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Caring for a Three Legged Dog or Cat

Tripawds is your home to learn how to care for a three legged dog or cat, with answers about dog leg amputation, and cat amputation recovery from many years of member experiences.

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Member Since:
10 March 2016
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13 March 2016 - 3:26 pm
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Our 10-year-old Lab, Harley has a nonhistiocytic soft tissue Sarcoma on his front left leg. the initial tumor was removed but grew back very quickly.  Aside from cancer, he is in good shape still happy and eating well.  We have decided we are not going to go through Chemo or radiation for several reason. The only other options are Amputation or euthanasia.  I have only read a little bit, and there is so much information on this site that it is overwhelming.  I would love to be directed to the most important things I need to read while trying to make this very difficult decision.  Many thanks to all of you for your help,Dina

Livermore, CA




Member Since:
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13 March 2016 - 4:15 pm
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Hello and Welcome to you and Harley.  Your future posts will not have to wait for approval.

Yes, the decision making process for amputation can be scary and overwhelming. 

I have a couple of questions for you:

Has your vet said that Harley is a good candidate for amputation? That usually means that his body can handle the stresses of losing a leg.

What specifically are you concerned about with amputation? His size? His age?  Will he adapt?

What is the prognosis with amputation? Is there concern about cancer spread after the amp? Will the amp get rid of the cancer?

My first Tripawd was a little rear amp pug named Maggie.  She lost her leg to a mast cell tumor.  I was worried about how she would adapt and I was right!  Maggie was a stubborn little thing who HATED any changes in her routine.  She took about 6 weeks to decide that she was OK with her new normal.  That is far outside the norm, most pups are back to themselves in two or three weeks. I have no regrets about any of my decisions for Maggie, although during the first few weeks I wasn't sure I made the right decision.

Here is a good place to start: The Reading List has lots of links to info on what to expect with amputation and recovery.

We also have a help line, sometimes it helps to talk things through:

Image Enlarger

There will be other members along to share their experiences with you.

We have been where you are now and can help.  No matter what you decide is right for Harley we will support you.

Karen and the Spirit Pug Girls

p.s. I moved your post here to Presentation and Diagnosis since that is where you are on your journey

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

Michigan
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13 March 2016 - 4:47 pm
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Hi Dina ~

So sorry that Harley's diagnosis has brought you here.  Many of us have been right where you are.  The diagnosis of cancer is so scary!  It's like the floor has just dropped out from under you.  Murphy was 7 when he had his surgery and perfectly healthy aside from his bum leg.  He ended up being diagnosed with histiocytic sarcoma.  Has Harley had a chest x-ray?  Are his lungs still clear?  Any arthritis?  Or other health problems?  No one can make this decision for you, you know Harley best.  Most dogs do well on just 3 legs, especially if they've been in pain for awhile already.  The first 2 weeks is usually the hardest to get through, but after that they usually do pretty well.  Harley doesn't know that he has cancer, or that there's a time limit for him.  One thing we all try to learn here is to be "more dog."  That is, to live in the moment.

Donna

Donna, Glenn & Murphy 

Murphy had his right front leg amputated due to histiocytic sarcoma at 7 years old. He survived 4 years, 2 months & 1 week, only to be taken by hemangiosarcoma at 11 1/2 years 6/12/17  
Read about Murphy's Life on Three Legs

Donna.png


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13 March 2016 - 5:43 pm
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midnighter94 said
Hi Dina ~

So sorry that Harley's diagnosis has brought you here.  Many of us have been right where you are.  The diagnosis of cancer is so scary!  It's like the floor has just dropped out from under you.  Murphy was 7 when he had his surgery and perfectly healthy aside from his bum leg.  He ended up being diagnosed with histiocytic sarcoma.  Has Harley had a chest x-ray?  Are his lungs still clear?  Any arthritis?  Or other health problems?  No one can make this decision for you, you know Harley best.  Most dogs do well on just 3 legs, especially if they've been in pain for awhile already.  The first 2 weeks is usually the hardest to get through, but after that they usually do pretty well.  Harley doesn't know that he has cancer, or that there's a time limit for him.  One thing we all try to learn here is to be "more dog."  That is, to live in the moment.

Donna

Thanks for your reply Donna.  We just had a chest X-ray and an ultrasound.  Pretty certain all is clear. No other health issues.  We really can't bare the thought of putting him down yet.  Thanks for your kind words of wisdom and encouragement.  Will keep you posted


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13 March 2016 - 5:47 pm
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krun15 said
Hello and Welcome to you and Harley.  Your future posts will not have to wait for approval.

