Showing posts with label English Mastiff Health Conditions. Show all posts
Showing posts with label English Mastiff Health Conditions. Show all posts

Wednesday, February 6, 2013

Dog Owners, Know the Limitations of Your Veterinarian

Featured on the online pet magazine: Keep the TailWagging!

One of the most important relationships you will have as a pet owner is with your Veterinarian. As a lifelong pet owner, my pet’s health is always one of my biggest concerns.  Is this normal? Am I feeding this right? Is this safe for my pet? OMG, my dog just ate ______ (you can fill in the blank with countless items on that one).  There always seems to be some concern or question I have and generally those questions are best left suited for the professionals, or at least that’s what we are lead to believe.  That’s why it is so important to really know your vet and make sure they are the best fit for your dog’s wellbeing. 
Consider this, the AKC (as a general jumping off point) has 161 different recognized breeds of dogs the last time I checked, but there are many other purebred breeds of dogs registered in the world as well.  Vet schools teach our Veterinarians about dogs, not specific breeds and these 161+ breeds are all a little bit different.  The medical recommendations you would give for a Pomeranian are not the same as the medical recommendations you would give for an English Mastiff.  As a pet owner I’m not saying not to not trust your vet, but do question things that give you concerns.  A good vet, just like a good doctor, should be willing and able to answer any questions you may have, and if need be listen to your suggestions as well. 
As a specific example, my personal Veterinarian has no other Mastiff clients.  There is a very specific list of anesthesia’s that are not safe to use on Mastiffs because of their huge chest cavities, slow circulation and specific inability to metabolize drugs in the normal time frame that other dogs do.  My vet had never heard of this, but was very willing to listen and absorb the information that I provided (from a credited source of course) about this breed specific issue. 
 
It is also good to know the limitations of your veterinarian.  I live in a rural area and my vet is in a small town.  While she can perform most general medical tasks and basic surgeries, when my dog tore her Cruciate Ligament I knew my vet could be of no real help other than a referral, so onto the University we went. And from there onto a referral Veterinarian Specialist Group that only handles orthopedic surgeries, oncology and other emergency type invasive surgeries.  Currently I have 4 different Veterinarian office phone number programmed into my cell phone. Now for most pet owners that may be just a bit of overkill, as a pet mommy, it just makes me feel comfortable. 
 
The point is, that’s all a great vet is, medical expertise with a willingness to learn new things.  Someone who will actually listen to their clients concerns and needs and be the support needed to get through whatever medical crisis your pet may be experiencing. As the only advocate your pet has, it is your responsibility to make sure your veterinarian is the best fit for your fur family.

Monday, January 14, 2013

Day 18 Post TPLO

I can’t believe it’s been nearly 3 weeks since Brinkley’s surgery.  As far as my personal opinion goes she is doing amazing.  We have been doing some PROM exercises each day, and our 2-3 five minute walks per day are all going well.  The only dilemma is that we've had some icy weather lately, so instead of going in the back yard for our walks we walk circles in the house through the living room, dining room and kitchen.  After the 3rd lap Brinkley has this ‘why are we doing this’ look on her face, but we keep on trucking.  I’m hoping at this point we are doing enough to stop her muscle in that leg from atrophying any more.  I don’t think it’s enough exercise to build much muscle, but keeping what she has is good enough for me right now.  Her surgery leg is significantly smaller and has hardly any definition at this point compared to her good leg.
 
In the 3rd week we are supposed to start sit to stand exercises, but with her level of progress I think we are going to start 2 days early and begin tonight.  She seems to be handling everything I throw at her in stride, so we’ll see how this goes.

Her incision is looking pretty good. Just a few little scabs left and a little pooch at each end where the skin was stretched during surgery. 



These exercises are exhausting for such a big girl.



