Friday, November 4, 2011

MRI - Oh My!

AP here:
I have to say I am not good at waiting and even worse at it when I am waiting on important news. Today was Tonka's MRI and that was an adventure in itself. I had him at the VNoC at 4:30 to get his IV catheter in place and then we waited for about 20 minutes for everyone to get ready. We had to follow the technicians over to the MRI facility which is about 5 minutes down the road fro the CVRC center. Once in the truck Tonka kept licking at the catheter bandage and so I had to keep putting my hand int he back pretending to have treats to distract him. When we got there I had to find a low place to back into the ramp would be at a very gradual slope for him to get down out of the truck. Once I got him out I gave him to the technicians to hold onto while I went to park the truck. They took him in and one of them came back to get me. When we walked thorough the door and I saw that we were in a stairwell with way too many steps he would have had to navigate my face must have dropped because the tech said "it's OK Ryan carried him down". Well Ryan probably weighs a whole whopping 5 lbs more than Tonka so all I can day is he must be in great shape. Then as we got further down I smelled the Tonka poop smell and she said "oh and he left us presents as he was carrying him" and there on the steps were some Tonka poops which she very kindly cleaned up for me.
I hope this is not becoming a habit with him since he pooped all the way up the walkway at Greater Annapolis last week.
The facility does 4 dogs in an evening and Tonka was #3 to go so the humans and the little Maltese that was going last (Vince) sat in the waiting room and did just that- waited. Vince has the same type of symptoms as Tonka but he is 12 years old and he is a very sweet little guy.
They came out once to tell me they were starting the MRI and then again to request permission to do a Cerebrospinal fluid (CSF) tap. Then at about 6:30 they told me they were done and Dr. Harris would go over the results with me.
The great news was that there were no disc problems or any other issues with the spine other than some bright spots on the cord and that is why she did the tap. Dr. Harris is great and she went over all the images with me and explained all the different areas and what we would be seeing if he had a problem.




I had to wait some more because my lightweight of a big dog takes forever to come around after anesthesia and they ended up carrying him out to the truck.
Once we got home dad and I had to lift him out of the truck (still in his bed). I thought his ear was flipped over so I reached down to flip it back and realized they had shaved his head for the tap.

We then dragged the bed with him in it still out for the count around the back of the house and through the back door.
I setup my little bed next to him for the night and he never moved until about 1:30am and then he got up staggered around, ate a little food, drank some water and went right back to sleep.


We still have to wait for the spinal tap results but it is looking like this is an Orthopedic problem.

Wednesday, November 2, 2011

Two Weeks Out

AP here:
It's been 2 weeks since the original Neurological appointment and I have had the boy on leash walks and a ton of medication. I actually have an excel spreadsheet to track it all which in and of itself is disturbing. I have had to modify the  household schedule (including sleep) to try and keep the boy on some sort of normal routine. He cannot use the stairs so every time he needs to be shifted to another level of the house we have to use the ramp off of the porch outside the kitchen door. Just getting him to the door is a 5 to 10 minute process while he thinks about it. If you try to get him to go somewhere that doesn't suit him its another 5-10 minute process to talk him into it. Needless to say I spend a lot of time waiting.
Our morning goes something like this:
Unlock the kitchen door. Go downstairs and spend 10-15 minutes lying next to him petting him (checking his heart rate) and getting batted at with the giant paw. Give him his 2 pain pills and 2 pepcid in some sweet potato. Throw on sweats, a Jacket, shoes and a hat, run out front and unlock the gate. By now he is up and at the basement door so I put on his collar and leash and out we go to the end of the porch where he stops to sniff for a few minutes before actually setting foot out on the lawn. Then around the house we go and out the gate to the front where he stops at the end of the driveway to sniff again for a few minutes. We have a small court up the street to the left and down the street to the right so once we pick a direction the goal is to walk around the court, go to the bathroom and then home. That sounds like it should not take long but it never quite goes as easy as it sounds. Once we get to the entrance of  a court he puts on the brakes. He wants to walk the big 2 mile loop like we have almost everyday for the past 2 years and he knows he is being short changed. Tonka does not care that he is hurt he just wants his routine and he wants to go meet and greet all his regulars on his walk. I cannot force him to turn down the court without pulling him and possibly hurting him so we have a standoff. I at one end of the leash headed into the court and him on the corner at the other end refusing to move. This is where a little dog would be nice, you could just pick them up and walk on, that is not practical with Mr. 130lb stubborn boy. After 5 minute or so and with me getting down and explaining in his ear that he does not have a choice he will usually give in.Once around the court the same routine plays out again because he does not want to go home.  On my lucky mornings one of his favorite neighbors will happen to come by and will sweet talk him into going around the court or home. Usually it is Marie and he adores her and will willingly go wherever she wants. It is very nice of her to detour from her walk to help us and makes my day start off a little less frustrated. It is also nice to have a second person on those walks where he does not stop to squat but keeps on walking because I have to go back to pick up the poop. If I have a second person they can keep walking him while I double back. He refuses to go back so if I am alone I have to tie him to a mailbox and then go back. He is a good boy so if it is real  early and no one is around I can tell him to wait and he will stand still while I go pick up.
Once home we go through the gate and up the ramp to the kitchen door and inside. Thank goodness for the ramp but it is still hard for him going down as his hind end starts to go sideways and come around on him. He settles down in the living room for a little while and I get his breakfast and his Thyroid pill.
He eats in the kitchen and then we go out the kitchen door where he stands for a few minutes deciding if he wants to go. Then its back down the ramp and out the gate to the front door and the landing which is where he would love to spend most of his day. While he is lounging I give him his anti-inflammatory which is a liquid and a stinky treat to wash it down with. When I am ready to leave for work I have to coax him to get up and come back around the house, though the basement door and to get into his crate.

