Wednesday, June 24, 2009

Group Therapy

As usual, Sophie directs all of our activity. She was in the pool with me for her second therapy session (Roy does it in the morning) and Joey just could not stand it anymore. She had to join in.


We both think the swim therapy has helped not only with exercise and neruological issues, but also with emotional issues.


Sophie seems to be improving though at a glacial pace. She has been able to stand herself up a few times, but it isn't a regular occurance. She has the most trouble when she first stands. It takes her a few seconds to figure out her feet. But once she gets going she motors along pretty well - especially if she has a goal (swimming, drink from the hose, potty break).

Tuesday, June 23, 2009

A Bright Spot

Sophie just finished up with her morning swim therapy and is enjoying a nap outside.

Earlier she surprised us by getting herself out of her bed and walking over to the edge of the pool. I we had finished swimming with her and I put her in her outside hammock bed to rest and dry. I was throwing a stick in the water for Joey, but Joey didn't want to go in after it. I was being animated and trying to get Joey to jump when I looked back and Sophie was steaming towards me. I think if I didn't grab her she would have jumped in after the stick! That was the first time she got herself up!

Monday, June 22, 2009

Day By Day

We don't know what to do. Yesterday Sophie had a pretty good day all things considered. She still can't walk, she still suffers extreme pain at various points in the day, she still can't eat or drink out of a bowl.

So the fact that her excruciating pain lasted only for an hour and 15 horrible minutes was a good thing. The fact that she ate and ate without vomiting was pretty good. She actually ate quite a bit - we were thrilled. She did her swimming therapy and napped in the sun. And by this morning, you could tell she wanted to get up and head outside. But that's the thing - she can't get up. When I get her up, it takes her a few steps or seconds to understand where her feet are and what they are meant to do. Once we get going she can eventually walk on her own, but she can't stand on her own.

We are taking each day one at a time, moment by moment. We were given the OK to do swim therapy for 3 minutes, twice a day and we hope that will not only help physically, but emotionally. Sophie loves to swim.

Saturday, June 20, 2009

Fused Disk

When we took Sophie in to have her stitches removed we also spent some time with the surgeon discussing the severe limp Sophie presented the day of surgery. We had some x-rays taken while she was under for her surgery so we had the opportunity to review them.

Sophie has two disks in her spine that have fused together. It is not that uncommon in an older, very athletic dog. We had already seen signs of it in that she had stopped holding her tail up high, had a slight arch in her back and showed some sporadic weakness in her rear legs. The vet said that since she responded so well while on Rimadyl, she felt that was the best coarse of action and did not recommend surgery - though it is a possibility.

Last Tuesday, Sophie couldn't walk. She completely lost the ability to use her hind legs. She could not stand herself up, she couldn't stay standing when we got her up and she couldn't walk. We got her to the vet who did a quick examination and felt that there was significant enough swelling around her fused disk to cause the symptoms we were witnessing. She recommended we treat Sophie aggressively with steroids before talking about MRIs and other options. Sophie stayed with them for two days.

She responded well to the steroids. The next day she was able to hobble around with the assistance of a sling. She was carried outside for bathroom breaks, but once outside she could walk a little. Thursday, she walked herself outside - still using a sling. We visited on Wednesday, hand fed her (she had not been eating) and told her how much we love her. We saw the vet a briefly and she reiterated that she was pleased with Sophie's response.

We were able to bring her home Thursday evening. We were given a new pile of medicines, a pamphlet for Scout's House and the OK for 3 minutes of therapeutic swimming a day.

She has not done as well at home as we would have liked. We hoped that she would continue to improve slowly each day, but she has taken a step backwards and has stayed there. Friday she slept all day and barely ate. Today she has had bad pain and has eaten less. She seems to enjoy her walks out to relieve herself and when we opened the pool she was very interested. As you can see, she paddled around - for ONLY 90 SECONDS (if our vet is watching in on us).