Read about how Brinkley's journey began here:

Tuesday, January 8, 2013

Passive Range of Motion Exercises in Post TPLO Mastiff

For those keeping track, we're now on day 13 post-TPLO.  Brinkley’s appointment for her staple removal and follow up/check up was yesterday.  Per the surgeon she is doing very well.  They told me I didn’t need to be using the sling to help her walk anymore.  She also got the go ahead to go on 2-3 five minute walks per day.  We are also supposed to start the PROM (Passive Range of Motion) exercises.  This includes icing the leg, massaging the leg, then 5 minutes of ‘bicycling’ the leg forwards, 5 minutes of ‘bicycling’ the leg backwards and 6-10 repetitions of us holding up the good rear leg for 15-20 second intervals to force her to stand on the surgery leg.  We’re going to start this tonight.  I hope she cooperates. 
The bad news is that the surgeon told me she is not allowed to get on the couch for the full 8 weeks following surgery.  She won’t be cleared for that until the second set of post-operative radiographs are taken, and everything looks okay of course.
On a separate note I collected all of the paperwork, bills, vet notes, etc to go to the pet insurance company.  I had the operation pre-authorized, so we’re keeping our fingers crossed everything goes through and we get a reimbursement from them.  So far our total bills are over $3600, the insurance should reimburse around $2700 of that.  If all goes right there I’ll have a nice thank you note to write to them. 


Read about how Brinkley's journey began here:
A MastiffsJourney Through Cranial Cruciate Ligament Surgery
Preparingthe House for a Mastiff After TPLO Surgery
ComingHome From the TPLO Surgery Center
Day 2 PostTPLO Surgery
Day 3 PostTPLO Surgery
Day 7 PostTPLO Surgery
BrinkleyMastiff - Walking on Day 8, Post-TPLO Surgery
Makin'Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update

Thursday, January 3, 2013

Brinkley Mastiff - Walking on Day 8, Post-TPLO Surgery

All I have for today is a quick video of Brinkley walking in the yard. Shawn is putting very minimal pressure on her sling (just enough to keep the handles taunt). She looks pretty good I think!

 
Read about how Brinkley's journey began here:
A MastiffsJourney Through Cranial Cruciate Ligament Surgery
Preparingthe House for a Mastiff After TPLO Surgery
ComingHome From the TPLO Surgery Center
Day 2 PostTPLO Surgery
Day 3 PostTPLO Surgery
Day 7 PostTPLO Surgery
BrinkleyMastiff - Walking on Day 8, Post-TPLO Surgery

And to read about the rest of Brinkley's journey:
Makin'Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update
PassiveRange of Motion Exercises in Post TPLO Mastiff

Unsafe and "Safer" Anesthesia's for the Mastiff

We all know that Mastiffs are not built like a typical dog.  Because of their huge chest cavities and slower circulation due to their sheer size, many Mastiffs have a specific inability to metabolize drugs in the normal time frame that other dogs do.  Below I have compiled a very specific list of anesthesias that I personally consider unsafe or safe (or we’ll say ‘safer’) to use on Mastiffs.  Please remember that any time you put any dog under anesthesia there is a risk, but hopefully if your vet is willing to do a little research and listen to you as a client, that risk can be minimized.  It is your job to be the advocate for your pet, if you vet is unwilling to listen to your concerns or wants to use an anesthesia you aren't comfortable with, in my book that's the only indicator I need to find a new vet fast!

I wanted to note that much of this information was in summary taken from Dr. Robin M. Smith, DVM’s article Anesthesia and the Mastiff; however some is from my own personal experience or experiences of other Mastiff owners I am in communication with.  Here's a link to Dr. Smith's full article if you are interested: Anesthesia and the Mastiff

Anesthesia’s not to be used on Mastiffs
·        Acepromazine (Ace) - lowers blood pressure and dilates blood vessels, making blood pressure even lower.  It also metabolizes very slowly and accumulates in fatty tissues.

·        Xylazine (Rompum) - difficult to dose in giant breeds and makes dog susceptible to heart abnormalities.

