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

Tuesday, August 24, 2021

Day 4261

Well, this was a big surprise. I'm at the hospital. It looks like I'm going to need surgery tomorow. I wasn't expecting this at all when I began to have stomach pains yesterday. Today the pain got a lot worse. Janet said that I'd better call my doctor and my doctor said I'd better get down to the hospital quick. The pain was pretty bad today. I threw up several times. I thought that I was throwing up blood, but then I remembered that my morning smoothie was pink. I'm pretty sure I just threw up my smoothie.

Janet dropped me off at the hospital and then I began the long wait as I was shuffled around from one department to another. The last thing I wanted to do was be in a hospital during a Covid surge, but here we are. After several blood tests and a sonogram, I finally talked to a doctor. The doctor said that I had stones in my bile duct that needed to be removed and that my gall bladder was full of stones. That needs to be removed as well. For the first procedure they will snake a camera and a thin wire down my throat, stomach and intestines to reach the bile duct and remove the stores. This sounds incredibly difficult to me, but the surgeon assured me that he does this every day. There is a small risk of pancreatitis and an even smaller risk of perforating the intestine wall, but the surgeon didn't seem worried. Surgeons never seem worried.

The next day I will have a second surgery to remove my gall bladder. This type of endoscopic surgery is supposed to be minimally invasive with a quick recover time. There is still cutting involved though. I hate the cutting. I'm going to be here a while. They said they planned to release me on Friday morning.

My doctor showed me how to use a special physician referral door to the emergency room. This saves a lot of time. Between some of the tests this evening I was pushed into the general emergency room waiting area for about an hour. This place seemed like one of Dante's circles of hell. People were coughing and half of them probably had Covid. For once I was really glad I was wearing a good N-95 mask. I was glad to return to a private room for the remainder of my tests. I heard that there was a six hour wait for walk ins  at the emergency room.

I wasn't expecting to stay overnight, so I asked Janet to bring me my electric razor, a toothbrush, clean underwear, a laptop, and charging cords for all my devices. My phone and watch are dead. I'm actually writing this blog entry on Wednesday morning and backdating it to Tuesday. With all the tests going on, there was no way to write this evening.

Hopefully, everything goes well tomorrow. I don't like hospitals and dislike surgery even more. It is what is is though. This needs to be done and it would be stupid of me to ignore the problem. The doctors said it was a good thing I came in today because if I'd waited there would have been a good chance for a severe liver infection. The last surgery I had was knee surgery back in the early 1970's. I guess it's finally time to do this again.

Thursday, August 12, 2021

Day 4249

We got some bad news at the vet today. Dawn has some large bladder stones that will need to be surgically removed. The stones never showed up on x-rays, but the vet did an ultrasound today and they were very obvious. The vet thinks the stones are one reason why her infection had been so hard to get rid of. We still don't know if her last course of antibiotics worked, They will have to do another bacteria culture to determine that. 

I asked the vet if lithotripsy could be used for dogs. I had this non-invasive procedure many years ago to remove my own bladder stones and it worked very well. Bacically the procedure uses shock waves to break up the stones and then the debris is passed through the urine. Evidently lithotripsy does work on dogs, but very few vets have the equipment needed. There is a mobile veterinary lithotripsy truck that travels around the country, but the vet didn't know where it was currently. He said the procedure is quite expensive and that surgery is much more affordable. At any rate, we will probably need to have the surgery done soon so we can clear up her infection before it becomes even worse.

We still don't have any answers about Dawn's obsession with licking her paws. It could be a behavioral problem. It could be allergies. It could be something medical that hasn't even been diagnosed yet. The vet seems to think Dawn needs to wear a cone all the time because it only takes five minutes of licking to undo a week of healing. He showed us a special soft cone that she could wear all the time. I guess we'll order one. She's also trying a new medication that is supposed to be very effective with certain allergies. I gave the vet a list of Dawn's weird behaviors in hopes that this might lead to a quick diagnosis. He wasn't very impressed and still thinks the process of elimination through trial and error will eventually solve the problem.

It was way too hot today for a walk in the park. Even our sunrise walk felt a little warm, although we did have a nice breeze this morning. We always seem to run into the dog that bit me many years ago on our early walks. The dog is well behaved, on a short leash, and listens to his owner better than Dawn listens to us. Nevertheless, it still makes me very nervous to be anywhere near this dog. It probably shows. I always move as far out of the way as I can when we pass on the street.

There is a new mask mandate in Dallas, but nobody seems to be listening. Admittedly, I don't get out that much, but so far I haven't detected any change in people's behavior at all. Few people were wearing masks at the vet and it is largely a symbolic gesture at the gym. Most people seem more angry than worried. Everybody had plans for the Fall and now those plans are in limbo again. It's a shame that everyone wants to blame someone else for their Covid woes. I think that even if the entire country were vaccinated, we would still have problems with the variants. The variants are all coming from other countries and the entire society just can't seem to stop traveling. Just stop traveling for a while. It's a no-brainer.