His crate is 4x6 and is constructed from 2 exercise pens put together around a PVC pipe frame with 2 Layers of carpet and 2 canine coolers. See Canine Cooler

The Tonka support team comes by midday and lets him out to go potty, gives him his next rounds of pain meds and takes him around front to lay out for a while. They come back again in the afternoon to let him out and stay with him until I get home. He loves to lay out on the driveway and listen to the kids come home from school. He is usually still out there when I get home and we go in and he waits at the landing while I get changed and text his Aunt Carol to bring Nala by for our short little walk. When she gets there we head to one of the courts and go through the same routine as the morning. He is a little more accommodating because of Nala but he knows he is getting shortchanged and will stop on all the corners.

Once we are home it is back up the ramp and through the kitchen to hang out in the living room for awhile. I fix my dinner and then go fix his and he eats in the kitchen again and takes his 2nd thyroid pill. His favorite part of the evening is after dinner when he gets to have a frozen peanut butter kong as a treat.
If he is feeling good he will go and surf the counters and the recycle bin or perhaps stand in the kitchen and bark for treats. Once he gets tired of that he comes back toe the living room to settle in for bed and belly rubs. He starts off sleeping upstairs and then wakes me up between 1 and 3 to take him downstairs, which again is 5 to 10 minutes to decide to go down he ramp. Once inside the back door he has to get settled and then I get to go back to bed for a few hours until 5:00am when the cycle repeats.

During the 2 weeks I have seen improvement, although not "leaps and bounds" but rather small "baby steps". He postures in a semi squat at least for part of a bowel movement now instead of just walking and pooping and he does not drag his toes as much. He still drifts sideways and a hard sneeze will cause him to stumble. We are going to do the MRI to rule out anything degenerative which would leave just Orthopedic and that we can deal with. The surgery for the Lumbar Sacral Stenosis also known as Cauda Equina Syndrome
or anything with the nerves and the spine does not read like something we want to have to go through. Read all about it here

Friday, October 21, 2011

This was not the intent

AP here:
I started this blog to be a lighthearted, feel good kind of place to tune in and learn about how normal a blind dogs life can be. It has now morphed into more of a medical blog about the extreme (not normal) genetic mutant that is my boy Tonka and his varied and continuing medical problems. This was not the intent and I truly wish that he would never have another problem and we could go back to fun and silliness. I do hope that what I write about at least helps someone looking for information or direction. I know with some of his issues I could not find a lot of personal accounts from people going through the same thing and it would have been helpful.

Wednesday, October 19, 2011

lumbosacral stenosis - say what?

