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Caring for a Three Legged Dog or Cat

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Molly not eating almost 4weeks after op
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London, UK
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30 May 2023
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31 May 2023 - 6:07 am
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Hello, i am new here. My dog mini schnauzer has been diagnosed with rhabdomyosarcoma, had her back leg amputated almost 4 weeks but she is not eating properly ever since. She was sort off ok the 1st two weeks, all healed nicely, she took some cooked chicken etc and was walking on them 3 legs ok, but now into week 4 she is withdrawn, stopped eating, only water and some biscuits and banana and apple, no real food, all is handfed, she wont touch anything in her food bowl, we have tried all kind off food. she is very weak and wasting away, she can no longer walk on the other hinde leg as no energy, just sits or lies down. She is definitely depressed, will avoid looking at us, even spending time with us, will lie in corner staring at the wall, if we go down to her and lie with her, she will move to another spot, she is very withdrawn, not happy at all. i am really worried about her, she has list 300grams already, we can see her bones... vet says if no food further, she will need to be put down... all this for nothing, definitely having regrets about the op, but we really wanted to give her more time and a fighting chance to be on this earth a bit longer.. she was always a big eater, now refusing almost everything...  please, how long from your experience to get over her depression or lack of appetite etc... we have pills for everything by now, but not much difference... thank you

Viola and Molly

The Rainbow Bridge



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31 May 2023 - 10:33 am
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Viola welcome. Your future posts won't require approval so post away.

What you are describing could be untreated pain. Lethargy and lack of appetite are significant pain signals

What kind of pain management did she get after surgery? What medications, dosages, and how long? And what is your vets plan for treating her symptoms.

Has she seen a physio? If not she should as these experts are often more adept at pinpointing and treating pain than a general practice vet. If you'd like help finding one let us know. The Tripawds Foundation can even pay for your first rehab visit .

I'm so sorry for all the questions. Getting to the root of the problem can take some digging so that we can give you good questions to discuss with your vet and advocate for her. Euthanasia shouldn't even be discussed at this point if nothing significant is being done by the vet to get to the root of this. We will try to help so that you and your furbaby can get your life back. ❤️❤️❤️

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31 May 2023 - 10:34 am
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Hi, I'm so sorry to hear about your situation. My dog Riley had his front leg amputated back in late March. 

From my experience it sounds like your furbaby may be having nausea related issues. Riley did and once the vet gave us nausea meds he started eating great. Then, his energy and attitude improved. 

If you lay down next to your pet and they get up and move its almost always nausea or pain.

If you feel her pain is under control I would talk to your vet about some nausea meds.

We used cerenia which lasts 24 hours.

I hope that helps.

Bill

London, UK
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31 May 2023 - 12:03 pm
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hello, thank u for replying, we are worried sick,after the biopsy she was given gapapentin every 8-12 hrs. this was 04/24. amputation was on 05/05 and she was given Carprodyl (1/4 tablet once daily) and if she appears sore, to give gabapentin (1 capsule 2-3 times daily)

she was very sore so next day i asked for more painkillers as gabapentin wasn't enough and she got paracetamol (1/2 tablet twice daily)

post op check was all fine, she healed very nice but she never regained eating, so we were told to stop gabapentin and we got on 05/19 Cerenia, Famotidine and Prednicare (she did throw up also before this, so even not properly eating, she managed to be sick)

still not much difference re food and we noticed her being "depressed" so 05/27 we got more famotidine, mirtazapine and prednidale (famotidine out of stock, so we don't actually have this one)

her wound seems to be inflamed, and she started biting at her amputated leg and licking it a lot so yesterday went vets again, she got antibiotics and to try different meds if those we have don't do much, so she has ondansetron (1 tablet every 12hrs) and clavaseptin (2 tablets 2x daily), Cerenia (1tab daily) and mirtazapine 1 tab daily and prednidale. 

By now, i don't even know which tablet is which, there is so much.

she wasn't taking all those Cerenia tablets, i thought it is only when she is throwing up.

she ia restless today and can hardly do few steps, really weak on her remaining back leg.

No physio yet, thought she needs to heal and then they tell us to start with physio etc. 

i have contact some physio people today after r message, waiting for a reply. 

we are in London, United Kingdom, I found few hydrotherapy places, but she hates water, dunno what type is best, whether the pool or manual thing.

Thank you very much for all your replies, we really are lost. 

Viola and Molly

The Rainbow Bridge



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31 May 2023 - 4:01 pm
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Bill you are so smart for thinking of nausea! That didn't cross my mind, and it sure sounds like that's at least part of what Molly is dealing with. Your vets seem to be working hard to treat any pain she is in, but it sure sounds like this is probably more than a pain situation.

Physio can happen right after surgery, even a couple of days. It's not all about hard work, but more about helping a dog ease into life on three legs. I hope you get a call back soon. Hydrotherapy can be helpful oftentimes but for this kind of situation they will probably start with manual therapies like gentle massage, stretching, maybe acupuncture. 

