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Caring for a Three Legged Dog or Cat

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Xena the Frenchie just became a Tripawd
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Member Since:
24 May 2020
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24 May 2020 - 1:08 am
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Firstly - what a wonderful community to find!

I'm reeling currently. Three weeks ago Xena, our 8-year old French Bulldog, pulled up lame on her rear left leg mid-walk and was toe touching. At first we thought she had something in her paw but quickly ruled that out. My next thought was that she'd blown her cruciate as my previous dog had this happen in pretty much the same way. We carried her home and rested her the rest of the day in case she'd simply bruised a pad on something, but the next day no better so we phoned the vet. The vet's advice was to rest for a week and contact again if no better (during lockdown they've been limiting visits to the serious stuff).

A week later, 2 weeks ago, it was no better and a swelling had come up on her knee so the vet called her in and pretty much immediately said he thought it was a tumour and wanted to do a biopsy. She had a biopsy the next day and the results came back a week later as an chrondroblastic osteosarcoma - apparently the most aggressive type of bone cancer - and we were given the devastating news that if a tumour can be seen, there's 90% chance it's spread elsewhere and Xena has 4-6 months to live. We were given Metacam and Gabapentin to manage the pain and told that, at some point, the leg may become too painful and we'd have to decide between euthanasia and amputation, but 'by that stage' they'd not recommend amputation.

This Thursday gone, a week after her biopsy results, the tumour suddenly tripled in size and Xena couldn't use the leg at all. Back to the vet who said he'd never seen a tumour move so fast and he advised amputation the next day if the cancer hadn't spread. So on Friday we took her in and waited for a call - the arrangement was they would put her under and then x-ray her chest; if the cancer was in her lungs we wouldn't wake her, but if she was clear at this point he'd amputate. Thank god her chest is clear so far so the operation went ahead. We picked up our new tripawd Frenchie last night and are still in shock at the speed of all this - no time to think or decide on anything really and no time to prepare.

My house is hard floors downstairs so I spent yesterday pulling rugs out of the attic and making a 'highway' round the house so she doesn't slip but had no idea what else I should be doing.

She came through the amputation, though she lost a lot of blood and it was touch and go whether they'd have to transfuse. I'm a bit concerned about the pain relief - she had an opioid shot last night when they released her, but have released her with the Metacam and Gabapentin she went in with...but have said not to use the Gabapentin. I'm worried by that because, it seems to me, that going from a position of being on both drugs for 2 weeks, then on opioids at the hospital and then drop straight down to Metacam alone is a big drop off in pain relief for a dog who's had an amputation less than 48 hours ago - should I just keep her on the regime she was on before she went in? Metacam and Gabapentin?

Last night was tough, we slept downstairs on couches to be near her and our other Frenchie, who's very bonded to her, was literally quivering with worry. At one point Xena shot upright making an unholy screaming noise and we panicked thinking it was pain - we shot over and stroked her and it seemed like she was dreaming; she settled down again after a bit and has slept through to this morning. Whilst the screaming went on our other Frenchie, Smurf, shot over to help and when we didn't let her close went and hid on a couch shaking...she's not been eating since Xena went in to hospital on Friday morning.

I'm really thankful this forum is exists and I'll be hoovering up all the advice and stories here because both me and my partner's heads are spinning right now - 3 weeks ago we had a normal, healthy dog and today we have a tripawd with a life expectancy of 4-6 months tops icon_cry

Xena

On The Road


Member Since:
24 September 2009
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24 May 2020 - 1:03 pm
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Hi Xena and family, welcome. She is such a sweetie!

JtsM0kS.jpgImage Enlarger

We are glad you found us too! I'm sorry you didn't have time to prepare for the transition but better to act fast than to delay. And now that you've found us we can help guide you, Xena and the other doggies along on your journey. Have you seen Jerry's Required Reading List , the Tripawds Shopping List or the What to Expect articles about amputation recovery? Our e-book Three Legs and a Spare also has lots of info to help you along.

have released her with the Metacam and Gabapentin she went in with…but have said not to use the Gabapentin.

Did they specifically say not to use it? This seems odd, maybe there was some miscommunication. Give them a call to find out before you do anything. Gabapentin is one of the go-to drugs to prevent phantom pain and is extremely helpful when used alongside a non-steroidal and opioid medication. Our pain management articles have lots of helpful tips about recognizing pain signals and treatment.

I hope this helps. Keep us posted on how she is doing and stay tuned for feedback from others. Hang in there, you are not alone!

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

Livermore, CA




Member Since:
18 October 2009
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24 May 2020 - 1:28 pm
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Hello and welcome. 

I'm glad you found us, lots of information, experience and support here to share.

First off- in my non-vet opinion, metacam alone is not enough pain meds.  It is a anti-inflammatory which helps a little but this is a big surgery.  Most here come home with gabapentin, tramadol or another opioid, and something like metacam.  Gabapentin helps with phantom pain - which may be what she experienced last night when she shot up and was screaming.  Let your vet know what you are seeing and advocate for Xena if you think she is in pain.

Here is a Blog Post on Learning Pain Signs in Pets

Here is a Blog Post on Managing Pain after Amputation

As far as what to expect with amputation and recovery:

Required Reading List

Good job on getting the rugs out for Xena!  Traction is huge for Tripawds, especially new ones.  Right now Xena should be resting except for short, leashed potty breaks.  Our surgeon told us to keep Maggie quiet like that for two weeks post op.

