Goodbye, Abby

We had to say goodbye to Abby today. We found her at the pound 12 1/2 years ago. She was a faithful member of our family to the very end. I always try to update this group when our pups struggle with sickness for any of you fighting the same battle. 

Abby was diagnosed with arthritis at around 8 years old. We've had her on glucosamine, chondroitin, and fish oil her entire life in an effort to prevent this but there is only so much prevention can do. 

Since we had luck with Meloxicam (NSAID) in the past with another dog, we put her on that daily until she turned 11 years old. This drug served us well. 

At 11, Abby began to struggle getting up and was just "slowing down". We swapped her Meloxicam for low-dose prednisone (5mg) and this pepped her up for about 6 months. Then we upped it to 10mg, then 20mg. By this point, the vet began trying different add-ons. Gabapentin did nothing except make her more wobbly. Tramadol had a minimal effect and codeine made her even more wobbly. 

By this past May, Abby could not get up without assistance. By June, she began defecating while she slept or attempted to stand. She also began peeing and pooping while she walked. Speaking of walking, all summer we have had to gradually reduce her nightly walk until last week when she could no longer walk without falling. She was now falling and "knuckling" every few steps. We had changed drugs again to Amantadine for a few weeks in hopes that something would improve but yesterday we came home to her yelping and not being able to support her own weight (and she had lost 20 pounds since May). It was time. We kissed her between the eyes this morning and said goodbye. 

You know the day you get them that one day, if you're lucky and bond to them, they will break your heart. My only solace is knowing that somewhere right now in a pound or rescue, there is another one waiting for me to find them.

Intermittent Lameness

Samson has been pretty limpy for a couple of months, so the vet prescribed 100mg doses of tramadol for him. She said what we had been giving him (meloxicam — it was working quite well for a while, by the way) only helps with inflammation; it does nothing for the pain. We just gave him his first dose of the new stuff, so hopefully it will make him feel better. The vet warned that since tramadol is an opiate, it may make Sam act a little dopey or sluggish. We'll see...

100th Post!

It's our 100th post! So here's a triptych of Samson enjoying a good brushin'. :)

Now back to business... We finished up Sam's prednisone regimen. He did really well while on the prednisone (as expected), but his limp fully returned after weening him off of it. Bummer.

We took him to the vet for a check-up since he's overdue for one of those anyway. The vet said that he'll probably always have the limp and there's nothing to be done about it. He's not a proponent of surgery (in any situation, not just this one), and he says that pretty much our only option is to give him remadyl to help with the pain.

Travis didn't like the sound of that.

After our vet visit and a few days of research, Travis bought some MSM (methylsulfonylmethane, 1000 mg once per day) which works alongside glucosamine to help with overall joint health. He also learned about a common human drug that helps with arthritis and joint pain called Meloxicam. Meloxicam is much gentler on the digestive tract and will not cause upset stomach like NSAIDs; it's also a very affordable $4 for a 30-pill prescription at Walmart, whereas remadyl is $1 per pill. Our vet didn't even mention this option.

Have I mentioned that we're considering switching vets?

Anyways, Travis called a friend at the vet's office and the friend called in a Rx of Meloxicam for us (7.5 mg, once per day). When Travis went to pick up the Rx, the pharmacist at Walmart actually mentioned that it was pretty common for veterinarians to call this in for pets.

We gave him his first pill tonight, so we'll just see how it goes from here. Fingers crossed!

Trying a New Prednisone Regimen

As of January 15th (about three weeks ago), we've had Samson on a new regimen of 20 mg of prednisone twice per day in the hopes of "resetting" any immune problems that may or may not be causing his continued limp. Travis decided to give it a try because his progress has pretty much plateaued. We'll likely keep him on this dosage for about eight weeks or so.

Before we put him on the prednisone, he was itching A LOT. The itching has been a little better since then, but not nonexistent.

Samson's also been pretty ravenous since he's been on the prednisone. Those steroids make him hungry ALL THE TIME! lol

Probably unrelated, but just in the past few days, he's been acting a little more lethargic than usual. According to other stuff we've read, prednisone usually increases energy, not decreases. And two days ago, he had a bit of diarrhea. Don't know if that's related to the prednisone, the lethargy, or if its just nothing at all (probably nothing lol).

We may end up taking him off of the prednisone earlier than planned if he doesn't start acting more like himself soon. A trip to the vet might also be planned if we can figure out how to get him in the SUV...

