Caring for a Three Legged Dog or Cat
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Hi everyone, my name is George and I am writing to introduce myself from Gold Coast Australia.
Just like most of you have been through I presume, me and my partner Emma are just coming to terms with a horrendous weekend and news we never could have conceived of a week ago.
Our big boy Boston had been limping over the past couple of months, but being a big lumbering clumsy type dog he’s always getting limps coming and going over the years which never really amounted to much, and being a very reactive dog (human and dogs) we have always left vet visits to a minimum/ only when we are sure we need to. And a month ago we did notice persistent limping which seemed to be his back legs, so we took him to our vet and had him x rayed. Our vet found evidence of an old slipped disc injury, and subsequent arthritis around that area in his lower spine, so we sorted out a treatment plan and thought that would be the end of that and we could address his arthritis for the years to come. (Monthly Beransa/Librela shots was the main plan).
So yeah we got his first shot of treatment, and had to wait a month before he could get his second one and was told it may take three months before we would see real improvement. However over the next couple of weeks we realised there was more of a limping issue with his front right leg, and we were told by the vet to monitor for worsening but that it could be related and hopefully if he was ok til the next Beransa injection that may help address the limping. It did worsen.
And last week I had just decided it was persisting for too long and I would have to call the vet again, and by the Friday I had just ordered some pain meds while at work (metacam)- and then I got home and everything had changed. Boston didn’t come to greet me and I knew instantly that meant something was up, and we found that his front right leg had gone fully lame and he couldn’t bear weight on it any more. We tried to rush him immediately to a vet but due to being near 6pm on Friday evening, we managed to get seen by a vet in the car park who gave us two injections for pain and recommended we got to an out of hours vet asap as he immediately feared Osteosarcoma of the front leg due to Bostons age, breed and location of some visible swelling. We tried to get him seen that night but frustratingly more urgent cases kept arriving and we had to bail and finally got him in Saturday morning for an x-ray which once again added to concerns of Osteosarcoma but didn’t give us a definitive answer.
The weekend was horrible and his pain definitely seemed to worsen rapidly, and we just managed to get him into specialists yesterday. I think without speaking it to one another, by this point we both thought we may be saying goodbye to our boy that day.. so weirdly, as crazy as it seems to say, we felt the results of the scan were almost as good as we could have ever hoped for.
The first thing was the vet checked for any cancer spread to lungs, abdomen, lymph nodes etc, and the scans did not show any obvious spread (we know that doesn’t mean there’s any spread but took that as good news).
Secondly, the vet checked his spinal areas and back legs, to have an extra look at his arthritis and establish it in his opinion, the big lad would still be a good candidate for amputation and could cope with it. He wasn’t concerned and said if it was his dog, he would certainly go down that route.
The last big bit of news we got from these scans, was that poor Boston had already sustained a very bad fracture high up in his humerus just below his shoulder. He said Boston must be a durable dog to have hidden it up until then and coped as well as he was. Poor boy 🙁 … this news however meant two things, one, he didn’t think an immediate biopsy was worth it, because it meant amputation was now necessary regardless of primary cause for the leg issue, and two, due to the extent of the fracture we were bumped up the urgency list and Boston could be operated on as soon as this Thursday, 2 days from now.
I think deep down, it was a weight off of my shoulders because I had already googled amputation and found an interview on YouTube from the Tripawd founders, and I had watched a few inspiring amputee stories, so in my head I think I was praying the vet would think Boston was a viable candidate to get a second chance. And tbh, anything right now would be better than the day to day discomfort and pain we are living with him with, and the thought of a 2 week waiting period for surgery was just as distressing as all of the info we had just been hit with on our first consultation before he went in for his scans.
So yeah, I found this website, thought it was amazing, and I guess I just wanted to introduce myself, and more importantly Boston.
Sorry for the massive essay I just figured I would add as much of his history in the hope that anyone who went through a similar situation in terms or size and breed and arthritis issues, may be able to lend their wisdom and any advice. I’m here for all of it, any advice or ideas and I guess reassurance that you think our boy is gonna do ok facing this even being a big ol’lump, would be greatly received. Thank you for taking the time to read, I’m sure I’ll have more specific questions come up once things sink in more and we start the process, but yep for now any general comments or advice would be great.