I keep hearing that "everybody took the polio vaccine so why won't they take the Covid vaccine." Jeez. It took years and years to develop an effective polio vaccine. The first polio vaccines actually gave people polio. The smallpox vaccine never worked on me because I never developed a scar on my arm. Doctors couldn't decide whether I had a natural immunity to the disease or if the vaccine just didn't work so they kept vaccinating me over and over again. Lord knows how many smallpox vaccinations I received as a child. I guess the point I'm trying to make is that it's hard to defeat a microscopic organism that trying just as hard to survive as we are. You've got to be patient. Masks aren't the problem. Human behavior is the problem.

The trip to the vet was the big event for the day. I wrote a letter to my sister, took it to the post office, and went to the gym. That was about it. I did remember to take the trash out to the curb though. Hopefully, the sanitation people will remember to pick it up tomorrow.

Ellis is today's Dalmatian of the Day



Watch of the Day



Wednesday, May 29, 2019

Day 3443

It rained a lot today. I thought I was pretty clever though. I know how long it takes me to walk specific distances and I know there are a lot of little gazebo like structures scattered throughout the park so picnickers can get out of the sun. I looked at the weather radar and plotted a path that would hopefully have me arriving at one of of these covered structures every time a storm cloud was overhead. Amazingly, the plan worked. When a rain cloud arrived I was sitting under a gazebo and staying dry. One of these covered structures was up on a hill where I could see the storm approaching from a distance. You could clearly see streaks of rain falling from a big dark cloud that was getting closer and closer. As the rain approached I could hear the raindrops falling on the water in the lake while the meadow in front of me was still dry. Then thirty seconds later, the rain was overhead. Each storm cell was small and there was lots of space in-between each downpour. I still managed to cover three miles and I didn't get wet. My walk took a little longer this morning, but I wasn't in a hurry. Actually watching the rain from a dry vantage point was quite enjoyable. While I was out today I encountered a beautiful Canada Goose. I wanted a picture, but unfortunately didn't have a telephoto lens with me. I thought about trying to get close to the goose with my phone, but geese can be nasty. I wasn't really in the mood to get attacked by a goose.

I got a welcome letter from the NASA folks today and now I finally feel comfortable that my acceptance of their invitation was received. NASA is a very bureaucratic organization and there will be further correspondence and forms to fill out before I can actually set foot inside their secure facilities. The trip is officially confirmed though and I'm definitely going. Hopefully, this will be the start of a very interesting summer.

I went with Janet this afternoon to help transport one of our rescue dogs from the veterinary surgery center to another vet where she will recuperate. While we were on our way we got a call saying that there were complications and the dog needed to stay at the hospital under observation for an additional day. Actually, this was good news to me. I always worry about taking a dog home that has just had surgery. Dogs aren't always good patients and there are so many things that can go wrong. Hopefully when we do pick this girl up, her condition will be stable and she'll already be on the mend.

Not a lot happened today but it still felt like a good day. I'm getting a lot of sleep now and am slowly becoming comfortable with the idea of living without deadlines or responsibilities. Janet has always been more involved with rescue than me, but there is nothing wrong with helping her out when I can. Hey, I may become a space and astronomy blogger yet. It must mean something that NASA has invited me to three different events. Things can change quickly, but at least for today, life is good.

Emmitt is today's Dalmatian of the Day
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Monday, August 21, 2017

Day 2797

It was an eventful day. We got up at 4:30 this morning to go to the hospital. Janet's surgery wasn't scheduled until 7:30, but there's always a lot of paperwork when you check in. I'm always amazed at how empty the roads are at this time of day. If only it were this way all the time. I stayed until the anesthesiologist came and took Janet to the OR and then I went home and fed Dash his breakfast and took him on a walk.

By the time I finished my own breakfast and did the dishes I got a call saying that Janet was in recovery. She didn't have to stay in the hospital overnight this time, so I drove back down to the hospital to take her home. By the time I arrived, the eclipse had already started. As I entered the building, I passed a doctor looking at the eclipse through a sheet of x-ray film. Some nearby nurses asked him if the x-ray film was safe. "I don't know," said the doctor. The nurses took turns looking through the film anyway, probably thinking that if this makeshift filter was good enough for a doctor, it was good enough for them. Since these people didn't appear to go blind, I asked if I could take a look too. I'll have to say that x-ray film makes a darn good solar filter.

