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Caring for a Three Legged Dog or Cat

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Butchie is home – Large dog, osteosarcoma, front leg
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Member Since:
26 November 2008
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12 December 2009 - 5:58 pm
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Jim, Patrice, and Butchie,

Well now we know the entire family.  Glad to hear that the input from this community has helped.  Most of all we want to put you mind at ease that you are doing a great job and your observations are not unusual.  Photos are always appreciated and help us make a connection.  I have posted a number of thumbnail photos from Cherry's TriPawd journey from the weekend after diagnosis through surgery, chemotherapy, and some from her one year ampuversary party.  These may help so you can view using this LINK.

Regarding remaining as postitive as possible, I often remark that one shoud as positive as possible around their new TriPawd.  Butchie will pick up on your feelings and if you are down, it will only make it harder.  I have often left Cherry, left the house, and then totally lost it before regaining composure and returning with a smile.  It will make a difference.

Will be looking for the photos.

Bob & Cherry

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13 December 2009 - 4:27 pm
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Tripawds is truly the most amazing thing I have ever been a part of...the support, love, understanding, information and friendship that you find here compares to none other. We are all brought together through our common love for our furkid...it doesn't get any better than that!!! The journey is difficult at times, but it was and continues to be the most rewarding in my life...even after Zeus crossed the bridge. These first few weeks after surgery is most difficult - emotionally for us and physically for them as they adjust to life on 3 legs...but trust me - and all of us here - they adjust and they end up surpassing what your expectations are. Zeus blew me away with how he lived his life on three legs...my hero and my teacher...among many other things.

This is a huge surgery for them and almost like clockwork - it takes about 2 weeks for them to recover. Zeus panted the entire time while he was on the pain meds...he didn't sleep very well and it was, well difficult. Butchie will get through it - if you have ANY concerns whatsoever, call your Vet...but the three times that I brought Zeus to the Vet because I was so worried, it was all "normal"...but still - if you have a concern, by all means go. It took Zeus a few days to potty...their system is so just off...it's all normal and you will be amazed at how excited you will be at your dog going poopy. LOL

Like Bob said, try to stay as pawsitive as possible...it's hard - but they mirror our emotions soooooooo much. I would leave the room when I had a meltdown so that Zeus wouldn't see me cry. I know that helped his recovery for me to be pawsitive and hoppy around him. I didn't become active in tripawds until about 2 months after amputation...I read a lot, but I didn't participate or ask questions during our actual recovery period...you have the advantage for doing that - we have all been through it and can reassure you that this is all normal and that Butchie will be A-OK.

I think I've rambled and I'm sorry if I didn't make a lot of sense Way Confused

Keep us posted and we send you lots of thoughts and prayers for a speedy recovery.

Much love,

Heather and Spirit Zeus

Heather and Spirit Zeus - Our life changing journey…from the earth to the heavens…one day at a time…always together

Member Since:
12 December 2009
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14 December 2009 - 7:04 pm
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Well Heather that is really good info to have...now I know why the vets weren't too worked-up. They've seen this before. It's good to know it's normal...the vet switched him off tramadol to the Fentanyl patch (spelling?) + a few injections of some kinda doggie morphine. So, hopefully he'll get his appetite back soon. So glad I found this site that allows all this communication & support!smiley1

On The Road


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14 December 2009 - 8:02 pm
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We're glad you found us too! Thanks for the update.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

zoes4life
20
15 December 2009 - 2:24 pm
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I'm no vet but I can tell you that Fetanyl and morphine is much stronger than Tramadol, so it may make him seem a little bit more loopy.  Also, I'm sure you have probably read a post about phantom pain ( if someone already mentioned this I apologize), but the sudden cries and acting startled sounds like phantom pain so if this continues I would also ask the vet about Gabapentin for nerve pain.  Zoe would yelp out of no where and jump like she had been shocked or something, its hard to explain, but the Gabapentin made that go away and I wished I had started her on that sooner.  Please continue to keep us posted. 

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12 December 2009
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18 December 2009 - 3:51 am
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Have been keeping the post about Zoe in-mind. I'm gonna ask about Gabapentin. I think the patch wore-off because Butchie stopeed acting loopy & ate some "real" food the other night. He'd had no appetite & hadn't even urinated until 2 nights ago. Yesterday was poopie day! He went out & did both..couple times! Had a good meal Thurs-night...gettin' around well. I remember Zues' post about two weeks of recovery seems to be like clockwork. Called that one!

