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Post by Juju on Oct 3, 2022 10:59:01 GMT -7
[Original subject line: Meet Eli ]  PIT BULL/doxie mix☆ 1 currently pain? X☐ shivering, trembling
X☐ tight tense tummy
☆ 2 33lbs 6 yearsGabapentin 100mg, 2x, methocarbamol 500mg 3x, , codeine 30 mg 2x, trazodone 50mg 2x
prednisone 5mg 2x- start date & dose? 9/29 5mg steroid taper? 9/2 [Oct 2?][MED LIST/HISTORY- Moderator's Note. Please do not edit
33 lbs 6 y.o.
prednisone as of 9/29: 5mgs 2x/day for 3 days, 10/2 test taper for: _pain / _neuro
gabapentin 100mgs 2x/day
methocarbamol 500 mgs 3x/day
codeine 30 mgs 2x/day
trazodone 50 mgs 2x/day
Eli needs GI tract protector, Pepcid AC, on board for duration of prednisone!]
☆ 3 -- List any red flag signs of stomach damage. ☆ 4 Daschund/pit mix, Eli. I’m Julia ☆ 5 Was the diagnosis IVDD-Potentially any of those -- Is the vet a general DVM? Yes -- or a specialist surgeon: ACVIM neurology or ACVS ortho? Yes he’s seen both☆ 6 He was brought in 9/30 and examined and surgery strongly recommended but not an option financially 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 means: - no laps - no couches - no baths - no sleeping with you - no dragging or meandering at potty times. - no PT - no chiro therapy Why Chiropractic is not recommended for pain for an IVDD dog: dodgerslist.com/2020/04/22/chiropractic/ ☆ 7 bladder control? No wet bedding or leaks on you when lifted- Yes☆ 8 wobbly walk? move the legs at all? or wag the tail when you specifically do some happy talk? Nope
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PaulaM
Moderator. 
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Oct 3, 2022 13:22:38 GMT -7
Julia, if you can register that would allow timely communications while helping Eli. You would be able to set up an email alert when there is post waiting for you. #1 reason for pain and what to discuss with your vet PRONTO, today!
-- The taper of prednisone which I'm interpreting as not 9/2 but Oct 2, it the time to see if pain still exists and if yes, then another course of pred. You are reporting pain. A 3-day course of pred is quite short. Usually a vet will make a guess for a 5-7 day course or even a 14-day course. #2 reason for pain surfacing with prednisone on board-- pain meds are effective for about 8 hrs. -- Discuss with the vet that all pain meds (gabapentin, methocarbamol, codeine be prescribed for every 8 hrs. dosing. #3 what is the stumbling block to using Pepcid AC (famotidine) for the duration of prednisone? You can speak up for Eli, when you have knowledge under your belt. The three reasons why the GI tract/stomach needs to be protected with use of prednisone: dodgerslist.com/2020/05/06/stomach-protection/ #4 Did you get a hands on top of your hands type of bladder expressing lesson? If not, go to the vet with Eli and get that lesson today. When a dog has lost bladder control a bladder infection can set in a matter of days. DO NOT FOOL around with urinary tract infections (UTIs). Review expressing video and tips so you get more out of the lesson. Eli, may need to be put on an antibiotic so the infection does not move up in to his kidneys.  ** Good-to-know EXPRESSING Tips:
Tips for at-home care for a heavy dog:dodgerslist.com/2022/02/10/large-dog-care-tips-ivdd/QUESTIONS 1. Had pain been ever been fully covered dose to dose/round the clock since first prescribed meds on 9/29? 2. Or did the pain surface on the taperinng of prednisone (what date?) 3. Have you been able to provide very STRICT rest since 9/29 when he lost use of his legs? Please correct any/all dates if there has been a misinterpretation.
MED LIST/HISTORY- 33 lbs 6 y.o. 9/29 saw general vet for Prednisone 9/30 saw specialist vet10/2 pred taper startedprednisone as of 9/29: 5mgs 2x/day for 3 days, 10/2 test taper for: √Pain/_neuro
Look forward to hearing how the vets have adjusted meds (name, mgs x/day) and that Eli is out of pain as it should be so he can self heal his disc and his nerves in comfort. |
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