Caring for a Three Legged Dog or Cat
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Hi, we are new here and I have already found so much wonderful information on this website. The past few days have been a whirlwind for us. I am Max's mom, a beautiful 4 and a half year old pit mix who loves running, hiking, and chasing a ball. Here is his story so far --
- Leading up - He slid down our stairs a few weeks ago, which was a big surprise for us because he is normally so agile and athletic, but accidents happen so we didn't think too much of it. After that we noticed him limping a bit on his back left leg. We figured it was a bruise or soft tissue injury from his stairs tumble. We called our vet, and they asked us to submit a video of it and told us to give him a rest for a week and call back if it doesn't improve. We rested him, which was very hard for this active and social boy to not do his normal walks.
- After a few days of resting and no improvement, we called back to make an appointment and went in on Tuesday 10/29. They told us it was likely a soft tissue injury and offered to send us home with another week of rest and monitoring, but they also offered us the option to xray since there was a chance it was a fracture. We opted for the xray and that is when our lives flipped upside down. They found a large mass on his left tibia. They did additional scans of his chest and found that it had no evidence of mestatasis.
- On Wednesday 10/30 we met with an oncologist who explained to us that it is likely osteosarcoma, but we won't know for sure until we can biopsy the mass. They told us that results would probably be available about 10 business days after amputation. She also explained the pros and cons of different treatment options. Given how active Max is and the chance of a serious fracture if we wait and the possibility of the stand-alone biospy offering a false negative, we opted to move to schedule his amputation for Monday 11/4.
- On Thursday 10/31 we did our surgical consult when we learned a bit more about the pre and post of the surgery, and when they recommended we visit Tripawds to learn more about life on three legs. This was such a huge help because while we understand the cancer is the much scarier part of it, moving so fast to schedule his surgery for such an active dog that loves to run was still an extremely tough decision for us. This website has really made us feel so much better about our decision and given us hope about happy times ahead for our active boy.
- This weekend we are preparing for his surgery and recovery as best we can. We are trying to not cry too much in front of him, even though the range of 8-12 months with amputation has us pretty heartbroken. We are trying very to hard to Be Like Dog and focus on these few pre-surgery days with him as we shower him with toys, let him play gently with a few of his pup friends, and go on his favorite walks around the neighborhood.
- Next week will be recovery week and I'm nervous about keeping our rowdy boy calm and going slow. He doesn't respond well to sedation and generally has pretty bad nightmares on traz. I'm grateful for any suggestions about going slow with big active dogs as they (and we) adjust to this big transition.
Reading so many beautiful stories about tripawds getting bonus time, sometimes years of it, is giving me so much hope. I'll be honest, at the same time, I'm pretty scared to be hopeful in case Max's experience is different. Thank you for this community and the support we have already received just by reading about others' stories and experiences.
Elise and Max, welcome! You are joining the club nopawdy wants to join but as you can see you are definitely not alone. Whether someone is dealing with cancer or not, we understand the worry about recovery and what life will look like. So allow us to support you guys, we are here for you!
Thank you for taking the time to share Max's story. Like you discovered, it really helps for others to see that they are not the only ones dealing with a situation like this. We sincerely appreciate your kind words about your experience here as well as your oncologist's referral. May I ask who you are working with?
Everything you are doing is exactly the right thing you should be doing! Max is getting great care, you aren't delaying the surgery, and you appear to be taking things one step at a time without getting stuck and frozen in worry. Kudos to you my new friend! This attitude will take you very, very far in this process and make it so much easier for Max to cope.
Have you seen all of our usual links like the Tripawds Recovery Shopping List , our What to Expect articles , Tripawds e-books , etc?
As for helping him get through the recovery's pain control. Definitely let the surgical team know about his reaction to Traz (which we totally get, our Wyatt Ray was the same way with it). Traz is not necessary for recovery, it's not even a pain med as you know. There are other ways to help him chill out, and your vet can guide you on that. Gabapentin at a higher recovery dose and adding in Amantadine usually helps not only with pain but by causing a little jump in sedation, which can be helpful sometimes. Talk to your vet team about pain management so you can try to be ready for his reactions when you take him home.
Meanwhile don't you worry. Max sounds like the kind of dog who won't let this get him down. No, recovery won't be a picnic but you are already becoming very well prepared for the ups and downs. Later, there will be plenty of things you can do with Max to keep his mind and body happy! And as for that prognosis ... we say prognosis schmognosis! As you've already seen, there is hope that those odds can be beaten. No promises of course but you just never know.
So just take things day by day, ask any questions, and know that we are here to support you!
Hi and welcome.
I'm sorry you are dealing with this but you and Max sound like you will adapt and overcome!
