Day 5

I think we are on our way to our new normal.  Samdog slept through the night, though at one point I woke up and found he had slid off the dog bed again.  I need to come up with a solution to that.  I think he likes having the support on his back when he is layed out flat.

He joined me on a walkabout again today.  Out to the chickens to collect eggs and then into the backyard where I fed the fish.  He loves the grass and plunked himself down and waited for me to be done.  But, on my to do was to mow that grass.  So, I asked him to move up to the porch, where he sat in the shade and watched me mow the lawn.

Pre-amp, Samdog was one of those velcro dogs.  Wherever I went, he followed.  “Hey mom, don’t forget me”.  It is nice to see a little bit of that coming back.    He actually followed me into the bedroom today, but stopped on the last bathmat, near the door, to lay down and watch me from there.    He is definitely better at picking the places to stop and understands the value of the now strategically scattered bathmats.

His bruising is much better, still some fluid in his belly, but in all – I see terrific improvement this morning.

Hooray for day 5.

 

Chill Pill.

Another good night for the Samdog.  I’m beginning to wonder when the tide will turn and I’ll find myself at a total loss for how to help.  I suspect that might be today.  He comes off the fentnyl patch (you’d think I’d learn how to spell these things by now) today.   He has little spasms where I think his old leg is “zinging” him, I’m worried without the patch phantom pain will become a real thing today.  He has already cried out this morning louder than he ever has, and we are not sure what changed to cause the distress.     (deep breath)

Thank you, Auntie Shannon and the Beckham pack!

We also noticed this morning his incision site is looking pretty good – most of the edema has actually moved down into his belly where it has formed a big pink bruise.  I think we will be calling Dr. S. about that.  I’m not worried, it just seems odd that the fluid is so far away from the wound.

He is getting better at shifting his weight around and making subtle corrections while he is up.  So, his mobility is definitely improving.  We also got the paw wax in our mailbox.  I can’t tell yet for certain, but I think it is helping.  It might also be that when he is not on one of the many bathmats strewn around the house, he keeps his paws tucked under him.  Which is okay too.

One of our favorite pack of people sent Sam a care package!  Today is gonna be a good day for that chill pill.  Sam says the biscuits that came with this new toy were really tastey too.  I’ll take his word for it.  He also says the chill pill might be for me not him.  Okay, I get it… be more dog.  (deep breath)

 

UPDATE:  Maybe 20 minutes after this morning’s post, Sam suprised me again.   He was on the mattress in the living room, just chillin out.   I went out back to feed the fish in the pond and check the garden.  Then I came through the house, scratched his ears and made my way to the front door so I could go around to the chicken yard and let the girls out of their coop.  As I got to the front door, I heard a “harrumph” so I stopped and poked my head around the corner to make sure he was okay.

He had gotten up, and was making his way down the carpet runway to where I was.  Clearly, he wanted to check on the chickies too.  We hopped out the door, through the gate, up the step to the coop.  I let out the girls (who stopped to say hello to samdog – they are pals) and collected the egg.  From there, we hopped down the step, back through the gate over to the door into the house – and then he surprised me again.  Instead of heading back to the dog bed, he turned right – off of the carpet and into the office to say hello to dad.

Hooray for feeling well enough to go on a little walkabout, just because he felt like it!   It wore him out though.   From there he climbed back up on the bed and hasn’t really moved since., but every little bit of progress is good enough for me.

 

Good morning.

First night home was a good one.  I set up a dog bed surrounded by bath mats next to our bed, which is down low enough I can hang my arm over and scratch his ears.

We also figured out how to get a tshirt on him… though this first one is a bit baggy.  When it is time to change it, I will do a better job with the next one.  He’s not too leaky – just a few drops.  So the sutures are holding well.  There is some fluid buildup, so we will do some warm compresses this morning to get that circulation flowing around and try to reduce the poochiness of the incision site.

He only had to wake me once last night – which is brilliant, we were expecting to be up every couple of hours.  The reason made me giggle a bit once I figured it out.  He didn’t hurt.  He didn’t need to pee.   He was stuck.    He told me with little tiny whines of “mom?” “mom?” “mom?” until I was awake and on the floor with him in the dark.  Once I ran my hand down his back, I figured it out.  He had rolled off the dog bed and wedged himself between his bed and my bed.  His good side was down and he couldn’t shift his balance back up onto the bed.  He was stuck.

After I giggled with him, I reached down his back and scooted his booty back onto the bed and then slid his shoulder further from the edge of the dog bed.  Once he was centered again, he stretched back out and slept until almost 9.  At one point, he did get up, turn around and lay back down.  That is the first time I saw him get up without us encouraging him.

He ate most of his breakfast, I’m not too worried he didn’t eat it all.  He had just come in from the outside where we poo-ed.  Which is a huge milestone for us. (Treats for everyone?) He was probably tired from standing and needed to take a break.

Our challenge today is to either convince him to stay on the carpet runners or create a broader network of bathmats in the places he wants to lay down.  His biggest struggle by far is our slippery concrete floor.  It is cool on his belly, but he can’t get up without help.  Instead, I’m getting the little whines “mom?” “mom?” “mom?”….    my response is “figure it out buddy, use your dog brain” as I run to get another bathmat.

 

Home.

We picked Samdog up this morning from the hospital.  I knew the house was ready, I had looked at the photos of post-op dogs (thank you for those), what I didn’t know what how we were going to get my big boy in the car.  He usually takes two steps, one on the doorframe and one on the seat to get himself up onto the back seat.   I didn’t know how I could help him do it in one step – I fixated on this problem up until I saw him come around the corner.

