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Meg and the ruptured cruciate that wasn't
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London, UK


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7 January 2020 - 4:33 am
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We haven’t been on here for ages, but just wanted to share our recent experience with Meg’s diagnosis of a ruptured cruciate in case someone finds it helpful.

A bit of background for those who don’t know us: Meg is 11 years old, and lost her front right leg almost four years ago due to complications following elbow replacement surgery. She is a highly active, smart as hell, handful of a raggedy rescue mutt, who was handed to me by a stranger in a churchyard ten years ago.

So… on Christmas Day, Meg suddenly stopped bearing any weight on her rear left leg. She was holding it up and out (it looked almost as though the knee were dislocated) and was struggling to walk at all, falling over etc. The injured leg was the best of her three. She has severe arthritis and dysplasia in the elbow of her front leg, and arthritis in the hock of her rear right leg. Additionally, the injured leg is diagonally opposite the missing leg, and therefore bears more load than the rear right.

I took her to the emergency vet, who diagnosed a ruptured cruciate. He gave her an opioid injection and told me to take her home and monitor her, and possibly bring her back later for a patch. The injection knocked Meg out totally and later she was quite disorientated and whiny from the drugs but appeared not to be in pain. The vet had said we needed to think very carefully about how to proceed given Meg’s age, condition and the immense amount she has already been through. (Meg has had a large number of surgeries and spent more than two months as an inpatient in hospital). He was also worried about managing her pain, given that she is already on a large amount of pain medication for her arthritis etc. For myself, I felt strongly that further surgery was not an option for Meg and it seemed to me that we were looking at saying goodbye. 

As it was Christmas week, everything was shut, but I emailed Meg’s rehab vet anyway on the off-chance that she would see it. We have been seeing Philippa monthly for four years now for physio, acupuncture and laser. She therefore knows Meg extremely well and I knew her guidance would be extremely helpful. She got back to me on Boxing Day and said that if it were her dog, she would consider the surgery, as Meg still has a good quality of life and she felt she would handle it well. Our very own lovely Sally also emailed me to say how well Frankie has done with his two cruciate surgeries, and despite the fact he is twice Meg’s size… This gave me a different perspective and made me feel more hopeful.

On 27th December, Meg’s regular vet was open, and we went to see him and he confirmed the cruciate diagnosis but felt a bit more positive than the emergency vet had done, as with her increased meds Meg was already starting to use the leg a bit. He felt that with conservative management she might be okay. I asked him to refer her to an orthopaedic specialist for a full evaluation.

Yesterday, we saw the (board certified) orthopaedic specialist at The Ralph hospital, near London. And…. on examining Meg he told me that he could not feel any movement in the cruciate and that he did not believe it was ruptured after all. He said that ruptured cruciates are wrongly diagnosed “all the time”, as vets think the joint is moving when actually the movement is in their hands. He said this is a very easy mistake for a non specialist to make. I asked if it was possible that it had been moving ten days ago, but had now restabilised and he said no. It was certainly possible that it had been swollen and that this had now gone down but not that the cruciate had been ruptured. Meg then had X-rays of all three legs and of her spine, and these revealed quite severe inflammation in both hocks, as well as arthritis in both hocks and in her elbow. Her spine looked good and there were no fractures, tumours or evidence of cruciate damage. He thought it was possible that she had suffered some sort of trauma/brusing to her left hock/knee and that this had now substantially recovered. It is also possible that she is suffering from Immuno Mediated Polyarthritis (IMPA).

The plan now is to rest Meg for two or three more weeks, and also to substantially reduce her medication. (Meg weighs 33 pounds/15kg, and was on 15 kg dose of Metacam, 125g paracetamol (tylenol) twice daily, 200g Gabapentin twice daily, 50g Amantadine once daily). He is stopping the Gabapentin and Amantadine completely as he thinks she is too sedated. Obviously, if she shows signs of discomfort, we will put her back on. She may also need steroids to reduce the inflammation in her hocks.