Yes, the decision making process for amputation can be scary and overwhelming. 

I have a couple of questions for you:

Has your vet said that Harley is a good candidate for amputation? That usually means that his body can handle the stresses of losing a leg.

What specifically are you concerned about with amputation? His size? His age?  Will he adapt?

What is the prognosis with amputation? Is there concern about cancer spread after the amp? Will the amp get rid of the cancer?

My first Tripawd was a little rear amp pug named Maggie.  She lost her leg to a mast cell tumor.  I was worried about how she would adapt and I was right!  Maggie was a stubborn little thing who HATED any changes in her routine.  She took about 6 weeks to decide that she was OK with her new normal.  That is far outside the norm, most pups are back to themselves in two or three weeks. I have no regrets about any of my decisions for Maggie, although during the first few weeks I wasn't sure I made the right decision.

Here is a good place to start: The Reading List has lots of links to info on what to expect with amputation and recovery.

We also have a help line, sometimes it helps to talk things through:

Image Enlarger

There will be other members along to share their experiences with you.

We have been where you are now and can help.  No matter what you decide is right for Harley we will support you.

Karen and the Spirit Pug Girls

p.s. I moved your post here to Presentation and Diagnosis since that is where you are on your journey

Karen, Thanks so much for your reply.  I guess it's just all the unknowns that cause the most anxiety.  I will start on the reading list. Thank you for your kindness and support, Dina

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13 March 2016 - 6:37 pm
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Our lab, Otis, suffered a pathological fracture - our choice, which had to be made pretty immediately, was amputation or putting him down.  For me, the latter wasn't an option.  It just wasn't time - he was so full of life.  When the vet told us that amputation was an option, my mantra become "today is not the day I am going to say goodbye."  We amputated in early February.  It is hard sometimes to see him having to hop around, but so worth it when I see him doing normal doggy things.  The first two weeks will be hard, but even then he was going outdoors, to his food bowls and moving from bed to bed by himself.  5 weeks in, he loves his (short) walks, sleeping in the sun, and jumping up on the sofa.  The support of this community is wonderful and we all know how hard this is.

Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016.  Four rounds of carboplatin completed in April, 2016.  Lung mets August 25, 2016.  Said goodbye too soon on September 4, 2016.   Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.  

Wherever they are, they are together.

Los Angeles, CA
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13 March 2016 - 7:02 pm
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Welcome and I am sorry you have to find yourself here but you are among friends and the best support you will ever get. I know it seems really scary and unknown right now but dogs are amazing .... and Harley will do great on 3 legs. The recovery IS rough... no doubt about that but stay close to us and we can help.

Hugs!

alison with spirit shelby in her heart (and little jasper too) 

Shelby Lynne; Jack Russell/Shiba Inu mix. Proud member of the April Angels of 2014.

October 15, 2000 to April 8, 2014

Our story: Broke rear leg in June 2013 - non-conclusive results for cancer so leg was plated and pinned. Enlarged spleen in September 2013 and had it removed and was diagnosed with Hemangiosarcoma and started chemotherapy. Became a Tripawd January 8th, 2014 and definitive Hemangiosarcoma diagnosis. Three major surgeries in 7 months and Shelby took them all like a champ only to lose her battle to cancer in her brain. We had 8 amazing extra months together and no regrets. #shelbystrong #loveofmylife

Virginia







Member Since:
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13 March 2016 - 7:07 pm
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Hi Dina and Harley!

Alrighty, first rhings first! BREATHE! B R E A T H E!! Seriously! Take deep breaths in sloooooowly........now exhale slooooowly.....B R E A T H E...

Now, seco dly, and veeeery important......YOU ARE. IT ALONE!!! We understand the stress and emotions involved during the "what do I do" phase better than anyone! You feel.loke you're stuck in a nightmare....you're sick on your stomach...you're panicked...you are uncertain and confused...and all you want to do is do what's best for Harley and you just sont know what that is...yet! But you wiil. You will do your research. You'll "check in" with Harley. You'll make a decision out of love...and that is ALWAYS the right" decision!

My beloved Bull Mastiff, Happy Hannah, had a rear leg amputation for osteosarcoma. I went from ABSOLUTELY not (as far as the amputation), to coming to terms with it being the only way to give her a chance QUALITY (pain free)...to scheduling the surgery...to canceling the surgery out of sheer fear...to doing the surgery ....to "What have I done TO my dog?"...to BEST DECISION EVER RO DO THIS FOR....FOR...MY DOG!! Okay, that was a mouthful, but you get my point!