So far, he is on Previcox once and day, and we have Gabapentin which we have been told we can use three times a day but haven’t used it as frequently as that.. he also has the fentanyl patch which I think will have kicked in late last night. My early vibe is that he’s having waves of discomfort and restlessness, last night was bad I barely slept due to his discomfort noises and wanting to help him.. today has been better and he has certainly tried to use his three legs in the garden a few times even with his painful fourth leg getting in the way. I feel like Gabapentin does seem to be a difference maker when we need it. Definitely makes him more sedate but until surgery I’m guessing that isn’t the worst thing??
And as for Thursday, I think Emma and I are both apprehensive, but at this stage are hoping he’s going to feel instantaneously better to not have the painful leg anymore.. and I have already ordered a harness recommended for front limb amputees which should arrive in time. Are there any other things I might have to think of to have our house prepped and to be prepped for the next weeks to come. Thanks everyone, glad to have found this forum. Anyone with similar stories please point me in the direction of them I would love to read them.
George, I'm so glad you came here to post! Thank you for sharing Boston's story, and being part of our community.
It's good you are acting quickly. Osteosarcoma pain is brutal even with pain control, and Thursday can't get here soon enough. It does sound like he is getting great pain management .
Did you see our What to Expect articles ? Our the Tripawds Recovery Shopping List ? Check them out and let us know how things are going. Ask as many questions as you'd like, we are here for you!
Hi George,
I just wanted to reach out and let you know that first, you are absolutely not alone and everything you and Emma have been feeling over this period is so valid. Your story with regards to Boston's persistent limp and misdiagnosis is incredibly familiar - my boy Forrest went nearly 3 months with a limp that was chalked up to potential soft tissue injury, arthritis, etc. We did nearly six weeks of Librella/Cartrophen injections (with no results) before the pain came to a head and a mass the size of my fist suddenly appeared on his scapula overnight). Needless to say, we immediately did X-rays, aspirated the mass, CT, biopsy, etc... and received the Osteosarcoma diagnosis over a period of two agonizing weeks.
Like you, at the first mention of Osteosarcoma (which now feels like a lifetime ago) I immediately scoured the internet and started playing Dr. Google, seeking any reassurance or answers that I could. I found solace in the inspiring success stories, and had more than a few cries as my heart ached for those who didn't fare as well - but the resounding consensus was that even those who didn't get as much time still believed without a shadow of doubt that amputation was worth it. Like you, when it came time for us to make that decision for Forrest I felt grateful that he was deemed strong enough to be a candidate - and great news, Boston is too! Please, if you take anything from this, find peace in knowing that regardless of what follows the amputation, you are doing the best possible thing for Boston because you are taking away his pain - sure, recovery is no picnic (we're picking Forrest up from his surgery later today and I'd be lying if I said I wasn't nervous as hell for what comes next), BUT any pain they feel from the amputation is nothing in comparison to the pain they feel from the cancer. You are giving Boston a gift by being able to take that pain away.
Not sure if either Emma or yourself are readers, but on my first day perusing Tripawds.com I came across their book "Be More Dog : Learning to Live in the Now" and immediately ordered two copies for myself and my partner. I started reading it yesterday while anxiously waiting to hear how Forrest's surgery had gone (it went great!) and though only 80 pages in, it is chalked full of wisdom, honesty, heart-warming stories, and is really helping centre/guide me to just stay present as much as possible - for myself and for Forrest. Time together is so precious.
I wish you all the best on this journey - the decisions feel monumental and they are, but there is also peace to be found in knowing that every choice you make comes from a place of upmost love for Boston and doing everything you can to keep him happy, healthy and pain free. If you ever want to chat, feel free to reach out. And here are some links to Forrest's story - Diagnosis & Pre-Amputation, Recovery. Sending love and well wishes to you, Emma & Boston.
WOW! What an ordeal!
