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Botched amputation, what now?
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14 December 2017 - 7:37 pm
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Just in my experience the gaba makes them loopy in the beginning. Give it a moment, they get their legs after a bit.

Hugs 

❤ Jackie

Hugs,

Jackie, David, Mitchell, Andy Oscar, and the coolest feral tripawd kitty Huckleberry 

http://paws120......ipawds.com

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17 December 2017 - 11:01 am
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Tomorrow marks two weeks since Ivan's surgery, and it has been rough! Some days are better than others, and there is no consistency in his healing process. We have him on four Gabapentin every 8 hours, and he's still having some very bad spasms and then last night he had a restless, painful night.

At this point, I'm not sure what to do. Is nerve damage a thing that can happen in a mid femoral amputation? He's supposed to have his stitches out on Tuesday. They look like a total mess and I don't even know how the vet can possibly remove them. In all surgeries I looked up, they used sutures or staples. Ivan has this thick plastic thread in his skin... So we'll see how that goes. I don't want the vet touching that area, I don't want to see him have another pain spasm freak out. I feel so lost and now that my dad is realizing his vet is an idiot and I have better answers, he's relying on me to figure it all out.

Luckily our oncologist knows what she's talking about, and let us know he was severely under medicated. She works at a reputable, full scale veterinary hospital and not a day to day vet (where Ivan had his surgery). I wanted to have Ivan's leg amputated there and not at my dad's vet, but it would have been another $1,500 more than what the regular vet was charging us and we didn't have the money at the time. I even tried to convince my dad to take him to Dr. Pasternack at Helping Hands in Virginia, but he didn't want to do it. I would have been much happier if we went down to her, she clearly looks like she knows what she's doing and amputation is one of the things she does most. And it would have cost us less! But, this is the situation now. 

I'll keep everyone updated, there's only so many calls I can make on a Sunday.I made this little video to share with my friends and family that have been following Ivan's journey. Don't mind the funding links at the end, I didn't have the time to make a second video without them, I made it to share on FB and IG. But here is our baby, in action. 

Guardian to Nikolay the tripawd, Co-Guardian to Ivan the tripawd.

Silas Sebastien 2009 - 2017 

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17 December 2017 - 11:16 am
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Good afternoon,

How long ago did Ivan lose his brother? That had to make a huge impact on him! The thick plastic suture material is just a non absorbing suture. That is not uncommon at all, is it purple or blue? They probably used a heavy duty suture because of the location and pressure that it would have to withstand. I have a feeling you may see a big difference in him once they are out. I don't think many, if any showed a big turn around until properly medicated and then even bigger once sutures were out. Please don't stress over the removal, he will be ok. It pinches a little, but usually takes no more than a few minutes to get them all out. Hang in there, you are doing a great job! Has his increased meds helped at all? He is lucky to have somebody advocate for him to try and keep him as comfortable as possible. Thank you for sharing your video, he is a handsome boy!

Jackie and Huck heart

Hugs,

Jackie, David, Mitchell, Andy Oscar, and the coolest feral tripawd kitty Huckleberry 

http://paws120......ipawds.com

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17 December 2017 - 12:50 pm
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paws120 said
Good afternoon,

How long ago did Ivan lose his brother? That had to make a huge impact on him! The thick plastic suture material is just a non absorbing suture. That is not uncommon at all, is it purple or blue? They probably used a heavy duty suture because of the location and pressure that it would have to withstand. I have a feeling you may see a big difference in him once they are out. I don't think many, if any showed a big turn around until properly medicated and then even bigger once sutures were out. Please don't stress over the removal, he will be ok. It pinches a little, but usually takes no more than a few minutes to get them all out. Hang in there, you are doing a great job! Has his increased meds helped at all? He is lucky to have somebody advocate for him to try and keep him as comfortable as possible. Thank you for sharing your video, he is a handsome boy!

