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Back surgery after amputation?
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Member Since:
7 June 2010
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22 October 2010 - 11:21 am
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Okay, so we are now at the point where Charlie can't walk. How fast this has happened, once again, has shocked me.

I just got back from the U of M and meeting with the Neurologist. She has concerns about doing the back surgery on a tripawd, given that he only has one front leg. It would be 6-8 weeks of bed rest. I had concerns about continued muscle atrophy, but that wasn't her concern and she believed that part would be okay.

I really don't know what to do at this point. My plan is he is starting Prednisone (actually, the one with the 'L' in it, but the bottle is in the car) and I did get a bottle of Gabepatin (again, the spelling is off). If he responds somewhat well to the steroids, we have a better indication of how he would do after surgery. If not, well, we know what the option is.

Does anyone have experience with lower back surgery on a front amputee? I know some of you have had some experience with this (additional surgery after amputation). Is there any option that I haven't considered yet? Any advice or experience you could share with me would be greatly appreciated!

Oh, and the cost of an MRI + surgery = 4,500. Argh!

"I don't know where I am."

10711
2
22 October 2010 - 3:25 pm
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VQ, I don't have any info in regards to the back surgery but just want to again say how sorry I am that you and Charlie are having to deal with this.

Fortis is taking prednisolone. I think this is the steroid you are referring to.  Hopefully Charlie will respond well to the steroid and thus open up more options for you. Try to stay as hopeful as possible. Sending lots of positive thoughts your way.

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22 October 2010 - 5:58 pm
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Just wanted to give a quick (now that I'm done writing it, um "quick" is a big fat lie!) update:

Yesterday when I went to give him breakfast, his tail was tucked between his legs. In all my years, his often violent tail has never done that. I called Mr. VQ on the way to work and informed him that incontinence was next, as I didn't want any surprises. I then cried.

Did research online and saw that surgery was an option (if non-surgical options weren't working) so I had called and got the appointment this morning.

Last night, when I got home, Mr. VQ and our youngest wanted to show me how awesome the new harness is! Problem: they had loosened the straps after their first run with it. So they lift him up and he slips out of the harness, almost landing on his neck. I leave the room crying. Here, they are trying to cheer me up, and yet, almost kill the dog if front of me. Funny now, but I was too emotionally raw to handle it last night. Gave Charlie 3 Tramadol last night. Seemed to help.

This morning, he knows the ride is coming, but as soon as he stands up, he's down again. Legs not cooperating at all. We carry him to the car and I notice a smell. He's pee'd. Nice little trail. Not a problem, let Charlie know if he needs to go in the car, that's cool. (I think the harness may have been hitting the bladder, oh, and he detests the new harness! Doesn't like the lack of control. Don't know where he gets that from blush )

My daughter goes with me because she knows that this might be the 'time'. I inform them that he can't walk and that we'll need the wagon thingy. Remember how he doesn't like the new harness? Doesn't care for the wagon thingy either!!! We get him to go pee (that wasn't hard, but I had to carry him to a post. Can't pee if you can't mark your territory!) and then we "help" him walk to the room, however as soon as we get into the building, time to poop! Does he ever do anything where there aren't 20 people to admire his job? Um, no...

While I'm waiting for the Neurologist, his surgeon came in. First time they had seen each other since the amputation. It was nice to be able to thank him for doing an awesome job! Too bad it had to be under these circumstances. I'm holding it together, however I am now talking to the Neurologist, and she's not giving me the 'best' news and I finally ask the cost. I start to cry. Okay, more like blather, but I did better than when I had met with the Oncologist for the Osteosarcoma diagnosis!!!

They leave and my daughter looks at me at states "You know you started crying when you heard the price, right?" laughing

Anyway, he did much better in the cart on the way out and I inquired about the cart: "Any home improvement store!" We get home, I grab ham and give him his first doses of Gabepatin and Prednisolone (spelling be damned!). Since many of you, if you can, do your tripawds' favorite things towards the end, I knew Charlie's favorite thing is car rides! So, back in the car we go, no destination in mind! We get four blocks away from the house and *crash* no, not the car, something from the car. I turn around to see. The plate that I had the ham on. Left it on top of the car. Pick up the pieces. My bad. blush Again.

