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Ronnie, suspected Osteosarcoma amputation this week.
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7 May 2019 - 4:47 am
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Well another bad night, around 5am ronnie was awake and panting clearly in pain, he didn’t settle and seemed really unhappy so he got his meds a lot earlier and he had gabapentin and codeine at 5:30am and at 8am he had meloxicam with his food which he ate, but refused to get up and go to the bowl so i had to bring it to him. New levels of lethargy i hadn’t seen before and i still don’t think he’s drinking enough so we are going to the vet shortly. 

temperature readings from this morning;

7am 104.1 PANIC

7:30 103.6 slightly calmer

8 103.6

8:30 102.5 looks promising

9 103.4

10 103.6

11 103.3

So the 8:30 reading aside, we have a 4 hour average of around 103.5 so I’m going to ask for a med review and blood tests for infection and see if line fluids are benficial

more to follow…

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7 May 2019 - 5:58 am
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OK quick update; I’m conscious this thread is turning into a chronicle of my verbal diarrhea but if nothing else retrospectively it may help others and it lets me vent!

went to the vet, all physical examinations where fine, no outward signs of infection from the wound, paws, gums etc,  chest sounds clear, his heart rate was elevated but not unusual for a vet trip. Temperature was the only indicator 104.1 in the vets office. Plan of attack is… they took him in the back and took bloods to see if white blood cell count is elevated giving them any indication of infection.

We’ve come home now and he’s had half a codeine. The go to method for tablets at this point is ‘half a teaspoon of peanut butter, pill in the middle, works everytime’

My vet has also arranged a consult with the surgery team in liverpool which hopefully take place in the next few hours to discuss meds and possibly introducing something new. 

Me and the boy are back home now, got doors open and a fan on at the vets suggestion to keep the ambient temperature cool.

watch this space… 

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7 May 2019 - 8:00 am
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OK the vet has just called and our survey says…… no white blood cell increase, positive news, the tests where all unremarkable with no evidence of anything causes a concern, the only slight increase over usual levels was cholesterol and ALP and the kidney and liver function don’t have corresponding concerns to explain the ALP increase so most likely due to bone turnover and the arthritis discovered during the initial CT. 

So she has ruled out infection unless on the outside chance this is early presentation of sepsis, but she says this late post surgery, with no physical or chemical markers backing this up, its unlikely. 

The only thing she is yet to do is discuss the pain management with the surgery team which she is doing when they get back in touch this afternoon. She says in terms of options they have started him in the middle really at 300mg gabapentin twice a day and 400mg is a possibility, but more likely is that she will change out the generic 400mg paracetomol/9mg codeine half a tablet 3 times a day for tramadol.

I’m going to monitor his temperature every few hours and see if it improves, still around the low 103’s

will report back more when i get the call.

Virginia




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7 May 2019 - 9:17 am
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You are doing an EXCELLENT job of caring for Ronnie!!   Truly, you are!!

And this is the perfect place to chronicle Ronnie’s recovery.  It is so helpful  for everyone  starting out to hear all the ups and downs encountered during recovery.  Besides that, we all fell in love with Ronnie and want to hear all about him!

So to clarify, is he on an antibiotic at all?  Did they give him any fluids at all?  Hmmm…..seems like there’s some underlying  cause for the temperature yet to be identified…maybe?  But blood work is good, so that’s wonderful.  

Thanks for keeping  us in the loop.  More treats for Ronnie for being  such a good boy having  his temperature  taking so much!!

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!

The Rainbow Bridge



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7 May 2019 - 9:26 am
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Wow what a mystery. It can be so frustrating when there are no real answers, but at least Ronnie’s medical team is taking all the right steps to get to the answers. I love that they are consulting with others to bounce ideas around.

I thought I read somewhere that pain can elevate the body’s temperature. Did they mention anything about that?

Has his energy level come back yet?

Oh gosh you can write as much as you’d like. We all learn from tough situations like this so don’t hesitate to chronicle what’s going on OK? Plus, we are all cheering Ronnie on and want to know when he’s feeling better. Hang in there, you are most definitely doing a terrific job.sp_hearticon2

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7 May 2019 - 10:00 am
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thanks for the support team i really appreciate it!

well the 4:30 temperature check was 102.74 which is positive and i took it after ronnie randomly hopped off the sofa for the first time today and started circling on the rug so i took him into the yard, he did the BIGGEST, the NASTIEST, the intercontinental champion of poops! first in nearly 3 days so happy days, and then he came in and drank an entire bowl of water non-stop! It almost feels like he knows what he wants he just hasn’t had the get up and go to do it. 

He’s passed out asleep again now which makes me very happy after all that action, albeit only 5 mins of it but after a day like today its comparable to walking on water!!!

I also counted his breaths per minute periodically over the last few hours as Jerry you’re absolutely right they believe the increase in temperature could be down to elevated pain as its pretty much held at 1 degree over normal range as opposed to spiking up and down around the 104-105 range. 

obviously breath is elevated due to elevated pain resulting in elevated heat and the body adapting to expel the heat through breath and panting. 24 breaths per minute is the norm for a dog and he settled from 40 to 35 to 29 and eventually around 25 BPM over the course of 2 hours which again is all positive happy news.

He’s also now proudly waiting for his ‘Property of Tripawds Athletic Dept‘ dog shirt i ordered him off the site yesterday as just a little way to contribute to what an amazing place this is and how beneficial it has been. Assuming the size is good it wont be the last we order either!!!

Livermore, CA




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7 May 2019 - 1:33 pm
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This is the perfect place for you to vent and chronicle! Write as much as you need to as often and you want!

Geeze, you and Ronnie have sure spent some quality time with the thermometer smiley4

Your vet team sounds great!  Working together to find the best solution for Ronnie, I love that.  And you are doing a great job as caregiver and advocate for your boy. 

