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Subject: Back Home, Maybrie's long, arduous journey begins...
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gsploverUser is Offline
Houston, Tx.
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12/18/2012 1:08 PM  

 Maybrie is now back home, and the first day was okay.  She ate twice, drank and went outside on leash with me 3 times to do her business.  I will try to add pictures later.  

She possibly has some nervitis in her foot, as it is not as sensitive as her other paws, and she folds it under itself when she rests it to pee.  Vet says it should be fine, as they didn't cut anywhere near the nerves.  The swelling is causing some issues.

This morning she was in her kennel lying on her right side...the bad leg, and as soon as she saw me got excited and tried to get up.  Upon pushing herself up, she let out the biggest and longest cry I've ever heard.   Her bad leg was actually under her as she sat on it an rolled on it, pulling on her thigh and knee at the same time.   She hasn't been the same since.  She just wants to lie down.  She has gone out twice, and she isn't crying anymore, and she ate a tiny bit and drank a very small amount.  I gave her pain meds, and we will see the vet again tomorrow morning.  I think the good stuff they gave her at the vet...injection...wore off.  Now she is just on the Rimadyl, Pepcid, Tramadol, Clavamox.  

Spoke with the vet last night, and he said this would be a very long and arduous recovery.  He said hope for 50% by  3-4 months, possibly even 6 months. He cautioned that it MAY be up to a year before we see 85%.   I'm really trying to avoid the "time" calendar and take it one day at a time.  She has to completely re-learn how to walk using that leg with both new joints....one of which is now completely absent and needing to be built up with scar tissue and bribrous connective tissue to form a "false joint."    The pool will help tremendously.  I found a warm water therapy center, but it is an hour away and costs 80/hr.  She doesn't need an hour.. She will start with 10-15 minutes twice a week.  For now, she will rehab in an indoor, room temperature pool....so 70.  The vet says that should be fine. He wanted me to start her on an indoor treadmill/water only, but it's only offered at A&M and is super expensive...like 400/hr.  It's ridiculous, and impractical.  So the indoor pool will have to do.  Hopefully that water won't be too cold. The hardest part is the watching and waiting.   I may end up purchasing a small kiddie pool and filling it with warm water and walking her around it.  

Maybrie misses her brother SO much.  They have seen each other only through a glass door.  It will be like that for at least the first 8 weeks.   I hope they don't forget the close bond they share.   

I purchased nonslip booties "ultra paws" indoor slippers!  They are PERFECT for her.  She hasn't slipped at all, and they are staying on her feet perfectly.   


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
Texas BelleUser is Offline
Austin, TX
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12/18/2012 1:25 PM  

 There are a couple of animal rehab places in Austin (www.ctvsh.com/services/rehabilitation-conditioning) that have the underwater treadmills. They run about 85 and hour.  You might want to look them up and call them and see if they know of anyone closer to you than A&M. You might also want to call Brittmore clinic in Houston. They may know of one too.

Not sure exactly where you are, but here are some other possibilities in your area.

topdoghealth.com/Canine-Rehabilitation-Directory/tag/tx/

Good luck and one day at a time. 


Bev Quarles, the Pointer Sisters (Belle and Halo), the Outlaw GSP (Johnny Ringo) and the little Princess (Fauna)

Yellow Rose GSPs

 photo FaunaBISJan20110001cropped_resized_zps96af44b6.jpg  photo DSC_0044_cropped_zps0a25f9ff.jpg  photo DSC_0030a_zps3c822a4a.jpg  photo DSC_0016cropped_zpsab533745.jpg

"A dog has the soul of a philosopher." - Plato
gsploverUser is Offline
Houston, Tx.
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12/18/2012 2:14 PM  

 Hello Texas Belle,

Thank you SO MUCH for those.   I called the one in Houston, and it's 115 for a "session."  Lol!  That is, if she is seen for 5 minutes, or walks for 5 minutes on a treadmill it's 115!    It's sort of however long a "session" takes, up to an hour.  She did say that the therapist could show me some things to do at home.  I would pay 115 for that session!

I also called the one in Austin/ Round Rock.  They charge 50/day!  100/wk is expensive, but doable.  They will work with them twice per week, and board them for free.  I could drop her off on Monday night and pick her up on Wednesday night.   I am nervous about not being with her though, so I don't know about that one. It's going to be a very prolonged recovery time, so I  don't know how practical that would be to be away from home for 3 days, for 6 months.  I will think abou it for sure and talk with my vet about it.

