Showing posts with label cortisone. Show all posts
Showing posts with label cortisone. Show all posts

Friday, February 13, 2015

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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Thursday, February 12, 2015

Day 1885

Dot suffered a serious setback today. The day started normally enough. Both dogs went out in the back yard to pee right after they woke up. Everything was normal. Dot and Dash wandered around the house while we got dressed to take them on their regular morning walk. Then Dot decided to stretch. I'm sure that many of you have seen dogs stretch their legs out behind them after they've been sleeping. Dash does this every morning and Dot used to stretch this way as well when she was younger. I don't know what made her feel like stretching this way today. Maybe she was feeling good. Almost immediately something went wrong. After stretching, she couldn't stand normally again and began to stumble. Within minutes, her rear legs were completely paralyzed.

An emergency trip to the vet confirmed my worst fears. By stretching this way, Dot had managed to rupture or blow out a disc in her spine. This is serious. If we are really lucky, cortisone shots might be able to reduce the inflammation enough so she could regain some limited mobility. If we aren't so lucky, surgery is usually the only alternative. We are seeing one of the best veterinary neurologists in the area tomorrow morning and are hoping for the best. Dot will probably have an MRI or CAT scan tomorrow to see exactly what is going on in her spine. We can't even begin cortisone treatments yet because she still has Rimadyl in her system and the two drugs can't be administered at the same time. She has to wait a minimum of 48 hours to clear the remaining Rimadyl from her body.

Dot is totally confused. One minute she was feeling great and the next minute her rear legs are paralyzed. She is still alert and has a good appetite, but she can't move. We still had a special harness that helped our first Dalmatian get about when his legs began to fail. Unfortunately, this harness didn't fit Dot. During her exam, our vet was able to fit Dot for a new Help 'Em Up Harness which is much better than the old Walkabout Harness that Spot used to wear. The harness can only do so much though. Dot has no sensation in her rear legs and doesn't even attempt to move them.

One of the most difficult things with a paralyzed dog is getting them to pee and poop. Our vet was worried that the injury might have damaged the nerves that control her bladder. I was worried too. Luckily, Dot can still pee. It's messy and it's difficult to get her into a squatting position, but she was able to pee after dinner tonight. A little later, she pooped as well, so there's still hope.

I canceled all my appointments, including my dental surgery, for next week. I don't know what lies ahead at this point, but I'm sure it will involve constant care and attention. You can't really leave Dot alone in this condition because she could easily injure or even break one of her rear legs without even realizing it. I've cared for a dog with a spinal injury once before and it was extremely difficult. Spot did eventually recover though and I want to give Dot every possible opportunity to recover as well. I don't know if she's strong enough for surgery, especially since she had such a difficult time recovering from her cancer surgery last year. Hopefully, the neurologist will be able to give us some hopeful news tomorrow. I'm a strong person, but this has really got me down.

Lucy is today's Dalmatian of the Day
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Friday, January 31, 2014

Day 1508

No wonder athletes get hooked on steroids. That cortisone shot I got yesterday really took care of the pain in my shoulder. I'm feeling pretty good today, but as the orthopedic surgeon I saw yesterday told me several times, "Just because you feel better, doesn't mean you are better." I need to remember this, because the last time I injured my shoulder, I didn't let it heal properly. I'm not going to repeat that mistake.

I woke up with a dead phone this morning. I'm such a creature of habit that when I used the x-ray of my shoulder for yesterday's blog post, there was not a need to sync the phone with my computer to transfer the day's pictures. This is usually when the batteries get recharged. It never occured to me that I could just plug the phone into a wall socket like a normal person.

The phone is recharged now, and by all appearances, so am I. After a mercifully good night's sleep, I woke up ready to get caught up on things. I updated my client's websites, finished all my writing assignments and even had time to do a little shopping. My favorite menswear store always has this annual Superbowl sale where for a single afternoon they sell their normally hugely expensive merchandise for 75% off. I knew the guys were pricing things for the Sunday sale today so I went down and picked up a great looking pair of Robert Talbot jeans for $39. No more relaxed fit for me. I've lost enough weight that I can wear skinny jeans again.

I really miss not being able to walk the dogs. The long morning walks are typically the most relaxing part of my day. Janet was able to walk Dot and Dash again today and we'll probably select a dog walker over the weekend. I'm not a very trusting person, so it might be hard to find a dog walker that I have any faith in. "Don't ever let Dash's leash get out of your hand," I'll say. "He'll run away and you'll never see him again." "Dot is very frail. Don't let her trip on a rock or get tugged around by Dash." "Don't ever let Dash eat horse poop. He has a sensitive stomach and he'll throw up in the bed the next night and leave a horrible mess for me to clean up." I've spent so much time around the dogs that I'm convinced that I can read their minds and anticipate their actions. I'm not sure anyone else will have this ability.