We will see what tomorrow will bring for our little Rock Star Sophie. We are hopeful it involves eating, walking and a wee bit of swimming.

Wednesday, June 10, 2009

No More, Please.

I have not written anything about Sophie for a few days, because not much has changed. She is eating, she wants desperately to be "cleared" for swimming in her pool, and she has less "goo" coming out of her nose. We'll call her "stable" as we head in to get her stitches taken out tomorrow morning.

So. Why relax?

We took the Labradors with us to run some errands today. We stopped for lunch (read:dogs got snacks) and on the way home we stopped at one of Sophie's favorite parks (all of them are her favorite parks). There was a friendly gang of dogs hanging out so we joined in. Joey was quick to find the 1.5 year old who also likes to play chase. Joy! Lucky! They romped around for a good 15 minutes, then it was time to go. We leashed up and headed for the car - Joey leading the charge. Then she stops short and starts to furiously shake her left front paw and she won't walk on it.

I get down and start to search through her toes and pads and fur for what I expect to be a burr, or splinter of some kind. I search and search but I find nothing. No burr, no glass, no blood, nothing. She is still shaking and shaking her paw. We carry her to the car so I can look at her foot without the other dogs coming up to help. I still can't find anything, but now I see a little red spot.

Oh. Crap. Bee sting.

This bee had incredible accuracy. You know the 2nd to last scene in Star Wars (IV) where Luke has to fly along the surface of the Death Star and at the very last second use The Force to shoot 2 photon torpedoes into a 3 meter wide hole which will eventually destroy the Death Star (but not Darth Vader)? You know that scene? That is what this bee had to do to sting Joey's foot. This red mark was deep in between the "palm" pad and the toe pads. The Force is strong in that young padewan bee.

Off to the vet we go. Poor Joey. She hates the vet.

She was a brave little soldier. The vet AND a tech searched her paw and squeezed it and shot her up with benedryl. She got a cookie for her goodness. She didn't feel that was adequate. She is sleeping happily now.

Sunday, June 07, 2009

Good Weekend for Sophie

Sophie is improving everyday. The further we get from her wailing and panting the better - and the more we think it was the medication. He appetite is probably 70% back to normal. She shows a lot of interest in food (and she is getting anything she wants) but will only eat "so much" of any one food. Where she used to eat 1 cup of kibble, now she will eat 1/2, then asks to be hand fed, then loses interest with 15 kibbles to go. She has been really good about taking her remaining medicines (thyroid, anti-inflammatory, antibiotic) too.

She has shown more and more interest in her pre-surgical routine. We took her to the park twice yesterday and twice today. She enjoys the trip and carrying around her pink squeaky ball. She's not doing much more than that (which is fine with me).

She still is producing a good amount of mucous that comes out her nose. I'm hoping that is all normal healing stuff, but don't you worry - I'll ask. She is due to get her stitches out on Thursday.

Friday, June 05, 2009

Chicken for breakfast? Why Not?

Sophie is home from rehab. She spent a few days with the vet being observed, going to group, having one on one time with the doctor (to share feelings) and going cold turkey. She’s home now, starting to eat more and eat more regularly. She is resting, finally. It’s nice to have her back!

Last night we saw her appetite coming back, but this morning it has returned almost completely. She is still fussy (she never was before) but she is eating more at a time. We are up to half a cup of kibble and this morning she ate half a cup of baked chicken. She would have had more but I ran out. The next breast is thawing.

Thursday, June 04, 2009

Baah One, Baah Two, Baah Three

Sophie is home. She ate a few cookies, walked around the house and put herself in the second bedroom. She counted a few sheep and that was it.

Zzzzzzzzzz. 'Nuff said.

Well Rested

Heard from the vet earlier this morning that Sophie has been resting well with them. She still has not eaten much, though she is showing interest. They are going to take some blood today, run a CBC and also test her cortico steroid level. They want to rule out the possibility that she is not producing it on her own. She has been on prednisone, a steroid, in a low dose for a year which is why it might be possible her system stopped making it - or is starting to stop.