Howloween 2012

We had our 2nd annual halloween party yesterday. It was a blast. :)

Not so much for the dogs, though. We had to keep them pinned up in our bedroom. They behave pretty well, though. We gave them some chew treats, and pet on them whenever we walked by the door (we just had a tall baby gate blocking them in so they could still see all the goings-on).

Anyways, the dogs have been well. Samson has good days and bad days with his knee. Mostly good, I think, but he'll go through an especially "limpy" handful of days every now and then.

Abby threw up yesterday. She ate her supper then yacked it right back up. She later went on to eat a rawhide treat and had no trouble keeping it down, so I think it was probably nothing.

Other than that, Abby's been fine. Very happy and affectionate as always.

Frisky Sam

Lately Samson has been feeling quite frisky. This is a big change from his usual mopey self, so we're taking it to mean that his knee is stating to feel better. He still limps, but it seems like every night around 8:00 to 10:00 he tries to play with Abby. Their favorite game? The mounting game (it's a dominance thing). Obviously this is not good for his knee or hip, so we have to always separate them or distract them with treats.

Other than that, we're still doing the glucosamine and fish oil, two each twice per day.

Upset Tummy

Not the most savory of topics, but this blog is for documenting our dogs' quirky and funny behaviors as much as it is for documenting their illnesses and problems (if not more so for the latter). So here goes.

We came home to a mess in the living room this afternoon where Samson had gotten sick with diarrhea. It's probably nothing (after all, the same thing happens with people from time to time) and is likely due to the prednisone that he's taking. They say that prednisone can cause all kinds of little problems with the digestive system, so we're not going to worry until there's a need. And he's acting normal, so I don't think he necessarily feels sick. We've given him an imodium to help with the loose stool. Hopefully it will just pass and he'll be back to normal tomorrow.

Other than that, Samson seems to be slowly on the mend with his bum knee. We had a brief setback where he was completely tri-podding, but after about a week or two, he was back to his regular limping. This was about 5 or 6 weeks ago (April 15th). He continues to limp now, but we think it might be getting a little better. He's good to walk on it now, though there's still an obvious limp, but he rarely puts much weight on it when he's just standing. We've been a lot more strict on his conservative management since the setback a few weeks ago, and I think it's paying off.

We continue to give him 4 pills per day of glucosamine and chondroitin, 4 pills per day of fish oil, and 1 pill per day of prednisone.

I think the fish oil pills are really making Sam's fur super healthy. lol It's so shiny and soft now!

Abby has been shedding a lot recently so we gave her a bath last week. I think it might have helped...

WWHHYYYYYY???

I had originally intended to post an update on Samson's bum knee, but Abby presented me with a more upbeat topic:



"Why???" I ask. "MOMITWASSOMUCHFUN!" Abby says in answer.

She got a serious bath afterwards. It was so hard to lather up her fur with all of that gritty mud in it. It took almost a whole bottle of dog shampoo! Thankfully she's all clean now.

As for Samson, we think that we're starting to see some improvement in his walking. He's using his right leg to scratch more often now, so hopefully that counts. He still has a very prominent limp, but we think it might be getting a little bit better.

Torn ACL

Or CCL as it's known in dogs.

We've pretty much narrowed down Samson's right-side limping to a partially torn ACL/CCL. We had an antinuclear antibody (ANA) test done on him and it came back negative. This test checks for any kind of autoimmune problems from rheumatoid arthritis to lupus. Since it came back negative, it narrows things down to some kind of injury; and since we know there's no damage to his bones, it's a soft tissue injury.

Because he already had a bad left hip, he probably overcompensates on his right side which led to him being rougher to that side. I'm sure Abby helped too because she likes to tackle him when they play in the yard. She probably T-boned him one day, and it made him hurt his knee.

As treatment, the only thing we can do is "conservative management" (it's pretty much the equivalent of bed rest). The vet says no running in the yard, very limited activity and to keep him as sedentary as possible, like he's in a crate (if we had a crate big enough, we'd just keep him in it, but alas...). I've been taking him out only while he's on a leash, so that he can't chase anything in the yard. It's also easier to keep Abby off of him this way.

Poor Abby doesn't understand why we won't let her play with him, though. She wants to jump on him and run around with him so badly. I feel bad, but we'll have to keep it up for quite a while. The vet says that if our conservative management is working, we should start to see some improvement at about 8 weeks. He won't be healed in 8 weeks, but we should start to see some improvement by then. If not, then we'll have to pursue other more invasive options (a.k.a. surgery).