By the time that Janet and I arrived back home again, the eclipse was near it's maximum. The sky was noticeably darker and the light filtering through the trees in front of our house made lots of little crescent shaped images on the sidewalk. Janet wanted to go to sleep, so as soon as she was settled in, I went down the street to watch the remainder of the eclipse through a neighbor's telescope. You could see sunspots through the telescope and by using them as a reference point, it was easy to see how fast the moon was crossing in front of the sun. The edge of the moon wasn't completely round either. You could clearly see the outline of mountains and valleys silhouetted against the sun. The guy with the telescope had a good supply of eclipse glasses, so everybody got a good view. It seemed like half the neighborhood showed up for this impromptu event. I hadn't seen some of these people for quite a while and some of them didn't even know that Dot had passed away. It was nice to see a group of people where everyone was happy and nobody was protesting anything.

I think Janet's surgery went really well. She will be home for two weeks, but that is much better than the six weeks it took to recover after the first surgery. This time there are no tubes that need to be drained every four hours. There are still bandages that need to be changed and procedures that need to be followed to avoid infections, but everyone is anticipating that her recovery will go smoothly.

I need to take Dash to the vet early tomorrow morning for his Phenobarbital level test. I was going to do this on Wednesday, but there are thunderstorms in the forecast. I think it will be easier tomorrow. I need to take Janet back to see her surgeon on Wednesday as well. If the weather is bad, we'll just take Dash with us. I hate to leave Dash alone during a storm. I've learned from experience that he can get into some serious trouble if he panics.

It would have been nice to see the sun's corona today, but I definitely did get to experience the eclipse. I'm glad that Janet's long and difficult journey is coming to a close. Hopefully, in a month or two this summer of surgery will just be a memory.

Cookie is today's Dalmatian of the Day
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Sunday, August 20, 2017

Day 2796

Janet goes back for more surgery tomorrow, so today was another huge cleaning day. I'm not sure whether the kind of cleaning we do disinfects the house at all, but it does make Janet feel better. This surgery is supposed to be the final step in the reconstruction process. Recovery is supposed to be faster this time, but Janet will still have to take another leave of absence from work. I'm sure she hopes this is the last surgery she'll ever have to have.

I was going to go to the gym today, but while I was running a few errands on the way, I couldn't remember whether I'd turned the dryer off before I left the house. I skipped the gym and drove back home to check. Actually, the dryer was off, but it's better to be safe than sorry. Janet and I both worry about dryer fires, so the dryer is never on when we leave the house. I don't leave the washer running either, because once it overflowed into the utility room and made a huge mess. I don't know why I feel safe leaving the dehumidifier running constantly. There's probably something that could go wrong with that thing too.

When I returned home, I realized that I had so many things to do that I never should have planned on going to the gym in the first place. I vacuumed the house, washed the sheets and made the bed, and mowed the grass in the front and the back. I'm not sure how much longer I can continue mowing the grass myself. Every time I take the mower out it seems a little harder to push it up our sloping front yard. I was very tired today. When you get older it's really hard to tell whether you've got some strange disease that is sapping all your energy, or if you're actually doing quite well and just getting older. There's no real benchmark for this sort of thing. Some of my aging friends still run marathons. Others have trouble getting off the couch.

One of our neighbors is having an eclipse watching party in their front yard tomorrow. I'm not sure how long I'll need to be at the hospital in the morning, but if I have time I'll go take a look at the sun through the neighbor's telescope around noon. This guy is a real astronomy buff and has all the right solar filters. We'll only see about 75% totality here in Dallas, but the view still ought to be interesting.  I'm a little envious of all the people I know who are actually making the trip to the totality zone. There have been quite a few status updates on Facebook from people leaving for their eclipse destinations over the weekend. A lot of them ought to get a good view. The weather actually seems to be improving across much of the country.

We're going to have to get up really early tomorrow morning. Janet needs to be admitted to the hospital at 5:30 AM. I'll come home to feed and walk Dash and then wait for the call that everything went OK. I don't know how you can be casual about surgery. Even minor surgery seems drastic to me. The dogs have had every type of surgery imaginable and my sister had to endure an eight hour spinal fusion surgery. I've been pretty lucky. I had knee surgery back in college and then went almost forty years before I needed a lithotripsy procedure a few years ago to remove some bladder stones. Janet has a great team of doctors, but they don't make surgery any less frightening. I hope this is the last surgery she's going to need for a long, long time. I also hope she's not going to be driving me to the hospital any time soon.

Blackjack is today's Dalmatian of the Day
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Tuesday, June 27, 2017

Day 2742

Another rainy day. The yard is still muddy and I have to clean Dash's paws with a wet rag before he comes inside. The first thing Dash does when he comes inside is jump on the bed. If the rainy season continues much longer, Janet may wish she hadn't picked out a white comforter and pillows for the bed. When you've got large dogs, mud brown usually turns out to be the best color for everything.

