Caring for a Three Legged Dog or Cat
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Well, it's 7 days today since Leland had his left rear leg amputated. Leland had been dealing with a "mass" in the stifle since Feb 2014. The first surgeon we were referred to took an MRI and needle biopsy. The surgeon suspected cancer but the biopsy came back from 2 different labs as inconclusive. So we discussed things with our local vet, who had received the MRI report from the surgeon which indicated "suspected synovial cell sarcoma", and decided to keep Leland as comfortable as possible until we would have to put him to sleep.
Leland is a big boy (108 lb) Dobie and the local vet had concerns about the quality of life he'd have since there is concern that the cruciate ligaments in the right knee will more than likely go out. So we would take Leland to the local vet every 1-2 months for follow-up x-rays to see if there were changes in the bone or if the cancer had spread to other organs.
When we took Leland in on 5/12 and the vet was shocked that he was still here and the bone in the left hind leg didn't appear to look to have any signs of cancer and there was nothing new in the chest x-ray. He told us he did not believe Leland had cancer and that we needed to get his leg fixed...the swelling in the knee joint and pushed his knee cap out of place.
So on 5/19 Leland saw a different surgeon and after taking x-rays of his own and spending time with Leland he too did not believe he was dealing with synovial cell sarcoma. After the bloodwork came back ok Leland went in for a TPLO procedure on 5/20. The surgeon removed the "mass" which he said was extremely inflamed tissue and he's never seen anything like it in his 40 years of practice. It was sent to be biopsied and it came back that it wasn't cancer but they really have no idea what it was or what caused it. The surgeon tested Leland for all tick borne illnesses not just Lyme Disease since so many can affect the joints but he came back negative on all those as well.
Well, Leland's recovery after the TPLO did not go well. He had severe drainage at the incision site and we had to take him back twice and the 2nd time the surgeon admitted him on 5/29. Leland had gotten and infection and 2 screws in the top of the plate that is attached to the meniscus had come loose and backed out.
I suspect that all these months of Leland continuing to use the leg (it would click and pop) possibly damaged the meniscus to where it was too brittle (the surgeon mentioned it was like something in an elderly person). On 6/1 the surgeon called us to come down because a decision had to be made...amputate or put Leland to sleep. They couldn't get the infection under control and the tissue was not healing. They feared if it got into his bloodstream we'd loose him for sure.
So my husband and I rushed to the clinic with some of his favorite things to eat...he was hardly eating for the staff. He showed us that he wasn't done yet when he wanted to play with my husband and he started eating for me. We saw that he was pretty much just dragging his leg around...he had no real control over it's movement even being bandaged. So we made the hard decision to amputate the leg. Leland finally went into surgery at 1am on 6/2 and the surgeon called us at 2:30am to let us know our boy made it through the procedure and it was good that we didn't wait any longer.
We picked him up at noon on 6/3 and he's getting back to his old feisty self before he got the mystery mass in Feb. I downloaded the ebooks offered on this site "Three Legs and a Spare " and it has been extremely helpful for us. I'm also waiting for the Webmaster Harness which should arrive this week.
Leland has been showing the whole family how awesome he is and that he can adapt to his new situation and that we just have to keep up....
November 17, 2009 - June 30, 2014
May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!
Leland and family, welcome. Your future posts won't need approval.
Whew! What a story, I'm so sorry that you had to go through so many agonizing days and decisions, that had to have been so stressful for all of you. But wow what a great ending that Leland doesn't have cancer (I assume that's still the case?) and that he's getting around so well and happy again. I'm sorry he lost his leg but so glad that you found us and the Tripawds e-books came in handy for you.
We would love to see some photos! Here's how to add pix. Dobies are such gorgous dogs. And you are amazing pawrents. Kudos to you for not giving up on your boy, getting multiple opinions and staying strong for him. If there's anything at all we can do to help you through the next few weeks and beyond don't hesitate to ask.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Sheesh! That was a lot for Leland to go through but it sounds like he is already hopping down the road to recovery. Did they ever look for any types of fungal infections? Boomer, my tripawd, lost his leg due to a fungal infection in his hock but it took a while to figure out that is what was wrong partly because his symptoms didn't present in typical fungal ways. Now that Leland's leg is gone, it might be too late for cultures (which would tell you for sure), unless the vet saved some samples for possible future testing. Antech, has several blood tests for fungal infections, including one that tests for four different types of fungal infections if cultures are no longer an option.