The main observation I've made sleeping on the couch with Butchie through all this: when the pain-meds wear-off he shows all the "normal" behavior we're looking for, but he has a rough time getting thru the night. We can't seem to strike a balance between effective pain-mgmnt & maintaining his normal behavior & appetite.

We were up all of Thurs-night. He kept getting up & wouldn't settle anywhere, panting constantly & trying to get next to me, all apparently consistent with pain symptoms. Last Sunday I took him into the emergency room (4am) for similar symptoms. The Tramodol wasn't working. That was when the vet gave him an injection of Buprenorphine to allow the patch time to kick-in. They kept him 'till Tuesday. 3 injections all told. That was $400 & they didn't even charge for the emergency-rm visit. That was for meds, 2 night hospitalization, the patch & the 3 injections. Now the patch is worn off.

Gotta tell ya...I think he was doing fine until we gave him that Deramaxx. I wanted to give him a couple Benedryls or a sedative. Anyway, I was on the phone w/ a vet-tech last night when Butchie fell asleep. I took advantage to get a little sleep but now he's up (almost 6am). Poor dog. He just came into the room while I'm typing. I think he is asleep...I gotta be @ work 9 to 12 today then I can get him some meds or take him to the vet.Hope he can hold-out that long. I want to get his pain under control but maintain his appetite & "normal" behavior...which I guess we'll define on a daily basis. Thank goodness we have this forum!

My heart lives at Rainbow Bridge
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28 November 2008
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18 December 2009 - 5:22 am
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I hope you soon find a medicaiton routine that works for Butchie.  Trouble did much better after we were able to take her off the pain meds.  They really aren't able to return to their true selves until the meds can be removed or at least minimuzed.  Butchie seems to be taking a large amount of pain meds.

And if it hasn't been pointed out yet, the recovery period just sucks.  It is difficult and tedious for both of you.  Fortunately, it doesn't last forever.  Keep haning in there, it WILL pass.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

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26 November 2008
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18 December 2009 - 8:59 am
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hugapitbull said:

Trouble did much better after we were able to take her off the pain meds.


Same was true with Cherry.  I will not say that the chemicals are needed or helpful, but we really started to see the improvement once the chemicals were gone from her body.  However, Cherry really did have an extreme cocktail, pain killers, anti-nausea, anti-vomit, appetite stimulant, and chemotherapy.  Even I could taste the chemicals as I got close to kiss her.

The first two weeks are normally the worst with ups and downs, but things will gradually improve.  This is one of the reasons why I liked my detailed journal, it allowed me go look back an realize how far we had come even if things still were not sunny.

Paws Crossed and Sending Pawsitive Thoughts,

Bob & Cherry

zoes4life
24
18 December 2009 - 9:13 am
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I know, it is a tough call, It does seem to be true though alot of dogs seems to do better when off pain meds.  Zoe has an as needed standing order for Tramadol even now but I found that it seems to make things worse. And I don't know why but it does seem like the panting and restlessness seems to show up at night for alot of dogs.  Anyway, I can tell you this, one thing I remember I was starting to panic because things were not getting any better but day 14 was the magic day, she totally turned the corner.  So hopefully Butchie will soon find his magic day. I hope this helps and I hope you both get some rest.

On The Road


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18 December 2009 - 10:16 am
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Oh poor Butchie. We all know how ruff that is, but he'll do better after the pain is managed and the dope is out of his system. It'll happen, just hang in there. And always remember if you sense something isn't right, don't hesitate to call your vet OK?

Good luck, we'll be thinking of you all.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Las Vegas, Nevada
Member Since:
14 August 2009
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18 December 2009 - 12:18 pm
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I'm no expert but poopie is a good sign! 

I can't imagine what a dog must think after having the leg removed.  They are dopey and they can't walk.  It must be so incredilby frightening.     

Again, I'm no expert but the meds could be affecting the tummy.  From experience, hopping around doesn't feel so good on the stomach when you got extra acid.  That may explain the wanting to eat after the meds wore off. 

I hope it gets better soon!

Her Retired AvatarComet - 1999 to 2011

She departed us unexpectedly  January 23, 2011 at the age of 12 1/2.

She was born with a deformed front leg and a tripawd all of her life.


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18 December 2009 - 1:05 pm
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I would try the gabapentin ASAP. This drug is cheap and very effective for nerve root or phantom pain .  Hopefully someday more vets will prescribe this drug starting 1 day BEFORE amputation since it really works wonders and it is better to prevent the pain than to treat it.

Pam

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12 December 2009
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19 December 2009 - 8:16 pm
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Today is Saturday. Around 1 am I took him to the emergency-rm (Fri-night). Not a good experience. The office has a different staff in the evenings (emergency medical care is provided in the same place, but by different agency).

