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Our Bestest Boy, Soren
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11 August 2024 - 2:41 pm
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Happy Sunday everyone! This is my first post, and I'm excited to tell you all about our bestest boy, Soren. He's a majestic floof of a golden retriever, and we love him more than anything.

Soren was born on September 3rd, 2015 and had his furever home day October 28th. He was a model puppy, easy to train, and for the last nearly nine years, has been a joy every day. He has never once done anything wrong and has had the privilege to free-roam since six months old. He's a couch potato, loves sitting on the porch or watching TV with his humans, and is a sweet heart. He loves snow and plushies but hates pretzels.

Our world shattered on Tuesday, July 30th when he broke his leg just doing normal morning business out in the yard. The grass had been wet that morning, so we initially thought it was an ACL injury and waited the hour until our local vet could take a look at him. We were utterly shocked when he came back in with x-rays showing a break and likely osteosarcoma.

Now, our local vet office has been declining the last year or so. The man who owns the practice is, frankly, a jerk, and his practice has suffered finally because of it. All of his other veterinarians have left, so he's on his own (for good reason). We were intending to move our pets' care elsewhere after Soren's original (and great) doctor left earlier this year. This situation only strengthened that decision because this man wasn't even going to splint Soren's leg until I snapped at him, asking what I was supposed to do? He was just going to send us home with some pain meds and a referral to a specialty clinic. We also had no idea there were actual 24-hour hospitals for pets, but we do now! They are a ways from us, but now I know better. I wish I had known that before this traumatic event - every 'vet hospital' I looked up wasn't an actual hospital -- just a clinic that called themselves a hospital. I don't understand how they can call themselves that, but I tried everything I could to get us more help. No practice had any openings for over a week. So we went home. 

With the splint, we had a very rough few days waiting for specialty care. I continued to call every place I could find, searching further and further away, and they all said that this "referral and wait" was how things worked. I thought that was ridiculous, and I spent those first few days in a very dark place. The referral sent us to an actual animal hospital, where I learned they had 24/7 care and an ER. Unfortunately, we did have to take a trip there a few days before our appointment because I was suspicious Soren had developed a UTI. But I'm glad we knew that was an option on a Saturday afternoon. And I'm glad we went because they gave us far more support at discharge - we got a better harness to help him out and an overall better idea how to care for our baby. We managed with a broken leg for 7 days before we got in to see a surgeon, with surgery scheduled for the next day. 

Soren had his right rear leg amputated this past Thursday. He did have some complications -- he has some severe bruising around his incision, which meant he had some post-op bleeding and needed an extra night in the hospital. They gave him blood transfusion and some medicine to help his body clot better. This did stabilize his red blood cell count, and his care team was confident he was ready to come home. I'm happy to say, the care we received at this facility was so much better than our initial, local experience. 

We were discharged with Codeine and Gabapentin for pain, Trazodone as needed for anxiety, Firox (an NSAID), Amoxicillan, and an herbal medicine designed to continue to help with his bruising. So far, his first 24 hours home have been okay. He immediately peed and pooped when we got home and has continued on a regular schedule since then. We've been hanging out in a 'recovery nest' I made from a mattress topper covered in a sheet that I put on the floor. Appetite has been good and, when he's not in a medicine induced sleep, he's showing bits of his normal personality. I haven't seen anything I think is a pain response, just some mild unsettled-ness (dysphoria) when the drugs start to take effect again. He's been calm, even without the Trazodone, which I'm only going to use if needed. 

We've been out to potty several times, and I was getting confident in us both managing life on 3 legs until this morning when he tripped and went down. Ugh, let me tell you, I nearly had a panic attack. The extent of his bruising and not being entirely sure that is fully resolved yet, plus a little tumble and yelp has me on edge now again. I am just so anxious. I can't tell if the bruising is getting worse... I don't think so, we did take a sharpie to the edge of it to try and track it, but I could only do so much of that -- I can't see what is happening on his belly... I am so worried, but what I do know is his gums and tongue are still a normal color, he does not seem in distress (his breathing is normal and he is calm), so I think he is doing okay...

We've had a rough go, and I am really hoping that his recovery goes smoothly from now on. This momma could use some good news!

I'll eventually figure out how to post some pictures here, but in the meantime, check out #sorenpuppy on Instagram. I documented almost every day of his life so far there.