We go to local home improvement store. I get a toilet seat that actually fits my toilet (another 'my bad' moment for the last few months) and check out the garden trailer thingys. Not bad. All under $100. I don't get it because we don't know yet what the future holds. Go to a fast food joint for burgers. Go to the park. Guess who sits up 10+ times to look at the lady dogs (okay, some of them weren't ladies, but I don't judge). He was also sitting up for cheeseburgers, but just the fact that he was sitting up was amazing.

We get home and I am exhausted! So we curl up together in the car and take a nap. I'm awakened to Charlie's previous family waking me up. Weird. Anyway, we are good now. Just sitting on my deck and I realized something: Zak's mom I believe had mentioned the dog litter box, and it hit me that I've seen infomercials on it. I never put two and two together! I bring out the computer onto the deck and start doing research. I then realize that I have a really large deck and I literally could turn half of it into a dog litter box. No stairs!

So, like Rita Hayworth and the Shawshank Redemption: Hope Springs Eternal! 

Thanks for being there with us on this journey!

"I don't know where I am."

Los Angeles
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22 October 2010 - 7:18 pm
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I'm just laughing out loud right now reading through your post.  I know it's not funny but it really is funny to us tripawd owners as we can all relate.  Sometimes you have to look at the humor in these experiences just to make it through.   How I've had that moment of breakdown, more like meltdown, when I heard the price on some meds that were so expensive ($450 for a 15 day supply expensive) - this right after hearing that Mackenzie has lung mets  -  broke down into tears in front of this receptionist who looked at me like I had 2 heads.  I couldn't even stop the flow of tears.  She then proceeded to tell me that I could do a fundraiser and post pictures on lampposts if I couldn't afford this.  That's not the point I said!! I laugh now at the ludicridity of this if there is such a word.   Anyway, getting back to your situation with Charlie I'm so sorry that you are going through all of this.  This is a tough one....and hopefully giving him the meds that you are will offer some temporary relief.  It's like a damned if you do and damned if you don't situation.  It's never easy, is it? And to quote Gilda Radner - it's always something! So hang in there - we'll be keeping you in our thoughts and hoping that Charlie feels better very soon. laugh

Kami (Mackenzie's Mom)

P.S. Good luck on that litter box - sounds like an excellent idea!

My sweet golden Mackenzie.  She became my angel on Dec 29, 2010 at the age of 8 1/2  although she was always my angel from the time we brought her home.  She was diagnosed with osteosarcoma in Sept 2009 and officially became a tripawd (front leg) on Nov 5, 2009.  She will be forever in my heart and now she's running free with all of our other tripawd heroes.  I love you Mackenzie!

Las Vegas, Nevada
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14 August 2009
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22 October 2010 - 9:55 pm
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Oh VQ      - you poor poor thing!   I'm laughing and crying right with you!  I'd be doing exactly what you are doing!  Including leaving the treats on the car!   (and yes, I cried when I got a CATSCAN estimate with NO surgery for over $4k !! - But I waited until I got to the car as to not look like I was cheap! smile)

 

Has anyone suggested a steriod shot in the disc?  The pred should help tremendously.  But an injection could too.  Now, I'm only speaking from a human - but I herniated  neck disc and steriods were the only things that helped.  (fell down my stairs) I can tell you from experience, it is painful because the nerves get pinched to the muscle.  It was enough for me to go to the ER at 3 in morning. I even got a nerve block epidural in disc a couple of months ago.

I have a girlfriend who has stenosis in the neck (narrowing) and she had a nerve block epidural too in the disc and is fine for the most part.

I just had the surgery conversation with my doctor  - to do or not to do surgery to repair the herniated neck disc.    He said, NO - not unless nothing else works.  

I thought I'd tell you what a regular doctor would probably tell you.  I hope that helps.

 

Anyhoo - just know we over here in Cometland are thinking of you and hoping with all our heart that Charlie will feel better!

Her Retired AvatarComet - 1999 to 2011

She departed us unexpectedly  January 23, 2011 at the age of 12 1/2.

She was born with a deformed front leg and a tripawd all of her life.

On The Road


Member Since:
24 September 2009
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22 October 2010 - 11:14 pm
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VQ, our hearts ache for you, this is so hard. Unfortunately we can't offer much in the way of experience wiith back surgery, but what we can offer is this; remember, it's all about quality, not quantity. Keep hope alive in your heart, while being sure to ask Charlie what he wants. Constantly check in with him, and make sure that he is happy. Monitor how many good days he has versus how many bad days, and take it from there.