My two Tris have both been rear amps but both were/are small. Maggie lost a leg to cancer and my current Tri, Elly, lost her leg more than 9 years ago to a car accident when she was 7 months old.
Life as a Tripawd is different but that does not mean it's not full!
Maggie was a 7.5 year old Pug at the time of her surgery, at that point in her life she wasn't wildly active but she liked her walks and to play with her toys. Oh- and Mag was one of those inspirational stories. After surgery her prognosis was poor, WITH chemo for her mast cell cancer her life expectancy was 6 to 9 months. Maggie lived almost 4 more years and didn't pass from that cancer.
I know it's hard not to focus on the statistics but instead try and focus on making every day Max's very best day. I made that mistake with Mag, I focused on the 6 to 9 month prognosis and honestly was pretty much waiting for the end. Meanwhile Mag was getting on with her life, figuring out how to do what she wanted and becoming even more stubborn! I was so fortunate that I had the 'extra' time with her to realize how amazing she was.
I'm with you on the traz. My dogs that have taken it have not handled it well at all. Hopefully the sedation from the pain meds are enough to keep Max calm during recovery.
Karen and the Spirit Pug Girls and Boy
Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.
1999 to 2010
Thank you both for the responses, support, and helpful information!
We dropped Max off this morning for his surgery. It was a tough morning already, but it got even harder when the Dr. called to let us know she heard a heart murmur in her pre-op exam of him. We had a harrowing few hours while they did an echocardiogram to confirm his heart was up to the general anesthesia required for surgery. We just got the all clear and they are moving forward with his surgery now.
Jerry, you asked about our doctor that made the referral - it was our surgeon, Dr. Roman at Friendship Animal Hospital in Washington, DC. She and the team there have been great to work with. And yes! I have been devouring all of those resources you linked; they were especially helpful for us as we prepare to welcome Max home tomorrow and begin his recovery.
Karen, thank you for sharing about your Maggie. Her story is giving me so much hope in this wild time. And thank you both for the understanding about traz. We flagged it for his team, and are waiting from them to hear more about his recovery medicine regimen. I'll share that here once we learn more.
We are on pins and needles waiting for the call that his surgery is over, and counting the hours until we can pick our baby boy up tomorrow morning. Tonight we are going to tri-prep our basement for his arrival and try to keep ourselves sane as we wait to see him.
You are so welcome Elise! It was great chatting with you today. I hope the surgery and recovery is easy peasy! As I mentioned in the chat, Friendship is a top-notch, AAHA-accredited practice so Max is in great hands. They wouldn't have done the surgery if there was any chance that it was too risky. Rest easy and keep us posted OK?
Hello! We have great news -- MAX IS HOME!!!!
The past two days have been a whirlwind for us. We found out late Monday afternoon that he came through surgery alright and they let us know it was "relatively routine." They kept him overnight Monday night 11/4 while we prepared our home to support his recovery.
- We got a call early Tuesday 11/5 AM letting us know he was alright through the night with them, but he did have a little bit of abnormal discharge from his wound and more than average bruising. The discharge was a light pink (a more distinct red would be a concern they said) and they wanted to keep an eye on it throughout the day. He also hadn't eaten yet and they were hoping he ate something before discharging. We discussed the option of him staying with them an extra night to monitor his wound.
- We made a plan with our vet to go visit Max in the early evening on Tuesday 11/5. My partner and I went back and forth about it a few times to make sure it really was the right decision for Max to see us, and it wasn't just for us to go visit him. We ultimately decided to go and we are so glad we did!
- When we got there, he was still our beautiful boy, and he was extremely anxious. Max is a social boy but hasn't ever had to stay the night in a vet facility like that. He can easily get overstimulated when he is around lots of people or other animals. Even with the sedating medication, he was extremely anxious and panting heavily. He started relaxing when he saw us and started to eat his food almost immediately! We were so happy about that. It could have been a few different things 1) he could have been too anxious to eat before and felt relaxed enough once we were there 2) he might have been a bit of a diva and only wanted his normal food. He usually doesn't mind different food, but this could have been part of it 3) he might have finally gotten hungry enough where instinct took over and he ate. We don't know what it was, or maybe a combination, but his eating dinner and our comfort with monitoring his wound overnight was enough for the vet to feel comfortable with discharging him.
- Last night was our first night home with him. He hopped around a little bit, but was mostly zonked. We gave him his meds: Gabapentin every 12 hours, Carprofen every 12 hours, and Acepromazine to help with the anxiety. Thank you for the encouragement to speak to his vet team about his issues with Trazedone. I flagged it for them again before discharge and they were very accommodating about switching his medications. I think it made it a really big difference for him because he mostly slept through the night.