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Virginia



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11 August 2024 - 4:50 pm
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Wow Nikki, you and Soren have certainly been through some unbelievable challenges!  You stayed the course and continued to advocate for your "bestest boy".

Your post has been approved and we are here to support you in any way we can.

I cant imagine the amount of stress you have had to endure to FINALLY get to,  a "normal" recovery (if there is such a thing😉).  Keep an eye on the bruising and maybe send the Vet some pictures.  Yes, some bruising is expected,  but because  of additional  stay he needed at the hospital  for transfusion,  etc, never hurts to be overly cautious .

Bummer he tripped, however dogs will take a lottle stumble every now and then wt first, espe while on so e good pain meds.  Was this inside or out? If you have hardwood or vinyl floors, you'll want non slip scatter rugs or cheap yoga mats for traction .  Potty breaks are short and leashed and back in for rest.

He immediately peed and pooped when we got home and has continued on a regular schedule since then 

Great news....and eating and drinking too....all good news!

Check here for pain signals , but it sounds like his meds are working well.Sometimes there can be a bit of a crash several days after being home bec the strong hospital meds are out of their system  and tweaking the Gaba, etc may be needed.

Also, here's a link for adding  images.  We would love to see your sweet "bestest boy".

Let us know how th9ngs are going, okay?

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!

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The Rainbow Bridge



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12 August 2024 - 11:29 am
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Nikki and Soren, welcome to the club nopawdy wants to join! I'm so glad you shared his story, and I'm sorry you guys have had such a ruff time! Sounds like things are on the upswing now, which is fantastic.

Like you, I also learned a LOT about finding better veterinary care when our Jerry developed osteosarcoma and lost his leg. Our first vet was a lot like yours, and we had to go through multiple channels to get Jerry's cancer diagnosed. I would later learn that veterinary practices lack the governing oversight that human medical care does. Did you know that only AAHA-accredited hospitals have to be accountable to an overseeing board? And they must get re-certified / inspected every three years just to be "AAHA" accredited. Only about 14% of vet hospitals in North America are accredited. Non-credentialed vet hospitals can stay open for years and years without ever being inspected by any agency. AAHA care has been a game changer for us.

Meanwhile, about Soren's bruising. Did you see this post? I hope it puts your mind at ease, but do keep in touch with your vet.

Here's a video about adding photos to our forums. Please holler if you'd like help!

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12 August 2024 - 5:59 pm
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Thank you! We're doing okay today. He's been sleeping for most of the last two days - except for short potty breaks and few 20 minute episodes of what I think I have identified as dysphoria for him (which usually happens at night after the next dose of codeine starts to kick in). He's still eating well, alert when I expect him to be (when we're eating or there's more activity than the quiet, napping environment we have set up), and seems comfortable and relaxed most of the time. He's even mouthing/nosing at some of his toys every now and then. He seems content to nap as long as I'm on the floor with him.

Bummer he tripped, however dogs will take a lottle stumble every now and then wt first, espe while on so e good pain meds.  Was this inside or out? If you have hardwood or vinyl floors, you'll want non slip scatter rugs or cheap yoga mats for traction .  Potty breaks are short and leashed and back in for rest.

So, he tripped on the threshold into the house. We have one step up into the garage and then one and half steps from the garage up into the house. I think he was a little tired since it was at the end of our potty break, and I unfortunately didn't get a hand to his harness fast enough. My husband spent a few hours that afternoon to rework those steps, basically reducing the rise of the steps so it's less to hop up at a time. We added peel and stick carpet tiles along the garage floor, and we already had non-skid runners and a baby gate set up before he came home. I think we have made the house as tripawd friendly as we can now.

As directed by our surgery care team, we got him in the car today to recheck his bloodwork. Fortunately, our local office was willing to come out to the car to grab some blood from him, so the trip wasn't as big of an ordeal as it could have been. At least I can say that the rest of the staff there is really great. They gave us the results and did say that they were in-line with what they expect to see after a major surgery like this. I also sent the results to his surgery team, as a double precaution. 

Nikki and Soren, welcome to the club nopawdy wants to join! I'm so glad you shared his story, and I'm sorry you guys have had such a ruff time! Sounds like things are on the upswing now, which is fantastic.  

Yes, I am finally starting to calm down. I think I ate more today than I have in the last two weeks - it's crazy what anxiety and stress can do to a person! I hope things keep getting steadily better. Thanks, everyone!