·        Sodium Penthathol (or any of the Thiopentals) - stays in the system a very long time, if leaks from vein it can irritate or kill the tissue.

·        Halothane (gas) - sensitizes the heart and can cause irregular heartbeats - if used, closely monitor dog.

·        Atrophine - causes gut to slow down and predispositions dog to bloat.
  
Anesthesia’s that are safer alternatives for Mastiffs
·        Valium - not much effect on heart, can be used in conjunction with Ketamine.

·        Ketamine - not much effect on heart, can be used in conjunction with Valium.

·        Telazol - similar to Valium and Ketamine, but don't exceed a dose of 1.5cc total. (Some Mastiffs have recently had issues with this drug, so it may be moved to my ‘unsafe’ list soon)

·        Propofol – generally safe, used for quickly knocking dog out.  Dog recovers as soon as gas is removed.  Can sometimes lower blood pressure though, so dog needs to be constantly monitored.

·        Oxymorphone - can cause respitory depression in some dogs, so dog needs to be constantly monitored (Naloxone is the drug used to reverse Oxymorphone and seems to works well).

Wednesday, December 26, 2012

A Mastiffs Journey through Cranial Cruciate Ligament Surgery

In the Beginning...

Well in less than 24 hours Brinkley will get dropped off for her TPLO surgery.  I have deliberated back and forth, back and forth on whether to do the TPLO surgery or the Tightrope surgery on her and I have decided that I think the TPLO will yield the best results for the long term for her.  This was not an easy decision for me, so I hope by documenting her surgery and recovery I can maybe help someone else out down the road to make their decision a little easier. 
Flashback to where this all started…. Brinkley is a 175lb female English Mastiff who just turned 2 years old in October.  She is very high energy for a Mastiff and that is one of the reason’s I think her ligament tore. She first tweaked her knee a few months ago.  Nothing severe, just a little limp for one or two steps when she first got up after she played too hard or ran or walked too far.  In an effort to help her heal up we put her on house arrest and restricted any roughhousing indefinitely.  It seemed to be going well and the last month or so she seemed to be doing fine…. Then her knee went out completely on December 12th.  We got home from work, both dogs went out in the backyard and 3 minutes later I heard a yelp. I ran outside to see what was wrong and she was not using it at all and was barely even toe tapping it.  She was in obvious distress, so we brought her in and crated her so she couldn’t move it to much and I gave her a Deramaxx I had left over from Boone’s neuter.  The next morning I was off to the emergency unit at the University of Missouri to confirm my suspicions, a torn Cranial Cruciate Ligament.  They gave me Tramadol and Rimadyl to get her through until she could have surgery, but the earliest open appointment they had was January 23rd.  Although they are one of the top orthopedic surgery vet groups in the Midwest, I was worried that in compensating for the injured leg she would blow the other knee out if we waited 2 months, so I called around and was able to get an appointment at Midwest Veterinary Referral Center in St. Louis a specialist group that only focuses on surgery, oncology and other specialized canine treatments.  They got her in the three days later and we scheduled a surgery appointment for December 27th…. tomorrow.
Now, back to the present…. Brinkley gets dropped off in the morning.  Since the tear I have dropped around 10lbs off of her (she is as skinny as I ever would want her to get now) in an effort to take some stress off the leg during recovery.  She was prescribed 150mg of Rimadyl 2 x per day and 150mg of Tramadol 3 x per day. For the first week and a half I gave it to her, but have since weaned her off as she really doesn’t seem to need it.  I have had her on Glucosamine/Chondroitin as well as Fish Oil supplements since she was a puppy also, something the vet was pleased to hear and said she should be on for the rest of her life to lubricate the joint. She limps much less now that when she initially tore it, making me wonder if it is only a partial tear.  Only the pre-op x-ray will tell though.
I weighed the pro’s and con’s of the surgery options and I’ll share with you how I decided on the surgery I did. There are four surgical options for dogs with CCL injuries; traditional Extracapsular Ligament Surgery (sometimes referred to as the fishing line surgery), Tibial Tuberosity Advancement (TTA) surgery, Tibial Plateau Leveling Osteomy (TPLO) and the Tightrope surgery. With a dog like Brinkley the only real options for surgery are the TPLO or the Tightrope.  The Extracapsular and the TTA surgery were out of the question.  That left me to choose between the TPLO and the Tightrope surgery. Below are the things I considered while trying to come to my decision.
TPLO Pro’s – (1) longest term option, once it’s done it never has to be done again, (2) veterinarian doing the surgery uses a new type of TPLO plate that screws into the bone, making less room for ‘wiggle’ while the bone heals (3) metal plate can be removed once the leg is 100% healed (http://www.tploanswers.com/Pages/default.aspx)
TPLO Con’s – (1) some people think the metal plate used to hold the bone together while it heals can cause cancer later in the dogs life, (2) the bone itself is cut and repositioned, making it a more intensive surgery and (3) a more intensive recovery time (4) if the surgery fails there is nothing else that can really be done.
Tightrope Pro’s – (1) no bone cutting, less intensive surgery resulting in (2) a less intensive recovery time and (3) if the surgery fails you can always go back and do the TPLO surgery at a later time.
Tightrope Con’s – (1) tape they use to ‘replace’ the ligament can give out overtime and the surgery will need to be repeated possibly resulting in (2) arthritis in the meantime, (3) the tape they use is also a wonderful place for bacteria to harbor and grow once the surgery is done, sometime making it necessary to remove the tape yielding the surgery as a failure, (4) the holes that are drilled through the bone that the tape runs through can wallow out over time making the surgery less effective and arthritis to proliferate faster.
As I said above, I decided on the TPLO surgery after reading MANY hours worth of personal stories about both procedures (success and failures) and by considering the recommendations and personal experiences of many other Mastiff owners who have gone through similar circumstances. I will have to say that I do LOVE the vet that I have chosen to do the surgery.  Orthopedic surgeries are her specialty and she not only attended the University and interned under Dr. Jimmy Cook (the inventor of the Tightrope surgery), she is also accredited by the American College of Veterinary Surgeons. I hope we made the right choice. 