For me, it came down to I needed to TRY. If I didn't, I felt like I would regret it...even if things didn't go well, I knew I tried!

Be certain of one thing, there are NO right or wrong decisions, no good or bad decisions. We are faced with awful "forced choices" on this joirney and we can only do what we hope will give us extended quality time with our dogs and cats. It's not about days on a calendar. Dogs could care less about that! All Harley cares about is being in the moment with his humans, soaking up all the loving and spoiling and treats and tummy rubs and sunbathing he can get out of you! And I bet it's a lot!

There are no guarantees and it is major surgery and it does have risks, like all surgeries. If your vet thinks Harley is a good candidate and Harley still has a zest for life,those are all really good signs.

Recovery is nompicnic and we are all here to help you through that. You will be amazed at how well dogs do on three legs though! It's as thpugh they never needed that "4th" leg anyway...three legs and a spare!!

STAY CONNECTED! Let us know ANY questions or concerns. And don't hesitate to use the Tripawds Helpline .

Hugs and love!

B R E A T H E....grab a bag of chocolate while youre at it!

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!

Milwaukee, Wi.
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13 March 2016 - 8:27 pm
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Karl and I send our hugs, It is such a hard decision. Hardest one ever. Both choices seem horrible , at least they did to me. Friends and coworkers thought I was crazy for going through with the amputation surgery. It feels very daunting , call me crazy but I had to do it. I had to try to give him a chance to have fun again. 

I have to say though, Karl had his surgery 9 days ago and it's going better than I expected. Things I Was so worried about went ok. We've definitely had some struggles, and we aren't completely out of the woods yet. We had to get some additional support from the vet this week. Sleep has been a bit of a challenge, it reminds me of the first week home with a newborn. On Wed.  We start chemo and I go back to work tomorrow. 

This is a journey and I've decided to take a ride through the adventure. Whatever you desire with all your heart will be the right one. 

Hugs,

Karl and mom Julie

tripawds is a life preserver!

Green Bay, WI


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13 March 2016 - 10:22 pm
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Hi Dina and Harley, welcome to the family. Yep ,definetly the hardest decision I've ever had to make. Our Dobe, Nitro, was 8 1/2 years when he was diagnosed with osteosarcoma;  he had his right front leg amputated almost 2 years ago, and continues to live a happy, awesome life. We weren't ready to say good bye, and decided to fight. Best decision ever! The recovery was difficult and stressful, but we made it with the help and guidance of this great community. Good luck as you move forward.

Paula and 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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13 March 2016 - 10:55 pm
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Hello, welcome to our family....

I can totally understand your overwhelming stress of what is right to do. And yes this site has info comming out of its ears..lol... which is great but sometimes its like where do you begin...

I hear in your words you want options you want to fight.... Im sure your little guy will fight right along with you.. Heres how I looked at it in my girls situation (she was 10yrs large breed).. she has this mass, and we can just cut it off because in her case it was in her bone, in your case it keeps growing back quickly.. so how do we get rid of this cancer mass.. unfortunately we need to get wider margins.. right!!.. usually if its a easy mass to cut they just take a larger amount of tissue around it to be sure they get it all.. in some cancer cases, (why most of us are here) is to ensure no pain and no growth the whole leg is a mass or compromises.. thus.. take the leg.. the leg is the tumor.. that was my final thought... If it was a child or yourself you woundnt want to leave it, so I knew I had to proceed....... Hope this thought process can help you!! Is it hard at first to wrap your head around.. of course.. was it hard that first moment to keep a smile and call her a good girl without crying when I saw her.. yes and no... I say no because all the way there I told myself.. I gave her a fighting chance.. the only chance she had, the rest was up to her...

chemo is totally a personal decision.. but dont let the word scare you because of what youve seen or heard in people.. its no where near the same...

One only other option that you could look into, as I dont know all the protocols, although Id only use it as a last  resort is ECT (electrochemotherapy ) I used it on my dogs mass after she already only had 3 legs, so clearly another amputation was not an option. but each case is different....

Good luck..

sending you clear peaceful thoughts. and prayers.

Neka & steph

Angel Neka

7/4/2003-4/5/2016

2.5yr 3x cancer warrior survivor

Maryland
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14 March 2016 - 4:48 am
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Hi Harley & Family,

Yes, it is a hard hard decision. I hope we can help you think it through. As others have said, does the vet think he is a good candidate? It might ease your mind to have him evaluated by an ortho surgeon if you're worried about his hips or any other issue. Since you're considering amputation, I'll assume that that vet hasn't warned you about any issues. 

