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Post by Rachel & Ruby on Feb 4, 2018 22:39:10 GMT -7
Update Urine testing revealed urine infection and small amount of blood. Ruby is now on antibiotics . Half a 25mg tablet 2xday of ✚ clavulox
[Moderator's note: please do not modify 6.4kg./ 14.11 lbs Metacam 0.5 mg/mL as of Jan 17: 6kg dose for approx 14 days, then stop to test for pain/neuro loss Oxycodone 2.5mg 2x/day Losec (Omeprazole) 10mgs 1x/day ✚Clavulox 12.5 2x/day]
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Post by Rachel & Ruby on Feb 4, 2018 19:20:32 GMT -7
No it’s very diluted, her licking the area is what we need to avoid because the twisting of the spine when she does so is not ideal
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Post by Rachel & Ruby on Feb 4, 2018 17:15:18 GMT -7
UPDATE.
neosoothe no longer being used as per vet instruction. Replaced with white vinegar and water solution.
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Post by Rachel & Ruby on Feb 4, 2018 15:54:50 GMT -7
I don’t know exactly the name of the antihistamine shot and I did list the name of the cream as Neo soothe so her meds as as follows just to be clear
✚Neosoothe cream which is these ingredients Neomycin Sulphate 5mg Hydrocortisone 5mg STEROID Lignocaine HCL 5mg
OxyCodone 2.5mg 2x daily started FEB 2 1/2 Metacam NSAID 0.5mg once daily (total of 20days worth started on JAN 29 29/1) bearing in mind I’m in NZ so 1 day ahead of rest of the world and we write our dates as dd/m/y Losec 10mg 1x daily
[Moderator's note: please do not modify 6.4kg./ 14.11 lbs Metacam 0.5 mg/mL as of Jan 17: 6kg dose for approx 14 days, then stop to test for pain/neuro loss ✚NeoSOOTHE 50 gram tube; 5mg/1gram: Hydrocortisone Oxycodone 2.5mg 2X a day Losec (Omeprazole) 10mgs 1x/day]
Unrelated to her spine she was previously on apoquel 3.6 mg 1 x daily for a itch in her right paw which has been ongoing for two years with all diagnostic avenues explored and atopic dermatitis is what is being treated
This morning a new drug for the atopic dermatitis was given as it’s said to be less side effects than apoquel Cytopoint 10mg injection
Other than these drugs a supplement of deer velvet has been given but not in the last 7 days
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Post by Rachel & Ruby on Feb 4, 2018 1:14:22 GMT -7
We were back at the AH vet last night. A new problem has emerged where I thought Ruby may have a uti due to her excessive licking in that area. She is obviously sore as when I have taken her outside to toilet she refuses to stand or take any steps and when she does she stops abruptly and starts licking that area. Vet checked her over and said there is nothing obvious apart from what looks like slight irritation, they queried spider bite or bee sting? Gave her a shot of antihistamines which did not stop it, I have an cream to put on the area which is neo sooth. I asked about Pepcid and vet advised to carry on with losec stomach protector. I’m so disheartened at the moment also the $900 a mth we have been spending on her rehab is basically down the drain as I can already see the muscle wastage happening in her back legs. She was only wobbly for a very short time after this particular episode, but every time I take her out to the toilet I see she’s getting a little worse each time 😢
[Moderator's note: please do not modify 6.4kg./ 14.11 lbs Metacam 0.5 mg/mL as of Jan 17: 6kg dose for approx 14 days, then stop to test for pain/neuro loss Tramadol discontinued 1/30 Oxycodone 2.5mg 2X a day Losec (Omeprazole) ?mgs ?x/day]
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Post by Rachel & Ruby on Feb 2, 2018 3:11:36 GMT -7
Ruby is doing well, no signs of pain so I feel we have this under control. She had a loose BM today and I spoke to after hours vet about this and they think it may be the metacam so they have advise that I speak to my vet tomorrow and see if they want to change that particular medication, they are not too concerned at the moment as it is a one episode so far. We have an appointment with the surgeon on Wednesday so he can check her out and see if there is any need for an MRI or surgery. I’m feeling like she is ok, she has full function of her back legs so I’m not expecting surgery would be needed. The OxyCodone is definitely keeping her in a sleepy state, after her surgery 3 months ago she hated being in the pen and now she’s not protesting at all she’s just sleeping all the time...I know pain medication is good for them but gosh I hate filling her with all these drugs.
