Day 1887 - Valentines Day

After viewing Dot's MRI scans with the neurologist this morning, it became painfully clear why she is having problems. Several spinal discs were visibly deformed, but one in particular was pressing directly against the normally round spinal cord, squeezing it into a squashed oval shape. There was a tiny shard or fragment from this damaged disk that looked like it was poking into the spinal cord itself. I was going to show you the image this evening so you could see for yourself, but unfortunately the DVD the hospital burned for me was another damaged disc. When I got home, my computer said the DVD was blank.

I typed up a list of questions this morning before we drove up to the hospital to pick up Dot. The neurologist was very patient, answering every question and much more. The only thing that she wasn't able to do was promise me that Dot's problems could be resolved. Could the little shard that had broken off from the disc be successfully removed without damaging the spinal cord? It is very likely that it could. Could something go wrong during surgery, making her condition even worse? Yes that could happen too. Could steroids alone reduce the inflammation around the spinal cord enough to allow Dot to resume a reasonably normal life. Possibly. This appears to be one of those things that you just don't know until you try. One of the keys to non-surgical treatment is 100% bed rest for up to eight weeks. Nerves are very fragile, are easily damaged, and can take a very long time to regenerate.

I felt a little better about the possibility of surgery after talking to the neurologist today. I felt a little worse about the whole recovery process after I read a website that described in great detail the many ways that dogs can screw up their own recovery by just being dogs. Dogs don't understand the concept of 100% bed rest and will do everything they can to resume their old activities. You have to watch them like a hawk at all times to ensure that they don't injure themselves.

As bad as it is, there are small signs of hope. When we took Dot to the specialty hospital her rear legs were completely lifeless. This morning, I could see small signs that she was attempting to move them. As I used the Help 'Em Up Harness throughout the day to get her outside to pee, I would often notice that her legs were attempting to move. Dot is a long, long way from being to support her own weight without assistance, but the fact that there is still a little feedback between the nerves in her legs and her spinal cord was encouraging.

I had to be the legs for my first Dalmatian during the last year of his life and it just about killed me. I wouldn't be a bit surprised if this is where all my current shoulder problems originated. Spot had a different problem than Dot has now, however. With Spot, a combination of hip dysplasia and a late in life cruciate ligament tear caused most of of the weakness in his rear legs. Spot was very weak but was never completely paralyzed. It was still possible to take him on walks using a supportive harness. Dot's condition is more serious.

Helping Dot recover will test the limits of my housebound lifestyle. Even I need to get out sometime. Janet and I will figure out a way to keep Dot under supervision at all times. It's not going to be easy though. Dot has already tried to get off her dog bed unassisted three times today. She is not a good candidate for being crated though, so I will always keep her nearby and be her legs when it looks like she needs to move. So far there have been no accidents. She is pretty good about letting me know when she needs to pee. She's even better about letting me know when she's hungry, which is almost all the time.

Tonight should be interesting. Dot has always slept in the bed, but the neurologist says that she absolutely must sleep on the floor and not get in the bed with us. There is just too much danger if she inadvertently tried to hop off the bed while we were asleep. I'm such a light sleeper that I almost always wake up whenever either dog moves during the night. I don't want to risk anything though, so maybe I'll sleep on the floor with her. Dot is today's Dalmatian of the day. I took this picture on Valentines Day several years ago when she was feeling much better.

Dot is today's Dalmatian of the Day

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Day 1692

The dogs love our unseasonably cool August weather and enjoyed being out in the yard today. There was a nice breeze that blew away most of the mosquitoes, so we were able to enjoy the outdoors longer than I expected. While I kept an eye on Dot to make sure she didn't fall down or get herself in trouble, I managed to get a bit of gardening done. As the dogs sniffed the air for new scents, I pulled weeds and tidied up the yard. It's nice to see Dot enjoying herself again. She still moving around very slowly and her rear legs are a bit shaky, but there's a look in her eyes that tells me that a burden has been lifted. I think that the intestinal tumor had been bothering her for a lot longer than we knew.