So, what can you expect if Harley has his leg amputated? First, he'll probably spend one night after the surgery in the hospital. They usually come home the next day and believe it or not, they usually walk out to meet you. Well, they hop out. The scar will be huge and it will look like half his body was shaved. But he'll still be your Harley! He'll probably come home w/ some pain relievers (Tramadol and Gabapentin are typical), an antibiotic and sometimes a Fentanyl patch. The most important things for him to come home to are non-slip flooring, having some sort of plan for administrating his meds and a quiet place for him to recover (a crate is excellent if he is crate trained).

The first couple of weeks are for recovery, just short potty breaks and 'bed rest'. He's recovering from major surgery and he'll need some time. This period can be rough, especially getting the pain relief right. Most pups are so pumped up from pain killers at the hospital they act like nothing has happened and often have a sort of 'crash' after a couple of days. Be prepared for that! Even if he doesn't seem in pain, it is important to have him on pain relief as soon as he comes home so that it can start to 'take over' from the hospital meds. Pain is much much harder to control once it starts so preventing pain is the goal.

During this period, Harley will probably be eating and drinking normally. Pooing can take a few days because of the meds. Harley might need help to get up during this period (using a sling) or he might not. He'll probably need help up and down stairs. The goal is to keep him quiet and getting lots of rest. You, on the other hand, might not be getting any rest! It can be a pretty anxious time, I know we felt overwhelmed. But really, this period passes even though when you're in the middle of it, it seems so so hard.

Usually they get their staples out after 2-3 weeks. At that point, Harley should be OK to start back on his normal routine. Being a tripawd will require some adjustments but he can pretty much live the life he did before. Even if you're not considering chemo, getting some tips about core strengthening and massage can ease Harley into his new tripawd body. He'll be using his muscles in totally new ways so some preventive maintenance can be really helpful.

Nobody would chose to amputate a leg if they didn't have to. But most of us here have had to, for one reason or another. For those of us facing cancer, we pretty much knew we had the same decision as you. Either say goodbye or amputate. For us, we knew our Ellie wasn't ready to say goodbye. She was still so full of life! She just had this rotten diseased leg. So the leg had to go. We got 10 months with Ellie afterwards and even though the recovery period was rough, the vast majority of that time was good, quality time with Ellie pretty much being Ellie. She laid in the sun, chased the squirrels, took walks, got and gave snuggles. So even though she was a tripawd, the most important things stayed the same. They probably will with Harley too.

I hope some of this helps!

Denise, Bill and Angel Ellie.

Active 10+ Pyr mix suddenly came up lame with ACL tear in left rear leg. Scheduled for a TPLO but final pre-op x-rays indicated a small suspicious area, possibly OSA, which could have caused the ACL tear. Surgeon opened the knee for TPLO but found soft bone. Biopsy came back positive for OSA. Became a Tripawd 9/18/14. Carbo6 with Cerenia and Fluids. Pain free and living in the moment. Crossed the Bridge on 7/12/15 after probable spread of cancer to her cervical spine. A whole lifetime of memories squeezed into 10 months. Here's her story: Eloise

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14 March 2016 - 9:55 am
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Adding to what everyone said above - we do not regret amputating Quincy's leg. He is almost 8 yrs old and other than the cancer in the leg (which was diagnosed after a limp that didn't get better in a week) he was happy and healthy.

This first week of recovery was the hardest but even that wasn't so bad (just getting the pain meds balanced correctly and figuring out what he could and couldn't do - i.e. he could and wanted to do everything including stairs and we had to learn to limit him).

We just crossed passed the month from amputation last Fri and the surgery and recovery itself seem like a distant memory. He is fully himself with needing the remaining fur to grow in and much shorter walks. It is nice to know he is no longer in pain and can enjoy his life (however long it is).

We already did one chemo too (with no major side effects) and going for 2nd of Wed (hoping it will be like the 1st one).

If your dog seems happy and healthy otherwise as daunting as the surgery seems based on my experience and others here I would say it is an option worth considering.

On The Road


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14 March 2016 - 10:09 am
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Wow is this community pawesome or what?! Dina I'm so sorry for your situation, as you can see, we all understand how hard it is. THere are no right or wrong choices here, we all do what's best for our pack and in the end it's what makes our pups happiest. That's all Harley wants for you is to be happy!

In addition to all the great feedback you've already received, I'd like to point you to our new Tripawds Start Page, this will help you navigate the website. Whatever questions you have don't hesitate to holler. OH, also, looks like your Avatar isn't the right format. Please see How to Upload Your Avatar instructions, it's easy! We'd love to see what Harley looks like.

