Day 1903

Dot is home again. The hospital released her late this afternoon along with a lengthy list of post-operative instructions and a big bag of meds. Dot was eager to return home, as you might expect. She was a little too eager in my opinion. Dot still can't walk on her own, but apparently she thinks she can. She's going to be a handful in the weeks ahead. Considering the complexity of her surgery and the fact that she's still on a lot of meds, I was absolutely amazed at how much more mobile she appears today. After just a few days of recovery, she is already moving her feet much more confidently than she did before the operation.

The Center for Veterinary Specialty and Emergency Care is an amazing place, but I sure wish it were closer to Dallas. I wouldn't recommend trying to transport a sick dog back and forth to this place during rush hour traffic. All is well though. We arrived home safely and Dot is now resting comfortably on one of many dog beds strewn around the house. Since Dot can still injure herself by trying to walk on her own, we're going to have to crate her whenever we leave the house. Dot never enjoyed going into a crate even when she was healthy, so this ought to be interesting. As soon as we got home, Janet went to a nearby pet store and bought a new crate that had two doors, one on the back, and an additional door on the side. Hopefully this additional door will make it easier to get Dot in and out of the crate when necessary. At least Dot likes to sleep a lot. When she's sleeping, life can continue like it normally does.

When I had the accident in California, the rental car company assured me that the minor incident was absolutely routine and that their insurance would take care of everything. Apparently this was wishful thinking. Over a month later, the other driver's insurance company still doesn't seem to know that the rental car company is handling the claim. I have received repeated calls from a subrogation specialist asking me to pay damages. The accident wasn't my fault either. Now it appears that I'll have to track down the information about the claim myself and put the two parties together. I'm convinced that absolutely nothing is easy anymore. Sooner or later, just about everything in life turns into a complicated mess.

At least the weather is improving. It was still a grey, rainy day, but there was no ice. It was actually quite a bit warmer today. It will be even warmer tomorrow, but unfortunately there are thunderstorms in the forecast. Then later in the week, another cold wave arrives and the temperatures dip below freezing again. The plants and trees are already totally confused. I saw some early blooming daffodils in the park the other day and when I saw them again today, they were wilted and frozen. By early April, nature will have sorted everything out, but March is usualy pretty crazy in Texas.

Last night, a European friend left a blog comment making fun of all the attention I was paying to Dot. She was "just a pet" he said, implying that I should be spending my energies saving the whales or helping Palestinians or something. I was genuinely offended and deleted the commend even though I rarely delete anything. For the rest of the evening I felt irritated that there are people out there who still don't realize that a good dog makes a far better companion than most people. "Just a dog," my ass. I think I've got my priorities straight. It's people who suck.

Tucker is today's Dalmatian of the Day

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Day 1902

Dot looks like a football. Her back has been shaved and right in the middle is a huge eight inch incision that is held together with fifteen surgical staples. Despite her appearance, Dot is doing great. When we visited her at the hospital this afternoon, she appeared happy and alert. She was eager to eat the treats we brought and seemed equally eager to walk on her own. One of Dot's nurses brought her to the exam room for our visit supporting her with a sling under her belly, but you could tell Dot was already doing some of the work herself. I'm amazed that Dot can already stand on her own for a considerable amount of time. She couldn't do this before the surgery. After seeing her today, I am convinced that with the proper physical therapy, Dot will learn to walk again.

Since Dot is making such good progress, she will probably be discharged from the hospital either tomorrow or Tuesday. Once she's home, the hard part begins. Very few Dalmatians know how to take it easy. I will have to monitor her very carefully, so she never tries to do something stupid, like counter surfing, or hopping up on the bed. You know how weight lifters frequently use a spotter when doing bench presses to prevent injury. I will be Dot's spotter for quite a while, using the harness to keep her from slipping until the damaged nerves can  repair themselves and her leg muscles grow stronger.

A friend let us borrow some rubber backed rugs that we can strategically place around the house to keep Dot from slipping on the bricks. I think we've come up with a good way to keep her safely confined to a small, well padded space when I'm taking a shower or taking something to the post office. Since I have little desire to leave the house anyway, the extensive rehab period should work out pretty well. Janet will be going back to work soon, because she hates retirement, but I can walk Dash a little earlier in the morning while she is still at home getting ready for work. I'm sure there will be a lot of surprises and there will be times when I'll wonder what I've gotten myself into, but right now I'm uncharacteristically optimistic. We can do this.