I'm out of shape. It's amazing how quickly things can go downhill without exercise. A week in the hospital on IV fluids erased almost an entire year of rehab work with Dot. Several weeks away from the gym has erased a bit of my own progress was well. I was winded after today's workout, even though it was no different than any other. My goal for the rest of the year will be to help Dot get strong again while doing my best to stay strong and fit myself. Neither of us are getting any younger, so it is important to keep moving. If I can emulate Dot's determination and tenacity, we should both be fine.

Tomorrow we go back to the cancer center for Dot's first post-surgery evaluation. I hope the doctors are as impressed with Dot's progress as we are. Considering the seriousness of her situation a few weeks ago, she is doing amazingly well. Hopefully, if her doctors think she making good progress, Dot may soon be able to resume her water therapy and acupuncture. Her rear legs have been weak before and the physical therapy she's been receiving this year has really helped.

We almost made it through the night last night. Dot didn't need to go outside to pee until almost 4 AM, instead of the 2 AM wake up call we have been getting used to lately. With any luck, her incontinence will continue to diminish and we'll all be able to get back to enjoying a good night's sleep in the near future. You can't rush recovery though. Getting better has its own time schedule and you have to be patient.

With Dot's recent emergency, it's easy to forget that Dash is still being treated for cancer as well. Today I noticed for the first time that his hair is finally starting to regrow in the smooth bald area on his neck where he received the radiation treatments. If Dot continues to do as well as Dash has been doing this Summer, we'll have two healthy, cancer free dogs again before Christmas. I'm hoping for the best when Dot's oncologist examines her tomorrow.

Becker is today's Dalmatian of the Day

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Day 1598

Dash appears to be getting depressed. He is lethargic and spends most of the day sleeping under my desk. He isn't even interested in taking his walks anymore. I called the cancer center to explain what was going on and as expected, they told me that this was normal for the final stages of radiation treatment. They said I should put him back on Tramadol, because a lot of this behavior could be explained by pain. "Dogs don't always react to pain the same way we do," the nurse told me. This made me feel bad, because just two days ago I was convinced that his odd behavior was actually caused by the pain medication. It doesn't really help that we were warned about everything that is happening now. It is still very unsettling.

When I went to see my hepatologist today, I kind of expected some sort of graduation ceremony. Hey, I was finished, wasn't I? Instead, I just received another blood test and an appointment to come back again in three months. After the three month test, I will come back for yet another test six months after that, and then once a year for the foreseeable future. "You guys are being pretty cautious," I told the hepatologist. "Does this disease ever come back again?" "Very rarely," she said, "but it does happen."

My doctors and veterinarians have been able to accomplish some amazing things, but they are still very cautious about making promises. I guess they have good reason to be cautious. Life is complex and full of surprises. When I think of what happened with my parents as they got older and the outcomes of past illnesses and injuries, I'll have to admit that I was seldom prepared for what actually happened. Sometimes the results were much better than I expected, and other times they were worse. What doctors really offer is hope. There are no guarantees in life.

At least Dash only has two more radiation treatments to go. There is one tomorrow and the final treatment is on Monday. The oncologist and the entire team at the cancer center love Dash. They also thing he is doing extremely well, despite the discomfort he is experiencing now. This should be reassuring, but I'll just be glad when this long journey is over. If Dash could talk, I'll sure he would agree.

Work was very, very busy today. There was nothing to get excited about, but nothing that could be ignored either. Janet is even busier than I am. She leaves before sunrise and returns long after sunset. I think we both thought we would be taking it easy by now, but like I mentioned earlier, life is full of surprises and there are no guarantees. You've just got to take things one day at a time. Our dogs are still with us and a lot of hard work allows us to take care of them properly. I guess that's a fair bargain.

Betsy is today's Dalmatian of the Day

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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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