I really need to start pestering the landscaper to come out and take care of the yard. He was supposed to come a month ago. Usually we put in new grass in March but there's been way too much going on this Spring. The yard really hasn't been a priority. A friend who uses the same guy told us the landscaper isn't very interested in us since we only call him once a year. Hey, once a year is plenty. He ought to be glad to have our business since he gets to put in the same grass over and over again. I don't know why the grass won't grow. The lawn gets enough water and the soil is good. Maybe there just isn't enough direct sunlight. At any rate, it doesn't really matter how long the grass lasts. Right now the back yard is basically a big mud pit.

I wrote another letter to my sister this afternoon. Letter writing is always a good thing to do on a rainy day. I wish my sister would just read the blog, since I end up repeating most of the things I've already written here. Pen and paper is how she communicates and I doubt that anything is going to change. We're both set in our ways. My Dad was the same way. He was a brilliant scientist, but he never owned a computer. He had no interest in computers at all.

Maybe I'm the odd duck in the family. I don't know what I'd do without my computers. Without computers, I'd never have been able to operate a successful business out of my house for all these years. When I first started the company, I was constantly driving from one client to the next. It seemed like I was always in meetings. What a revelation to discover that I didn't really need to see these people at all. The Internet changed everything for me. To this day there are still clients who I have never met in person. I get my assignments via e-mail and I send the completed projects back via e-mail. It works for me.

I'm surprised that Dash has turned out to be a really good therapy dog. Janet and I were a little nervous when she first came home from the hospital, since Dash has a tendency to be wild. He's been very gentle and attentive though. He follows Janet around the house wherever she goes and just sits by her side. So far, there have been no problems at all. I suspect that Dash has wanted both of us home for a long time. For most of his life, Janet has left for work early and come home pretty late. Now Dash has both of us.

Tomorrow I take Janet to visit two different doctors. We're hoping that they are both pleased with her progress. Surgery is always so invasive and recovery is so messy that it is hard to know what to expect. I remember when I first saw my Dad after open heart surgery I was horrified. The cardiologist reassured me that everything was normal but it sure didn't look normal. Dad recovered and so will Janet. There just aren't any shortcuts. I've learned that when a surgeon explains a procedure to you, they usually aren't telling you the entire story. Maybe it's for the best. If I knew everything, I would never have the nerve to have surgery.

It's hard to believe the year is almost half over. This is one year I don't feel like repeating. When Janet recovers, I hope we all stay healthy for a long, long time.

Rascal is today's Dalmatian of the Day
 
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Wednesday, June 21, 2017

Day 2736

I spent most of the day at the hospital. Our dogs have had every conceivable type of surgery over the years, but none of this really prepares you for surgery in a large metropolitan hospital. There are mountains of forms to sign. You can easily get lost in the labyrinth of hallways leading to your destination. It can all be fairly intimidating. I noticed that Janet's blood pressure was higher than normal when they looked at her vital signs in the pre-op staging area. The nurse just laughed. "Everyone's blood pressure is high in this room," she said.

While we were waiting, I met the surgeon, the anesthesiologist, a nurse-patient liaison, and more operating room nurses than I can remember. There was actually a second surgeon, but he was busy in another operation, and didn't introduce himself. Everyone was extremely professional and did their best to put us at ease.

There is no way to be relaxed about major surgery though. Janet was scared and I was just hoping that my innate fear of doctors and hospitals wasn't showing. I didn't want to make things worse. The only comfort was that Janet had done her homework and found a superb surgeon. Everybody said that this guy was the very best. When the anesthesiologist came to prepare her for the operating room, I went home to feed and walk Dash while waiting for the call that everything was OK.

The surgery went quicker than I thought it would. The first surgeon called about an hour an a half after I got home and the second surgeon called an hour after that to say everything was completed. Surgeons are not very talkative, but both seemed pleased with the results and said there were no complications.

When I went to visit Janet this evening after she got out of the recovery room, she was all hooked up to tubes and looked very tired. She was hungry though and said she wished they had brought her a ham sandwich instead of Jello and chicken broth. There was probably good reason that the doctors didn't want her to eat solid food right away. It was hard enough to get her to drink a glass of water through a straw. Janet wanted me to text her family and friends and let them know she was OK. This took forever, since I'm terrible at texting. I don't see how anyone can do this quickly. I can barely see the tiny keyboard.

If all goes well tonight, Janet will be released from the hospital later tomorrow. There will be a nurse that comes to the house for a while and then I will take over most of the post-op care. Dot prepared me well for being a caregiver, so I think everything will be fine.

It's been a long day. Actually, it's been a very long year. I often wish that life would return to normal, but lately I've come to the conclusion that there is no such thing as normal. When you get to know people well, you realize that nobody's life is all that normal. We are all dealing with things we never expected.