Here is a video of Brinkley Pre-TPLO.  You can see why she most likely isn't a good candidate for the Tightrope surgery.  Even injured she still is as rambunctious as ever.

 
Read about the rest of Brinkley's journey here:
Makin'Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update
PassiveRange of Motion Exercises in Post TPLO Mastiff

Wednesday, July 11, 2012

Mastiff Health Information and Links

Mastiffs, like all breeds, have specific health issues that need to be considered when purchasing a puppy or when breeding them. Reputable breeders will health test their dogs to ensure they are not passing on genetic conditions. Breeders and owners both want healthy, happy dogs with great longevity.

We recommend that before breeding a dog the following tests be completed on both the sire and the dam. Additionally if you are buying a puppy please be sure that these tests have been completed on the parents.  While different breeders have varying levels of testing, the best breeders test for everything possible.  Why not rule out a problem if the technology exists? 
Most health testing information is tracked through www.offa.org.  You can look up a dog by their name or their AKC number.  Please make sure that you can verify the testing, sometimes backyard breeders and puppy mills will tell you their dogs are tested, however ask to see the proof.  If you can’t find the sire and dam on OFFA then ask the breeder to see a copy of the testing certificates for each test.

It is also important to remember that “vet checked” really means nothing when it comes to the genetics of a puppy.  All that means is a vet looked at the puppy and it wasn’t obviously malnourished or had a visible illness.  While I’m not saying it is a good idea to have a puppy vet checked before it goes to it’s new home, it is NOT a replacement for proper health testing.

Here is a brief overview of each condition we recommend testing for.