Jackie and Huck heart  

I wont see Ivan until this evening, but I'm pretty sure the stitches are blue.

Thank you so much. Your kind words helped put me a little at ease, and now I'm looking forward to him getting his stitches removed.

Ivan lost his brother in June of this year. Though they didn't live together, they saw each other often when I'd visit my dad or take Ivan to my house for sleep overs and adventure trips. Sebastien was my dog, a Pyrenees Cuvac mix. He's the dog in my avatar. Him injuring his leg is how I discovered Tripawds back in June.

Ivan could see Sebastien was sick, and he had injured his leg where he had a cancer metastasis. Ivan was being very protective of him, then the last week of Sebastien's life Ivan did not come to visit because I wanted to keep Seb calm. Though there's no way of letting him know Sebastien is gone, he always looks behind me when I arrive to see if Sebastien is following :/ They're not biological brothers, but we called them brothers, and they're both rescues from NGPR. They were pals. heartheart

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Guardian to Nikolay the tripawd, Co-Guardian to Ivan the tripawd.

Silas Sebastien 2009 - 2017 

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17 December 2017 - 1:41 pm
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No doubt Ivan has felt the loss of Sebastien. Does Ivan see your other pup? I don't think I realized you lost one and had a new tripawd. I somehow got confused and thought they were one and the same, I'm sorry. I love your pictures, they show so much love smiley 

You said his suture line looks kind of rough, in what way? Has he licked or chewed them or is it just the way the incision line looks? When he has the sutures removed, be careful not to let him lick them. They will likely be a little scabby, that's normal. They will also get itchier as they heal. He can infect the incision if he starts to lick and bite at them. I think you will be surprised at the difference it makes once the sutures are removed. At this point they pull and are sticking to the skin. There is a lot of relief once they are removed. Take a deep breath, this is almost behind you. You are a wonderful advocate for Ivan heart

Hugs,

Jackie, David, Mitchell, Andy Oscar, and the coolest feral tripawd kitty Huckleberry 

http://paws120......ipawds.com

Livermore, CA
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17 December 2017 - 5:40 pm
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After watching the video I went back and looked at the pictures you posted earlier.  It's still a bit hard for me to see, but it looks to me like he has a lot of his femur left.  In those pictures you posted earlier it looks literally like he has half his femur!  My personal experience with Maggie, and all the mid-femoral amp dogs I've seen in person the remaining femur bone, way less than half the length of the original bone, is wrapped in muscle and can not stick out from the side of the dog's body. 

I don't have any really good pictures of her amp side, but in the one below you can see how her hip where her leg used to be is smooth. The line in her fur is where the new fur on her underside has not fully grown back in.

I'm sorry I didn't look at the pictures you posted sooner.  When you said 'mid-femoral' I expected it to look like the other mid-femoral amps I have seen.  If the bone is sticking out it might account for all the pain he is having. I feel so bad for you and Ivan and your dad, this has been so hard for you guys.

It sounds like you don't have any faith in your vet- maybe another opinion would be a good idea.

Karen and the Spirit Pug Girls

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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17 December 2017 - 7:58 pm
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krun15 said
After watching the video I went back and looked at the pictures you posted earlier.  It's still a bit hard for me to see, but it looks to me like he has a lot of his femur left.  In those pictures you posted earlier it looks literally like he has half his femur!  My personal experience with Maggie, and all the mid-femoral amp dogs I've seen in person the remaining femur bone, way less than half the length of the original bone, is wrapped in muscle and can not stick out from the side of the dog's body. 

I don't have any really good pictures of her amp side, but in the one below you can see how her hip where her leg used to be is smooth. The line in her fur is where the new fur on her underside has not fully grown back in.

I'm sorry I didn't look at the pictures you posted sooner.  When you said 'mid-femoral' I expected it to look like the other mid-femoral amps I have seen.  If the bone is sticking out it would might account for all the pain he is having. I feel so bad for you and Ivan and your dad, this has been so hard for you guys.