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Virginia



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12 August 2024 - 7:16 pm
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    My husband spent a few hours that afternoon to rework those steps, basically reducing the rise of the steps so it's less to hop up at a time. We added peel and stick carpet tiles along the garage floor, and we already had non-skid runners and a baby gate set up before he came home. I think we have made the house as tripawd friendly as we can now.

 

EXCELLENT!!!!!   WELL DONE!!!  👏👏👏   Soren is a very lucky boy to jave you and your husband as his  hoomans.  Just seeing him nosing his toys

    it's crazy what anxiety and stress can do to a person! I

 We understand completely!!! Once you start to see eecovery does NOT last forever, you can start to exhale. 

You can also celebrate that Soren had a good bloodwork  report👍

    He's even mouthing/nosing at some of his toys every now and then.

Every"little bit of sparkle" this early on is a 'HUGE bit of sparkle"isa delightful victory...and it gets better!

Take care of yourself  especially  when it comes to getting some good  zzzz's, okay?  

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!

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The Rainbow Bridge



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13 August 2024 - 10:36 pm
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Oh yeah the stumble ... I forgot to mention that the first time I saw our Jerry stumble I bawled like a baby. It was way worse for me than for him! He was like "Why are you crying?" And the more I did, the worse he felt for me, not because he fell. So yeah, those stumbles do happen in the early days, but the good news is as time goes on they don't happen as often. 

Glad that Soren is doing better! Any more dysphoria episodes? Those can be so weird and scary but it's likely the Codeine was the cause. Hope today/tonight was even better than the last one. 

I love that your hubby resurfaced the rise in the steps. Pretty sure he gets the prize for the fastest home renovation ever for a new Tripawd. You guys are ON IT when it comes to Tripawd-proofing! Great job! smiley_clap 

And very cool your surgery team went out to the car. I love that they were so focused on reducing his stress level, and yours.

Wishing you all the best for more progress and healing. Keep us posted!

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19 August 2024 - 4:32 pm
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Thank you for all the kind responses! Here is an update:

Soren has been home for nine days now, I think, and most of that time has passed without major incident. His incision hasn't done anything weird, and the bruising is much improved. There is still a 4x4 inch section left, which I imagine is still painful. We've had a few instances of wagging tail, but we're definitely still not feeling our best. I haven't given him codeine for a day or two, so we're just on gabapentin and firox. I'm not sure if I should continue the codeine or not -- he's still having a few episodes of feeling hot to us and panting a day. I can't see how this would be any kind of infection -- he was on antibiotics for almost 2 weeks (finished them yesterday). He's been sleeping a lot and is not interested in doing much. We're only 11 days post surgery, and I know many of you said it took longer than that to see their sparkle return. So I'm hoping we have some happy days coming our way. Stitches come out tomorrow!

I'm feeling a bit adrift now. I'm not sure how to get back to a normal me -- I will have to return to work soon, but I'm nervous to leave him alone. Prior to surgery, he would just hang out in the laundry room waiting for me to get home, so I think he'll be okay. I also have set up a camera, so I can check on him periodically. We have oncology on September 5th, and I'm anxious for those results. I sure hope we get good news!

Thank you all for your kindness! It has made this easier for me to handle. <3

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The Rainbow Bridge



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20 August 2024 - 3:08 pm
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Nikki, this is all very, very normal at this stage in recovery, especially for a dog his size and age. Many people see things start to get better when stitches come out, but don't get too discouraged if you don't see a sudden change. It's happening, you just can't see it because you're too close to it. But it IS, he's healing and resting, which is actually pretty darn medicinal in itself.

About the panting ... is it hot where you are? I once overlooked that when our Jerry was panting a lot. I panicked and called the vet and mentioned we were in Moab in July, and they practically lol'd all over the place. Like duh! But seriously, weather does impact how one feels right? That would make sense.

Are any of his little signs returning, like he's happy to see you? He's eating with more enthusiasm? He's sniffing when he goes outside to potty?

Also, we haven't talked about rehab therapy right? If not, now is the time to book an appointment so you can learn how to help him get his mojo back. There's lots you can do and Tripawds can even pay for your first rehab visit ! It really does make a difference in almost every case, even just one visit is helpful.