Genetic Canine Health Issues

Hip Dysplasia
Hip Dysplasia is an especially important test in the Mastiff breed due their size. Dysplasia can vary from mild to completely debilitating and in severe cases require that your dog be euthanized, even if it's still a puppy. In other words it does not just affect older dogs. A reputable breeder will never breed or stud a dog that does not pass this exam with either a Fair, Good, or Excellent rating. (http://www.offa.org/hd_info.html)

Elbow Dysplasia
Elbow dysplasia is a general term used to identify an inherited polygenic disease in the elbow of dogs. This can cause lameness in the dog. There is no way to know when a dog that is affected will become lame as environment can also be a factor, meaning over-exercising, weight gain, etc. Again, due to a Mastiffs size this test is extremely important. Reputable breeders test! Ask to see those test results before you buy a pup. (http://www.offa.org/ed_types.html)

Cardiac
Congenital heart diseases in dogs are thought to be genetic in nature. Abnormal heart defects are present at birth and usually get worse as a puppy grows. Unfortunately there is no "cure".  The best alternative to a cure is to not breed dogs that have tested with cardiac problems.  Make sure both parents have had a cardiac screening before purchasing a puppy. (http://www.offa.org/pdf/cardapp_bw.pdf)

Thyroid
Hypothyroidism is just one of the disorders of the thyroid gland. It can affect an animal’s behavior and turn a once friendly dog into an aggressive dog. The thyroid can be checked via blood test to see if your dog is at a healthy level. If suddenly your dog is having aggression issues, etc I would recommend having its thyroid checked before any other actions are taken just to rule out the issue before training methods are used to try and correct the problem. (http://www.offa.org/pdf/thyapp_bw.pdf)

Cystinuria
Cystinuria is a genetic defect where the kidney doesn't work properly. Affected dogs are born with the disorder, but it can be years before it's caught. Some dogs who are positive for the disorder are never affected. Over time, stones block the urinary tract requiring surgery. Only males are affected by this disease; however females can pass the disease onto their offspring. Traditionally, only males could by tested by a urine nitroside test, however a DNA test is now available for males and females to see if common genetic markers are present in carriers and affected dogs. (http://mastiff.org/CYSTINURIATESTINGRECOMMENDATIONS.htm)

Patella
Problems with the patella's are issue that affect the knee. The condition causes the knee to pop out of place. This is considered to be an inherited disease and the OFA test is one that can be performed by your regular vet.  Again, because of the size of the breed, having bad knees can be devastating to the quality of life of your dog. (http://www.offa.org/pdf/plapp_bw.pdf)

CERF(Canine Eye Registry Foundation)
CERF is a national eye registry for dogs that have been screened for genetic eye diseases. This exam is done by a veterinary ophthalmologist. A CERF exam is one test that needs to be performed annually on dogs as eye issues can develop as the dog ages.  A CEFT exam screens for things such as entropian, retinal folds, etc. (http://www.vmdb.org/cerf.HTML)

PRA(Progressive Renal Atrophy)
Progressive Retinal Atrophy (PRA) is a family of inherited progressive degenerative eye diseases affecting the retina which ultimately result in blindness. PRA is a Dominant gene mutation, meaning that one parent being a carrier for the disease can result in affected puppies.  If a sire and dam are proven free of the gene then no offspring from that paring will be affected by the disease or be able to pass the disease on. (http://www.optigen.com/opt9_test_dominant_pra.html)