Barley is today's Dalmatian of the Day
 
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Tuesday, June 20, 2017

Day 2735 - Summer Solstice

Summer is officially here. I used to think that the Summer Solstice always occurs on June 21, but it moves around a bit for the same reason that we have leap year every four years. The year isn't exactly 365 days long. I didn't need a calendar to remind me that Summer arrived today. It was really hot outside. I waited until late in the day to take Dash on his evening walk, but it was still too hot for him. Dash doesn't do well in the heat. If it gets any warmer, we will have to curtail these evening walks entirely.

I got Dash's blood test results today and they were encouraging. His triglyceride levels went all the way from over 2000 to 168. This dramatic reduction amazed our vet, but I'm thinking that the lab just made a mistake on the first set of tests. It happens. I've had really screwy results on my own blood tests from time to time. It's a shame that insurance won't pay for more frequent lab work. There can be anomalies in any test and you really need to test frequently to see if there is a trend or pattern to the results. If you only get your blood tested once a year, you may be worried all year about something that isn't even a problem.

I did some more cleaning around the house today. I'd read that you could remove lime and scale off the inside of shower heads by tying a bag full of vinegar around the shower head and letting it soak for a few hours. I was skeptical but what did I have to lose. The water did seem to come out of the nozzle a little better after I was done, but it still wasn't anything like our old shower head. Somewhere along the line, manufacturers changed the design of faucets, toilets, shower heads, and other plumbing fixtures to save water. I hate these low volume fixtures because it just doesn't seem like there is enough water pressure anymore.

Things are probably as clean as they're going to get. We've just about run out of preparation time since Janet goes in for surgery tomorrow. Life is going to be different for a while. They move you out of the hospital so quickly now that a lot of her recovery will take place at home. Hopefully, I will be a good nurse. I learned a lot during the years I took care of Dot, but this will be more complicated. Once again it will be important to stay flexible, have a positive attitude, and take things one day at a time. I've read all the information the doctors have provided, but there are still a lot of questions.

I wonder if life will ever return to normal. When Janet recovers, probably something will go wrong with me. Dash is getting older too. I really hope he stays healthy and happy for a few more years. It would be nice to have a block of time where everyone was relaxed and healthy and all the stress just disappeared.

If normalcy ever does return, it would be nice to travel for a while. Living and working in a very old house for all these years has made me feel like the captain of a sinking ship. Right now, restaurant meals and having a maid make your bed every morning sounds pretty good.

Alamo is today's Dalmatian of the Day
 
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Monday, January 18, 2016

Day 2225

I frequently forget what day it is. It seemed a lot like Sunday to me. Since Janet had the day off, we got up late again and didn't finish breakfast until almost lunch time. We walked the dogs a little later this morning on the theory that if the sun was a little higher in the sky, it would be warmer outside. It never did get very warm, but at least it was clear and there was no wind.

Since I didn't go to the gym yesterday, I decided to go today. I'm always surprised at how crowded the place is on Monday, but maybe it was because today was a holiday. I stopped at a new REI store I always pass on my way to the gym. I hadn't been inside a REI store since I used to live in Seattle, but was delighted with what I saw. I love this kind of stuff. There were tons of warm coats and lots of sturdy pants with pockets everywhere. There were boots that looked like they would last forever, although I could probably wear them out in a year. I like to dress like the apocalypse is just around the corner, so this store was right up my alley. Oddly, they were having a Winter clearance sale during one of the coldest days of the year. I found a nice goose down jacket on sale and bought it. When I was at the register the clerk asked me if I was an REI member. I didn't think so, but the guy insisted on looking up my name. "Sure, you're a member," he said. "Did you ever live in Rogers, Arkansas?" "That's my Dad," I told him. "Well, would you like to use his membership for this purchase," he said. It didn't seem right. My Dad has been dead for over a decade.

Since the gym was kind of crowded today, I had to use some different equipment than I normally use. One of the machines required me to move my wrist a lot. Ouch! I hadn't used this particular machine in over a year and it was obvious that during that time my carpel tunnel had gotten worse. I'm not sure what to do about this wrist. I do my stretching exercises, but my range of motion continues to gradually get worse. I definitely don't want surgery. I know several people who have had surgery for carpal tunnel syndrome and their condition didn't improve at all. I've learned from the dogs that surgery should only be an option when you have run out of other options. Dot and Dash wouldn't be here today without the help of some very talented surgeons, but their cancer surgeries weren't without consequences. It takes a long time to recover from major surgery and the older you are, the more difficult the rehabilitation becomes.

Dot's front leg continues to improve. I think we got lucky, because it appears that all she did was strain a muscle or ligament. We're still taking it easy on our walks though. We walk slow and watch carefully for any sign of weakness. It's always a balancing act with Dot. It is essential to keep her moving to keep her condition from rapidly deteriorating, but she is very fragile, so you've got to be careful not to let her overexert herself. At least for today, I think everything is in balance. Dot had a good day.