Tomorrow I'll be shooting Valentine's Day pet pictures for a Dalmatian Rescue fundraiser. We always do a ton of Christmas events, but this is the first Valentine's Day photo shoot we've had since 2010. Janet and the volunteers will help me load and unload the heavy equipment, so I should be fine. If the camera pulls my shoulder out of joint again, I'm in worse trouble than I thought.

The stock market had another terrible day. They say as January goes, so goes the entire year. I hope that's not true. Things certainly aren't looking very auspicious at this point though. Maybe this isn't the year to fret about money. If I can finally rid myself of the Hepatitis-C virus I've been carrying around with me for 30 years, it will be a very good year no matter what happens with the market. The older you get, the more you realize that health actually is more important than wealth.

Cooper is today's Dalmatian of the Day
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Thursday, April 4, 2013

Day 1206

I had to go get a steroid shot for my Poison Ivy this morning. As luck would have it, the doctor who treated me was one of the same doctors I photographed several weeks ago. Luckily, she liked her picture. It's always awkward to get an injection from someone who hates the photo you took of them. Yeah, I know that I told you guys I don't like steroid and cortisone shots just yesterday. It's just about the only remedy I've been able to find that can clear up a bad case of Poison Ivy though. Hopefully, this will be the only case I get this season. I'm very susceptible to Poison Ivy, and the dogs run through patches of the stuff in the park all the time. I'm doomed.

I completed two difficult retrofits to client websites today. Whenever I get these type of assignments, I feel like blurting out "Why didn't you tell me you wanted this when I first designed the site? It would have been so much easier then." The client is always right though, and all of them are a lot more fond of change than I am. I don't think I've ever changed my own website.

I'll really be glad when this cold, wet weather we've been having this week runs its course. It's a constant chore to keep the water of the roof and the mud off the dogs. My boots are just as muddy as the dogs paws when we return from our walks, so I've got to clean those too. The only saving grace is that we've got brick floors. Brick is the most dog friendly surface you can have. Does your dog track mud in the house? No problem. Does your dog occasionally poop in the house? No problem there either. Even water dripping from a leaky roof does far less damage to a brick floor than it would to wood or carpet. I'm a big fan of brick floors.

Good news! I finally got one of the best architects in Dallas to tell me the name of his favorite roofer. Now we're talking! Maybe there's hope for my roof yet.

Dottie is today's Dalmatian of the Day
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Tuesday, April 2, 2013

Day 1204

Today was full of questions with very few answers. I was on the phone for hours with roofers, insurance agents, equipment suppliers, and clients and ended the day just as confused as I started. Finding the answer to something over the phone is kind of like winning the lottery. Your chances of success are very, very small. Every once in a while you get lucky and end up talking to someone knowledgeable. Most of the time you just get shuffled from one person to another until you eventually give up. I think most of the customer service people I talk with on the phone are just reading from a prepared script they see on their computer screen. They can answer very simple questions, but that's about it. I'd like to tell these people that if my question was that easy, I'd have found the answer already on their company website.

I think I got bitten by a spider last night. That seems like a reasonable explanation for the two swollen lumps I found on my arm and leg this morning. I didn't even bother going to the doctor, since I knew they they would just give me a cortisone shot and send me on my way. I've been bitten by spiders before and the trouble with these type of bites is that unless you actually see the spider biting you, the reaction they produce could be caused by any number of things. So, why do I think I was bitten by a spider? Just a guess, actually. I did see a big spider on the bed a few days ago though. If it actually was a spider, I don't think it was a Brown Recluse, or anything serious. The reaction would have been more immediate and alarming. If the swelling doesn't subside tomorrow, I'll go see a doctor. I just don't like taking steroid shots for any and all types of inflammation. Steroids aren't good.

Dash almost got the wrong shot today. There was a new nurse who didn't know Dash's records well. Luckily, when he mentioned the medication he would be injecting, I noticed that it didn't sound right. He ended up getting the right shot, but it's another lesson that you always have to be on your guard. I wish this wasn't the case, but it is. I would like to just put my brain on automatic pilot for a while and coast. I don't think there would be a happy ending it I did this though. Don't get me wrong. I'm not a paranoid person and certainly don't think anyone is out to get me. I do think a lot of people are incompetent however. Incompetance is everywhere.

It rained today, but the weather radar app on my iPad allowed me to successfully navigate the storms and walk the dogs without any of us getting soaked. Since there isn't much to do on rainy days, I got some more articles written. By the time my client gets back from vacation, I'll probably be all caught up again.

Miracle is today's Dalmatian of the Day
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