- He only woke up crying once around 2:45. We tried comforting him and offering water, but it didn't help, so we tried taking him outside to potty. That was the trick! He was crying because he really didn't want to have an accident in the house, even though we prepared for that with pee pads. He had a nice long pee and came right back in and immediately went back to sleep. He slept through the rest of the night with no issue.
- This morning we removed his bandage, and his wound is healing well. There was a bit more pink discharge through the night, but none of the bright red we were monitoring for. We took pictures and emailed an update to his vet team. We are waiting to hear back from them if they want to see him again for any wound care.
Overall, he is settling back in nicely at home. We have him set up on his new memory foam bed and right in front of the sliding glass doors so he can monitor the squirrel activity in the back yard. We are so glad our vet team let us take him home. I know I am biased, but I really do think bringing him home allowed him to finally let go of some of his anxiety and truly rest.
We will continue to update here as he recovers over the next two weeks. Of course we still have one eye out for his biopsy results, and we expect those in 10-14 business days. Thank you again for cheering Max on!
WOOHOO!!!! I sure needed this good news today, thank you for letting us know he's good and on the mend. Of COURSE you are the right medicine he needed to relax and let the healing begin, you are definitely the key to his good recovery. Well that and good pain control for sure.
When it comes to pain control, keep in mind that the every 12 hours is a general guideline for dosage. So if he starts being restless and showing pain signals in the next few days as he starts moving around more (not unusual at all for that to happen), talk to your vet about moving the dosage timing up, even as close as every 8 hours, to see if it's more effective for him. We often see that do the trick as recovery goes on and the body starts feeling the impact.
I hope that he continues to have a smooth, relaxing squirrel patrol at home. Keep us posted.
Alrighty Max, onward and upward!!! Ao happy to read this update! Eating, drink g, potting, mobile....fantastic news!!-
Yeah, as Jerry said, if you need to do the Gaba every eight hrs that could be helpful if he show pain signals after his first dose wears off. Keep in mind the ACE can sedate heavily and does nothing for pain. Of course always consult Vet when it comes to pai. Meds, etc.
Home sweet home....best therapy ever!!!
Hugs
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!
Day 2 Update!
Thank you for the info about the gab possibly moving to 8 hours and the reminder about the ace only being anti-anxiety but not a pain reliever. And thank you very much for the kind words about being with us/being at home being the right medicine for him; it means a lot for us. We have had a pretty good day over here, all things considered.
- Food - He ate his normal breakfast over the course of several hours in the first part of the day. We gave him the Ace and Gab at 8 AM, and he was a VERY snoozy boy after that. His gab dosage is 300 mg- that with the Ace knocked him out for most of the day. This evening as he got closer to the end of the morning pill effects, he started rousing a bit. He got up and we offered him his normal dinner (with a little bit of Kong spray cheese on top for incentive) and he ate the entire bowl in one go! He also drank a decent amount of water. He didn't drink that much earlier in the day, so we added chicken broth and that helped a lot. As we move into bedtime, he has eaten the normal amount he usually eats in a day.
- Energy - As I mentioned he slept most of the day, except for a short moment when I was having a tough time and crying a bit. I was trying to hide it from him to keep a positive and optimistic attitude for him, but he saw I was upset and STOOD UP ON HIS OWN and hopped over to give me a kiss. I wasn't far from where he was laying down, but we were so happy he stood and hopped on his own. After a sufficient amount of gratitude and praise, we helped him back to his bed where he promptly went back to sleep.
- Wound care - We haven't had any more seepage/leaking since we removed the bandage this morning (yay!) and we did two rounds of cold compresses. We are about to start the third cold compress. The swelling has gone down a bit, but he is still pretty bruised. He is tolerating the cone better than expected, but is still pretty displeased about it. When we are monitoring him closely, we give him little breaks without it so he can relax better, but it stays on the majority of the time.
- Potty breaks - As he was eating and drinking more today, we were expecting him to need to use the bathroom a bit. Since he was so drowsy most of the day, he was also pretty uninterested in using the bathroom or going outside. Then that magical time hit when was more energetic and ate dinner, so we figured we could give it another shot outside. He hopped out pretty well (assisted by my partner holding him up via harness) and peed almost immediately. He started sniffing around and seemed to be enjoying outside so we let him stay out for a bit. He then hop-led by partner to his usual poop spot, across the yard, and pooped on his own! He of course needed some help from his Dad to hold him up by the harness but he figured it out all on his own. The vet said he might not poop until this weekend, so we are delighted he is a little ahead of schedule on this. And the poop was totally normal. We were all very proud and he gave us a whole bunch of tail wags to let us know he was proud too!