Tomorrow should be busy. Janet returns to work and so do I. I have new writing assignments to complete and another website to update. There is a fresh supply of strawberries and bananas for my morning smoothies and a new winter coat if it is really cold in the morning. I measure my days now by my ability to get Dot outside before she poops. We'll see how tomorrow goes.

Dovey is today's Dalmatian of the Day
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Thursday, February 26, 2015

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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Saturday, February 21, 2015

Day 1894

I went to Home Depot while Janet was watching Dot to stock up on furnace filters, drain cleaners, plungers, light bulbs and other mundane items that never seem to be there when you need them. On the way home, I paid another visit to the storage warehouse and resumed my search for the Anton Bauer battery charger. This time I found the elusive gadget, although it remains to be seen whether this charger is any better than the other one at home which appears to be worthless. I'll give the batteries 24 hours on the charger before I declare the entire effort a lost cause.

Dot seems to have reached some sort of plateau. She's not getting better and not getting worse. When I lift her up with the harness, she will move her legs but they will not support any weight. I try to hold her at just the right height, so her legs just touch the ground and she can simulate walking. Nobody's fooling anyone though. She and I both know that this is not really walking. For those of you who have asked, Dot's surgery is scheduled for next Thursday.

Since life is kind of hectic right now, I didn't finish all my assignments before the weekend rolled around. Watching over Dot this afternoon gave me an opportunity to catch up on everything. I wrote another article and shipped it off to its destination. I completed the updates on two more websites and looked at a video link that a client sent me. When people e-mail me YouTube links with a subject line saying "beautiful example," it usually means that they'd like to do something similar. I guess if we need to copy something, this would be a good place to start. The video was quite nice.

I'm grateful that we don't have to deal with all the snow that people on the East Coast are getting, but our Winter has still been a bit strange. One day it will be freezing cold and the next day it will seem like Spring. The plants are getting very confused. I have already seen daffodils blooming in the park and some trees are starting to bud. This is unfortunate, because there is more cold weather on the way. We are supposed to have freezing rain and sleet on Monday and Tuesday. Freezing rain is just a code word for power outage to me. I hate freezing rain.

I've got everything I need now to unclog the slow bathroom drain, so I guess that's what I'll do tomorrow. Maybe something more exciting will intervene and allow me to postpone this loathsome task. I certainly hope so. I need to get the water off the roof too, but I'm a bit wary about climbing up on the roof these days. Seeing Dot's condition reminds me that these things can happen to people as well. The last thing I need right now are back problems.

Lizzy is today's Dalmatian of the Day
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Friday, February 20, 2015

Day 1893

We have scheduled Dot for surgery. This was and will remain a very tough decision. Dot is an old dog. She doesn't know this however. Her irrepressible spirit has carried her through tough challenges before and I'm hoping it will again. Watching her progress this week, I am convinced that she is determined to walk again. Unfortunately, it doesn't appear that prednisolone alone will ever provide a realistic path to recovery. After a week on the drug, she still can't stand on her own. Prednisolone isn't a long-term solution anyway and we have already had to reduce her dosage to avoid risks and complications. The real problem is that her spinal cord is still compressed and pinched by the herniated disc. Until this pressure is released, there is a real danger that she could damage the cord further, eliminating any chance for recovery.

If Dot could continue to make small improvements day after day until she eventually walked on her own again, I probably wouldn't even consider surgery. Both the neurosurgeon and my regular vet have already told me that this outcome is unlikely. The initial improvements we saw from giving her prednisolone have already slowed and we can't continue using steroids forever. I'm becoming more and more convinced that despite the risk, spinal surgery is the only alternative that will give Dot a realistic opportunity of walking again.

I really hate making decisions like this, but avoiding them is even worse.You've got to be able to make decisions to lead a normal life. I have known some genuinely indecisive people in my life and most of them were miserable. You simply can't stay sane if you are continually second guessing every aspect of your life. I know that Dot wants to walk again. I also know that Janet, Dot and I cannot continue living like this forever. Our current routine is unsustainable. When Dot finally realizes that she can no longer move, she will become depressed and lose her will to keep going. Janet and I will simply burn out at some point. The surgeon told me today that in the best of worlds, Dot could be walking again within two weeks after surgery. In the worst of worlds, recovery could take up to three months. I can live with that. Of course there is always the possibility that the surgery will fail completely. Everyone says this possibility is very small, but you've got to be prepared for it.

I'm glad I had an opportunity to go out and have my special breakfast this morning. The rest of the day was extremely busy and stressful. I spent the day trying to anticipate what Dot was going to do next while I was working on completing my writing assignments and fine tuning the new business presentation my friend and I are working on. There were some website revisions as well, but I haven't even had time to get around to them yet. I wish that Dot preferred sleeping right next to my computer, but she usually doesn't. The petcams work pretty well for monitoring Dot's activity in other rooms, but I have to act fast if I sense that she is going to try to get up on her own. We don't want her to do that! Dot needs to go outside and pee a lot more often now as well. That's one of the side effects of the prednisolone. So far, I am juggling all these activities pretty well, but it is exhausting.