Try not to worry too much when you're back to your new normal. Chances are he will indeed lay and sleep and wait for you to come home, as usual. 

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Virginia



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20 August 2024 - 9:43 pm
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Tail wags are always a good sign that the sparkle is returning!!    

As Soren slowly starts to reclaim some of his regular  routines and habits, you will start to feel less anxious  and less "adrift"..

I did keep Happy Hannah on some Gabapentin  into the third week.  Just like Soren, she recovered  at her own pace and in her own way.  

Try and keep your energy  upbeat and happy around Soren.  Dogs are so sensitive to our energies.  Be sure and take care of YOU!  Getting to this point  jn the journey  can be exhausting  physically and mentally. 

Let us know how stitch removal goes!  A drive thru for a cheeseburger  is a great treat for Soren  to celebrate !

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!

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5 September 2024 - 7:10 pm
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Alright, everyone! Thanks again for all the words of wisdom and encouragement! They've been so helpful <3

Stitches out appointment went very well -- all the staff and his surgeon said he was looking great and getting around on 3 legs even better than they expected. I asked them about the hot/panting episodes, and they said that as long as he wasn't vomiting or having diarrhea along with them, it wasn't anything to worry about. I think that behavior might be him having a little discomfort off and on as he continues to heal. We still have that happen, but it is far less often than at the time of my last update.

So let's see.... It has been 37 days since Soren broke his leg, 28 since his surgery, and 0 from his first chemotherapy! Soren did need roughly 2 doses of gabapentin a day well into his third week post-op, but by the beginning of week 4, he was off of that and more back to normal. We finally have a wagging tail again, and he seems pretty content. I'm probably still too close to the situation to be completely sure of his 'normalcy' (whatever that means to a golden). He hasn't been super into his toys or our attempts to play with him much, but I think we'll get there.

We had our big appointment with oncology today, and we got good news - no visible metasisis to his lungs! We were offered ultrasound to check for mets to GI/abdomen, but I declined since that would have been an extra $1000 or more and wouldn't have affected the care plan anyway. As we all know, osteosarcoma usually shows up in the lungs first, so, while other sites of metasis will always be a worry in the back of my mind, I am hopeful right now. Soren had his first treatment of carboplatin today. Our oncology team also offers an immunotherapy we can add if we think it is necessary. Otherwise, his care plan is 4 rounds of carboplatin given at 3 weeks apart, then monitor with xrays every 3 months after that. 

I have been looking into getting him on a clinical trial of the Yale vaccine. The closest one is in Chicago, which is about a 6 hour drive from where we live - it's not undoable but I was hoping for something easier logistically. I hope the FDA approves it soon because it sure does seem like a miracle treatment for this terrible disease. 

Fortunately, Soren seems to be very social - he was quite happy to go see all the people at the hospital today. All the staff and his care team absolutely loved him and told me what a perfect gentleman he was for all his testing and treatments. I'm glad that, while I'm sure he has some anxiety about being there, he doesn't hate it.

Thanks for all the well wishes everyone! <3 I will update now as needed. And I will try to post some picture at the end here.

https://www.ins.....jSomovHaM/

https://www.ins....._eW0POVmL/

https://www.ins.....BD08Fvk5I/

https://www.ins.....mxSnzObo8/

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Virginia



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5 September 2024 - 8:45 pm
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Oh gosh!!  So much to celebrate!

Stitches are out!!  YAAAAY👏👏

Great xray!!! YAAAY👏👏

Chemo lst dose done and Soren's Fan Club at the clinic cheered him on!! YAAAAY👏👏👏

In addition to this delightful update, we have ADORABLE pictures of the ADORABLE Soren!  He just looks soooo. Gentle and so sweet.  I love the one of him thoroughly  enjoying that deep snow.  Soooo darn cute!!!

Thanks for taking time to update.   We are so proud of Soren...and you!!!!

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!

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The Rainbow Bridge



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6 September 2024 - 10:13 am
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Ohhhh that face! He makes my heart flip flop. That wisdom in his expressions just says so much about the joy and love he brings to the world. 

I'm so happy things are going so well! And your treatment plan sounds totally reasonable too. I would have done the same thing about skipping the extra diagnostics. You'll always be worried but if you learn how to Be More Dog , those worries can fade to the background so you can enjoy every moment with your sweet boy.

I hope chemo goes well! Paws crossed, so keep us posted.

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