Pupdate, part the second

Please find the last pupdate here.

While I was away Jan 8-11 for IPCTD, Phil made the arrangements for Nuala’s surgery.  He took the x-rays out to Dr. Hoscheit and took Nu in for her pre-operative blood test.  On Friday, he made the appointment for Nu’s surgery: January 16, 2013.

I was home for the weekend, but then returned to Toronto for an in-person team meeting including budget discussions and discussion on the revised code of conduct.  While there, I talked to my manager about taking Thursday off.  I was completely up front about it with him and he was very accommodating.

So after my whirlwind trip to Toronto (down January 14 and up January 15), Phil and I drove Nu out to Dr. Hoscheit and went to work.  Just after noon, we got the report.  The surgery was over and appeared at first blush to be a success.  Nu was in recovery and the veterinary technician would call and check in with us when she completed her evening visit.

In the evening, the tech called and reported that Nu was doing well.  She spent 20 minutes with Nu, checking, medicating, and comforting.  Nu would be ready to return home the next morning.  We arranged to arrive for 9 am.

When we arrived, we brought some of Nuala’s food with us.  While the techs fed and prepped Nu for departure, we met a very sweet chocolate lab who’d had the same procedure only six days before.  Other than being shaved, we almost couldn’t tell she’d had an operation.

We booked the appointments to have Nuala’s bandage removed on Saturday (yesterday), and her staples removed the Saturday following.  The final follow-ups could be booked at that time.  We received three prescriptions, an antibiotic and two pain management meds, along with instructions on when to administer them.

Nu would continue to receive her Metacam in the evenings and with luck, all would be well within a couple of weeks.  Of course, we’d have to keep her quiet.  Any activity, even normal activity, could set back her recovery and potentially undo some of the benefits of the procedure.  She shouldn’t put weight on her leg and definitely shouldn’t be allowed to lick or worry at either the bandages or the incision.

Nuala was handed over to us, shaved, bandaged, and wearing the Elizabethan collar or, ‘cone of shame.”

bandage-girl

bandage-girl

The drive home was largely uneventful, and we managed to get her out of the car alright, but Nu likes to sniff as she walks, and as soon as she lowered her head, the cone became a shovel as she repeatedly jammed it into the ground.

Phil ended up carrying her into the house as the cone got stuck on every step en route to the entry, plus the door frame.  Needless to say, the cone of shame was removed as soon as we were safely in the house 🙂

Nuala post-surgery

Nuala post-surgery

Nuala

Looking good 🙂

Nuala’s been really good about keeping her leg elevated and not putting her weight on the leg.  I think we had to caution her against licking the bandage once.  We saw steady improvement, even on Friday.

Until the bandage was removed, we had to put a plastic bag over it when we took her out, and to assist her in getting up the steps, we used a towel wrapped around her abdomen to bear her weight on the way up.  The first couple of times we had her out, it was a bit of a production.

Yesterday, we took her to have the bandage removed.  Once again, she’s been very good, not licking at the staples and keeping her weight off the leg.  Phil and I are becoming expert (he more so than I) at cutting small tablets.  One of the three medications must be given in two and three quarter tablet dosages.

So that’s how my darlin’s faring this week.  Will likely have another pupdate coming in the next week or two to let you know how the staple removal and other follow-up appointments go.

The pupdate: Nuala’s ACL saga continues

When I first mentioned Nuala’s troubles, I indicated that if she didn’t improve over the holidays, that she’d be going in to Lockerby Animal Hospital for a full assessment.

This happened last Thursday, January 3, 2013.

The snow-nosian pupPhil and I took Nuala into the veterinarian in the morning and would pick her up after work.  During the day, she would be lightly sedated, a proper assessment of the ACL injury performed, and then some x-rays taken t see if any subsequent joint damage occurred.

As an unexpected bonus, they also trimmed Nu’s nails and scraped the tartar back on her teeth 🙂  due to the injury, we decided not to take her in for her regular grooming (we call it her spa day).  I’m recommitting to a regular dental care regime for my girl now.

After work, we met with Dr. Wilkinson with no little bit of trepidation.  Upon our last visit, Chad had said that if Nu needed surgery, that she’d likely have to go to Ottawa.  This presented problems for Phil and I because we don’t have the leave to take a week off and see Nu to her surgery.  Further, Nu doesn’t travel well and a six-hour car ride on either side of surgery would be untenable.

The verdict now: Nu’s ACL is indeed ruptured.  Chad figured it occurred over the holidays because her symptoms were much more pronounced now than they were before.

Surprisingly, the x-rays revealed that Nu’s hips were just fine 🙂

Phil and I explained our issues with traveling to Ottawa, and Chad provided a local solution, one Dr. Hoscheit, but time was of the essence, as the good doctor would be leaving his practice at the end of February.

Referral in hand, we hurried home and discussed how we would proceed.

On Friday, Phil made the call to Dr. Hoscheit and we waited for an appointment.  At 9:30 am on Saturday, the call came and we could be fit in at 12:20 for an initial consult.  We’d have to act quickly, as Dr. Hoscheit prefers to see a patient post-surgically for up to 2 months after.

At the appointment, Dr. Hoscheit made his own assessment of Nu, and afterward discussed options.  One of the procedures, a TTA, or tibial tuberosity advancement, was a possibility, but Dr. Hoscheit recommended a tightrope procedure instead.  He said that for a dog of Nu’s size and age, that the procedure had the potential to be much more successful than a TTA.

He would be able to proceed as soon as he ordered more tightrope material.  He hadn’t anticipated being able to complete another procedure before leaving the practice.

In the meantime, Phil will have to get the x-rays from Dr. Wilkinson as well as Nu’s blood test results, and bring Nu in for a pre-surgical blood test on Tuesday.  Unfortunately, I’ll be out of town and this will all be on Phil.  Fortunately, my mom has agreed to pick up the x-rays and lab results so that Phil will just have to come home, pick up Nu, and get her to Dr. Hoscheit’s in time for her 6:45 appointment.

So that’s how things are looking for the moment.

I think it’s a much more positive situation than we had expected and so both Phil and I are happy, relatively speaking.  We’re very grateful that the doctor has agreed to fit us in before his departure.

So that, for now, is the pupdate.