 


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
smatulewiczUser is Offline
Michigan
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Posts:1194


12/18/2012 2:15 PM  
I think taking it a day at a time will help keep your mind at bay. Poor girl, but at least she will feel MUCH better after her recovery road. Glad she is home and doing as well as she can be!
Texas BelleUser is Offline
Austin, TX
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12/18/2012 2:57 PM  
With Belle when she had her shoulder surgery I took her about 6 times to the rehab and did the underwater treadmill which started getting her leg and shoulder muscle built back up. Then it got warm and I started taking her swimming regularly. I think the swimming is also very good. The main thing is to get the weight off of the joints and get them using the leg again. The muscle will atrophy in that leg and she will also have to relearn how to use the leg. So maybe you could take her to the one in Austin for a few weeks right at first and then back off. I am sure they will give you some stuff to do with her at home. The other option which might be better is to use the one in Houston once a week at first. You would save allot of gas so financially it might be a wash. The main thing is to get her using that leg again. Of course, you have some time before you have to worry about it.

If it helps any the rehab place in South Austin is wonderful. Belle had her shoulder surgery at the hospital there and then did her rehab there. She loved going and when I dropped her off she would get excited and when she walked in the therapist would come get her and let her off the leash and she would head straight to the underwater treadmill. I don't think she missed up at all. The therapist would leave her in the crate with the door open so Belle would wander around and help her during the day. They really liked her because they said they don't normally get to rehab an athlete (I think they work allot on older and overweight dogs). I highly recommend this place if you can make it work for you.

Bev Quarles, the Pointer Sisters (Belle and Halo), the Outlaw GSP (Johnny Ringo) and the little Princess (Fauna)

Yellow Rose GSPs

 photo FaunaBISJan20110001cropped_resized_zps96af44b6.jpg  photo DSC_0044_cropped_zps0a25f9ff.jpg  photo DSC_0030a_zps3c822a4a.jpg  photo DSC_0016cropped_zpsab533745.jpg

"A dog has the soul of a philosopher." - Plato
kpwleeUser is Offline
Raleigh, NC
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12/18/2012 3:59 PM  
I have a connection in the Cleveland, TX area - I will send her a link to this thread and she might have some other resources.
PLEASE take it a day at a time, there is no point in thinking about the long run, really.
((hugs)))

It's Bugsy's world...
http://dailyzoomie.blogspot.com/
gsploverUser is Offline
Houston, Tx.
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Posts:382


12/18/2012 4:42 PM  

 Thanks so much for the info Texas Belle.  I hadn't thought of it that way...after I factor in the gas, it's about 200+per week, as opposed to 110 per session.   If this could have waited until May, I would have.. We have plenty of warm swimming holes to go to here in Houston.  That's not to say that we won't take every advantage of those warm swimming holes when the summer roles around.  It will greatly enhance her strength and healing. 

 


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
gsploverUser is Offline
Houston, Tx.
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Posts:382


12/18/2012 4:47 PM  

 Thanks Kpwlee for reminding me that Maybrie is on HER TIME schedule, and no one elses!!  One day at a time, watching for any abnormal signs and doing the rehab exercises we are supposed to do, is all we can do....and the BEST thing for Maybrie. You are absolutely correct.  This surgery embarks into uncharted territory. There is simply no literature, and the vet says he is just "guestimating."  So you are correct. ONE DAY AT A TIME....slow, gentle, and on her terms.   The last thing I want to do is end up with another TPLO of FHO in the other leg from pushing her too hard or expecting too much...hence the reason, I really want to find a therapist who works with these types of injuries.  That being said, it's going to be IMPOSSIBLE to find a therapist who has worked with BOTH at the same time!    Again, Maybrie will have to show us all, what she can and can't do, on HER timline!   Thanks, again.  I needed that reminder.  I REALLY did! 


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
Texas BelleUser is Offline
Austin, TX
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Posts:7851


12/18/2012 4:50 PM  

A swimming alternative in Houston that is available year round. I have friends that take there dogs and highly recommend the place.

Rummy's Beach Club: rummysbeachclub.com/index.html

I agree with the recommendation one day at a time, but for me it helps if I have a plan and know my options.


Bev Quarles, the Pointer Sisters (Belle and Halo), the Outlaw GSP (Johnny Ringo) and the little Princess (Fauna)

Yellow Rose GSPs

 photo FaunaBISJan20110001cropped_resized_zps96af44b6.jpg  photo DSC_0044_cropped_zps0a25f9ff.jpg  photo DSC_0030a_zps3c822a4a.jpg  photo DSC_0016cropped_zpsab533745.jpg

"A dog has the soul of a philosopher." - Plato
gsploverUser is Offline
Houston, Tx.
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Posts:382


