Sunday, January 6, 2013

Makin' Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update

Well Brinkley gets her stitches out tomorrow. Since she’s been so whiny and has been barking at us because she doesn’t want to be in her x-pen anymore.... I found this ribbon a while back, but it was out of stock everywhere online. I just happened across it the other day back in stock and super cheap, so I bought up several yards. Meet Brinkley's new collar. I just LOVE it!  It is so fitting for her.  Green is so her color too. Isn’t it adorable?



She is doing so well.  We’re done with all our prescriptions now, just the Glucosamine and Chondroitin, Fish Oil and Vitamin C I mix in with her food each meal.  She is rearing to go.  The incision looks great, all swelling is gone, and her limp is minimal.  When she’s out in the yard sometimes you can’t even tell she has a limp at all.  I’m keeping my fingers crossed the surgeon will be equally impressed tomorrow.

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

And to read about the rest of Brinkley's journey:
PassiveRange of Motion Exercises in Post TPLO Mastiff

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, January 2, 2013

Day 7 Post TPLO

Well the last couple days have been fairly uneventful.  Brinkley is still pretty tired of being in the x-pen, but at this point she’s figured out that’s where she’s supposed to be.  Once we come back inside from potty time she goes straight back in and lays down.  Her incision is healing nicely and the fluid that was building on her ankle has greatly improved.  There is still a bit there, but it’s much better than it was.  I haven’t given her a Xanax for 2 days (I think I’ve only used 3 pills total) and since the second day home I have only given her the Tramadol twice per day.  Still no luck ice packing her leg, but it really doesn’t seem to need it, so I’m not too stressed about that.  I got her appointment for the staple removal and check-up scheduled for next Monday, 12 days from the date of her surgery. 

I’m still sleeping in the living room floor on a futon mattress next to her kennel at night.  It’s the only way from keeping her from crying and barking all night.  Once the sutures are out we won’t have to worry about the e-collar when we’re not around to supervise her, so I can move her kennel in the bedroom and sleep in my own bed.
On a side note it snowed all day on Monday and Monday night, so we have 4+ inches of snow.  The weatherman has decided it will be COLD for quite some time now, so I don’t think the snow is going anywhere.  This makes it so much fun on our potty breaks in the yard.  I’m scared one of us is going to slip and fall on our butt. To top it all off Brinkley loves snow, so I have the keep the leash short and tight to keep her from having a snow zoomie.


Read about how Brinkley's journey began here:
A Mastiffs Journey ThroughCranial Cruciate Ligament Surgery
Preparing the House for aMastiff After TPLO Surgery
Coming Home From the TPLOSurgery Center
Day 2 Post TPLO Surgery

Sunday, December 30, 2012

Day 3 Post TPLO Surgery

Brinkley is doing even better today.  She only whined at us for 45 minutes this morning while we watched T.V.  That’s down from the 2 hours yesterday.  She wants on her couch so bad.  I feel like we’re teasing her by sitting on it where she can see us.  The only change I made to her meds was that I didn’t give her the Xanax this evening.  I’m not really sure it does anything or not, and I really don’t feel like giving her even more pills that she doesn’t need.  We’ll see how it goes without them.

We took Boone for a hike today and while we were gone we put the inflatable e-collar on her. We’ll when we got back it was not on her.  Not sure how she maneuvered that one, but the incision is still clean, all staples are in place and it didn’t look like it had been slurped on, so I think we’re okay.
The only thing I’m a little worried about is the amount of fluid settling in her hock/ankle.  It’s not swollen, just fluid, but it keeps getting bigger.  Nothing has come out of the incision as far as drainage, it looks like it’s all collecting in her ankle instead.  I’m going to call tomorrow and see if I should be concerned or not.  Here’s a picture of her incision this evening, you can see the fluid build-up in her ankle in the picture on the left.
 Boone didn't want to get left out either, so here he is on his hike today.
 