I wish the weather would get better. It continues to rain with the temperature hovering right around freezing. It warmed up enough today to melt all the ice off the roads, but tonight it will refreeze again and there will be another thin layer of ice in the morning. I think the cold spell is just about over though. I certainly hope so anyway.

It's hard to believe it's March already. It's time to get my tax return started. It's time to start thinking about re-landscaping the back yard. One more month and we won't have to worry about ice storms for another year. I always look forward to Spring. The next few months won't be easy, but I hope when the wildflowers start to bloom in April and May, I'll be able to walk through them again with Dot at my side.

Lucky is today's Dalmatian of the Day

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Day 1901

Although the weather got even worse overnight, Dot continues to get better. I was amazed that Dot's medical team even managed to get to the hospital today, since roads throughout the area were a sheet of ice when we woke up this morning. We were a little nervous when we didn't get our usual morning progress report phone call from the neurologist, but I imagine that things were pretty hectic at the hospital today. When we did get the call, everyone was all smiles. Dot continues to beat the odds with her amazing strength and determination. The neurologist told me that she and and others at the hospital find it hard to believe how old Dot actually is, since she continues to act like a much younger dog.

Dot is using her legs more than she was yesterday and appears to be in good spirits. Her appetite is good and she is sleeping well without strong sedatives. The hospital has already discontinued narcotic painkillers like Tramadol because Dot doesn't appear to need them. I'm glad they did this. I've never liked Tramadol anyway. It can be very addictive and has been responsible for many more accidental overdose deaths in humans than most people realize.

If Dot continues to improve at her current rate, she may end up being one of the lucky dogs who begin walking again in two or three weeks. Her nurse says she is already trying to put weight on her rear legs, although she still receives support from the Help "Em Up Harness whenever she tries to move. When I was using the harness with Dot before her surgery I could easily tell when she was trying to walk. There is a handle on the rear part of the harness just above the dogs hips and you hold it so the rear legs touch the ground without having to bear much weight. It feels a bit like being a puppeteer. As you get better at using the harness, you can sense when the muscles are working and when to provide more support. You can even encourage natural leg motion with subtle movement of your wrist. I think it is fantastic that Dot is already tentatively trying to walk, because I have heard that it can take up to three months before this happens.

The weather is so bad that Dot is much better off at the hospital that she'd be at home right now. Our yard is still slick and icy and the house is a bit chilly. Luckily, our furnace is working great this winter and there haven't been any problems with roof leaks. I'm used to spending lots of time in the house, but Janet is already getting cabin fever. She was determined to get out today and decided to go do her usual Saturday errands anyway despite the bad roads.

As the day progressed, the traffic in front of the house began to move faster and faster until I eventually became convinced that the roads were safe. I bundled up in a warm coat and left to do my errands as well. This was probably a mistake. The first thing I encountered was an enormous downed tree that had fallen across the road, blocking all but a single lane of traffic. When I successfully navigated this logjam, I quickly discovered that everyone in town had cabin fever. The roads were actually crowded today.

Most roads were clear and dry, except when they weren't. There were still patches of black ice here and there and they often caught people driving fifty miles an hour completely by surprise. Even though most of the ice had melted by mid-afternoon, I still saw quite a few wrecks. I drive slowly in this type of weather, never braking hard and coasting to a stop wherever I can. I'm always keeping an eye on my rear view mirror. I learned to drive in Alaska where the roads were icy all Winter. Ice is seldom the problem. It's the driver behind you who ignores the ice that causes most of the wrecks.

Dash has already appropriated Dot's special new dog bed. This is a minor problem though. Dogs are just like children in many ways. Tomorrow we will work on getting the house ready for Dot's return. If her progress continues, she could come home as soon as Monday afternoon.

Connor is today's Dalmatian of the Day

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Day 1900

When Dot's neurologist called this morning to give us a progress report, she seemed pleased. Dot is already eating and drinking water on her own, so she was taken off of IV fluids today. When the nurses help her out to pee using a special sling under her belly, Dot moves her rear legs and even squats fairly normally. She can't support her own weight yet, or walk unassisted, but the neurologist assures me that this is normal at this stage of the game. Dot is still very weak and on a lot of pain medication, but everyone at the hospital thinks she's doing even better than expected. Her doctors are optimistic that she will learn to walk again.