How is she eating? Eliminating? 

Maggie was a little Pug who lost her left rear leg to mast cell cancer.  After recovery she was the same obstinate, happy and mischievous girl.

The next couple weeks may have ups and downs, don't get discouraged! Rest and good pain management are key for a good recovery. Celebrate every little victory and soon they will add up to her sparkle coming back.

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

Virginia







Member Since:
22 February 2013
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24 May 2020 - 10:01 pm
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OMD !!  XENA IS ADORABLE!!  She is soooo cute!!

You've gotten good feedback from Karen and Jerry.  DEFINITELY  speak with the Bet about getting  her started back on the Gabapentin  asap.

Jist so you know, statist don't  mean much around here. For example, Karen whomposted above, was owned by a Stubborn Pug Maggie.  The Vet told her Maggie had six to nine months.   Maggie did listen.  She passed foir years later from a different  form.

The most important lesson on thos journey is to live in the NOW!  Be fully present in the moment.  We call this Be More Dog .

Stay  connected  and let us know how we can help, 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!


Member Since:
24 May 2020
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25 May 2020 - 12:11 am
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Thank you all for the advice!

Yup, they definitely said that we shouldn’t take the Gabapentin; it wasn’t noted on her release notes and the nurse made a point of saying they were giving it back, but that we shouldn’t give it. I’ve gone ahead and given her the same dose she was on up to the amputation and will phone the vet tomorrow (public holiday today here in the UK)

I know the chances are high of this spreading to elsewhere; especially the lungs - but what about to other limbs? It’s probably me being paranoid but when I got her out for a morning wee this morning it looked like she was tender on her front left! This is the leg that the needles were in so I guess it may just be a little bruised...this whole thing came on so quickly that I think I’m now terrified that it pops up in another leg and we have no choice but to put her to sleep.

Member Since:
15 May 2020
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25 May 2020 - 5:54 am
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Hi Xena and Xena's pawrent! My pup Kinzi is 6 days post op (front leg amp) and the first few days were rough but she's getting her sea legs and is already amazing me with her spunk and ability to bounce back. Now I have to constantly save her from herself because she's a dare devil (there's a post on this in hopping around for when you get out the woods).

I don't know the stats on osteo spreading to other limbs... But in my non-dog mom life, I am a trauma-informed educator and I'm popping by to say:

1. You and your family are so strong.
2. You are probably in shock due to the trauma of sudden illness in someone you love. Trauma in humans can lead to extreme panic, depression, exhaustion, brain fog (I keep saying my brain is a potato right now- losing my keys, walking into rooms and forgetting why, struggling to keep up with chores). If you're experiencing any of those, it is totally normal.

Wishing you luck on this journey. sp_hearticon2sp_hearticon2 Xena is a spunky little cutie who has you and a furry friend to help her through this.

Virginia







Member Since:
22 February 2013
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25 May 2020 - 10:14 am
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Good for you for advocating  for Gaba.  Soooo glad you have some on hand and can continue  with that.  It's  my understanding it's something  that should not  be stopped abruptly  anyway.

And rarely does osteo go to other limbs.  It absolutely makes sense that her leg is tender where she has had needles poked into it.  Ouch!

Now, take some deep breaths...b r e a t h e....it's been exhausting  emotionaly and physically  getting to this point.  No one knows how long we have on this earth.  What we do know mon this journey is to not waste one second  worrying  about the tomorrows. Xe a doesn't  count days on the calendar.  She doesn have a timeframe  stamped on her butt.  She lives in the NOW.  She flows effortlessly  from one moment to the next.  We always say to Be More Dog around here.  

Stay connected.   You're  doing great!

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!

New York, NY
Member Since:
24 March 2020
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25 May 2020 - 11:21 am
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Hi Xena's human (what's your name?)!  I'm Stacy, mama to Griffin, the 10-year old goldendoodle who had his right forelimb amputated on April 2, 2020 due to osteosarcoma (Griffin's Journey).  You have come to the right place for support and answers!  Griffin is unusual in how quickly he came off meds, but even he was on gabapentin after the surgery and it was the last med that we stopped, so good for you for trusting your gut on that part of Xena's pain management plan.  And, it is perfectly normal that you are now hyper-sensitive to any bump, bruise, or yelp from Xena - both of you have been through a lot recently!  From what I know, it is most common that OSA spreads to the lungs, which is why they do chest x-rays prior to surgery.  So the fact that her x-rays were clear is a great sign!  You have lots of options moving forward with Xena's treatment, so I'd encourage you to read through the various threads on Tripawds to learn about what feels right for Xena and your family.  Do you have an appointment to follow up with an oncologist?  There are resources on here to help you make a list of the questions you'll want to ask.  One new development with osteosarcoma is the use of Auranofin to prevent the spread of lung mets - you can read more about it in the topic Auranofin Treatment Thoughts? and bring it up for discussion with your vet.  Please keep posting pictures of the absolutely adorable Xena and keep asking questions - we are all here to help!  Sending hugs from NYC! ~ Stacy

Griffin lived an amazing life for 11 years! Diagnosed with osteosarcoma on March 17, 2020, Griffin's right forelimb was amputated on April 2, 2020. Ten days later he was running and playing fetch! Lung metastasis discovered in July 2020 did not slow down Griffin and he lived joyfully for the next 7 months, passing peacefully at home on February 11, 2021. https://griffin.tripawds.com

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