Personally, I suspect she is not so much sedated as withdrawn following a traumatic incident on New Year’s Day, when the ceiling collapsed on our heads (we’ve had quite the holiday period…) but we’ll see. Certainly, i don’t want her on anything she doesn’t need to be on, but it’s a question. of ensuring her pain is well managed, a balance with which any tripawd parent will be familiar.

So there you have it. I hope the above is useful to somebody and it is at least a reminder to make sure you consult a board certified specialist for a full and thorough evaluation before making any decisions.

Meg, Clare and Angel Pie xxx

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


The Rainbow Bridge



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7 January 2020 - 12:11 pm
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Woah, thank you so much for sharing Clare, I’m so glad she’s on the mend. What an ordeal! Of course these things always happen at the most inconvenient time. I hope that your ceiling is fixed now. Yikes!

Yes, this is extremely helpful! And so are your translations/conversions for us here in the states (we are so metric-challenged!).

I would agree that here in the community and in our own dog-world life outside of Tripawds we see many pups mistakenly diagnosed with a cruciate rupture. We had a scare with Jerry too.

As you mention it’s sooo important not to jump into surgery until you get an expert eye and hands to evaluate a situation like this, especially for a Tripawd. Having a physio therapist to assess is also helpful, as they can give a different perspective.

Great job managing a scary situation, as always. You take such amazing care of Meg. She has traveled a long road to get where she is and she clearly has many, many more miles left to travel. 

We’ve missed you two and hope to follow along with her healing journey. Share some of your lovely photos of her if you get a chance, there’s many new folks here who would love to get to know the Meg-a-Star!

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It's better to hop on three legs than to limp on four.™
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Virginia




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7 January 2020 - 3:03 pm
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Clare, , soooo glad you took time to share all this in such detail and in such an informative  way over here at Tripawds. smiley_clap I know it took a lot of time, plus reliving all the emotions  involved, and you had already gone thru that on faceboger.  This is where you can  reach  the most people  impacted by this type of situation. 

I’m soooo.  glad sharing Frankie’s story helpedand soooo relieved!  ..  I could sorta tell from your first post on fbooger based on that first appointment that you were….and I even hate  to write this ….that you wete thinking  this could be ‘it’!!!    I KNEW that, IF  she had to face   cruciate  surgery,  she would, indeed, handle it like a Champ!!!

 HOWEVER, because Meg jas THE BEST ADVOCATE IN THE WORLD, you had her evaluated  by  a very knowledgeable  team of experts!!    Thank doG!!!smiley_clap

I’ll just add based on the feedback I got from Frankie’s Rehab   Vet, it is POSSIBLE, not too likely,  it it is POSSIBLE that a cruciate  can stabilize ‘in time” if enough scar tissue forms, lots of rest/confinement, etc. ..  Soooo….the fact that Meg was showing  a bit of ‘improvement ‘ with pain meds and NOT enough time for scar to form just reinforces everything Meg’s Team said!!

Thanks again Clare for posting this invaluable information!!’

And loooove the picture Rene posted.  Speaking  of pictures, I do have one more request.  Do you have a minute to post rhe fboger  picture of the ceiling debris cave in?  Words don’t  do it justice! And maybe include  the pix of Meg soooo relaxed and all sprawled out in her carriage 

Lots of love ❤❤❤❤❤❤❤

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

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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7 January 2020 - 6:55 pm
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Thanks Clare for sharing more of Megastar and her story for everyone to know.  I am glad you had her checked out.  Now keeping the Princess Meg quiet will be another story 🙂

xoxoxo

Michelle & Angels Sassy & Bosch

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Sassy is a proud member of the Winter Warriors. Live long, & strong Winter Warriors.
sassysugarbear.tripawds.com
07/26/2006 - Sassy earned her wings 08/20/2013

05/04/2006 -  Bosch, Sassy's pal, earned his wings 03/29/19  fought cancer for 4 months.

"You aren't doing it TO her, you are doing it FOR her. Give her a chance at life."

Livermore, CA




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7 January 2020 - 9:55 pm
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This will definitely help someone down the road. 

I miss seeing you here but glad I can keep up with the Star on FB.  And we still use Meg’s fab liver treats for Nose Work practice and trials smiley4

handful of a raggedy rescue mutt

Best description ever!!!