12/18/2012 5:14 PM  

 That's great to know that others have been satisfied.   I left a message this morning, and emailed them for more information, regarding their rates.  They charge 80/hour.  Not too bad, but I live an hour away.  Also, not bad, but I don't want to pay 80.00 for 5-10 minutes.  I will DEFINITELY take her up there when she builds up her stamina.  I called this morning and left a message to find out what my alternatives were. Haven't heard back yet.  They probably don't want to be bothered over "5 minutes!"   I also don't know if I want to drive all that way for 5 minutes!   I would be more inclined to pay 110 for the "session" with the underwater treadmill and helpful hints for home once a week!   That facility is about 15-20 minutes away from my house!    Thanks again for your reccomendations!!  I'm so happy to hear that they are open year round.  By summer time, I will DEFINITELY bring her there!  You can pay for 10 sessions ahead of time, and go as many times as you like.

I have to get rich between now and this summer, because she LOVES swimming!


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
kpwleeUser is Offline
Raleigh, NC
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Posts:997


12/18/2012 5:34 PM  
I haven't sent my friend here yet but wanted to read the thread properly ( I was using my phone earlier)
Just a reminder that full swimming is not recommended for the TPLO until the bone has completely healed - its an underwater treadmill that they use to let the natural buoyancy of water carry their weight
There is a pic here of B in the tank (and some post op photos too)
http://dailyzoomie.blogspot.com/2009_11_01_archive.html

It's Bugsy's world...
http://dailyzoomie.blogspot.com/
SmylinachaUser is Offline
Connecticut
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12/18/2012 5:55 PM  
I hope Maybrie feels better soon! I'm sure she knows how much you are trying to help her heal :)
kpwleeUser is Offline
Raleigh, NC
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Posts:997


12/18/2012 6:23 PM  
Here's the info from my friend:
Gulf Coast Specialists has a rehab department. 713-693-1199

Veteran's Memorial Animal Hospital used to have a rehab doctor as well. I'm not sure if they still have one. I have used three of their doctors with Bevo & loved each one. 281-440-4441

I have heard fabulous reviews for the Center for Veterinary Pain Management & Rehab. A good friend is taking her dog there now, after an amputation in preparation for a prosthetic, & she LOVES them. 281-298-5509

It's Bugsy's world...
http://dailyzoomie.blogspot.com/
Texas BelleUser is Offline
Austin, TX
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Posts:7851


12/18/2012 6:38 PM  
kpwlee - Gulf Coast was one on the list I posted with all the rehab clinics in TX. It looked awesome. Good to hear they are good from someone who is using them. You never know when you will need a doggy specialist. Thankfully we have some excellent ones in TX.

Bev Quarles, the Pointer Sisters (Belle and Halo), the Outlaw GSP (Johnny Ringo) and the little Princess (Fauna)

Yellow Rose GSPs

 photo FaunaBISJan20110001cropped_resized_zps96af44b6.jpg  photo DSC_0044_cropped_zps0a25f9ff.jpg  photo DSC_0030a_zps3c822a4a.jpg  photo DSC_0016cropped_zpsab533745.jpg

"A dog has the soul of a philosopher." - Plato
gsploverUser is Offline
Houston, Tx.
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Posts:382


12/18/2012 6:53 PM  

 Thanks for the added resources.  Kpwlee....yes, my vet recommended swimming ONLY with a life jacket for quite some time.  He also recommended the underwater treadmill FIRST...and swimming with a life jacket if the underwater treadmill wasn't an option.  

My question is, which comes first?  My vet says she can begin the water treadmill as soon as the stitches come out, and water swimming with a life jacket a week after that...so, the 3rd week.   However, don't I need to wait until she is weight bearing, or will the water help her to LEARN how to begin bearing weight again?   According to the Rehab person I spoke with in Austin, they can begin the treadmill as soon as the staples come out...(conquers with the vet), but he also said that most are weight bearing, or at least trying to by 14 days.   She is a different case and may not bear weight by then....I just don't want to put her in a rigorous and expensive routine if it will cause more harm.   My vet told me last night that the water would help her, but that it would take a long time for her to relearn to walk.....but to put her in ASAP.  I am inclined to believe that...but have read from others that they should be weight bearing prior to hydrotherapy.  Any ideas?