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

Maputo, Mozambique
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15 March 2016 - 2:53 pm
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My story is almost exactly like that of otisandtess. 

My dobie was diagnosed with osteosarcoma in her back leg in mid-November, and we decided on palliative care because it seemed there was no other option (according to our vet). Then in February, we took her to another vet and xrays showed a pathological fracture in the leg. The vet suggested euthanasia but that seemed like a horrible choice considering that she was as energetic as a puppy.

So we did an amputation 2 days later. 

It was a split-second decision and we don't regret it, although the first couple of days after the surgery were tough. She was also not the greatest candidate because she's 8, overweight, and slightly arthritic. We also have no idea if the cancer has spread to other parts of her body because the xray machine at one vet was broken and the other was barely working. (We are not doing chemo either, because neither my dog nor I would be able to go through that.)

From your post, it sounds like you should do it but of course you should go with your gut feeling. We are now less that 20 days post-surgery so I'll share my experience so far (when comparing it to others' experiences, it sounds quite different):

First day:

We took her home almost immediately after surgery. As soon as she was conscious, she showed an appetite and we were hand-feeding her (kibble soaked in water). She only stood up around 5-6 hours later and wobbled around for fewer then 20 steps before collapsing for another 9 hours or so. She then woke us up at 3am and hobbled out to the garden. She managed to poo on her own but needed support when peeing - still, it was amazing that she did all this in such a short time! Unfortunately, the first 15 hours or so after consciousness, she was softly whining most of the time due to pain, and would only lower her tone when someone comforted her. So I assume that you should expect some pain the first day.

Second day:

Drinking and eating normally, walking around unsteadily but needed a lot of rest. Had trouble getting up and especially sitting down (I cried like a baby because she spent around 20 minutes trying to figure how to lie down and would not let me help her). 

First few days:

Being very naughty and up to her old tricks – barking at neighbors’ dogs, trying to jump and climb where she shouldn’t, and even chasing a cat! It was extremely stressful to make sure that she didn’t hurt herself. She actually ran within the first few days.

First week:

After peeing and pooing (almost normally) the first day, we unfortunately experienced both urinary and fecal incontinence for at least 3 days sometime during the first week. Apparently, this is due to the anaesthesia/medication.

Her balance and walking improved, as did her sitting down and getting up.

Amputation site:

1st day - She came home with the amputation area bandaged up, so we could not see it. They asked us to come in the next day to do a check-up and reinforce the bandages. She stayed covered in bandages for 3 days, until they just fell off the day before they were supposed to be taken out. Cone of shame had to be put on.

The area looked pretty good but there was and still is a lot of excess skin hanging (we didn’t have to do anything with a drain, which I’ve read that others had to do – not sure why).

4th day – Vet cleaned the area and gave us a cream to promote the healing process, which were to apply twice a day. They asked us to come back on day 7/8 post-surgery to remove the stiches (which seemed way too early to me).

7th/8th day – Took her to vet to get stitches removed. They realized that only half the site had healed well and the other half needed some more time, so postponed removal.

14th/15th day – Took out stiches – a bit of redness afterwards that seemed to disappear the next day.

Medication:

She was given antibiotics and Rimadyl for only 7 days post-surgery, which took care of pain and made her nice and sleepy. Once the medication finished, she seemed okay. From reading others’ stories, it seems that normally medication is given for 14 days.

General:

- Expect a lot of tumbling, tripping, slipping, etc. Carpets, stair blockades, etc. are essential.

- Someone needs to be there to watch your baby nearly 24/7 for the first few days (in my opinion). I am very lucky to be a stay-at-home freelancer so I was with her nearly every second.

- Apparently you should watch out for phantom pain . Thankfully, she hasn’t seemed to get that yet, but did and still does experience mild discomfort. Her stump twitches and trembles a lot when lying down and standing up.

- She seems to enjoy it when I massage her body – I assume she gets some relief from it.

- Someone else warned me about restricting the dog’s activity the first 2 weeks even if they seem well enough to play and run about. Apparently this leads to soreness and fatigue in the following weeks, which is so true because for the past 2 days my dobie seems weaker after we let her get away with too much activity.

There's more to add but this post is already way to long – sorry about that! I hope this gives you some idea of what to expect but, like others told me, each case is different.

It is overwhelming but please don't despair - we have very few resources where I'm from and still seem to be doing alright. Wishing you and your Harley all the best!

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