It sounds like you don't have any faith in your vet- maybe another opinion would be a good idea.

Karen and the Spirit Pug Girls  

I was told it was "mid femoral", but he does have most of his femur still in tact. As I said in my previous posts, I am not at all happy or impressed with the dr. my Father chose for this surgery, and I think he is the sole reason why we are in this situation now. 

From what I see, it looks like he was amputated right above the knee. Not at all what we were expecting. He even told my father no leg cold be left. He keeps it tucked in when he's walking, but it sticks out when he tries to get up, or when he sits on the floor certain ways. He has a lot of leg left. 

I'm definitely taking him to a better vet to have this all checked out. I should be able to by the end of the week. My dad is retired, so I've been paying for mostly everything. 

I'm with him now, he just had a small pain episode about an hour ago. If I don't see an improvement after his stitches are removed, I'll have to find another option. 

It's been emotionally taxing, but all I want is for Ivan to be out of pain. He's so doped up now that he can barely go for the short walks down the street that he was doing post op. Tomorrow I'm going to make some calls and see what I can do for him. I want a good surgeon to look at what this vet has done. 

Thanks so much for chiming in, I appreciate it. 

Guardian to Nikolay the tripawd, Co-Guardian to Ivan the tripawd.

Silas Sebastien 2009 - 2017 

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17 December 2017 - 8:11 pm
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I'm sorry it took so long for me to realize that this is not a traditional mid-femoral amp.  I don't remember seeing here a rear amputation like Ivan had.  I think it is going to be an ongoing problem for him.

You are doing such a great job being Ivan's advocate!

I also realized I didn't post the picture I was talking about- this is looking at her amp side. So for whatever its worth here it is:

Karen

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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17 December 2017 - 8:18 pm
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I wish we could just wave a magic wand and make Ivan better right NOW!!! I know this is sooooo emotionally draining a d so very upsetting.

A d yes, the amou t of Gaba he is own is definitely enough to make him feel quite woozy and kind of sedated.

KARNE'S OBSERVATION IS SOOOO ASTUTE!!!  I really think this coukd be part of the issue for sure!!   A d there may be some solutions like some sort of padding or something like that he could wear.  Maybe a "corrective" surgery thst wouldn't be as evasive.   Don't know, but your new Vet should be avle to help.

Have you had enough energy to call the Vet who did this and ask him what the H E  double L he was doing???   You just may be able to get reimbursed for this if he realizes yiu intend to make a very public uproar avout this!  Okay...off my soapbox!

I do know how zwful it feels to try and do somet for yiurdog's quaw and not have it turn out that way (at least temporarily).  I wish I had words of wisdom.  I can only say no amount of beating yourself up or having regrets is NOT what Ivan would want.

You are doing an unbelievable job of staying focused in gettw Ivan to a point of good quality.  And I absolutely believe that WILL happen! 

An aside, have you spoken with the Onvo abput Metronomics?  Founder Jerry was on that for mets and fot great extended quality time!

We're all sending you sullort and love and hoping we can get some good resolution for Ivan!  Yiur Dad must be a reallh good Dad to jsve such a wonderfully compassionate daughter! 🙂

Hugs

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

PS....Those lictures are gorgeous treasures!!  What a beautiful family!! 🙂

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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17 December 2017 - 8:44 pm
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That was a great catch Karen, I did not see it either. Huck has a little"bump" it's not smooth like Maggie's was but it does not stick out like Ivan's. I have not seen a bunch of amputations but the ones I've seen here don't seem to protrude so much. 

I hope you are able to get good answers when you make the calls. I'm sorry I missed it totally. You have fought so hard for Ivan, I really hope that this can be fixed without too much difficulty. 