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

London, UK


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8 January 2020 - 10:04 am
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Aww, thank you for your very kind responses. I will post updates as Meg recovers. She’s really doing very well with frequent short lead walks and lots of parading around Islington in her buggy. We’re in London full time at the moment, so there are always plenty of scooters etc. to kick off at, which keeps her entertained.

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Also, just wanted to mention a couple of brilliant innovations they had at the hospital, The Ralph (named after the founder’s cat). They provide DAP (calming pheromone) infused neck scarf for dogs to wear, if they wish, during their visit. And in the dog waiting room (they have a separate waiting room for cats), there are booths provided for dogs ‘who prefer their own space’ to wait with their humans. Now Meg doesn’t actually prefer her own space, what she likes is trying to drive other patients out of HER waiting room, so she was a bit nonplussed to have her fun spoiled in this way, but for me it was a total godsend. It would be great if other vets adopted a similar system.

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And finally, the ceiling… Your wish is my command, Sally. It was about 10pm on New Year’s Day. Meg and I were sitting on the sofa, when with no warning whatsoever, the ceiling suddenly crashed down on our heads. For an awful moment, I couldn’t find Meg, and thought she must be buried under the rubble, so I started trying to dig through it with my hands. It turned out, she had sprinted, two-legged, across the room, and hidden underneath the table. Neither of us sustained the slightest scratch, which was, in the words of the engineer who came to survey the scene an absolute miracle, blocks of cement having missed us by literally inches. It seems Miss Pie was looking out for us.

This is the room in the aftermath

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And here’s the sofa. We were sitting in the gap.

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And here’s Meg, fresh from the third bath it took to get the dust and debris out of her coat.

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Love to all,

Meg, Clare and Angel Pie xxx

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Here and Now


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8 January 2020 - 11:01 am
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megstamum said
…there are booths provided for dogs ‘who prefer their own space’ to wait with their humans.

This is brilliant. We would totally appreciate that for any visit with Wyatt! Thanks for sharing.

And finally, the ceiling…

smiley3Woah… Angel Pie was looking out for you for sure.

Green Bay, WI


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8 January 2020 - 11:28 am
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So glad that the news was positive for Meg’s leg! When it rains, it pours…literally, pours cement down on your heads. Hopefully the bad vibes are all behind you and its smooth sailing now. Good luck to you both as Meg recuperates…I don’t envy you having to keep a dog calm, but that is probabaly just me, thinking of trying to keep the “terrorists” calm. Hugs to you both!

Paula and Warrior Angel Nitro

Nitro 11 1/2  yr old Doberman; right front amp June 2014. Had 6 doses carboplatin, followed by metronomic therapy. Rocked it on 3 legs for over 3 years! My Warrior beat cancer, but couldn't beat old age. He crossed the Bridge peacefully on July 25, 2017, with dignity and on his terms.  Follow his blog entitled "Doberman's journey"

http://nitro.tripawds.com

"Be good, mama loves you".....run free my beautiful Warrior



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8 January 2020 - 12:12 pm
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Claire!! I’m so happy to hear you and Meg were not hurt. What a scare! Great reflexes Meg! You are looking adorable sweetie.

I’ve gone to 4 different vet clinics since Mona had her amputation. They all bring her into her own room immediately. I’m not sure if that’s so the cats don’t have to be around dogs in the waiting area. The two holistic clinics where Mona had chiropractic treatments even has cat only rooms with beds where stinky dogs are not allowed. I really like that your vet clinic offers pheromones to help calm the pets. 

Good going Meg, it’s important for you to help with waiting room security. smiley_clap

I wish Meg an easy recovery. sp_hearticon2

Kerren and Tripawd Kitty Mona

Virginia




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8 January 2020 - 2:43 pm
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Yeah, these pictures…all these pictures…speak volumes!

Just soooo glad you and Meg are okay on all levels!  

Thanks again. for taking the time to share  more.   And what a great way Meg’s Clinic (yes, heretofore called “Meg’s Clinic”) has of making  the experience  as calming g as possible….even though. Meg found it quite boring.