We are also supposed to keep him on glucosamine+chondroitin, fish oil and remadyl to both manage his pain and also to promote the growth of scar tissue to strengthen his joint.

Hopefully all of this will work. It's gonna be a long 8+ weeks...

Rimadyl for Samson

Well, we've given him four weeks of antibiotics and about three weeks of prednisone. Soon as we started to ween him off of the pred, his limp returned. He's still favoring his right leg even though we can't find anything wrong with it. Travis is going to call a couple of orthopedic vets for some advice. We're thinking about taking him in to see one of them so they can maybe to an MRI or something to check the soft tissue for injuries since we already know his bones are fine.

His limp is really pretty bad when he's off the prednisone. It's hard seeing him hurt, but we ordered him some Rimadyl (or rather the off-brand version) and it came in the mail today. We gave him his first pill earlier this afternoon, so hopefully we'll start to see him feeling better in a couple of days.

We're also going to continue giving him this glucosamine+chondroitin and fish oil pills. lol Sam and Abby eat those things like Gushers. xD In fact, Abby has already broken into two jars of the fish oil pills and eaten a third of a bottle the first time, and well over half a bottle the second time. After the second time, we decided to keep the pills in the upper kitchen cabinets instead of our bathroom countertop.

Prednisone Kicks the Limp

A week ago we started Samson on a short-term regimen of prednisone with the hopes that his limping is due to autoimmune arthritis (a.k.a. Lyme disease). In theory, giving Samson a round of pred will "reset" his body and get rid of the inflammation and limp. After two days his limp was mostly gone; he hasn't limped at all in a couple of days now. His allergies have also settled down (for a while there he was trying to get a few hot spots).

We're continuing his antibiotics, glucosamine+condroitin, and fish oil. We'll get two more weeks of antibiotics before he finishes these so that he'll have a full month's worth before it's all over with. As a side note, we're supplementing his diet with plain yogurt to help his digestive system while he's taking the antibiotics since they can sometimes upset dogs' stomachs.

So now it's the OTHER leg...

We took Samson to the vet yesterday because we've been noticing for about a month that he now limps to favor his right leg. We know it's not due to hip dysplasia because of his previous xrays, so Travis called up the doctor and was told that we could get a follow-up check-up for a reduced cost as well as a full set of new xrays for just $33, so Trav packed up the dog and hauled him to the vet.

Nothing new showed up on the xrays, but they felt all over his legs and seemed to think that his right knee was more swollen than his left so he may have injured his ACL. They weren't, however, able to get any slippage in the joint like what would be expected with a torn or damaged ligament. Because we can't confirm this theory, we'll just limit Samson's activity for the next two or three weeks and hope that if it is indeed an injured ACL, it can have some time to heal on its own without exploratory surgery.

The other theory is that his limping is due to the tick-born illness that we improperly treated Samson for the last time we took him in. Because the test for Lyme disease can (apparently) easily produce false negatives, we decided to forgo said test and just treat for it anyway. We were given two weeks of antibiotics which we will dispense correctly this time (we did it wrong last time because we misinterpreted the instructions).

Keeping our fingers crossed that he feels better soon! He's having such a difficult time getting up and walking around. :(

Also, peanut butter is really starting to lose it's value to him because of all the pills we've been giving him. lol

Glucosamine & Chondroitin

After not seeing much results with the glucosamine pills, we've started giving Samson glucosamine with chondroitin; we've also started giving him fish oil pills. He's been on the new supplements for about a week now. Hopefully we'll have more success with these.

Samson limps pretty regularly now. A year ago it was only very rarely. I hope it doesn't keep getting worse at this rate...

Garbage Diver

When she's bored, Abby will occasionally stick her head in the garbage, pull out a paper plate, and rip it to shreds in the living room. It usually happens when she can hear us outside in the yard or garage.

Abby also still digs when left to her own devices in the back yard. She dug this beauty a few weeks ago; I think she was after a mouse or something...

Samson is still limping. We can't tell that the glucosamine is helping very much. We'll give it until the bottle is used up, then I think we'll try a glucosamin+chondroitin combination and see if that helps any better.

Samson at times has a habit of licking, almost compulsively at times. He'll usually stop if I tell him "enough", but sometimes he just CAN'T stop and keeps licking the air! lol Anyways, we recently noticed a pattern: more often than not, he licks his left leg. I think he licks it when it's paining him, similar to how a person might massage a sore joint. I'm sure this isn't always the reason he licks, but I think perhaps this is a big reason for a lot of it.