Hugs,

Jackie ❤

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Jackie, David, Mitchell, Andy Oscar, and the coolest feral tripawd kitty Huckleberry 

http://paws120......ipawds.com

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17 December 2017 - 10:51 pm
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paws120 said
No doubt Ivan has felt the loss of Sebastien. Does Ivan see your other pup? I don't think I realized you lost one and had a new tripawd. I somehow got confused and thought they were one and the same, I'm sorry. I love your pictures, they show so much love smiley 

You said his suture line looks kind of rough, in what way? Has he licked or chewed them or is it just the way the incision line looks? When he has the sutures removed, be careful not to let him lick them. They will likely be a little scabby, that's normal. They will also get itchier as they heal. He can infect the incision if he starts to lick and bite at them. I think you will be surprised at the difference it makes once the sutures are removed. At this point they pull and are sticking to the skin. There is a lot of relief once they are removed. Take a deep breath, this is almost behind you. You are a wonderful advocate for Ivan heart  

Yeah, sorry if you got confused. So I had a dog, Sebastien. He never actually became a tripawd, he wound up having a met starting on his other leg, then his hypercalcemia kicked in so bad that he died in his sleep the morning I had planned for the house call service to come and take him out of his pain forever. Then in late September, I adopted a tripawd and named him Nikolay. I've yet to actually really post about him because he's doing very well, but we did get an adoption reimbursement grant from this website, and there's an article about him on the blog.

Nikolay and Ivan get along. I brought him over the other day to visit Ivan. He was happy to have a visitor. I guess it just looks rough because I'm not used to seeing it. His fur is growing back quickly, and his tail fur is all caught in the stitches now. It's a little scabby, but not infected. He has a soft cone that we keep on him, so he's hardly touched it. 

We'll se how it goes on Tuesday. I'm gonna call his oncologist tomorrow and see if I can set up an appointment with one of the surgeons  that work at her hospital to take a second look at Ivan's leg. It's not fun to look at, and just doesn't seem normal to have left that much leg there 🙁 

I will keep everyone posted about the next two days.

Thank you!heart

Guardian to Nikolay the tripawd, Co-Guardian to Ivan the tripawd.

Silas Sebastien 2009 - 2017 

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20 December 2017 - 4:23 pm
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Ivan had his stitches out yesterday, but he's still having bad pain spasms. His oncologist thinks there is something wrong, and that he still shouldn't be having this kind of pain, so we are taking him to see their surgeons in the next two days. His days are better, but his nights and mornings are filled with spasms and we can't continue on with chemo with him feeling this way. 

Does anyone know anything about these Farabloc Blankets? I don't know if this could be related or not, but I read that it's supposed to block radiation from EMF fields. My dad lives in an apartment building on the first floor, and right on the other side of his bedroom wall is the control center for all of the gas and electric for each apartment, there are also six smart meters on that wall, a mere feet  away from where he and Ivan live.

I didn't know too much about smart meters before, but it seems they emit EMF signals all day long, every minute actually. We did an EMF reading of the meters, it was insane! I continued research on these meters and it seems they are bad news all around. But, could this be affecting his nerves and his pain? I'm not sure, but I bet I'd get a strange look if I mentioned this to any of his Dr's.

Does anyone have experience with this, or have used the blanket before? I'm just so desperate at this point to make my baby feel better. 

Guardian to Nikolay the tripawd, Co-Guardian to Ivan the tripawd.

Silas Sebastien 2009 - 2017 

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20 December 2017 - 4:37 pm
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Oh boy, no and no, I'm sorry. Would something nice and warm feel good and relax those poor muscles and nerves? I'm so so sorry. I looked back after Karen posted and saw what you were all talking about. I will keep you in my prayers and try to send you as much healing strength as I can. Please keep updating, this has GOT to get better, and I believe with you at his side it will. You need compensation from the people that botched this up...I'll shut up now.

Big hugs,

Jackie and Huck ❤❤

Hugs,

Jackie, David, Mitchell, Andy Oscar, and the coolest feral tripawd kitty Huckleberry 

http://paws120......ipawds.com

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