They are going to keep her today, we will get her at 4:30 unless we hear otherwise. I'm going to spend the day turning the house into a zen sanctuary, removing all stimulus from her home environment. There will be nothing but dim lights, soft music and scented candles - chicken pot pie scented candles. :)

Wednesday, June 03, 2009

Heard from the Vet

I just heard from the vet. Sophie has been sleeping for the past 6 hours. I asked if they put her on a new medication of did she just give up.

"We think she just gave up." It was about time! Poor thing was exhausted. The doctor said not to bother her since she is resting comfortably, and breathing regularly. They put some food in with her but she was just too tired to deal with it.

They will keep her overnight and call us in the morning with a status report. Hopefully if she has any more strange behavior to get out of her system she will do it there, for them.

Sophie is Back at the Vet

Sophie didn't sleep at all last night. The magic we hoped for Xanax to bring her only lasted about an hour. She panted all night and paced in the small bathroom we had her confined to. I stayed with her and tried to calm her, but she has something else going on. She was trembling (which often means pain) off and on and had a little trouble breathing through her "blow hole".

The vet called this morning to ask how everything was going and got a story she didn't expect. She said to bring her in and she would have the surgeon look at her and get some other opinions from her colleagues. We discussed all the options for poor Sophie Ann Marie Mary Louise Theresa Christine, new pain meds, different sedative, etc. I was willing to try anything, but I was quite nervous about putting her on yet another medication, taking her home and having yet another symptom or behavior pop up. The vet offered to keep her over night, maybe two, to try to get her in a better place. As much as I miss her right now, I'm glad she is with her medical team. They can run an IV and give her fluids and nourishment as she still have eaten next to nothing.

I am very grateful for Joey.

Tuesday, June 02, 2009

Trip to the Vet

Veterinary Medical Specialist opens their doors at 8am for emergency drop offs and is open for business at 8:30. Roy had the phone dialing at 7:59am. We were getting an appointment for Sophie to see her vet. Today.

We had a bit of a trying morning just because Sophie is on the move. I want to say she is agitated, which she is, but I think she is also just Sophie and she is aggravated about all this sitting around. It is not a coincidence that it is the pool she continues to circle around. She could just as easily go out to the grass on the side yard.

It should be mentioned here that Sophie has been in the habit of walking in VMS and immediately demanding a cookie from Geoff who is usually at the desk there. Today was the same. He smiled and gave her a cookie, which she ate, and in unison Roy and I said "She hasn't eaten in 5 days Geoff, don't stop feeding her."

We told her story to the vet and said "Fix her" and "Help us" and "Feed her". They are all so nice there. They took Sophie in the back, the cooked up some chicken for her they looked at her stitches, they cleaned her wounds. They noticed that when they tried to feed her she would take the food, chew it and spit it out and concluded that part of the problem may be that her throat was irritated from the anti fungal medication. They mixed up a concoction of a pepto bismol-like medicine and dash of lidocaine to coat and soothe her throat. She ate a little after that, not much really.

We talked with them about the screaming and wailing, stating we really didn't want to give her those meds anymore. We were told yesterday that benedryl was an option, but I know from experience that it does nothing for or to Sophie. But today we were sent home with the magic pill: Xanax. Sophie is on a very low dose and it seems to be just what she needed. She is in and out of naps, but mostly just hanging out on her bed.

Quick funny story... You can imagine Roy and I talking with (well at, really) the vet this morning. We are talking over one another and shouting out every minute detail (because it might be important), correcting one another and completing each other's sentences. I look like the mother of a new born (no sleep) and Roy is detailed in his account of how upsetting it was to watch Sophie screaming, wailing and pacing. So the vet reveals Xanax is the plan - we have a thousand questions - she tells us to break the pills in 1/2 and start with that dose. We can always up the dose to a full pill if we need to, blah, blah. Then she looks Roy square in the face and says, "And if it doesn't work for her, you can take it."