This is the ultimate expression of taking things day by day. Your sense of humor and Charlie's adorable pawsonality will go a long way as you grapple with these issues. Many, many hugs coming your way.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet


Member Since:
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23 October 2010 - 10:54 am
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How sure are they that this is not spinal mets?  A lot of times you would need an MRI to rule that out anyway.  If the MRI shows disc disease and not mets then I would consider surgery, as long as you can move Charlie around okay with the harness.  I know that the MRI alone is probably about $2000 but that is the only way to determine the amount of spinal compression.

Pam

rockysjourney
8
23 October 2010 - 2:53 pm
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Fortis said:

VQ, I don't have any info in regards to the back surgery but just want to again say how sorry I am that you and Charlie are having to deal with this.

Fortis is taking prednisolone. I think this is the steroid you are referring to.  Hopefully Charlie will respond well to the steroid and thus open up more options for you. Try to stay as hopeful as possible. Sending lots of positive thoughts your way.


Adding to Fortis' reply. I am also sooo sorry Charlie has to go through this...The picture shows him with the same brace I use with my Tripawd, Rocky....memorable times.

 

Why the surgery? too much strain on the spine? Arthritis setting in? Please fill us in. I want so much to learn.

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23 October 2010 - 4:57 pm
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Yeah, for sure we would need to do the MRI, as to make sure it is that and not something else or even the dreaded C. But they also need to do it to figure out where  to operate! Turns out they won't do the whole "cut him open and figure it out when we get there!" bit. Yeah, the Neurologist stated that it could be even C, so they aren't sure until an MRI is done. The x-ray just suggested the narrowing of the canal and his symptoms go along without the C diagnosis, but it is possible, even if this showed on his 6th round of Carboplatin.

I took him in for acupuncture today. Then went to a home improvement store. He now has a 10x12 potty area on our deck. I then went to bring him up, but the neighbor yellow lab, Daisy had a friend over, so Charlie decided to 'run' over to the fence so that he could pee in front of them. He then proceeded to run/walk/hobble/hop halfway across the yard. I just held the straps for support. It brightened me, but also scared me because you know he's overdoing it. Total show off!

Anyway, a good day all around. We'll see if he uses our new potty area tonight!

 

Rocky's mom - It might be a disc compressing on the spine, causing pain and not allowing him to use his hind legs or tail now. It can also cause incontinence. The surgery would remove a portion of the disc (or whatever it is) to alleviate that pressure. The steroids should help the narrowing of the canal. He is not in pain right now due to the Gabapentin. Taking it day by day. If we continue to string good days together, I'll go in for the MRI. If that shows something operable, then we move in that direction. That's the plan. See how he does.

"I don't know where I am."

On The Road


Member Since:
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24 October 2010 - 1:00 pm
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Oh this is a good report VQ, glad to hear he was being a show off, but I know how that must have been scary too. How wonderful you're doing the acupuncture, I'm so glad to hear that.

Lots of paws crossed for daily improvement and hoppiness. We are rooting for you both.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

On The Road


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24 September 2009
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24 October 2010 - 1:24 pm
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VQ, I also wanted to point you to our Tripawds Facebook page. Please see Simone's comment's about what she went through with Chance. Hope you two can connect and talk.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

krun15
12
24 October 2010 - 4:04 pm
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Hi VQ,

I don't have much to offer on the back stuff- it does sound like the meds are giving some relief.

I just wanted to let you know I can relate to the  'day to day' part of your situation,  I spent my last 3 months with Mag that way.  And I know how overwhelming all the options (and related costs) can seem.  I had to do some tests, decide if a surgery was right for her (didn't do it) and lots of meds. Keep your focus on Charlie and let him guide you.  Mag went downhill so fast in March,  but she just didn't seem done then. I kept her quality first in my mind- and thankfully I was sure when we reached the end in June.

Sounds to me like you are doing just right- enjoying Charlie, letting him do what he can, and making sure there is quality.

Good luck with the potty area- you know there is a chemical that you can get at pet stores that attracts dogs to the potty area, can't remember what it is called.  But if Charlie is reluctant to use the new facilities it might help convince him.

Hope your string of good days continues.

 

Karen and the pugapalooza

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