restless, i take her out to potty, then put her in her suite or carriage.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Aug 31, 2022 18:33:48 GMT -7
Moderator Paula reading and preparing a reply. HELPFUL HINT The most effective way to give a reply: -- scroll down to the " Quick reply" typing area at the bottom of the page. Quick reply allows scrolling up & down to a previous post. Then back down to the " Quick Reply" typing area to continue your own post. i.postimg.cc/SQ95jsfc/QUICK-REPLY350.jpg ** Avoid using the QUOTE button. We are look to read only your words in your post. Thanks for helping us out
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PaulaM
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Post by PaulaM on Aug 31, 2022 19:00:21 GMT -7
Pennie, with your corrections to dates of nerve healing happening you can see the step-by-step return of neuro function in an orderly manner. Cede has a very good chance to self heal much more over a period of time. Staying dry and ringing the bell to signal wanting to potty, does sound like bladder control to me! Let us know when you observe movement the leg which also involved a head level (eyes, ears, smell) to confirm movement was from the brain. Can you tell us about the paw knuckling. What did you observe? --- did the paw right it self (even if slowly) after being in the wrong position (knuckled under)? Safety in healing is always our #1 concern. There have been way too many pet parents who thought "my dog would never (fill in the blank)" Some dogs dodged a dangerous bullet, while others had a setback in healing. Always the owners where a bit sheepish they should have been one step ahead of these sweet but unpredictable sweet ones. The recovery suite is the absolute safest place to heal post-op. When necessary, it is a good thing to help them be able to relax in the recovery suite until graduation day possibly on Sep 18th ish. ** CALMERS Using any oral calmer in combination with a Pheromone diffuser seems to work best. It takes several days for these to start working - it isn't immediate but they are a much better option if you can avoid heavy duty prescription sedatives (ACE, alprazolam or traZODone). Of course always keep your vet in the loop on all things you give your dog. Place a DAP pheromone diffusor at floor level where the recovery suite is: --DOG Adaptil (DAP) wall plug in diffuser 48ml www.adaptil.com/Use diffusor with one oral calmer from below: 1) ANXITANE® S chewable tabs contain 50 mg L-Theanine, an amino acid that acts neurologically to help keep dogs calm, relaxed www.virbac2) Composure Soft Chews are colostrum based like calming mother's milk and contain 21 mg of L-Theanine. www.vetriscience.com/composure-soft-dogs-MD-LD.php
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Post by Pennie & Cede on Sept 1, 2022 3:57:52 GMT -7
So far when she is goes to potty, using the Gingerlead, she will stand for a few seconds. She tries to go forward, but when she does, both feet knuckle under. She does not correct them. I use the sling to correct and reposition her feet.
Last night, [8/31]she did correct one foot on her own and seemed to make an intentional movement to "walk". So each day she is making a " tiny step" forward.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
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Post by PaulaM on Sept 1, 2022 8:22:40 GMT -7
Pennie, thank you for your observation on paw and leg movement. This is an excellent improvement in neuro function!!!! Very happy to hear she could correct one paw. IF the leg movement of seeming to walk was outside of potty time, that would be another improvement. Usually leg and tail movement at potty time are due to reflex.
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Post by Pennie & Cede on Sept 14, 2022 5:51:07 GMT -7
Post op day 24. She is walking on the Gingerlead. Her left leg is doing great. Maybe a little hyper active on the left. Her reflexes during massage and ROM are exaggerated a bit on the left. The right is still very weak. It knuckles under but she does eventually correct it. She is unable to correct her balance due to the right side weakness. She is off all meds except an occasional Trazodone when she gets "bored" and restless. She has an appointment with the surgeon on 9/21 and we will get her started on rehab at his direction. Right now it is all passive. She makes a little improvement every day.
I wish I could post her pictures/videos of her progress, but i just can't seem to get it to work.
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PaulaM
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Post by PaulaM on Sept 14, 2022 7:35:52 GMT -7
Pennie, very promising to hear of neuro improvements. Looks like graduation day from post-op rest could be with your appointment 9/21. We will have lots of ideas for you and tips for living with an IVDD dog. Look forward to seeing your images of Cede!! To post videos or jpgs, they first need to be on some webpage. Just copy the Link (URL) and paste it into your post. JPGsInstead of "QUICK REPLY" choose "REPY" to open up the ability to attach a jpg. Use the "ADD IMAGE TO POST" button. Then you can upload a jpg from your computer. MOVIES A movie needs to be housed on some webpage. Then you copy the address of the movie and just paste it into your post.
Youtube is a very popular place to house movies. You will need a Google account which is used to sign in at YouTube (see below if you do not have one) Upload your video to YouTube.com —At the top of your browser when viewing your uploaded video you will see a "share" button below your video window. — Pressing it will expand to reveal the URL (it starts with <http...> ) you can paste into a Forum post. —How-to details for mobile devices and computers: support.google.com/youtube/answer/57407?hl=enHow to get a Google Account: —Use an existing email address —Go to the Google Account creation page: accounts.google.com/signup/v2/webcreateaccount?flowName=GlifWebSignIn&flowEntry=SignUp—Enter your name. —Choose to use 1) current email address OR 2) Create a new Gmall address. —Enter your current email address. —Click Next. —Verify your email address with the code sent to your existing email.