I'm glad that Dot is still happy. That helps a lot. I wish I could sleep all day tomorrow, but I suspect that tomorrow will be exactly like today. They say that what doesn't kill you makes you stronger. If that's true, I should be pretty strong by Summer.

Odie is today's Dalmatian of the Day
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Thursday, February 19, 2015

Day 1892

The days are starting to run together. I get up at 4 AM to take Dot out to pee. I go back to sleep again for a few hours. I walk Dash. Janet and I figure out a schedule for who is going to monitor Dot during the day. I do some writing. I work on a few websites. I take a shower. I worry about Dot some more. Now, what day is it today?

During one of the periods where it was Janet's turn to watch Dot, I went to the storage warehouse to look for my Anton Bauer Quad charger. I couldn't find it anywhere. Did I throw the charger away years ago because it was defective? Is it really at home somewhere? Is it hidden away behind a cardboard box in the storeroom somewhere? I don't have a clue. What is the use of having a storage warehouse if I can't find anything anymore?

On my way home, I stopped at the pharmacy to pick up a prescription. I was surprised to see that the price had doubled. "Has my coverage changed," I asked the pharmacist? It was a legitimate question, since insurance coverage is constantly changing. "No, your coverage is the same," the pharmacist said. "We just raised our prices."

I finished my component of the new business proposal that my friend and I are working on. He thought it looked good, but wondered whether we could deliver something so ambitious. I think this is doable, but we'll never know till we try. If we get this business, I'll be even busier than I am now. A lot busier. Busy is good though. At least I won't worry about vet bills so much. It's amazing how much better I've become as a writer since I've been forced to totally depend on this skill for a living. What I accomplish in an hour these days used to take me an entire day at the ad agencies. That being said, I had a lot more fun as a young ad agency creative. Work has been more of a chore than an adventure lately. That's what I like about this new proposal. If we get this gig, it is entirely possible that the adventure may return.

When my vet came over this afternoon to give Dot acupuncture and cold laser therapy, I asked her what she would do about surgery if Dot was her dog. "I'd probably go for it," she said, and then quickly added, "but only because I'm a vet." I wanted to ask "But what would you do if you were me," but of course she isn't me. This is a very rough surgery for a dog as old as Dot, and I don't have the knowledge or the resources that a good vet has. When she's having a good day I want to leave Dot alone. If she's only got a year left anyway, why make six months of that year an arduous recovery from major surgery? When Dot is having a bad day, I want to pull out all the stops and do everything possible. I need to remember that this go for broke attitude doesn't always work.

I still regret trying to intervene when we discovered Greta had liver cancer. The surgeon was very good, but the cancer had already metastasized and Greta was too old and weak to survive. She never even made it out of the hospital. Spot's second TPLO surgery was a mistake. The surgery on his left knew was so successful that we thought it would succeed equally well on the other knee when he tore a second anterior cruciate ligament. The second surgery failed. Spot was a lot older by then and even though the surgery was technically a success, Spot never walked again. It's hard to forget these things, even though many other surgeries succeeded brilliantly.

Janet is going to stay with Dot tomorrow morning so I can go enjoy my favorite breakfast. She goes to the gym almost every day now to stay sane. I depend on a great breakfast at least once a week.

Spot is today's Dalmatian of the Day
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Sunday, February 15, 2015

Day 1888

How many dogs have a vet who is nice enough to make house-calls? I was delighted this morning when Dot's regular vet called and asked if I'd like her to come to the house so Dot could get an acupuncture treatment today. Acupuncture alone won't get Dot walking again, but it is very effective at releasing endorphins which can reduce stress and alleviate pain. Dot has always enjoyed her acupuncture therapy. It seems to relax her and leave her feeling better for the rest of the day. Even though she had one of her "stranger danger" barking episodes when the vet initially arrived, she quickly relaxed and almost fell asleep as the needles did their work.

I was hoping to hear some encouraging words about Dot's progress, but truthfully any progress so far has been minor and rather subtle. Dot can sometimes move her legs, but the rear legs cannot currently support any weight. I have to hold her legs up using the special harness that she wears almost all the time now. She appears stronger when something excites her. When she saw a car in the alley behind the house this morning, Dot wanted to go investigate like she usually does. She walked all the way to the back fence with me holding her up with the harness. If I hold the special harness just right and encourage her to walk very slowly, she can make somewhat normal walking motions. She attempts to move her rear legs forward too when she pees. I have to supply all the muscle for these efforts though. Unaided, she cannot get up, or walk at all. As soon as she gets a bit tired, she starts dragging her rear legs behind her even when I am holding them up with the harness. It is very discouraging. I've nursed sick dogs back to health before, so I know I have to be very patient. Keeping your expectations low doesn't make the job any easier though. It's easy to get very sad.