Crying Over Kibble

Take yesterday's To Do list and apply it to this morning. Though this morning she shoved the kennel (we use it to barricade her in our bathroom) out of her way to get outside for the bathroom break. She is very, very thirsty and is taking us out frequently to see what's happening with the hose.

But now we can add to the list medication and kibble. When we first had her out this morning and she was drinking from the hose we were able to get most of her medications down between drinks. She was gracious and took a nap after her exercise so that I could take Joey up to Pulgas Ridge Park for some off leash romping.

When we returned Sophie was starting to get agitated again. She had walked Roy around the yard several times, hose break each lap. She would lie down, but only for minutes at the most. I walked her around for a while and asked Roy to bring out her water bowl and kibble bowl. She showed some interest in her bowl, then we heard "crunch". Roy and I looked at each other, "Did you hear that?" Then another "crunch". I started crying.

The routine became: walk around the pool, stop at the hose, stop for 5 kibbles, walk around the pool, hose, kibble. She took a 10 minute nap, but now she is on the move again.

Monday, June 01, 2009

Agitation

Sophie began to get agitated again late this morning. Thankfully she did not start to wail, but she wouldn't stay still. She was very determined that she wanted to walk around outside.

We took her out, around the pool (I actually think she wants the pool to be opened so she can swim), stopped at the hose for a drink then out to the side yard. She stopped by the hose out there too and slowly put herself down. She rested in the shade for 45 minutes or so with Roy out there reading a magazine. I ran up to borrow a x-pen so we can fence Sophie off. I was only gone 30 minutes or so, but that was enough for Roy to call and say "get back, she won't relax".

On advice from the vet, we gave her another half sedative and I sat with her until she dosed off. She is resting now.

This is not easy.

The "To Do" List

We have always said that Sophie is the smartest one in the house. She proved this to be correct again.

This morning, after a good nights sleep, Sophie walked us outside. Bathroom break: check.

Then she walked us over to the hose and wouldn't move until we turned it on for her to drink. Water: check.

Then she walked us around the front yard, into the back yard and around the pool, twice. Exercise: check.

Then inside for a nap.

Sophie is a total champ and is, and will always be, my hero.

Now if I can just get food and meds on that list...

Sunday, May 31, 2009

Signs of Life

After last nights hours of wailing and screaming, we were actually pretty delighted that this morning Sophie was sleeping really hard. Her eyes were rolled up in her head, she was snoring and she seemed in a relatively comfortable position. We tiptoed around the house trying not to wake her for fear the wailing would start up again.

We checked on her periodically, but she was really zonked. We finally drew the line at 10 am. That was the time we would roust her, make her walk around give her more medicine, water, food, whatever we could get her to take. At 10 am she was still zonked. We looked at each other, worried, but thinking it's good that she is resting. And she is in her kennel so she is safe.

Another hour goes by, and another. Roy draws another line in the sand: 2pm. If she isn't starting to wake up by then, we are calling the vet. 2pm came and still no effort by Sophie to lift her head. By now Roy and I have worked ourselves into a pretty good panic. Is she in a coma? She hasn't had anything to eat or drink since she got home, is she dehydrated? To what degree is her AIHA involved? Her inner eyelid was up and covering her eyes, was she going blind? Does she have neurological damage?

We call and leave a message with the on call vet at VSA. Yesterday, our messages got us a call back within 15 to 20 minutes, but this afternoon it took a good hour. You know us, we put that hour to good use. We revved up our panic. We practiced lifting the kennel. We measured the kennel, measured the back of my car. Measured everything again. Called my dad - he came over (THANK YOU!!!). Packed up Sophie's meds in a bag. Packed a dinner for Joey. And otherwise prepared to take Sophie to the ER. My dad was great. He checked her out and explained what concerned him and what didn't. What pain medicines can do and how long they can stay in the system. He checked her eyes and thought they were reacting OK. He generally helped us gain some control of ourselves and the situation.