Regarding her wound inflammation and the biting, that really sounds like the source of the issue. Is there any discharge? Is the tissue being sent to pathology to check for MRSA

For the Gabapentin, it's my understanding that for it to work effectively it needs to be given around the clock and consistently, not on an as-needed basis. I would talk to your vet about putting her back on it 3x daily. Typically that drug does not cause any nausea so it shouldn't make things worse.

London, UK
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30 May 2023
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31 May 2023 - 7:51 pm
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Hello Jerry and hello Bill

thank you both for helping. You guys give me hope... 

i have read some other messages in here also, can confirm 100% gabapentin when we had it, lasted max 6 hrs not 8, so we had paracetamol in between.

The wound itself has healed fine, no puss, nothing leaking, just some red spots underneath it... they reckon more like skin infection... they weren't actually too sure what it is... but Molly does want to lick it all the time that's for sure... obviously we don't let her... 

i'm worried all these meds will flare up her pancreas, she had pancreatitis twice before and she was also like this, no food at all. i mentioned to vet also, said she should be fine. 

she does sit with us now on the sofa now, let's us stroke her and cuddle her, and she is happy outside,you guys also mentioned like to lie in grass, yes, that's for sure but inside she struggles. 

some update, it is 2.36 am here in UK, she stopped walking completely now, that back leg has given up, does not support her anymore, she is on two front ones and sort of shuffles the bum to move to another place, only little, otherwise won't walk at all, not even with support. she wouldn't pee before bedtime, so i am really worried it is over for us as it goes from bad to worse. i know she has no energy in here, for so long without proper food, she managed few bites from sausage yesterday, that's it. she wants it all, she sniffs it, but doesn't eat it, doesn't take it. 

vet said doesn't want ro give us false hope... 

i attach the spots if it lets me.... actually, don't know how to attach it on here, using phone, so it doesn't do it somehow... 

and i hope she can manage to pee in morning otherwise we seem to be worse off than when we started... will speak to vet re gabapentin... 

this site has stopped us giving up on Tuesday, I pray she picks herself up... 

thank you thank you thank you

Kind regards

Viola and Molly

Virginia







Member Since:
22 February 2013
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31 May 2023 - 8:34 pm
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You really are hacing some challenges, that for sure.  And I can certainly  understand uour concern about all the meds.  The combo of all designed to be appetite stimulan, anti nauseous,  etc. , as well as the antibiotics, could lessen her appetite too.  Jist throwing that out there.

One thing that stood out.  She has had pancreatitis twice before!  From what I understand  it can recur quite "easily" sometimes if flared up before

As far as the back leg weakness.  Have you tried massaging  all up and down her spine, her neck, her neck and shoulders.  Does she show ANY tension at all in any areas?

Also, pinch her toes. Does she react  and pull away??

FWIW, now is the time for a second opinion immediately!  At the very least she should be getting some fluids to help perk her up and possibly stimulate her appetite, as well as help her pee.  And tests to ensure she isn't  having a flare up of pancreatitis. 

What has this Vet she's going to now attribute all of these "symptons"  to?  And what has led this Vet to that conclusion,  whatever it may be?  

So to me, a second opinion asap is definitely  in order before even thinking about "giving up".

And it is good she's enjoying some couch snuggles.and enjoyse being outside.

Deep breaths....let's try and get that second opinion, okay?

(((((((((((Hugs))))))))))

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

PS I'm going to send you a PM with my email address.  You can send me some screenshots of the pictures you are trying to take and I'll post them.

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







Member Since:
22 February 2013
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31 May 2023 - 10:56 pm
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Warning!!   CUTENESS OVERLOAD!  Molly is absolutely  adorable!!!

 

Also a picture of the incision  four weeks out.  Curious if the Vet noted the red lump.  Is it soft, squishy, hard, moveable, etc?  Others will chime in.

Molly sure does know how to pose for the camera.  I know I speak fir everyone when I say WE LOVE HER💖💖💖

 

  Screenshot_20230601-003726_Gmail.jpgImage Enlarger

 

  Screenshot_20230601-003721_Gmail.jpgImage Enlarger

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!

London, UK
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30 May 2023
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31 May 2023 - 11:35 pm
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Dear Sally, thank you for the message and for the photos. the red bumps, those two big ones have flattened down a bit, area is soft, but more redness appeared in 2-3 areas so not sure antibiotics have helped so far... saw vet on Tuesday 7pm.

i have booked another vet session for today, with another vet, hope they can do something further for her. 

it seems all the same. they all want more tests and more money. I think we are at a £6000 mark now. 

when i pinch her toes, she does pull away, she gets annoyed when we play with her feet and she would pull away, now and before 🙂

when i massage her, i feel loads of skin, muscle has been wasting away but she doest not feel tense, she just lies there, she lets you do whatever, she has given up... as long as it doesn't hurt she will just take it... she is a proper trooper, even when she had pancreatitis she suffered and suffered and was a good girl till we managed to see the vet as emergency, that was about 3 years ago... she is tender in her loin area (not sure how u say it) so maybe something is brewing...