AP Here:
Tonka and I have been to see a Neurologist, Dr. Harris http://www.vetneurochesapeake.com/index.php?page=dr-jeanene-harris at Veterinary Neurology of the Chesapeake www.vetneurochesapeake.com/ . His left hind leg is still not right and he is walking sideways. While he was there he was also seen by Dr.Burgess http://www.cvssvets.com/surgeons.php as an orthopedic consult.  The presumptive results were-

Assessment and Diagnosis

Neuro Localization - Spinal lumbosacral cord (L4-S3): Tonka's neurologic exam is revealing subtle lower motor neuron deficits in his left pelvic limb. Given these findings in association with pain on tail elevation, the most likely location for the problem is at the lumbosacral junction. Possible causes would include lumbosacral stenosis (Type II disk disease, arthritis of the articular facets, and enlargement of associated ligaments and soft tissues). Other possibilities would include neoplasia (primary or metastatic cancer) or infectious/inflammatory diseases; however these are thought less likely.

The best diagnostic test to determine the exact cause for his defecits would be an MRI /- a spinal tap and electrodiagnostics (EMG, MNCV, etc.).

Tonka's mild neurologic deficits are further complicated by concurrent orthopedic disease. An orthopedic exam revealed discomfort on manipulation of both of his hips (left more than right) and radiographs of his pelvis reveal evidence of hip dysplasia and osteoarthitis of the left hip. Tonka also resisted manipulation of his left stifle (knee) and there is concern that there may be a meniscal tear. There is no evidence of cruciate ligament rupture at this time.

Since Tonka had his heart surgery this year and just had the rhinoscopy a month ago we are opting to try medication for a few weeks to see if there is any improvement. If not then we will have the MRI to rule out the Lumbar Sacral problem. I am hesitant to put him back under anesthesia so quickly after the last one and we are just now getting the prednisone out of his system and he is acting more alert and like his old self. We have known about the hip since 2009 and it has never been an issue until now so I am not sure what to think. We will just have to deal with whatever comes our way like we always do. I know he is tired of being poked and prodded and I don't blame him. If you are curious as to what an MRI for your dog costs these days in the Maryland area try $1750.00 and that does not include any additional items like a dye test or spinal tap.

Monday, October 10, 2011

Sylvia Swims

A long time ago AP and CM took me to the canine fitness center and took me swimming. I really didn't like it much and prefer the ocean over a pool. My friend Sylvia who had hip surgery http://blinddogsrule.blogspot.com/2011/02/sylvia-and-her-fho-surgery-trishs-blog.html has had a rough time getting all the mobility back in her leg so she has taken up swimming. AP stopped in to see her at the canine fitness center pool and took a little video of her paddling away. She is much better at than I am and it is really helping her hip.



Sunday, October 9, 2011

PICNIC

On Sunday AP and I got to go to a really cool park and meet some new friends and some of our old ones. The new friends were dogs and kids that all have had heart surgery like me. It was a great day and I got to forget about my medical problems for awhile. It was put on by the great people at Inova Fairfax Hospital for Children and the Chesapeake Veterinary Cardiology Associates. 


I met a Collie named Annie

A Newfie named Bouy
Bouy and Annie are also therapy dogs.
I got lots of love from everyone.
The kids were all great and some of my Doctors were there. Dr. Rosenthal was there along with Cari who took really good care of me and AP got to meet Dr. Schmitt who was also in on my surgery
A really cool kid liked my bionic eye.

 It was a really fun time and I loved all the head pats, ear scratches and belly rubs from all the great kids.
Thanks to CVCA for inviting me and to Bouy's mom for the chicken.

p.s. AP borrowed 2 of these pictures from the CVAC Facebook site - we hope that is OK

Friday, October 7, 2011

The hippy hippy shake!

In 2009 I was diagnosed with a problem in my right shoulder and my  left hip. The x-rays of the left hip showed a gap between the ball and socket of  the joint. This means that my hip can slip a bit - the humans call it subluxation. Well my foot slipped off of the step downstairs and I sub-luxed something and now it is really hard for me to lay down. AP and Dr. Woodburn talked about it and they can't give me anything for inflammation because I am just weaning off the prednisone that I was on for the nosebleeds. Dr. Woodburn gave me Tramadol for pain and I have to take it easy. I am supposed to go to the Cardiac, Pediatric picnic this weekend so hopefully I will be feeling better in a day or so.

Monday, October 3, 2011

Ray the Blind Dog

Tonka and I have never met Ray the Blind Dog but we follow his adventures closely. There are alot of similarities in their behavior and they both have Aussies as best friends. Ray's parents put together a video montage of Ray's first two years with them and we loved it so much Tonka is re-posting here: