Showing posts with label abdominal surgery. Show all posts
Showing posts with label abdominal surgery. Show all posts

Friday, August 1, 2014

Day 1690

This continues to be one of the mildest Summers on record. I don't think I can remember a time when it was 69 degrees on the first of August in Dallas. I even put on a light jacket when I walked Dash early this morning. There was a light mist, but it was nice. Maybe my electric bill won't be quite as horrendous this month.

Today was more or less a repeat of yesterday. Dot slept well last night and appeared a little stronger today. Her rear legs are still shaky, but she didn't stumble and fall today, and that's a good thing. I didn't stumble either, but I'm real glad it's Friday. I was on the phone with a new set of tech support people, trying to resolve a client's website problems. I'm inching my way toward completion on my latest design project, but my primary job is still babysitting sick dogs.

Dalmatians can be incredibly stubborn. Even though Dot can barely move, she still wants to take her regular walks in the morning. She is always disappointed when I leave the house with Dash while Janet is getting ready for work. Then when I return to take her on a much shorter walk, she doesn't like the baby steps we're taking toward recovery. We walk a little bit longer each day, but we're still only going several hundred yards, instead of the several miles she is used to. She's happy to be outside though, so we walked very slowly this morning, both enjoying the cooler than normal August air.

We had a small accident in the bed again last night, but it was our fault and not Dot's. We both overslept and missed our 2 AM time slot for getting her up and outside to pee. If the doctors are correct about the possibility that it could take up to six weeks before her incontinence goes away, the month of August is going to be very long and arduous. Dot didn't pee in the house during the day, but she doesn't like the waterproof crib pads I've strategically placed around the house for her to sleep on. The lightweight polyester pads are too flimsy and when Dot starts the characteristic circling motion that dogs do before they lie down, the pads get tangled up in her feet and she gets frustrated and just lies down on the carpet instead. I have three older "made in America" waterproof pads that are sturdier and more substantial, but these are constantly in the washing machine being cleaned.

When I was getting dressed this morning, I saw something on the news about the Department of Homeland Security going to people's homes and confiscating old Land Rover Defenders like the one I used to own. WTF? We've got a border crisis. Terrorists are popping up all over the place, and the government has made it a priority to round up old Land Rover Defenders? I don't get it. I didn't catch the entire story, but maybe we're all supposed to be driving a Prius or something.

Getting old is a bitch. Dot has made an amazing recovery from some very serious surgery and now her old neurological problems are resurfacing. I think if we're patient and take things slowly, we can get back to where we were before by resuming her water therapy and acupuncture. It's an uphill battle though, because age always wins in the end. I remember my Dad seemed like John Wayne until he was in his mid-seventies and then he just fell apart. After quadruple bypass surgery in his early 80's, he never fully recovered. It is sobering to realize that everything that is happening to Dot could easily happen to me in the not too distant future. Time moves on and we all just do the best we can.

Snoopy is today's Dalmatian of the Day
Watch of the Day

Sunday, July 27, 2014

Day 1685

Dot has turned the corner. We discontinued her Tramadol last night, because it made her so loopy, we couldn't tell if she was getting better or worse. She slept well without the powerful drug, and when she woke up this morning, she was almost back to her old self. Hoping for the best, we fed the dogs their breakfast and took them down the hill to the park for a short walk. All systems were go this time. After eleven long days, Dot finally pooped. I don't think I've been so happy to see a dog poop in a long time.

We've still got a long way to go, but the surgery now appears to be a success. Every day, Dot gets a little stronger. We're starting to mix some dry kibble in with her critical care diet and she's eating it. Today, she walked about 200 yards, instead of yesterday's 50 feet. She doesn't need my assistance when getting up from her dog bed anymore. She's rather do it herself. These are baby steps, but they are important ones.

It's still not wise to leave Dot alone, but Janet and I were able to take turns running errands and got a lot done anyway. We were each even able to go to the gym. I haven't been to the gym for several weeks during this extended dog crisis and my body let me know I was getting rusty. I'll be sore tomorrow, but still not as sore as Dot. She's still got to be uncomfortable from the surgery, but from all appearances, she seems to actually feel better now than the days just before her hospitalization. This tumor must have been bothering her for a long time.

I'm still worried about the pathology report on the tumor that was removed last Tuesday. There's nothing I can do about the results. We'll just learn what Dot's body already knew some time ago. Whatever happens, we'll deal with it. We haven't come this far to give up. As Dot's life slowly returns to normal, I need to make an effort to get my own life back to normal as well. I'm behind on several projects, but I'll get caught up. I'm glad my priorities put the dogs first, but you can only ignore work for so long. There are always bills to pay.

I stocked up on food at Central Market this afternoon, so I won't have to leave the house while Janet is away at work. I can still walk Dash very early in the morning while she's getting dressed. Dash seems to prefer these early walks anyway. Long quiet days with a convalescing dog are actually pretty conducive to website work. Hopefully Dot will continue to improve day-by-day as I sit nearby, writing the code that will eventually pay her vet bills.

Deuce is today's Dalmatian of the Day
Watch of the Day

Wednesday, July 23, 2014

Day 1681

Dot started eating solid food again today. She ate a small jar of baby food yesterday, but this was the first time she has been able to hold down solid food since last Thursday. Janet and I fed her some canned chicken when we went to visit this evening and she enthusiastically devoured the entire can. If she doesn't vomit tonight and is able to pass the chicken she ate through her system, we'll finally be able to take the catheter out of her leg and unhook her from all the IV tubes.

Considering that she'd had major surgery less than 24-hours ago, Dot looked great today. Her medical team is very pleased with her progress. We continue to take things one day at a time, but if she continues to improve at this rate, there's a chance she'll be able to come home with us tomorrow evening.

Fifteen years ago, our first Dalmatian had to go through a very similar type of abdominal surgery. Spot survived, but he didn't have the advantage of the advanced medical care Dot is receiving now. I continue to be amazed at the resources veterinarians have at their disposal these days. Getting a CAT scan for Spot in 1999 wasn't even an option. The surgeon just opened him up and started looking around. Surgical techniques and medications are much better now. Actually dogs have more advanced care options than you or I do, since progress isn't hindered as much by government and FDA restrictions. Laser surgery, genetic testing, stem cell transplants, MRI imaging and much more are all commonplace in today's veterinary world.

It is terrible that Dot has to deal with the complications of major surgery and possibly cancer. She is lucky to live here in Dallas though. We have some of the best specialty care facilities in the country right here. I like to think that Dot is in the Mayo Clinic for dogs right now. Her doctors are taking very good care of her.

I'll have to admit that I'm getting some very good care myself. Tomorrow I go for my last regular  visit to the liver clinic. I will repeat all the tests I had at the beginning of my treatment, and if all looks good, I am officially cured of Hepatitis-C. Technically, I've been virus free for several months now, but these doctors are very cautious about over promising things.

We took Dash to dog training class by himself tonight. Janet thought it would be good for him to be around other dogs again. Dash seemed to enjoy himself until a cold front blew through and he sensed a change in the weather. Rain was on the way. I don't think Dot can hear the rain inside the hospital. I hope she can't anyway. She needs to get a good night's rest.

Jewel is today's Dalmatian of the Day
Watch of the Day

Tuesday, July 22, 2014

Day 1680

Dot is resting in the ICU after a very long and arduous day. Sometimes waiting is the hardest thing of all. I could hardly breathe until I got a call from Dot's surgeon toward the end of the day. "The procedure went exactly as expected," he told me. This is as close to joy and elation as you'll ever get from a surgeon. Surgeons are extremely matter-of-fact. This is a good thing. You wouldn't want an overly emotional surgeon cutting you open. I've talked to surgeons before and I was delighted with his short message. I could tell from the tone of his voice that the surgeon was pleased. He should be. This was a difficult and somewhat risky surgery and he had succeeded in allowing Dot to move forward and continue her journey to recovery. Dot isn't out of the woods yet, but a thumbs up from her surgeon was the best news I've heard all week.

It was a very long day. I got up at dawn to walk Dash before we drove to the cancer center to have a consultation with Dot's surgeon before she was wheeled into the operating room. You have to bite your lip when talking to surgeons. He mentioned risks that I had never even considered. I trust him though. This was the same surgeon who had expertly removed Dash's cancerous thyroid without any of the complications that are often associated with thyroid tumors. Later in the day when he called to let us know how Dot was doing, he told me that he was very glad that Janet and I had been proactive and gone to the extra step of having a CAT scan. "Sometimes, this is the only way to find these tumors," he said, adding that the growth was even larger than he expected and that if it hadn't been removed, Dot would have definitely died.

As soon as we got Dot checked in for surgery, I drove Janet across town to another hospital and we got her checked in for her colonoscopy. We both have a colonoscopy every five years and today was her turn. I basically spent the day driving back and forth between one hospital and the other. Veterinary Specialists of North Texas is much smaller than the huge complex of buildings at Baylor, but it is every bit as advanced. If you have a very, very sick pet, I would highly recommend VSNT. If I was very sick myself, I would want to go to Baylor. My own liver doctors practice at Baylor and most of Janet's doctors are there as well.

The next few days are critical for Dot. Ileus is always a risk after abdominal surgery. This intestinal paralysis is usually temporary, but if the tiny muscles inside the intestines do not begin functioning again after surgery, food can't move through the intestines causing serious complications. There is always a danger that the sutures won't hold either. It usually takes four or five days before you're out of the woods with abdominal surgery. I'm going to remain positive though. Dot passed a very important milestone in her road to recovery this afternoon.

I'm glad that Dot has so many friends. Three different vets who have Dot as a patient contacted me today to check on her progress. Her medical team is larger and much nicer than mine. Sometimes I worry about what will happen to Janet and I as we grow older and start to fall apart. Dot and Dash will always have someone to look out for them. I think we're going to be on our own.

I'm not sure if we'll be able to see Dot tomorrow. She's still pretty fragile. I hope that she sleeps well tonight and that her intestines begin working normally again as soon as possible. If we're really lucky, the doctors say she might be ready to eat a little food tomorrow evening.

Pongo is today's Dalmatian of the Day
Watch of the Day

Monday, July 21, 2014

Day 1679

Dot is going in for surgery tomorrow morning. When we visited her early this morning, there was a lot to be encouraged about. Her temperature had remained stable. Her white blood cell count was slowly returning to normal. She even wagged her tail when we arrived. The doctors were still worried though. Dot hasn't eaten since last Thursday and was still refusing to eat this morning. The specialist wanted to do a CAT scan, and told us that based on Dot's vital signs she could safely handle the anesthesia. I was worried about the anesthesia required for a CAT scan, but everyone assured me that Dot's vitals signs looked very good. We gave the OK for the CAT scan and Janet and I went back to work.

Later in the day, we got a call with the results. The doctors had found a golf ball sized growth in her small intestine and wanted to do surgery tomorrow morning. They were confident that this growth was the source of her problems. Janet and I are both reluctant to subject an older dog to surgery, but we listened to what the internal medicine specialist had to say. She told us that since the growth had not yet become large enough to perforate the intestinal wall and cause systematic infection, the chances for a successful outcome were excellent. She didn't call the growth a tumor because, as she explained, there were literally dozens of benign growths or lesions that could attach to the intestinal wall. She said that surgery on the small intestine was routine these days and that Dot would have the same surgeon that performed the thyroid surgery on Dash earlier this year.

If we did nothing and Dot still refused to eat, she would die. Even if she did start to eat, the growth in her intestine would continue to grow larger, until it eventually caused the intestinal walls to burst. Dot was still weak when we visited her this morning, but her eyes were bright, her tail was wagging, and there was no question that she wanted to go on living. As frightened as Janet and I are of major surgery, we decided to give her that chance.

I think we made the right decision. The surgeon who will be operating on her is superb and was largely responsible for saving Dash's life. The specialist took the time to explain exactly why it was so important to remove the growth now, before it grew even further and caused her intestines to rupture. When I talked to the specialist on the phone earlier in the day, I imagined that the growth she was talking about was the size of a grape. When we heard that it was already the size of a golf ball, Janet and I became convinced that we had no choice.