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Post by Pennie & Cede on Sept 21, 2022 17:05:06 GMT -7
Cede saw the surgeon 9/21 he agrees she is weak on the right. We are going to go back to our regular DVM for 6 laser treatments and then going to start with a PT with a hydro treadmill and whatever their evaluation recommends to get her back up and "running". He is pleased with her progress so far. She was started on a cefoxpodine antibiotic due to a small pustule which appeared two days ago on the very end of incision. Otherwise her incision has hesled nicely. One thing that I want to especially thank the board for, is the tip on the Gingerlead. The surgeon was very impressed with how "perfect" it is for these small pups. He is going to approach their neuro ward to get them on hand as well as the surgical division. I told him it would be a good recommendation during the pre op education so pet parents can order them ahead of discharge. He thanked me for writing a "professional" complaint re: our discharge situation. It was comforting to actually meet the surgeon today. Everything else was via phone.
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PaulaM
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Post by PaulaM on Sept 21, 2022 17:58:00 GMT -7
Pennie, glad to hear the surgeon was pleased with Cede's neuro progress. Water treadmill would be an excellent way to retain that weak leg, strengthen its muscles and perfect the art of walking. Hope the PT consult recommends it. It is good that the discharge situation may be improve after your comments..that would be a good thing for the next pet parents. GRADUATION, A SLOW RE-INTRODUCTION Determine how you are going to ease back into more normal activity at graduation from rest. The idea is to gradually give more freedom under controlled conditions. Not free riegn of the house and yard immediately! LOL Your dog's muslces are soft and out of shape after the rest period. Gradually build up their muscles and their lungs. Take a look at our information. Gradually building your dogs muscles over a month's time will have your dog safely running and having fun again! SAMPLE SCHEDULE Here is a sample schedule to safely and slowly introduce your dog back to family life and physical activity: dodgerslist.com/2020/06/15/back-friendly/?highlight=sample%20scheduleDIY back PROTECTION around the house:https://dodgerslist.com/2020/07/09/home-protect-ivdd-backs/ ** Include ramp training to protect the back from jumping up or down from furniture 2) Lots more ideas and tips in living with an IVDD dog: dodgerslist.com/living-with-ivdd-tips-2 PT THERAPY AT CLINIC or HOME Safety first. You should always consult with a veterinarian before starting any exercise program with your dog. For example, although senior dogs need to stay limber, severe arthritis might make certain movements inappropriate. - Strengthening core muscles. Core exercises don't require specialized equipment. Here are 5 exercises you can do at home: totofit.com/five-basic-exercises-essential-to-building-core-strength/Would you give other pet parents an idea of surgery costs to help them decide options. Here is where you can share your dog's info: dodgerslist.boards.net/board/13/member-reported-surgery-costs
recommendations State: Hospital: Address: Cost: Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments: May we turn the tables and ask YOU for help? Did you know there are less than a handful who volunteer daily to help dogs and their owners? We need helping hands from other Forum members in educating. Education about disc disease is our number one mission! We invite you to hop on to our educational bandwagon team. Too many dogs are put to sleep because owners lack education about IVDD treatment. STRICT crate rest and proper medication have helped many dogs recover. We depend on all members to pay it forward for the help they have received with their dog by helping us educate! Pick what suits you....
We depend on you. Here are some ways to help.. i.postimg.cc/R0y7zpGx/IVDD-survior-gallery.jpg ** -- Please celebrate Cede's graduation! Add a graduation photo and a short caption to our Gallery to give other members inspiration about your IVDD Survivor! dodgerslist.boards.net/thread/2262/add-dog-dodgerslist-photo-gallery -- "Share" our FB posts www.facebook.com/Dodgerslist -- 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, Frenchies) give out our free little wallet cards. Hand carry our literature and print out our letter of introduction for your vet. linkable [► ORDER BROCHURES & cards, they're free!◀︎] for your vet and wallet cards for you. - And last but important.....Don't be a stranger! Stop in periodically. We really do love to hear how your dog is doing. We'd love a short video clip to see Cede in action at home, at PT and living & loving life in spite of IVDD! if you see a new member in a tough spot, give them hope. A brief paragraph about your dog can be insanely supportive and inspiring in a time of need!
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Post by Pennie & Cede on Dec 12, 2022 9:33:44 GMT -7
Just an update: --------- Directory information for dodgerslist.boards.net/board/13/member-reported-surgery-costsSurgery cost at MedVet in Westerville, Oh. $6,500 Rehab @ Perrysburg Animal Hospital in Perrysburg Ohio. 12 visits $1,100. Date of surgery: What was included in cost (MRI?, days stay, ER? PT? meds for home, sling, etc.) Comments:------- Cede has been a real trooper. She does water treadmill twice a week. She does exercises at home using balance pillows, lick mats, obstacle cones, treadmill. She had a luxating patella before her IVDD which has become more problematic and her gait has a "hitch" that is probably going to be a problem down the road. Her Therapist Dr recommended surgery, so tomorrow, she goes in for an examination and probable surgery to correct this. I am struggling with putting her back off her feet so soon, her muscles are recovering well from the paralysis she had. She still has some weakness on the right but that is the side she is having knee issues with. She has been super clingy and suffers more from separation anxiety than she did before this ordeal. So I am worried about how much this is going to set her back on that front. She is off all meds. I will be once again dosing her with Trazodone during recovery. She will be going back to the rehab doctor when she is released post op. I will let you know how things progress.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Dec 12, 2022 12:18:33 GMT -7
Pennie, thanks for the surgery costs. The place to post to help others would be on the Member's Directory at this link: dodgerslist.boards.net/board/13/member-reported-surgery-costsGlad to hear Cede has made strides in neuro paralysis recovery since her Aug 2022 surgery. Of course we all wish Cede a good knee surgery if it comes to that.
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