Putting Dot's dog bed next to our low platform bed worked out pretty well last night. Dot slept soundly and did not seem disappointed to give up her regular spot in the middle of the bed. Since Dot is taking prednisolone now, she can't make it through the night anymore without getting up to pee. After all we went through to cure her incontinence after the cancer surgery, I'm back to getting up in the middle of the night again. Having her sleep on the floor does make this process a bit easier. I don't have to wake up everybody else and getting her outside in time is pretty easy when she sleeps with her harness on.

Janet went to help with a Dalmatian Rescue event this afternoon, but it was no problem taking care of the dogs by myself. Typically, they just sleep during the day. At first I though that I'd have to have Dot next to me at all times, but I've discovered that I can use the baby monitor to keep an eye on her when I'm in another room. I'm going to have to learn how to manage on my own anyway. Janet hates retirement and I feel like it's just a matter of time before she goes back to work again. She's very good at what she does and people in her field are already trying to tempt her with job offers. I would welcome retirement in her situation, but that's just me. At the rate we're burning through money trying to keep these two dogs healthy, it would probably be good to have two incomes again anyway.

I have lots of vet friends and I often wonder how they handle the stress of seeing sick and dying dogs everyday. Vets have seen everything. My vet was trying to cheer me up this afternoon and she said, "At least Dot doesn't have Degenerative Myelopathy." This is certainly true, but not very comforting. It would be like going to my doctor about shoulder pain and having him say, "Well, at least you've still got a shoulder." I'm a good writer, but I think I'd make a very poor doctor.

I think about surgery vs. no surgery all the time now. Both choices have a reasonable chance of good or terrible outcomes. Basically, it's just a crap shoot.

Lucky is today's Dalmatian of the Day
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Saturday, February 14, 2015

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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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, July 24, 2014

Day 1682

Dot is finally home again. After spending an entire week in intensive care being poked with needles, hooked up to IV tubes, and being cut open by a surgeon, I think she is very glad to be back on familiar turf. The cancer center officially released Dot late this afternoon, sending her home with a big sack of meds, and special instructions on how to care for her for the next few days. She still isn't eating well, but her doctors thought that being back in familiar surroundings would encourage her to resume eating normally. So far, the plan seems to be working. Within two hours after returning home Dot ate a small can of Hills A/D Critical Care. I'm glad she seems to tolerate this special prescription diet, because as much as dogs would prefer cheeseburgers, bacon and fried chicken to help them get well, people food just isn't a good long term solution.

Dot has been through a lot this week and is very tired. After eating her small special dinner and surveying the house and yard to make sure everything was still there, she settled in on top of a soft pile of her favorite blankets in the living room and went to sleep. We'll go back to the cancer center on Saturday to get her surgical bandages removed and then two weeks later to get her stitches out. I'm hoping that is all we'll need to go back for. Assuming that everything goes well with her convalescence, the next major milestone will be getting the pathology report on the tumor that was removed. If the growth is not malignant, all Dot needs to do is continue her recovery and get healthy again. If the growth turns out to be cancerous, we'll have to come up with a plan of action. That can be dealt with later. Right now, the important thing is recovering from some very major surgery. We'll take things one day at a time.

While Dot was being evaluated by her doctors this afternoon, I paid a visit to my own doctors. They wanted to do another series of tests to determine if my Hepatitis C treatment was still working as expected. I keep waiting for a final thumbs up from these guys, but it appears I may never get one. When I asked whether the disease ever returns after this type of treatment, my doctor essentially said that nobody knows yet. I was among the first large scale group of people in the world to receive the new Sovaldi drug and there are no historical records to compare. I am one of the test cases that will ultimately determine whether Sovaldi works as well long-term as it does during the initial treatment phase. So far, the drug appears to be a home run. "You were real lucky to be included in this first batch of patients," my doctor told me. "Insurance companies are starting to deny coverage already because of the high price, and there is talk of reserving the drug for the most serious cases." Rationing a drug that actually works exactly as promised seems like a stupid idea to me, but I wouldn't be surprised if this is what the government decides to do. Why would you want to ration a pill that costs a small fraction of the price of a liver transplant and has none of the rejection issues or transplant side effects? At any rate, I'm glad I got approved for treatment before Sovaldi got on the evening news as the world's most expensive pill. Insurance companies hate it now.

I won't be going out to my breakfast restaurant tomorrow. We have a new schedule now. I'll walk Dash very early in the morning, while Janet is still home and getting ready for work. We want to make sure that one of us is there to watch over her at all times. We'll see how tomorrow goes. So far, Dot seems to be improving a little bit every day. Today was a very good day.

Molly is today's Dalmatian of the Day
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