 
Read about how Brinkley's journey began here:
A Mastiffs Journey Through Cranial Cruciate Ligament Surgery
 
And to read about the rest of Brinkley's journey:
BrinkleyMastiff - Walking on Day 8, Post-TPLO Surgery Makin'Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update
PassiveRange of Motion Exercises in Post TPLO Mastiff

Day 2 Post-TPLO surgery

Brinkley is still doing good, limping even less today.  She is using the leg much more than I anticipated.  It’s already getting difficult to keep her still.  She wants to go out in the backyard and play.  I did get her Xanax prescription filled and was only going to give it to her if need be, but after an hour of whining this afternoon she started getting ancy and wouldn’t lay down, so I gave her one.  She did take a nap for a few hours, but after dinner she was back at it again, so I had to move her from the x-pen to her crate to keep her off her feet.

I’m also finding it difficult to ice it like I’m supposed to.  She won’t hold still for it and starts getting upset and wanting to pace, so I have to stop each time.  I tried bribing her with a duck chew and Shawn (my husband) even tried to help by distracting her and loving on her, but it was still a no go.  We’re supposed to be icing it 2-3 x per day for 10 minutes each time and I really think we’ve only iced it for a total of 10 minutes in the last 48 hours.  Her stool is also back to normal already, so I have forgone giving her any of the stomach medication they recommended. 
The incision still looks good.  She does have quite a bit of swelling settling in her ankle.  I’m not sure if it’s fluid or just swelling, but I’m keeping a close eye on it.  She has not tried to lick it once, so we aren’t using the e-collar, which she is scared of anyway.  When we left her alone today while we went to the store we just left her in the x-pen and I put the inflatable e-collar on her.  She tolerates it much better and did fine while we were gone.  Here’s a video I took of her this morning while Shawn took her out to potty.
 
Read about how Brinkley's journey began here:  
 
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
 

Friday, December 28, 2012

Coming Home From the TPLO Surgery Center

Well I got Brinkley home. She is doing well. The leg and incision both look good and she’s already bearing weight on it a little. I don’t know what kind of dog food they fed her but MAN does she have some nasty gas. Might be from the anesthesia, but it is deadly.  

They gave me the basic instructions before they sent me on my way. No physical activity other than on a leash to potty only for the next two weeks. She is on the same dosages of pain killers as she was before, 150mg Rimadyl 2 x per day and 150mg of Tramadol 3 x per day. They also wanted to prescribe her Acepromazine to keep her calm, but seeing how that is not a sedative that should ever be used in Mastiffs I refused it. Instead they gave me a prescription for Xanax, which I have to go to Walgreens tomorrow and fill. I have never given a dog or heard of a dog getting Xanax, but a quick question in one of my Mastiff groups confirmed it is used commonly in dogs and is quite safe. I'm also supposed to pick up some Pepcid for her and give it to her twice a day for 5 days to help keep her stomach settled. The leg is supposed to be ice packed (directly on the incision) for 10 minutes 3-4 times per day and she is to go back then to have the staples removed and for a recheck and in two weeks. At that point they will give me further instructions for beginning physical therapy. 

Here she is when we first got her in the house, she was so happy to be home. We pottied her and then came back in and she went in her makeshift pen and laid right down. 


 
Once she got settled we had to peel off the sticky bandage covering that was over the incision. They generally take if off before they send them home, but I convinced them to leave it on for our 2 hour car ride so she didn't have to wear the e-collar in the car. I'm actually not sure if it would have fit in the car if it was on her. This is what her leg looked like after we got the super sticky bandage off of it. It looks pretty good. Her leg does have some swelling and it has settled in her ankle a little bit, but all in all I'm impressed at how good it looks at this point.

 
But then we had to put on the e-collar so we didn't lick it. Not to happy with the e-collar. Is that not the saddest face in the world? 
 
She is being pretty whiny at this point. Hopefully she'll get over that pretty quick. She's had a bit to drink and we're going to have some raw hamburger and a chicken leg quarter in a little bit. I'm going to ice it now.
 
Read about how Brinkley's journey began here:
A Mastiff's Journey Through Cranial Cruciate Ligament Surgery
 
And to read about the rest of Brinkley's journey:
Day 7 Post TPLO Surgery
Makin'Mischief Mastiff Collar... Plus Brinkley Day 11 TPLO Update
PassiveRange of Motion Exercises in Post TPLO Mastiff