she managed to pee this morning, we just came back as it is 6.30 am here, but she went down right after that, no walking or moving about, i carried her back home. but she did managento squat for her pee pee.

she seems knackered, but i don't blame her... all was going well 2 weeks ago and now turn for worse.

her tummy making all kind of noise, but she just won't take anything. 

have given her paracetamol this morning as she is breathing heavy and fast, but now she is asleep and seems more settled. 

thank you ALL so so much, words can't express what we feel...

thank you

Viola and Molly

The Rainbow Bridge



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25 April 2007
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1 June 2023 - 9:27 am
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Viola, I'm so glad you are seeing another vet. Is it at the same practice or a different one? That bump is very interesting. I wonder if it's a suture reaction that Molly is suffering from?

This is all very puzzling but hopefully they can get to the bottom of it. We have seen infections happen sometimes, and the symptoms are similar. Don't lose hope. There have been some situations where a pet parent was made to feel like euthanasia was inevitable, and all it took was the perspective and experience of another vet to bring that pup back from the brink. I hope with all my heart this is the same case for you and Molly.

Thanks for the photos Sally, she is adorable!

London, UK
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30 May 2023
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1 June 2023 - 10:46 am
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vet, the director of the hospital reckons it is more cancer related than infection...

i sent him email directly with all photos and issues mentioned... 

more and more of those have appeared now, literally over night and she is very sore...

we might be loosing the fight... 

Virginia







Member Since:
22 February 2013
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1 June 2023 - 11:41 am
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Hate to keep asking you questions and can only imagine how frustrated you are,

So Molly  did NOT  have an actual appointment where she has been seen today in person by a Vet, correct?  So does she still jave an actual appointment  lined up so where else today, or have I just misunderstood?

Just trying to figure out how, through emails and pictures this is the conclusion.  

So more of those lumps have shown up and "they" are saying  it's  cancer based on photos?  

And how is she sore?  When she tries to move or just overall painful?

While it  could be that it is some form of aggressive cancer, just at a loss at how they have made that determination.   Obviously  not privy to all the tests, etc, If they feel, based on THOROUGH diagnostics the past couple of weeks that's what's  going on, I would want them to tell you how they came to that conclusion. 

Regardless, ''comfort care" or palliative  should be offered....whether it be fluids, pain meds, etc....just something to help her feel better

See your on here now.....will see if you can reply.......

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







Member Since:
22 February 2013
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1 June 2023 - 12:04 pm
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Again, apologies  for all the questions.  It is so kind of you to share information during this difficult  time, but we all learn from the experiences  of each other.

I did do some googling specifically ofrhabdomyosarcoma.  So the tumor was just on the leg at the time of surgery  and nowhere else? Did they do other diagnostics?  What was the  prognosis  when they suggested amputation?  What was she like overall up until the surgery as far as eating, being her happy-go-lucky cute self, etc?

And of you dont  feel like delving  any further into this with responses ot od cert understandable.  Goodness knows you have done everything possible for your girl.  This disease is so cunn9ng and brutal and, even with the best treatments possible, can still lurk undetecte..  

We'll still hope for the best for sweet Molly.

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!

London, UK
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30 May 2023
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1 June 2023 - 12:44 pm
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hello, sorry, was a bit shocked from the email from the director... 

so, he is the one in charge of Molly's care from the beginning, she was all happy and not a care in the world and then she started limping and not using her leg... first we had anti inflammatory tablets, in case she pulled a muscle or there was inflammation, but no change, limping got worse and she just curled the leg up and wasn't using it. they did xray and they called us whilst she was under there are changes in the bone and they need to do biopsy. they took more xrays of body also to see whether any other changes but rest seemed fine. 

biopsy came back as malignant sarcoma but could not pin point exactly which as there wasn't enough sample, asnwer was most likely osteosarcoma. 

they said the best chance is to act quickly, amputate leg,referral to oncologist, follow by ct scan/chemo.

we don't have much money and the bills were. mounting. they said she is young and small, they cope well on three legs, can live up to a year (without chemo) over a year with chemo (generally dogs live this so they see no reason why Molly shouldn't. 

London, UK
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30 May 2023
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1 June 2023 - 12:50 pm
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so we did a bit of research, husband was against the op i wanted to try amd give her a chance. with the leg she was in pain, we could see and the bone could snap apparently amd break, so not much choice. 

hubby agreed to amputation, leg went for further testing then we got report not osteosarcoma but rhabdomyosarcoma. all visits and everything so far is about £6000. cannot afford chemo, really thought leg off and we have her for a year.

she never started eating properly since the op really, just bits and bobs, but leg healed nicely and she was walking nicely on all 3.

all visits went well and the only issue remained her not eating still. 

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