It will get better, he will get better!

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

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8 May 2019 - 1:33 am
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Well its the following morning for me now, Ronnie has continued his lethargy with an evening temp of around 103, he slept through until around 5:30 at which pain woke him and therefore me when his panting began.

He was 104 when i woke up so lay for 30 mins with a fan on him, hourly checks at 6:30 and 7:30 was 103.7 and 103.6. Now its 8:30 and so far he has had no pain meds or meloxicam, we are back in the vet at 8:50 for a follow up, however i have this morning noticed significant increase in swelling around the surgery site, no leakage and no redness but it seems to have become hugely inflamed almost to the point of tightening up all the sutures.

Now this is either due to being far more active yesterday with vet trips and 2 visits from friends during the day, or the infection that didn’t show on the bloods has presented itself, and possibly sepsis. He’s still lethargic and not really interested in food or water so I’m going to ask that they keep him and look at IV fluids and antibiotics.

update in around an hour.

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8 May 2019 - 2:43 am
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OK back home, the vet feels that while it is a lot more inflamed around the incision that it still looks completely clean with no sign of infection, and that it could just be muscular as yesterday was the most active day he has had with trips to the vet and a few visits to the house from friends on top of the general breaks in the yard for pees and poops. 

However she isn’t happy with the elevated temp, although he read half a degree less in the vets office than yesterday and he has had no meloxicam today which we know will bring down inflammation and temperature. 

That being said the vet team is excellent so she wanted to start a 7 day course of antibiotics regardless as a ‘safety belt’ to everything else so prescribed synuclav which i believe is an alternate brand of Synulox, which google tells me is….

Synulox is the most commonly used antibiotic for dogs and cats in the UK. It contains amoxycillin and clavulanic acid which act together to provide a safe and effective antibiotic with activity against a wide range of bacteria.’

So we’re now back home and he has just inhaled a bowl of food and a full bowl of water (again still no diarrhea vomiting or dehydration/ starvation? whats wrong with you ronnie!!!) and he had a cocktail of meloxicam, codeine, gabapentin and the anti biotics over the course of 20 mins with plenty of peanut butter to help them down.

He will bascially just rest and not move the rest of the day and i will check temps every few hours and see how the day goes. If he is still reading 103.5+ by 5pm I’m to call the vet back as she isnt happy with the longer term effects of a fever such as this. 

The Rainbow Bridge



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8 May 2019 - 8:15 am
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Ronnie you are such a tough doggie! All that medication and you still have an appetite and thirst? YAY! smiley_clapThose are great signs that your body is strong enough to fight whatever is going on.

I just looked up Synulox, I believe it’s also called Clavamox here in the states and it’s a good one to give (expensive though..aaaayiiieeee!). Right now if I had Wyatt Ray on all those medications I would give him a Probiotic to help keep his GI tract in good shape. Something to think about, not that Ronnie needs another pill but maybe you can find it in the form of a liquid. Get one specifically for pets if you can, and refrigerated probiotics are going to be the most active and beneficial.

I hope you get some rest today and Ronnie’s fever goes away. Keep us posted, we are cheering you on from across the pond!

It's better to hop on three legs than to limp on four.™
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8 May 2019 - 9:00 am
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good idea on the pro biotic i will see if i can source one locally.

Heres the log so far today

meds at 9:20am after the vet, meloxicam, gabapentin, codeine and anti-biotics.

11:20  – 101.66 F / 38.7 C

13:20 – 103.10 F / 39.5 C

15:20 – 102.74 F / 39.3 C

codeine at 15:20 and the 17:20 numbers to follow later, but so far its more positive certainly, the first reading after the morning meds and a few hours heavy sleep was obviously an amazing number i was happy to see, the lunchtime number crept up a little however that was taken after he had hopped off the couch gone for pees and poops, hopped around a fair bit (maybe a little too much) and then drank a bunch of water and eaten some more food. The average of all of these numbers is obviously the high 102’s which is straddling the upper range of normal and fever, but either way its a good 1 degree on average less than yesterday so im pleased about that.

Virginia




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8 May 2019 - 9:03 am
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Sorry the fever is still going on, but REALLY glad they finally put him on an antibiotic.   Earing drinking, pooping, peeing,, all really good signs too.

You are doing such a great job with all your observations.  How does the incision  look today?  Does it feel hot?

Hoping the fever will be back to normal soon.  I

(((((((((((((((((((((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!

Virginia




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8 May 2019 - 9:10 am
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Just saw your current post as I was typing.  YAY FOR IMPROVEMENT!!  

Ronnie certainly mis a patient boy to put up with his new unwanted  relationship  with that thermometer!

Remember  that,while you are giving Ronnie great “recovery care”. you want to enjoy being in the moment with him.  Lots of snuggles, tummy rubs, butt rubs…..just enjoying  Being More Dog❤

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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8 May 2019 - 10:15 am
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17:20 reading 101.84 F / 38.8 C !!!

I’m actually starting to believe the fever is breaking!  another good reading within ‘normal’ ranges for dogs. The incision site is still swollen although to be fair the colouring and state of condition around the stitches is perfectly fine, it’s almost like there’s a leg trying to grow back in there! its just a bit swollen but with no outward signs other than that? yesterday there was definitely fluid under there you could even hear it slosh a little if you moved your fingers over the area but the vet assured me the site was well drained and this will just be fluid that is reabsorbed into the body given time. 

The Rainbow Bridge



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8 May 2019 - 10:41 am
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That IS a pretty normal temperature range! Pawesome!
Oh yeah sure does sound like a seroma and most times it gets reabsorbed so your vet is spot-on with that one.
We’ll keep sending pawsitivity your way. Wonderful news!

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