We are about to give him his evening pills, and we expect he will go back to snooze town after that. Hoping for another smooth, uneventful evening. I'll continue to update as we hit other big recovery milestones.
Oh my gosh YAY! He really is hitting all the major markers of a smooth recovery. Isn't it incredible how his body could be under such a heavy load and he is still more concerned about YOU? He's incredible! And I'm also really proud of your ability to handle everything with only one crying session that he noticed. Great job!!!
Alrightee, here's to hoping that tomorrow is even better with more sniffing and doing his business in the yard, and a hearty appetite too. Paws crossed over here.
Hoppy. dance ! We love to celebrate. around here!! Tail wags and eating, drinking....all great news!!
Glad you have found the best pain dose/frequency that works for him. 300 mg of Gaba every 12 hrs has some wiggle room if you find the pain signals start sooner than every 12 hrs FWIW you might try eliminating the ACE, or reducing the dose, as it is such a strong sedative. It sounds like he's not trying to run a marathon so he may not need that unless he is crazy anxious. Of course, you know your dog best! Always consult with your Vet.
So glad your sweet boy is showing sich good signs this early in recovery. Extra treats for that very good boy!
Hugs
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!
That is great news about Max. You received some good advice.
My 50-55 lb Lab had his back right leg amputated 7/1/24. I have gone through a lot of similar things as you, but we had some set backs and complications but now my dog is 100% back to normal as it seems Max is on his way to be as well. I share this just so you have a positive story and know there is definitely hope. It really sounds like Max is doing great in this early part of his recovery.
My dog had soft tissue sarcoma and not osteosarcoma and the only recommended treatment was the amputation. My vet also gave a range of 6 months to 2 years which really disappointed me at the time. However, reading enough stories, I don’t think they know at all…I think it’s just an educated guess. Also, I worried about that for a little bit but I have now stopped worrying and just focusing on any happy extra time we get together. As others have said in this forum going through this really builds an even closer bond and I really am just trying to appreciate that. My dog seems to know everything he went through and just seems to look at every day as bonus time as well.
Best of luck to you and Max and hope he keeps crushing his recovery. I hope to read more good updates about Max’s recovery.
Amy, wow - thank you for sharing with me about your experience. I'm so glad your dog is 100% back to normal now, and thank you so much for the kind words about focusing on the happy extra time. I'm still working on that part, but I haven't cried yet today, so feeling like I'm heading in the right direction.
Update on Max, Day 8
- Wound - His wound continues to heal nicely with no infection or seepage. The bruising was pretty severe at first and has almost completely come down. He did develop a bit of a seroma on his chest on Day 3. We informed the vet and monitored. Happy news that it is almost completely gone now.
- Meds - With the encouragement of you all, we reconsider his timing on his meds and speak to his vet team about them. On Day 3 we were able to add in another proscribed pain medication for him - buprenorphine. We moved that and the gab to every 8 hours and adjusted the carp and the ace to every 12 hours. This worked well for the past few days. We are nearing the end of his buprenorphine, so we are now only using that as needed when we notice he really needs some extra pain coverage.
- Activity/ Energy - This boy cant be stopped. He is so eager to get back outside and play tug with us during what we call his "rowdy hours" -- the times when the meds are wearing off/sunset and he is fully awake and ready to play. He has been going outside regularly, and using the bathroom on his own consistently. We are still waiting to go on an official "walk" right now and are just doing some leashed walks around the yard for now.
- Sleep - This has been a persistent challenge for us. We are staying in the basement with him during his recovery, and he has struggled to sleep through the night. He occasionally wakes up crying. At first we were very worried about his pain when he would do that, but now we believe that we hit the right balance for pain meds, and it is just him waking up from nightmares or crying out for reassurance. Any tips on how to tell the difference and how to help him sleep through the night?
I'm also curious how close to monitor him at this stage in his recovery? At the very beginning I couldn't imagine stepping away from him for a second, but he is coming along so well, we are trying to reintroduce some of his routines/schedules, and it is starting to feel like some things are getting back to normal. Is it alright to let him spend some time alone in one room while I'm in another without eyes on him? Or should I wait until we get the official "all clear" from his surgeon? We are hopeful that will happen next Monday.
Hi Elise.
I posted a reply the other day but it was lost in our tech meltdown. I apologise. How is Max doing?
I would say that you are right on track with his reintroduction, and it's probably time to get back to a new normal. Little by little of course but yeah pumping up those normal activities and being alone for a little while is good for his recovery (and your sanity!).
When do you guys plan to move out of the basement? How will that impact Max's mobility?
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