There is a bunny living in our back yard. The dogs go absolutely NUTS when they see it outside munching on the grass. And the bunny will just sit outside the window and continue munching the grass while the dogs bark and growl like maniacs at the window 5 feet away. lol Peter Cottontail nearly bit it today, though. Travis was running some water on our deck under which the bunny apparently lives, and the rabbit took off across our back yard. Abby and Samson promptly took up the chase, and Mr. Cottontail came about a foot away from a grizzly death. Lucky bunny. lol

Glucosamine

The vet emailed me Samson's x-ray, so here you go! His right hip is fine, while his left hip is moderately malformed.

We've started giving Samson some glucosamine tablets. We're not doing the stuff from the pet section at the store, but instead we got stuff from the pharmacy section because glucosamine is glucosamine regardless of the packaging. ;) We're giving him two pills per day around the same time that he eats in the evening because they say it absorbs better when taken with a meal.

While I know the glucosamine pills won't heal his condition, we're hoping that it will help prevent his condition from worsening as quickly as it would without the glucosamine. Travis did a lot of research on it and has learned that the pills will help the cartilage rebuild as it is broken down by the malformed bone.

Anyways, I guess that's about it. We haven't really noticed any improvement in Samson's limping, but we've only been giving him the glucosamine for about three days, so we'll just have to give it a little time.

Hip Dysplasia

After a few weeks of treatment for lyme disease, we continued to see Samson occasionally limp on his left back leg, so we decided to have the vet do some x-rays to see if there's something else going on. Turns out there was: hip dysplasia. It's only of a moderate level in his left hip, but it still kinda sucks (though we are relieved it's not something horrible like bone cancer with which pyrs tend to have a bit of a reputation). There's not really anything we can do to fix it, and it will only get worse as he ages. All we can do is pain management.

We may try to get some glucosamine to help strengthen the cartilage in his hip joint, but that won't fix the problem which is the bone itself. Also, Samson's occassional dose of prednisone complicates things because he can't be given anything else while he's on it -- it just doesn't mix well.

We'll just have to take it a day at a time and see how it goes. Hopefully he'll age well, and his hip won't get too bad over time.

Two Weeks of Meds

So here's Sam's two-week update after starting his treatment for lyme disease. His behavior is 100% back to normal, though every now and then we still see him limp a little. We're just grateful that he feels better and is acting like himself. :)

In other news, we've rented out our house for the Ole Miss vs. GA game this weekend so we're going to visit Travis' dad for a couple days. While cleaning the house and getting things in order, Travis commented on how Samson kept following him around. I think Sam knows that we're going somewhere and he thinks we're gonna leave him like we usually do for vacations. lol That big teddy bear will just break your heart! He'll be so excited tomorrow when he realizes he's coming with us.

Sick Sam

We took Samson back to the vet yesterday after he refused to take a treat. A treat! He never turns down treats! Anyways, he had been acting pretty lethargic for about a month now, especially over the past week, so his not wanting a treat was a red flag that there was definitely something wrong with him. We loaded him up and left him at the vet's for the afternoon so they could do some blood work.

Turns out he has a low platelet count. Other tests didn't turn anything up, but the vet says that every time they see symptoms like this (low platelets, lethargy, fever, and limping) it's a form of lyme disease. Go figure! I'm glad that it's something minor that is easily treated with antibiotics. Sam was already acting more like himself by bedtime last night, so we're happy about that. Hopefully he'll be better before we know it!

Annual Vaccinations

Gave Samson and Abby their annual vaccinations (not including rabies) today. We bought the vaccines from a Tractor Supply Co. and administered the shots ourselves. They took it like champs and acted like they didn't feel a thing; I think this is more a tribute to their animalistic mentality of "acting like I'm in pain just shows weakness," and not so much my amazing skills at giving shots.

Samson was limping again yesterday but we haven't really noticed it since then, though he has been acting really lazy and not wanting to get up off the floor. I don't know if it's the weather or if he's getting arthritis or what. Time will tell, I guess.

Summer Summary

Abby Stats: 1.5 years old
Samson Stats: almost 5 years old

Just a recap of how the dogs have been this summer. They've been really itchy most of the time, especially the past few weeks; I think it's the changing weather and pollen in the air. Of course there's also the usual amount of shedding, not better or worse, just pretty consistent.

The past few nights, we've noticed Samson limping a little and favoring his right back leg. He did this a couple of months ago, too, and it eventually went away. I wonder what it could be...