When the doctor called, he and Roy spoke for a while. He had Roy do a skin test to see if Sophie was dehydrated - she wasn't. If you know Roy you know that he asked lots of good questions and restated the answers to be sure he understood. We learned a lot (again - this vet is fabulous) and when we hung up we felt pretty certain that Sophie was either extremely exhausted, heavily medicated due to the patch on her ankle (oh yes, the patch, we forgot about that) or both. We were told to force her to get out of her kennel and walk even if only for a few steps.

That's what we did. We got her up and helped her hobble across the room to a throw we had waiting for her. She has been on that blanket for the past few hours. She has started to open her eyes a little be more. When they are open, she seems to follow our actions around the room. She has adjusted herself a few times and just a few minutes ago she stood up and headed for the back door - she wanted a bathroom break.

She is again resting on the blanket. She still has had nothing to eat or drink nor has she had any of her meds. We will reassess in the morning.

Saturday, May 30, 2009

This is hard

I only do well with my own pain. When Roy had his kidney stones it was so hard to watch him experience those waves of pain. He at least could talk to me; tell me that a wave was coming, and leaving and when it was time to tackle a nurse for more morphine.

Sophie can't do that. She can't say "Hey, the pain meds seem to be wearing off, let's load up another one." All Sophie can do is scream when it hurts and I don't handle that well. She is panting and whining, wailing and screaming. Picture a polar bear calling her cubs that are a half mile away. That's wailing. And I'm not allowed to give her the pain medicine in any less than 8 hour intervals.

Last night was rough. Sophie wailed, and screamed until at least 11pm. We called the vet (again) to ask what we can do for her. He said definitely no more pain meds 'til morning and it was possible she was simply over medicated and that was causing the wailing. He said to put her in her kennel, cover the kennel with a blanket and ignore her. WAY easier said than done, but we did it. It took a few hours and a few visits from us to say "It's OK" but she finally was able to sleep.

Sophie is still sleeping this morning. I can't really give a report on how she is, since she hasn't done anything but rest. Rest is good.

Sophie is home


Sophie is home! We were able to pick her up Saturday morning first thing. The nurse carefully explained to us all that she had been through, what meds she is on will be on and when to stop what. I took lots of notes.

They seemed pleased with how she is recovering from the surgery. She clotted well on her own so she did not need a blood transfusion. She is still producing material that she is blowing out her nose. That will diminish as she heals, but I don't think it will ever completely go away.

You can click the picture above to see that her head is shaved from above her "eyebrows" down to her nose. She has a line of stitches that goes from between her eyes down her snout to her nose. She has two holes in her forehead. Those used to have the tubes that were used to administer the anti fungal medicine. She came home in an Elizabethan collar and a sling to assist her rear half with walking. We are supposed to keep her in a small room with walking only allowed for bathroom breaks for two weeks. Our vets have said several times in different ways that THEY MEAN IT. Sophie's got a reputation. So do we.

We got her home, let her walk in the yard for 5 minutes for some relief and then straight to bed. We have her in our rumpus room with the windows slid open so she can enjoy the breeze from outside. She has repositioned herself a few times, but is now resting and watching our every move. I am sitting on the floor next to her and will be for the next few days.

Joey was delighted to see Sophie. She wiggled and waggled around, but knew immediately that Sophie needed her space. She is very interested in what Sophie is up to, but she is also being respectful.

Friday, May 29, 2009

Sophie is "Hanging Out"

We got a call this morning from the vet's nurse updating us on Sophie. She did fine overnight and is still resting this morning. She is on lots of pain killers and is probably a bit loopy. She will be taken for a walk around noon and her anti fungal treatment is still planned for this afternoon. We will know later today if she is coming home or will spend another night.

But right now, she's just "hanging out" in her kennel (which is a good thing - better than panting or whining).

Props should also be given to the littlest labrador. Joey has stepped up her game in the past few days. She has decided Frisbee is pretty darn fun - so is chasing down the flat soccer ball. And she snuggles in extra tight when mom buries her head in the pillows.