CMR(Canine Multi-focal Retinopathy)
CMR is a genetic eye disease that is known to occur in Mastiffs. This disease causes lesions that look like blisters on the dog’s eyes and eventually in severe cases can cause blindness.  As the dog ages this can become quite painful and cause other eye issues to develop.  CMR is a recessive gene mutation, meaning both parents must be carriers or affected to have affected offspring, however all dogs should be tested prior to breeding to prevent 2 carriers from producing affected pups. (http://www.optigen.com/opt9_test_cmr.html)

vWd(vonWillebrands Disease)
vonWillebrands Disease is an inherited bleeding disorder. Dogs with a low vWF factor have blood that does not clot properly and causes excessive bleeding if the dog is injured, much like hemophilia in humans. This can be an issue with birthing as well.  This disease is most common in Dobermans, however several cases in Mastiffs have shown up in the recent past, making testing a must before breeding. (http://ahdc.vet.cornell.edu/sects/Coag/)

DM(Degenerative Melopathy)
Degenerative Melopathy is something that many Mastiff breeders are just beginning to test for, so not all reputable breeders will have their dogs tested for this disease yet.  DM is a condition of the spinal column and can have symptoms similar to Wobblers.  Depending on the location of the issue in the spine and the severity sometimes surgery is an option, however this can be a dehabilitating disease that may have no other solution than euthanasia in some cases. (http://www.caninegeneticdiseases.net/DM/ancmntDM.htm)

AKC DNA Profile
A DNA profile on your dog proves that your dog is who you say it is.  It is a DNA sample that is taken and also witnessed by someone verifying your dog’s identity either by tattoo or microchip.  Dogs must to have a DNA profile in order to enter an MCOA (Mastiff Club of America) Specialty Show. (http://www.akc.org/dna/test_kits.cfm)

Non-Genetic Canine Health Issues

The following issues can affect all dogs; however they seem to have a strong presence in our breed due to their size and structure.

Bloat - Few afflictions kill an otherwise healthy dog as quickly as bloat and torsion. Bloat is a time sensitive emergency, if you suspect your dog is suffering from bloat you must get to a Vet ASAP. Bloat commonly affects large, deep chested dogs but following a few preventive measures can drastically reduce the chance of your Mastiff getting it. If you own a large/giant breed dog I recommend having a bloat kit on hand at all times (I keep mine in the trunk of my car). Having the proper tools on hand could mean life or death to your dog if it takes more than a few minutes to reach your vet.  There is a procedure that can be done in dogs called a Gastropexy where the stomach is actually stapled to the abdominal wall.  This procedure will not prevent bloat, but does help to prevent torsion (the flipping of the stomach) if the dog does bloat.

Cruciate Ligament Injuries - A ruptured cruciate ligament is the most common knee injury in dogs. Depending on the severity of the injury, surgery will most likely be necessary and can be costly.  Because of the common occurrence of this injury in large dogs there are up to 3 surgery options available. It is important to not let your dog run or play on slippery surfaces as a slip and fall can cause the cruciate to become stressed or even torn.
Pyometra - Pyometra is a bacterial infection of the uterus that mostly occurs in middle-aged or older unspayed female dogs, though it may also occur in young dogs. It can result in the accumulation of infection in the bloodstream or abdominal cavity, which can rapidly lead to systemic infection, shock, and death. The severity of symptoms varies depending on whether the female’s cervix is open or closed. If the cervix closes the dog can become sick and even die within 24 hours, so if your dog show symptoms get to a vet immediately.  Females are generally more susceptible to Pyometra 3-5 weeks after a heat cycle.

Cancer – If Cancer isn’t the leading cause of death in dogs then I would be surprised - 1 in 4 dogs will die of cancer.  For dogs over 10 years of age, approximately 50% of deaths are cancer-related. Like humans, there are many types of cancers and many clinical signs. In our breed Osteocarcenoma (bone cancer) is probably the most common form of cancer, and if left undiagnosed for too long spreads and leads to metastasized lung cancer or other internal cancers. At this point it is unknown if Cancer has some link to genetics or not, but numerous studies are in the works to see if genetic markers do exist and are common among affected dogs.

If anyone has any questions or would like more information you can visit my website www.gryphonmastiffs.com or email me, gryphonmastiffs@gmail.com.

Amanda Griffin