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Post by Rachel & Ruby on Feb 1, 2018 4:48:40 GMT -7
I feel today has been a good day, she is not indicating that she is in pain,
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Post by Rachel & Ruby on Jan 31, 2018 21:23:50 GMT -7
Sorry my name is Rachel. The afterhours vet advised me not to give the tramadol. The dose for tramadol was 0.1ml it was a liquid. The metacam dose is full tablet 1 mg and she has half of that for a 24 hour period. I think her pain is under control but I will talk to my vet about getting a top up. After hours vet said if her pain was in managed they would admit her on a constant infusion of pain meds. She is not arching her back or whimpering she really only displays panting hard and trembling as pain so currently her treatment is Metacam 0.5mg evening OxyCodone 2.5 mg morning and 2.5 mg night Crate rest, toilet only with a sling support even though she can walk and stand I’m doing the sling anyway.
[Moderator's note: please do not modify 6.4kg./ 14.11 lbs Metacam 0.5 mg/mL as of Jan 17: 6kg dose 1x daily for approx 14 days, then stop to test for pain/neuro loss Tramadol discontinued 1/30 Oxycodone 2.5mg 2X a day ]
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Post by Rachel & Ruby on Jan 31, 2018 16:42:18 GMT -7
Hi thanks for the reply. I have discontinued the tramadol asper vet instructions. I have been given approx 2 weeks worth of metacam. I will most definitely ask about something to protect her stomach. She weighs 6.4kg. Her bowel motions are normal, she is peeing also. Usually she pants and trembles in pain which she was doing very badly on Tuesday night which is what prompted the trip to after hours vet. Last night she was panting aswell not as bad but I think it was pain related even though she had the recommended two quarters of oxycodone. I have left for work today and left her with a friend and she was panting slightly when I left.
I must say it’s hard to know if the panting last night and today o pain or heat related as we are experiencing abit of a heat wave her in Christchurch. I iced packed her back last night.
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Post by Rachel & Ruby on Jan 31, 2018 15:19:41 GMT -7
[Original Subject Introducing Ruby]
My dog Ruby is a 4 year old mixed breed, bit of Maltese, bit of cavalier just a bit of lots of dogs really. On the 25th of October last year Ruby jumped off the bed and yelped, within 24hours she was paralysed bit did not lose her bladder or bowel control. Ruby had an MRzi that evening which showed significant disc herniation and severe damage and bruising to the spinal cord, on the 26th of October she had a hemilamectomy. Fast forward 3 months,she had 6 weeks crate rest, she has been having regular physio, hydrotherapy, acupuncture, and laser therapy. All has been going well and we have been very careful with her, she no longer sleeps on the bed, we lift her on and off the couch and never leave her on the couch unattended and we have installed a ramp to the dog door. On Monday [Jan 27] I have Ruby a bath the first since her surgery, directly after she was panting and shaking and on obvious pain I can only attribute this to her shaking the water off as dogs do. She was reluctant to stand and when she did I noticed she was unaware of her foot placement and her back legs were together as she good and was very wobbly. We took her strat to the vet and they notice her left foot was abit slower to respond to the Neuro test of flipping her foot over but her right foot responded immediately, her walking was wobbly and saw some instability. After X-rays I went back to pick her up and they explained they could see narrowing of her disc space in 3 places, the surgeon who is a specialist at another vet did the surgery as they are a referral vet and he had seen 3 other discs of concern on the MRI. So I was told to take her home and crate rest for 6-8 weeks. She is on meta cam half a mg tablet at night and 0.5 of trample. On Tuesday night she was in severe pain so I had to take her to the afterhours vet in which they gave her a shot of methadone and then some OxyCodone to take home and give her quarter of a 10 mg tablet twice a day. Ruby did not lose her function of her back legs she can walk I do sling her for extra support, she can stand, shake, scratches with both her back legs and doesn’t seem to be arching her back. My vet referred the X-ray to the surgeon and his response was
It's entirely possible that we could have a second disc herniation. Radiographs do not show (from what I can tell) any signs of fracture/subluxation, instability, osteolysis or abnormal conformation. At this point I'd recommend either more aggressive imaging plan (MRI with surgery to follow) or conservative management using strict cage rest and pain managmement for 4-6 weeks baseed off of your assessment of patient condition
So we are on crate rest again and all external services like physio etc have been stopped for now. We are carrying her out to toilet on a lead and straight back to the pen. My questions are. Should we be getting another MRI so we know exactly what we are dealing with, should we be putting her through surgery to fix this affected disc, which is close to the base of her tail. The mri would show wether we need surgery. If we crate rest for 6 weeks and she is no better or as soon as she is back to her normal self are we going to be crate resting her every few months if the disc continues to cause issues. I am torn and Confused in some ways I think should I be risking the crate rest or go straight for surgery. My questions are not based on cost it’s more the welfare and wellbeing of Ruby and what’s best for her. I have to note we are in New Zealand. Any help of info would be greatly appreciated.
[Moderator's note: please do not modify 6.4kg./ 14.11 lbs Metacam 0.5 mg/mL as of Jan 17: 6kg dose 1x daily for approx 14 days, then stop to test for pain/neuro loss Tramadol discontinued 1/30 Oxycodone 2.5mg 2X a day ]
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