As you can see from the insight offered by Jerry and Kati you have come to the right place for support and information. You also are surrounded by people who understand every aspect of this journey, Yes, it's a shock at first. Then confusion on what to do, the fear, panic...yeah, we get it.. Wealso know the relief you will feel when surgery is done, recovery is complete and you start to see Boston's sparkle come back and adapting to three like a Champ! The first time he greets you at the door at some point in/after recovery you will probably have a few hapoy tears!
Yes, do give him the Gabapentin! The boy has a broken leg and needs good pain management ! If it makes him a little sleepy, that's far better than being in pain. He needs rest right now anyway.
Great new that all tests are clear and that the Surgeon thinks he is a good candidate. He cert seems like a strong willed fighter and that's good.
Let us know any que you have, okay? YOU ARE. NOT ALONE!
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!
Kati said
I wish you all the best on this journey - the decisions feel monumental and they are, but there is also peace to be found in knowing that every choice you make comes from a place of upmost love for Boston and doing everything you can to keep him happy, healthy and pain free. If you ever want to chat, feel free to reach out. And here are some links to Forrest's story - Diagnosis & Pre-Amputation, Recovery. Sending love and well wishes to you, Emma & Boston.
Kati, thank you so much for the kind words about our book, and your generous, insightful support to members. This community restores my faith in humanity every single day.
Hey guys, thanks so much for your replies, definitely adds to the sense of hope we have had to build over the last few days to know there are people who have been through this that certainly don’t regret their decision and have seen the proof of it being the right call through their experiences.
And even with you Kati who it sounds like will be going through things almost in parallel with us with your boy Forrest, I hope the pick up and his surgery has all been as smooth as possible if you have already done that by now, and I’ll definitely check out his story that you linked- and more importantly hope to track a happy successful story as time goes by. Seems like there are plenty of people in this forum with which we can compare notes and ask questions, so that’s seriously appreciated again to all of you who have replied.
Last 24 hours of babysitting him now before his surgery in the AM, makes you nervous to think about but I’m also looking forward to removing the source of pain now. He’s actually been an absolute champ the last day/night, if anything I think he’s become over confident on three legs and feel like I’m having to restrain what he wants to do. I’m pretty certain he was crying for his usual walk at “walk o’clock” yesterday haha! Crazy how durable dogs are, but I’m also guessing the pain meds are really doing the business. It certainly gives us hope and even more of a sign that the boy still has a lot of fight in him for the journey ahead.
thanks for all the references and links provided already we will be sure to check them all out and add it to the catalogue of research we need to get through. I have downloaded about 25 of the podcasts, were there any in particular any of you might recommend based on my situation specifically or do we think 25 podcasts is a good place to just start and go from there haha!
Cheers guys 🙂
You posted the photo perfectly. Boston is a very, very handsome fella’ He looks perfectly content so that means you are doing a good job of getting the pain managed. Seeing him handle three already should give you some reassurance.
You’ve probably already read this, but you’ll want t to get non slip scatter rugs for traction over the vinyl or hardwoods.
“walk o’clock
hahaha….love the way Boston tells you what time it is.
Boston is going to do just fine. Not saying recovery is a picnic. It can certainly have up’s and downs, but it doesn’t last forever. We always advise to not compare recoveries. Every dog recovers in their own way and at their own pace. Some need several days to get their sea legs, some or able to hop out of the clinic after the surgery. Some need assistance, some don’t s. Whatever works .
Keep is posted, 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!
Boston sounds like a strong determined boy and I'm sure he'll surprise you with how good he'll feel without that pain! Right afterward Nicholas felt so good he decided to jump over a stone wall and chase a bobcat, then he slowed down a bit and took his time figuring things out. For the first few weeks we babygated off any area without rugs to keep him from adventuring further. Recovery can be pretty tiring for a mom and dad because you are basically nursing someone 24-7 who has had major surgery, but it gets better, and it is so worth it to see him regain his old self, which he will, at his own pace.
Thanks for the further reassurance again everyone. Seriously appreciated.
A couple of questions have cropped up in the last hour or so- probably very basic but just curious did any of you guys ever experience a bit of incontinence with your dogs pre op or I guess even post op.
