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5 Days Post Surgery - Need Advice
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11 March 2018 - 8:22 am
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Hello. I am hoping someone has some input, I am freaking out and feeling pretty down today. Roger had his rear leg amputated on Tuesday and they took out a lump on his shoulder at the same time (poor guy). We were able to pick him up Wednesday evening and he was understandably uncomfortable and not wanting to eat. With the use of a sling, he went out to to go pee and was drinking water. The next few days he started eating on and off, mostly chicken or ground beef with a little wet food when he’d accept it. As of Friday he was getting up and moving around the room by himself and even went out and peed/pooped on his own (with us supervising). Sat morning I came home from the gym and he got up to greet me, then went to stand by the door to go out but started panting and making a little huffing noise and then his leg seemed to kind of collapse. My husband and I took him right to the emergency vet where he started wagging when he saw the techs and we were told his vitals were all good, initial blood work looked fine if a little anemic and he was alert. They believed he stood up too fast and blood pressure dropped causing weakness. We picked him up a hamburger which he ate and seemed perked up. All of a sudden, later last night, he seemed really lethargic (drooping head, half closed eyes) and started refusing all food again. He was panting just laying down and didn’t seem to have the strength to go out on his own. He’s still not eating as of this morning (going to try another hamburger when the restaurants open) and needed help getting out. He’s occasionally making the huffing sound but not panting. SO, has anyone else experienced this? When his initial lung xrays were done a month ago, they did not show any mets but now I am worried that that could be what’s causing the huffing and overall decline. It did metastasize to the skin (which apparently is not common) and 1 of those lumps was on the leg that was removed and the other was the shoulder lump. I don’t know, just really worried about the appetite loss and weakness. My plan was to keep a close eye on him today and try to get into his oncologist tomorrow. Any other ideas of tempting foods? I’m at a loss.

Michigan
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11 March 2018 - 9:51 am
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What is Roger on for pain?  Some of this sounds pain-related.  We often see that pets are sent home without enough pain medication.  

Murphy came home with Tramadol (a narcotic), Rimadyl (anti-inflammatory) and Gabapentin (for nerve pain).  Some also come home with antibiotics or a Fentanyl patch.  The Gabapentin is often not given, but it seems to be the one that’s needed the most.

Donna

Donna, Glenn & Murphy  http://murphyh......pawds.com/

Murphy had his right front leg amputated due to histiocytic sarcoma at 7 years old.  He survived 4 years, 2 months & 1 week, only to be taken by hemangiosarcoma at 11 1/2 years 6/12/17  

Donna.png

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11 March 2018 - 10:26 am
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He is on Tramadol, Gabapentin, and piroxicam. Also amoxicillin and 1 other antibiotic due to low white blood count (from chemo). I’ve held back the antibiotics last night and so far this morning since they both say to take with food and he won’t eat ANYTHING. He just turned down cheeseburgers as well. He still feels cool to the touch and I think his gums look paler than normal. When I asked the vet yesterday, they thought they were normal. I was going to give it an hour and then maybe back to the vet. He’s drinking water when I bring it to him but otherwise just laying here.

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11 March 2018 - 11:56 am
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Most of us had issues around day 5.  That’s about when the hospital pain meds wear off, and you might need to work with your vet to tweak his pain meds.  We ended up increasing Otis’ tramadol at that time.  

Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016.  Four rounds of carboplatin completed in April, 2016.  Lung mets August 25, 2016.  Said goodbye too soon on September 4, 2016.   Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.  

Wherever they are, they are together.

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11 March 2018 - 12:41 pm
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It does sound like a pain control problem to me also.  Charlie was on tramadol, gabapentin and metacam.  Its hard to get it right, the tramadol seemed to really take care of the pain but knocked him for a loop.  The first 2 weeks are the hardest, at least in my exp. because you do not know what to expect.  Work closely with your vet and try to stay positive.