"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
gsploverUser is Offline
Houston, Tx.
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MH
Posts:382


12/18/2012 7:01 PM  
Texas Belle, I spoke with Gulf Coast. That's the one that requires a referral (not a problem, as my vet recommended them and said he would be more than happy to refer me!) These are the ones that charge 110-115 per session. I will definitely consult with them at least once a week for the first couple of weeks my vet says it's okay. I am going to trust too that the therapist will be able to recommend the "right" timing for beginning hydrotherapy. I guess I need to have faith in the experts and the vet and in Maybrie.
Thank you SO much for all your referrals! I cannot tell you how happy I am to hear that others have used Gulf Coast and been very pleased, and also the Rehab Center in Austin. That really, really helps. I will more than likely consult with the Gulf Coast therapist prior to doing a private swim. Two reasons.....one, she will tell me how and what to work on with Maybrie during that private swim, and second, I haven't a CLUE as to what I'm doing! I am SO glad that I posted this and had so many replies and helpful hints. I was prepared just to start rehabing her myself during the private swims! Now, after seeing all the alternatives, and weighing the costs, it really will be beneficial to Maybrie's rehab and cost effective, to see a professional from Gulf Coast.
Oh how I wish I lived in Round Rock though. That would be a great place to be for the next 6 months for the 50/day rehab twice a week. Especially since you had such great results Texas Belle!

Thanks again, EVERYONE!!

"He is your friend, your partner, your defender, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true, to the last beat of his heart.
You owe it to him to be worthy of such devotion."
-- Unknown
kpwleeUser is Offline
Raleigh, NC
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Posts:997


12/18/2012 7:13 PM  
Bugsy was weight bearing the same day, in fact I still break out in a sweat thinking about him coming home, still foggy, and standing on the repaired leg to lift the other one to pee!
He did start rehab the day the staples came out but that was more assessment than workout.
All the rehab people here ( I spoke to 5-6 pre-surgery and then the ones we went to) were very clear as was the surgeon that no swimming was to take place until the bone healed. The underwater treadmill is not swimming, ever.
Swimming is awesome after the bones have healed. Did you see her post-op X-rays? Your poor girl has had her femur sawed off and her knee area sawed then screwed & plated into a different angle. I always thought of it as similar to someone who has a car or motorcycle accident and has screws & plates inserted, healing is a long road.
I would call and speak to several different rehab places and ask to speak to the rehab vet not the therapist. All the ones I called were happy to just talk about what would be best.
The only difference I found is that many wanted to wait until the bones healed before starting, only a few said they would evaluate B to determine when he could begin. Our surgeon also varies his amount of time before clearance to rehab.
B responded really well to the surgery and hadn't atrophied much so he got cleared early.
Call the rehab vets. Talk to them, take notes, LISTEN.
You will never forgive yourself if you do too much and she has complications. Starting later won't cause harm,

It's Bugsy's world...
http://dailyzoomie.blogspot.com/
kpwleeUser is Offline
Raleigh, NC
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Posts:997


12/18/2012 7:25 PM  
Bev she's a great resource and I trust her implicitly when it comes to things like this. She has a coup,e of dobes, one of which has wobblers and has had some injuries that needed rehab. She does a ton of rescue work with the ones that need the most significant help - her experience and knowledge is always a great resource for me

Gsplover I know you want to get her up & running but keep in mind these first few weeks are truly tenuous. Do your research for rehab, do her potty breaks, start the POM exercises in a day or so (really gentle), limit her activity until you go see the surgeon to get the staples out. He will be able to assess her and let you know if she's ready to get assessed by the rehab vet. I also want to emphasize that she needs to see a rehab vet, not a therapist, initially.
I know I sound like a broken record but right now an error can be catastrophic, delaying rehab will not be catastrophic

It's Bugsy's world...
http://dailyzoomie.blogspot.com/
smatulewiczUser is Offline
Michigan
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Posts:1194


12/18/2012 7:40 PM  
I just want to say what an awesome resource and what amazing people are on this forum. Gsplover, I am so glad you have some great people with experience to help you through this as I know it has to be so incredibly hard.
Texas BelleUser is Offline
Austin, TX
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12/18/2012 7:50 PM  
First, I always tell folks to trust the vets that did the surgery. They know your case better than anyone else and you trusted them to do the surgery, so trust them in the rehab. That said I also understand the worry. You have one of the best resources in the country in your backyard at Texas A&M. You might want to try calling them and talking to them. Also, Dr. Stephan Kerpsack at Central Texas Vet Specialty Hospital is a great othopedic vet doctor and I trust him completely. He did Belle's surgery and he also helped my mom's elderly cocker to walk again, and without surgery. Talk to your vet first though. He obviously knows what he is doing as he has gotten you this far.

Bev Quarles, the Pointer Sisters (Belle and Halo), the Outlaw GSP (Johnny Ringo) and the little Princess (Fauna)

Yellow Rose GSPs

 photo FaunaBISJan20110001cropped_resized_zps96af44b6.jpg  photo DSC_0044_cropped_zps0a25f9ff.jpg  photo DSC_0030a_zps3c822a4a.jpg  photo DSC_0016cropped_zpsab533745.jpg

"A dog has the soul of a philosopher." - Plato
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