Stay strong and ask questions anytime!
-Allison
Thanks for the well wishes and support. I'm sure I will have questions along the way. Just to update a friend of my husband's stopped by this morning. My husband had him outside to go to the bathroom and was assisting him with the belly strap. When his friend pulled in the driveway Leland took off running to greet him and drug my husband running along behind still holding onto the strap. It was the first time Leland has tried to run since all this started in Feb and he's definitely getting his strength back and feeling lots better...
November 17, 2009 - June 30, 2014
May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!
Awww crazy Leland! You are a wild boy. May the joy continue!
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Update:
Well, Leland decided this morning (while I was in the shower and my husband was in bed with him) that he was going to remove a few staples from the incision. This is day 9 since his surgery but he still needed the few staples he removed. I called our local vet who was fine with re-stapling the incision. This saved us from making the 45 minute drive to the surgeon's practice. So while at the vet's office Leland was weighed and he's down to 86.5 lbs... (he was 108 before the surgery). Hopefully, with the weight loss we can prevent any problems arising with the cruciate ligaments in the right knee. Also, Leland was diagnosed with hypothyroidism and is now on thyroid medication which according to the vets should help with his weight...because I don't think I can feed him any less.
November 17, 2009 - June 30, 2014
May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!
Oh Leland! You are one crafty guy, how did you manage to do that while your Dad was right there with you? Wow he must be a good snoozer! zzzzzzzzzzz
Glad to hear you're getting fit, that weight drop will help tremendously along with the thyroid meds. Wait wait, let's see some pics!!!
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Hi Leland and Mom
You had a terrible journey on the road to becoming a tripawd but it sounds like you are doing very well now!
Tucker also had to lose weight after his surgery and he successfully has done so
Now we are embarking on some rehab for him. One of the vets in the practice that Tuck and I go to has just been certified in rehabilitation medication. Last week we went for an assessment - it was noted that there is some muscle wasting in his left rear leg (the leg with the bad hip) and that he still bears most of his weight on his remaining front leg rather than distributing it across the three remaining legs. This Friday we go in to get our first set of exercises - for core strength and for his left hip! This might be something you may want to consider for your guy as well.
Keep up all the good work, Leland.
Hugs
Linda and Tucker
Linda we would love to hear more about Tucker's rehab therapy, please keep us posted and if you'd like to write a guest blog post about it, we'd love that!
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
I will definitely try to get some pics of Leland this weekend...hopefully the weather will be nicer so I can get him outside as we've been dealing with crazy thunderstorms here all week. I have LOTS of pics of Leland pre-amputation but none as of yet after the surgery.
Linda, I hope that all goes well for Tucker's first set of rehab exercises tomorrow. I had never really considered physical rehab for Leland but I'll have to do some checking around to see if there's any clinics local that do it. Thanks for the suggestion!
November 17, 2009 - June 30, 2014
May you finally be healthy and running free at the Rainbow Bridge. Until we meet again my sweet boy!
leland4 said
I had never really considered physical rehab for Leland but I'll have to do some checking around to see if there's any clinics local that do it. Thanks for the suggestion!
Here's a directory of certified canine rehab practitioners. Whoever you choose you want to make sure that they have the initials CCRT or CCRP after their name, and that they work closely with a veterinarian. Here's a great Tripawd Talk Radio episode with Maverick's Mom & PT, lots of good info about doggie rehab for ya.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
It sounds like there might not be a lot of services in your local area. If you can only find a rehab vet who is too far away for regular visits, it would probably still be very worth it to take him for a consultation. If you let them know up front that weekly visits or more are not an option because of distance, they will put together homework exercises for you so that you don't have to make the trek constantly. I was going back and forth about whether to make an appointment or just use the Tripawds and FitPaws videos and ebooks to DIY Boomer's rehab. I opted to take him to a rehab vet (as it turned out the usually $126 consultation was waived because I took him to the clinic where he had his amputation and they include a free rehab consultation). I am so glad I took him because Dr Bancroft was able to see things I wasn't seeing and was able to give me more directed instructions to work on with him. She gave me several things to start doing at home and also said that if I had questions or issues I could email or call her. I am really glad I decided to take him.
-Allison
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