The Rainbow Bridge

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11 March 2018 - 1:17 pm
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Follow your gut and take him back to the vet today if possible OK? Anytime gums are pale you want that checked out. Be sure to jot down a list of his symptoms so your vet can help you pinpoint the issue.

Sorry for the ruff start! Remember this is realllllly early in recovery so sometimes things like this happen. By staying in close contact with the vet you can get this figured out and get him on the mend. Keep us posted!

It's better to hop on three legs than to limp on four.™
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11 March 2018 - 2:06 pm
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Well, we went over to the vet and just got a call with the latest blood work results. His red blood cell count is really low and he’s needing a transfusion. They think it he is bleeding into the GI tact, (hopefully) due to the piroxicam and not the cancer. We are going to go ahead with the transfusion & fluids pray that this helps turn things around. Apparently with where he’s at, that is the only option other than euthanasia. I hate that he has to stay another night away but know he’s in the best hands. We’ll go visit in a couple hours and then wait to hear more. Thank you everyone for your support and advice. 

Virginia
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11 March 2018 - 4:11 pm
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Goodness, Roger is certainly having some ups and downs with his recovery!  It happens!

KUDOS TO YOU FOR BEING SUCH A POWERFUL ADVOCATE FOR ROGER!!    You know your dog better than anyone and you did an excellent job of staying on top of thi gs and noticing behavioral changes

From what I understand, it may take a day or so for the transfusion to take the blood count back up where it should be.  Just didn’t wa t you to be upset if you didn’t see a lot of improvement yet when you go see him tonight.  The fluids should help too.  Your Vet can advise on all this as far as when he should perk up.

How long has he been on the Proxicam?  Has he been on anything like Prednisone prior to the Piroxicam?

I think itsw really a good sign that Rover was peeing, pooping and drinking, and did woof down a cheeseburger early on.

We’re all sending pawsitive healing energy and cheering for sweet Roger!  Hang in there! As you said, he is in good hands and is being monitored.

We’ll. be watching for your update tonight.

Lots of hugs and love

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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11 March 2018 - 4:21 pm
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Thank you for the kind words. I tend to be a bit of an over-reactor where our dogs are concerned so I always second guess my decisions when it comes to bringing them in. I’m glad I pushed aside the doubt in this case! Roger hasn’t been on prednisone for quite some time but he was on rimadyl prior to switching to the peroixcam.

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11 March 2018 - 4:25 pm
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So glad you have been able to get this figured out!  Hopefully, this will get him back on a path to recovery.

Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016.  Four rounds of carboplatin completed in April, 2016.  Lung mets August 25, 2016.  Said goodbye too soon on September 4, 2016.   Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.  

Wherever they are, they are together.

The Rainbow Bridge

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11 March 2018 - 4:31 pm
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Oh wow, that’s a step forward at least. Many dogs get transfusions and they do the trick. We are keeping our paws & fingers crossed for your Roger.

P.S. No such thing as over-reacting, you are advocating and doing a great job of it!

It's better to hop on three legs than to limp on four.™
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Virginia
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11 March 2018 - 4:45 pm
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Was there a wash out period between the Rimadyl and the piroxicam?

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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11 March 2018 - 9:15 pm
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“Was there a wash out period between the Rimadyl and the piroxicam?”

Is wash out like a break of time? If so, no, they switched the same day.

Virginia
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12 March 2018 - 3:02 pm
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Yeah, by “wash-out” I meant, for example, was there a five day period where ERoger was off the Rimadyl before starting the Piroxicam.

Any update on sweet Roger today??

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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12 March 2018 - 8:00 pm
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Checking in on Roger – hoping the transfusion has helped him and he will be home soon if he isn’t already.  

Lisa, Minneapolis

On October 27, 2016, nearly 6 months after amputation, and 18 months since his cancer likely started, we lost Pofi to a recurrence of Soft Tissue Sarcoma in his spine quite suddenly.  His Daddy and I miss him terribly along with his canine sister, Mia, and two feline siblings, Lucia and Cliff.

Blog: Pofi, Peripheral Nerve Sheath Tumor Amputation

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