I'm glad Dot is safe and warm at the hospital now, because the weather in Dallas has turned cold and nasty. It snowed most of the day and the temperature never got above freezing. Traffic was a nightmare and there were lots of wrecks all over the city. Janet and I both canceled afternoon appointments when we saw how the traffic was inching along in front of our house. It just wasn't worth trying to get out in this mess. You don't really worry about snow or ice when you venture out on days like this. You worry about the other drivers. A single idiot who doesn't know how to drive on snow can snarl up traffic for hours.

Dash is such a baby about walking in the rain that I didn't think he'd go out in the snow at all. Much to my surprise, he seemed to enjoy the stuff. We took a long walk where he hopped around in the small drifts, smelled the tracks left by other animals in the snow, and peed on everything. I think I got cold long before Dash did. I took some pictures while we were out to document the rare snowfall. The one I liked the best captured a single perfect snowflake caught in a spiderweb. If you look carefully, you can see the six sided flake suspended in the web.

We were going to visit Dot this weekend, but that will depend on the weather. It could get better tomorrow, or it could get worse. I think even the weather forecasters have given up trying to predict things. Two days ago, they said it was going to be sunny today. UPS delivered Dot's new rehabilitation dog bed this evening. It looks like it's about the right size and can be easily repositioned around the house when needed. Now we've just got to figure out an easy way to quickly assemble a secure fence around the bed when we have to leave. A friend said that that we could use some of the rubber backed rugs she'd used when she had an older dog who had difficulty walking. Slowly but surely, we're getting the house ready for Dot's return.

I'm glad I went to my favorite restaurant yesterday, because I certainly didn't feel like venturing out in the snow today. Apparently, not everybody shared my aversion to the wet stuff. Schools closed early and children were enjoying sledding down hills all over the neighborhood. I guess I've lost the fascination with snow I had as a child. I didn't build a snowman or even make a snow angel. It was fun watching Dash cavort around in the snow on our walk, but even he was glad to get back inside again where it was warm. I've got my fingers crossed for another sudden temperature reversal and a quick return to warmer weather. With the fickle Winter we've been having, it could happen at any time.

Thanks for keeping Dot in your thoughts and prayers. I'm looking forward to tomorrow's report from her medical team and I'll keep you posted on how she's doing. This remarkable dog has beat the odds again and again. Dot has been an inspiration to me for many years and it looks like the old girl is not ready to relinquish her role as the head of the household yet.

Princess is today's Dalmatian of the Day

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Day 1899

I've been on pins and needles all day. Time passes very slowly when things are completely out of your control. We got up early this morning and drove Dot to the veterinary specialty center in Lewisville so she could be admitted for surgery. We filled out a bunch of paperwork, said goodbye to Dot, and then we waited. It was very quiet in the house today without Dot to warn us of cats and squirrels in the back yard. Even Dash could sense that something was wrong. I could tell Dot was scared when we were admitting her to the hospital this morning. I tried to reassure her, but I don't think I did a very good job. I was scared too

I tried to keep myself busy while I waited for the all important phone call from the surgeon. I went out to breakfast, even though it was almost lunchtime when we arrived back in Dallas. I finished a couple of writing assignments and sent them off to the client. I took Dash on a long and somewhat cold walk and then did a lot of pacing around the house. Finally, about 4:30 PM, the call I'd been waiting for arrived. The surgeon had good news. The arduous three hour surgery has gone well. The surgeon felt that she had been successful in removing the broken disc fragments in the L1 vertebrae that had been pressing on Dot's spinal cord. Now that the spinal cord is no longer compressed, the nerves will have a chance to heal and if we are lucky, Dot will walk again. Sometimes when a spinal disc ruptures, the fragments become attached to, or embedded in nearby blood vessels and are very difficult to remove. Dot was lucky. The fragments that had broken off and caused her paralysis were still clean and the surgeon was successful in removing all of them.

Dot is still not out of the woods yet, but she survived the surgery. That's the important thing. When the surgeon called, Dot was just waking up from anesthesia and was still under heavy sedation. She will be watched carefully tonight and for the next several days until her condition stabilizes. On Saturday, Dot's physical therapy vet will come to the hospital to give her acupuncture. This, along with cold pacs and laser treatments, will help reduce inflammation and speed healing.The best thing I heard from the surgeon today was that while Dot was waking up from anesthesia, she moved her rear legs. It was just a reflex action, but it means that there is still a nerve connection between the legs and the spine. There is hope.