There are no promises when you are wheeled into a surgery suite. It doesn't matter if you are a dog or a person, there are literally hundreds of things that could go wrong. We have been through this before and it never gets easier. We made the right decision with Dash. We made the right decision with Spot. And we made the wrong decision with Greta. The key thing with any serious medical condition is that you've got to be able to make a decision. You've also got to be able to live with the consequences, even if something goes wrong. Hiding from problems and pretending that they doesn't exist is almost always the worst decision you can make.

When we came back at the end of the day to visit again, Dot greeted us warmly. I walked her outside in the grass in front of the hospital and she squatted and peed normally. We brought her favorite blanket and let her rest with us in an exam room while waiting to see the specialist again. Her doctors wanted to see if Janet and I could get her to eat something. It is apparently important to preserve normal Peristaltic movement in the intestinal tract prior to surgery. Without any food to process, there is a danger that Peristalsis could stop. Dot wasn't interested in dog food, but when we opened a small jar of baby food, she eagerly ate the entire thing. This was a very good sign. It was almost as if Dot was telling us that the surgery was OK and that she definitely wanted to live.

Tomorrow is going to be a rough day. Not only is Dot having surgery, Janet is having a Colonoscopy on the same day. Neither of these things could be postponed or avoided. I hope we made the right decision with Dot. I don't know what will happen tomorrow, but I do know what would happen if we did nothing. Dot deserves better than that.

The thought of having two dogs with cancer at the same time is both emotionally and financially draining. It's hard to believe this is even happening. It goes without saying that this has been a very tough year. Many people think of me as a negative person, but I am totally positive when it comes to the dogs. I believe in them. Dot is incredibly strong willed and tenacious. She may be old, but she loves her life and wants to keep on living. Our efforts may not succeed, but we're going to give her the best chance she's got. When she ate the baby food out of my hand this evening, I think she gave me her blessing.

Katie is today's Dalmatian of the Day
Watch of the Day

Wednesday, February 12, 2014

Day 1520

It was a stressful day. Dot is not getting better. When I took her on her morning walk, she threw up some of the carpet she ate. About three hours later, she threw up even more carpet scraps. I took her back to the vet and she said that even though it was a good thing that she was able throw up most of the carpet she ate, she wasn't out of the woods yet. Carpet is apparently one of the worst things a dog can eat because long strings of the fabric tend to stay intact. It is these long strings that can cause serious problems if they get into the intestines.

The vet said I ought to try feeding her small amounts of a bland canned dog food like Hills ID four times a day, to encourage her to pass the rest of the debris through her system. Unfortunately, she couldn't hold the canned food down and threw up again. We'll be watching Dot carefully tonight and taking her back to the vet first thing in the morning for a series of Barium x-rays to determine if there is a blockage. Hopefully, she'll be able to pass everything, because if she can't, she'll have to have abdominal surgery. Our first Dalmatian had to have abdominal surgery and it was extremely difficult to get his digestive processes working again afterwards. He almost died.

Dash, of course, is still waking us up in a panic at three in the morning to go outside and poop. We're still not sure what is wrong with him either. My shoulder is taking its own sweet time to heal as well. Life goes on, but this is definitely not the best February I can remember.

I went to the networking breakfast this morning, mostly because Dot seemed perfectly fine when I woke up. She actually seemed perfectly fine when I returned. It wasn't until about 10:30 AM that she started throwing up carpet scraps. This morning's meeting was actually pretty interesting. There was no formal agenda and we just sat around and talked about how much our respective industries had changed in the last decade. It was oddly reassuring to realize that everybody else was facing the same jarring, tumultuous changes that I am.

Dot is resting calmly now. She threw up some more carpet right after I finished my dinner this evening, but she is breathing normally and her stomach is not distended. If she starts throwing up violently, we'll have to take her to the emergency vet tonight, but hopefully that won't happen. She actually appears more comfortable now after she threw up the most recent batch of carpet.  The odd thing is that she now appears to have thrown up more carpet than she actually ate. Poor girl. She's got to be really uncomfortable.

Hopefully, things will start looking up tomorrow. I saw the sun again this evening while I was walking Dash. That's always a good sign.

Lucy is today's Dalmatian of the Day

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