❤❤❤❤❤❤❤❤

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!

The Rainbow Bridge



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8 January 2020 - 3:31 pm
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Woooooah! I can’t believe that happened, you guys are so lucky you were unharmed! YIKES! I’m so glad you are both OK. Do you know what caused the ceiling to fall in?

I love the vet clinic photos you shared. That is Fear Free Vet Care at it’s finest! 

Meg looks adorable in her chariot. 

It's better to hop on three legs than to limp on four.™
Latest Tripawds News
Read my story here.

Support the Tripawds Foundation!

Virginia




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14 January 2020 - 8:51 pm
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Soooo….how’s our girl doing?  Both girls?  And the ceiling?

❤💜🧡💛💚💙

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!

London, UK


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19 January 2020 - 8:19 am
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Thanks everyone. The MegaStar is doing really well. We’ve taken to going to a street market, just a short walk from our flat, and Meg has an absolute ball parading between the stalls in her chariot and everyone making a fuss of her. I haven’t take her there for years, not since she attempted a hostile takeover of the pet food stall… but that’s one of the great things with the buggy, you spot trouble coming in the form of a child on a scooter, a skateboard, a squirrel etc. etc. etc. etc. and you can just duck into an alleyway until the coast clears. Finally, I have found a way to outsmart the MegaMonster.

Her leg seems absolutely fine. We’re still taking it easy, but she appears to be moving well and to be quite comfortable. We saw her rehab vet last week and she was happy with her.

In other news… the ceiling will need replacing entirely and this cannot happen until May because the building is ‘listed’, which essentially means it’s old and of historical significance and therefore legally protected, so you need to jump through numerous legal hoops to get permission to do any building works and it all has to be put back exactly as it was and using all the same materials and techniques, except hopefully staying up this time, though 200 years is not a bad innings I suppose. In answer to your question, Rene, they don’t know what caused it to collapse. There wasn’t any flood or anything and it seems to be just age related wear and tear, which isn’t altogether reassuring.

Trouble coming in threes and all, my car packed up, but it was very old, and also quite polluting, which meant I received a grant to replace it (pretty good, eh), so we now have a brand new MegMobile (I mean new second-hand, but still much newer than the old one) and best of all with the back seats removed I can fit in the buggy without having to dismantle it, which is fabulous. Not that it’s a major deal putting it together and taking it apart, but when you are doing it multiple times a day (The buggy is bigger than the flat, so I store it in the car when not in use) it really is very nice to be spared the faff.

Here’s a pic of my girl….

Thanks for all the good wishes and support,

Meg, Clare and Angel Pie xxx

Image Enlarger

Meg, Mutt, aged around 12, adopted 31/12/2009. Sudden explosive right elbow fracture 06/12 (caused by IOHC), diagnosed with End Stage Arthritis 03/15, Total Elbow Replacement 08/15, problems with healing leading to skin graft & skin flap surgery, Chronic Infection leading to implant breakdown. Became a Tripawd 9th March 2016. 
Lives with Mum, Clare, watched over by Angel Pie and Angel Billie
My life as a MEG-A-STAR 


Green Bay, WI


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19 January 2020 - 9:00 am
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Great news all around Clare – except having to wait till spring to replace the roof. Thanks for the update – Meg is adorable, as ususal!

Paula and Warrior Angel Nitro

Nitro 11 1/2  yr old Doberman; right front amp June 2014. Had 6 doses carboplatin, followed by metronomic therapy. Rocked it on 3 legs for over 3 years! My Warrior beat cancer, but couldn't beat old age. He crossed the Bridge peacefully on July 25, 2017, with dignity and on his terms.  Follow his blog entitled "Doberman's journey"

http://nitro.tripawds.com

"Be good, mama loves you".....run free my beautiful Warrior



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19 January 2020 - 10:59 am
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Clare, your stories warm my heart. I love how you make life work so well for Meg and adapt your outings based on her needs from use of the chariot to removing car seats to ducking down an alleyway to avoid trouble. icon_lol You know her so well.

She looks so innocent when sleeping…

Hugs,

Kerren and Tripawd Kitty Mona

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