As soon as the vet walked in she said she'd read our case & the problem was that we just refused to follow the pain-mgmnt instructions we were given...I was in shock! I've been sleeping on the couch for months to assist this dog...been there every step of the way. This vet didn't understand that my wife & I have been teamed-up with our vets, taking little stabs at different paths of pharmacology to see what works best...we've never even established any long-term directions for me to ignore. I'm sitting there after two nights of this & no sleep, listening to this person talk to me like I'm an idiot because I didn't give him the tramadol we were prescribed. I told her we stopped using Tramodol on the order of the surgeon who observed him last week. The estimate to keep him overnight was $1000. I explained I was only visiting the emergency-rm as follow-up for poor pain-mgmnt & thought they needed to work with me. Got a shot of Buprenorphine & split...I had a 9am appt anyway.

I was aggravated 'till I realized there was a family there with a 10 year-old female boxer...had cancer. Also knew why they were all at this vet office at 2am...I felt terrible for them & the vet. So, let the little things go I guess & be happy & focused on the job we have at-hand. Just glad that little dog had her family with her to help her on. I knew she'd had a great life of love & affection...hey, what more do ya want, right?

So, the 2am Buprenorphine injection took an hour to kick-in, & he was up & stressing again by 5:30. The wife & stayed up with him then took him to the 9am appt. That vet was really nice & informative. We discussed meds & pain-mgmnt. Decided to try gabapentin & also have a sedative jic.

It's very helpful to be able to keep-up with the vets about this or that drug because of all the help from this online community...what is not helping is the almost 20" of snow on the ground smiley5

My heart lives at Rainbow Bridge
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20 December 2009 - 8:46 am
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It really hurts me to find a tripawd that has such bad reaction to the pain meds.  It makes it so difficult during an already difficult time. I admire your ability to excuse the e-vet's reaction.  I personally would have been on the phone the next morning explaining to the managing partner or board members what a jerk she was. Her job is to treat however many patients show up with whatever bad circumstances present themselves.  Not a fun time, but certainly one that must be managed with compassion for all.

Peace and good thoughts to you, your wife, and Butchie as you fight the pain demons.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

Winnipeg
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13 July 2009
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20 December 2009 - 8:50 am
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Hi Butchie and parents!

Was just reading all your posts. You have had a difficult road the last week (seems like months doesn't it?). You seem to have tried many exotic pain relief drugs that I never hear about on this site. But I hope the Gabapentin helps. Another drug that tazzie dog (Pam the vet) has suggested in combination with Gabapentin is Amantadine, which apparently helps prevent pain wind-up or accumulated pain. Apparently you can use these in conjunction with good ole tramadol. Lots of our tripawd dogs use Gabapentin for phantom pain and for other types of pain. Butchie's yelping sounds like the descriptions other people have given for phantom pain . Also, pain and panting seems to be worse at night, but of course that does not mean we want to accept pain that occurs at night.

Was Butchie's scapula removed? Just asking since it might affect the level of pain if he still has something left to move.

As for lying around outside, I guess you aren't so worried about that anymore. I found that incredibly frustrating the first couple of weeks. My Tazzie would just lie around (my little block of cement). Occasionally I would say 'that is enough' and exert tremendous effort and emotion to try to get him to move so he would poo or pee. But that did not work. But once in a while when he was lying around outside, I'd look out the window and see him hop over to a corner of the yard, do his stuff, and hop back only to lie around for the next 23 hrs. Of course it was summer time then so I was worried about too much heat, not too much cold.

Other sources of motivation: bring the car over if Butchie might want to go for a ride or bring people over who Butchie might want to see. That brought some spark back to my dog and got him to move enough that he had to relieve himself. (Sometimes I drove the car right to him, so he felt he HAD to get up! Believe me, he did not want to move.) Tazzie's return to a mobile life was probably longer than two weeks, but we did have slow improvement around that time. Once he was in a setting with more things going on (people, parks), he perked up considerably. After one month he was pretty good. By week 6 and especially by week 8, he was great, swimming and charging around after ball-chasing dogs at the dog park.

Keep us posted on Butchie's treatment. It is unusual (but probably a great idea to control the cancer) to have chemo before surgery. I would guess (just my guess) that would slow down the healing process? Tazzie had a small subcutaneous surgery after 3 chemo treatments and the wound was slower to heal. Stitches came out at 3 weeks rather than at 10 to 14 days, and even then the vet was a bit hesitant to take all of them out.

Let us know how he did last night. By the way where do you live?

Susan

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