Dot will spend the next five days in the hospital. While she is recovering, Janet and I will try to prepare the house for her return. We will need to connect the rooms with rubber backed carpet runners so Dot can safely move about without slipping on the brick floors. We will construct a "safe" area where we can leave Dot for short periods of time when we have to leave the house. It is very difficult to crate a large dog with leg injuries, so I am envisioning something that can be placed securely around a dog bed, so she cannot attempt to get up and move about on her own without supervision. Even if things go very well, we will have to continue to support Dot using the Help 'Em Up Harness for quite a while.

Our very first Dalmatian had spinal surgery to remove a tumor when he was eight years old. Spot's recovery was difficult for all of us, but he did learn to walk again and continued to live a happy life. I'm hoping that Dot can do the same. Spot's spinal surgery was the first. I'm hoping that Dot's will be the last. After dealing with nine difficult surgeries on five different dogs, I'm not sure I have the stamina to do this again.

Bingo is today's Dalmatian of the Day

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Day 1886

After a long day of evaluations and tests, Dot is resting quietly tonight at a veterinary specialty hospital in Lewisville, Texas. Why one of the best veterinary neurological centers in the country is located so far away from one of the biggest cities in Texas is still a mystery to me. The journey to Lewisville normally takes about 30 to 40 minutes when traffic is light. Of course traffic is never light in Dallas. We spent over an hour on the road this morning, mostly because an accident on the freeway shut down everything but a single lane of traffic at one point.

The accident made us a little late for our appointment, but the neurologist couldn't have been nicer. She was thorough, professional, and patiently answered all of our questions. We had to leave Dot at the facility because the neurologist said their in-house CAT scan equipment wouldn't be able to adequately image her spine in great enough detail. After driving Dot all the way to Lewisville, the hospital ambulance then had to drive her back to Irving where she received an MRI at Animal Imaging. This advanced imaging center has an MRI machine large enough to scan a horse. Race horses are brought here from all over the country for diagnostic imaging. I have been to this center before. It is an amazing place and very expensive. After our initial exam, we left Dot in the capable hands of the neurologist and returned to Dallas to pick up Dash from another veterinarian where he was spending the day in doggie day care. Life becomes very complicated when you can't leave your dogs alone for long periods of time. Dash is still prone to seizures and of course Dot currently can't even walk.

Late this afternoon, the neurologist called us with the results of her MRI scan. It was worse than I thought, but not totally unexpected, especially considering her slowly deteriorating condition during the past year. Dot has multiple bulging disks, including one severely damaged disc that is already pressing against the spinal cord. Considering Dot's age and the length of time her spine has been injured, there is at best a 60% chance that surgery can correct the problem. That leaves a 40% chance that surgery will accomplish nothing or even make the situation worse. Spinal surgery is risky even with a younger dog. In the short term, treatment with cortisone or steroids has almost exactly the same rate of success as surgery, but the benefits aren't permanent. The hard thing with an older dog is determining exactly what "short term" and "long term" mean. If cortisone and anti-inflamatory drugs can keep Dot mobile for another two years, that might be all she needs. She is, after all, a very old dog. On the other hand if surgery is the only way she'll ever have a chance of walking again, it changes the equation entirely. It's a very tough decision.

We will drive to Lewisville again tomorrow morning to pick up Dot and take her home with us. We will also begin her cortisone treatment tomorrow and hope for the best. Usually, if anti-inflammatory drugs work, you'll see some signs of improvement in about a week. If the drugs don't work at all, we've got several weeks to make a decision about surgery. We can't wait three months to decide though. At some point the condition becomes irreversible. There is no way the neurosurgeons can even attempt to fix all Dot's bulging discs. It is far too invasive. The recommended surgery would only attempt to remove the pressure caused by the worst of these damaged discs. If the spinal cord has already been compromised, it will take a long, long time to heal even after surgery. Nerve tissue regrows very slowly. Again, there are no promises that the surgery will work at all. The 60% chance of success is as close to a promise as we are ever going to get.

All I can do at this point is hope for the best. Dot is very resilient and has bounced back from serious injuries before. The past two years have taken their toll however. The desire is still there, but I don't know how much energy she has left. We'll do the best we can. That's all anyone can do.

Tessa is today's Dalmatian of the Day

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