Just today Boston’s bowels seem to be the complete opposite of how they were the days after his sedation and x rays- and whilst yesterday we were happy that he was already ace-ing going to the toilet on three legs, now today we’ve had a few clean up operations to do.
I am guessing this could likely be down to medication but any thoughts or experiences with this? He is probably due some more Gabapentin soon if I was to try and keep overlapping meds to stay on top of it- so I’m not sure if this could be a cause or just the fact that he finally ate quite big last night after a few days of not being too keen to eat.
The incontinence is probably just what uou said. Probably the fact that he ste a vit meal after not eating much
Is it a normal stool or more like diarrhea?
The pain meds can kind of dull the usual 'signals" he would get telling him he's got to potty Additionally with the pain of the fractue he just may not want to put forth the effort to get up.
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!
Aww I'm so glad you were able to share his photo. What a sweet picture!
I wouldn't worry about him laying on the tile, it feels good to him I'll bet, like icing an injury.
The bowels issue could be the medication making him a little too relaxed. Yes, overlapping the meds to give consistent pain relief usually works really well. It shouldn't cause incontinence, but you did mention he's on Fentanyl right? That could certainly do it, that stuff can take down an elephant!
I know Thursday can't come soon enough, yet you're still dreading it. That's easy to do! Isn't it Thursday in Australia now? I think you're almost there!! Keep us posted.
Ermmm his poops he seem a little softer than usual for sure.. but not diarrhoea extent. He seems to be able to keep it in now but it’s been a smelly day full of towel rotation
Not quite Thursday where I am Jerry, it’s 6pm currently on the East coast, he’s just had his last meal in advance of fasting before the big day tomorrow, and currently he’s being real vocal and I’m not 100% sure what he needs. Just had another pain killer so hopefully if it’s just pain related that gets onto that fast. Previcox is his other daily pill.
One question I do have that has popped up, and certainly traction in our house will have to be addressed and will help this, but today more than yesterday I have definitely noticed a few moments of back leg instability. Do we think this could be normal due to all the drowsy drugs he’s on etc? That’s what I’ve been putting it down to but then yesterday he seemed almost too comfortable and wanted to move a lot, but today he’s definitely been more uncoordinated and dopey. A couple of slips and just in general seems more wobbly.
Just had a slight moment of hoping this isn’t just his back legs in pain or struggling the day before he’s about to lose one of his front ones
Hey George,
Hope you were able to get some sleep ahead of Boston's big day today. Now, I'm no vet so take this with a hefty grain of salt, but I just think that if I were on four legs and suffering a fracture in one of them I'd likely start to feel discomfort in ALL of my legs as they work to alleviate the efforts of the fractured limb. Of course check in with your vet, but to me it doesn't sound hugely surprising that a big boy like Boston might be tiring of supporting the extra weight (coupled with the drugs!) - the good news is that once the bum leg is gone, the brain will start to rewire to tell Boston's other limbs that they no longer have to compensate. Sure, he'll have to relearn and adjust to his new gait, but I think you will be amazed at their resilience and sheer force of will to keep on keeping on.
Also, if he does show signs of arthritis elsewhere it would be great to poke around in the nutrition/supplement forums and see what others have suggested. Prior to all this, we had Forrest on CBD for dogs and it worked wonders on his achy joints - we're anxiously waiting to get him off the medicinal NSAIDS so we can reintroduce that!
I'm sure Jerry, Sally, etc will chime in with their much more knowledgable opinions, but just my two cents! Best of luck today, you're all going to do great 🙂 remember to be kind to yourselves and try to get as much rest as you can while Boston is in the very capable care of his vet team!
It's almost time!
Talk to your vet about it but I do agree with Kati, in my non-vet opinion. When one limb hurts everything else gets achy too, and in different parts of the body. Adding no-slip surfaces will keep him from falling and putting more stress on his joints, and once the bad leg his gone the rest of his body will pick up the slack. And of course being on painkillers is also going to affect his balance. This is a ruff time for him and he's trying hard to be "normal" as all dogs will. Once that bad leg is gone, and recovery is behind you, it will make such a difference in how he gets around without pain or wobbles.
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