Again, the staff at the hospital are amazing.   He was slow, but squeaking as soon as he saw us.  (people who know sam know that squeaking means happy).   The walk to the car was the furthest he had gone – but he made it with only one short rest break.   I opened the car door, turned to help him and he jumped up…  but he caught his front foot on the blanket on the back seat and got himself stuck.   My heart was in my throat, I was afraid he was going to rip a stitch as he struggled to move forward but was trapped by the blanket.  I laid down over him and started to whisper in his ear to “wait” and to take it “easy”.  He stopped fighting and crying long enough I could free his foot and he was able to move himself onto the seat.  It was exactly what I was fearing…  funny thing was – once he was in, I realized… that will be the worst of it.  He doesn’t need to get back in the car – getting out will be easier to assist and once we are in the house he already showed me he could get up and move quite a distance, so going outside wouldn’t be a problem.  And really, even though it was scary, seemingly no harm was done.

Dad sat in the back with him for the drive home and helped him out of the car, which wasn’t too difficult.  I walked and  he hopped slowly, through the garage, laundry room, kitchen, diningroom and over to the fireplace in the living room where I had set up a mattress big enough for him and me to snuggle.  Which is where we are now.

Sam is sleeping on his leftside, dreaming about something.   They suggested we put a t-shirt on him to cover his incision…  Honestly, I haven’t figured out how to do that yet.  It would involve pulling it over his one paw, which would mean I have to lift him up, but how do I do that without pressing on his incision…   I think as long as he is resting here comfortably, we will leave well enough alone for now.

He is home – his eyes are the same, his tail wags, he is my sam and we will be fine.

 

He will stay one more night – just to chillax a bit longer

I’ve spoken to the doc in the ICU twice more today.  She decided to leave the IV in long enough to do one more local anesthetic (sp?) dose and has only just pulled the catheter.  He is still handling the pain meds just fine.  He is able to get up on his own, with some encouragment.  He made it out to the garden in the hospital, but seems reluctant to go very far.

They want to give him another night under supervised care and make sure he is going to do fine without the local IV drip at the incision site.  I want to make sure he is ready to come home.   It isn’t worth the risk to me to bring him home early and have him fall, not yet.  But I know it is coming and we are gonna have to help each other learn to be a tripaw family.

Meanwhile, we have dropped our bed to nearly the floor, moved another mattress to the living room, are going to purchase a BUNCH of carpet runners to create non-slip “runways” through the house.  We have concrete floors and are worried about him slipping.   We’ve also ordered some special paw wax that will protect his remaining tootsies and hopefully make them a little more sticky.   We have ordered him a harness – it should be here by Monday, but will wait until his incision has healed a bit before introducing it to him.

I’ve also started researching physical therapy ideas for getting his core stronger and to drop some of his weight.  He has always been “fluffy”, but now we need to get him skinny and keep him that way.

But first we need to get him home.

This morning…

There isn’t much new to share yet.  The hospital called and he is awake and doing fairly well.  He ate all of his breakfast which was a surprise to the staff, even if it doesn’t suprise us.  He is a chow-hound afterall.

They have started reducing his pain medication, and he seems to be tolerating that reduction – so that is a really good thing.

They did try to get him up this morning to go for a walk and he struggled.  They say he kept trying to put weight on his missing paw.  That breaks my heart a bit, but considering it had only been about 16 hours and he has been out cold or stoned out of his mind for that entire time, I would imagine waking up and discovering an arm missing might take some time to comprehend.

I plan to call them around lunchtime today to see if he is making progress.   If he is getting around, we think we can bring him home tonight.  I am worried about bringing my big boy home if we would need to carry him.  He is 86 pounds minus the weight of one leg – and I can’t lift that.   What does a leg weigh anyway?

All said, I and the hunny did sleep last night, though we kept expecting to see him on the floor or would start to say something to him, only to discover he wasn’t there.   I really hope he is catching on, because I want him home.

 

He’s out and it went well.

Thank Dog!

He is out.  Doc says it went really well, he is in ICU and on an IV drip and fentinyl (sp?) patch for the pain.    She took out the whole arm including the scapula and took the lymph node(s?) too.  She says the lymph node didn’t appear swollen – another red dog miracle.   Both the node and the bone are being sent to the lab for conclusive diagnosis.

Meanwhile, he is in good hands overnight in the ICU.  Dr. S. will take a look at him in the morning and let us know how he is doing.

Big sigh of relief.  He keeps surprising me…  I love that about him.

Thank you for all your kind words – I believe they kept me from going crazy today, I want to hug you all!

HUGS!

Game face fail?

So, if the surgeon is crying as she leaves the consult, is that a game face fail?

Today is the day.  We left Sam at the hospital this morning.  Unfortunately, we held our game face right up until they asked us to take our collar off so they could put their lead on.  At that moment, he knew… something was up and I wasn’t coming with him.   That broke me.  Which made my husband break, which in turn made our surgeon cry.

She tried to hide it, but the vet tech came in and asked us what we did to her doctor…  which made us laugh – but the damage was done.  Sam wouldn’t leave me.  I had to walk him to the door, through the door and into the hospital hallway before there was enough space between us that the vet techs could convince him he needed to go the other way.

Once he was behind the closed door – we both lost it, big time.   I think the whole hospital was crying with us and we owe them a box of kleenex.

Today, I am grateful that I am a logical person.  We took all the facts layed them out in front of us and made the right decision.  It IS the right decision, and yet my heart is screaming “go back, you can stop this…  your dog is still whole.  go back!”  The argument between my head and my heart is enough to make me feel like I am going to explode.  I am not going back, not until tomorrow night – maybe not until Saturday.

My dog is already broken – just because we can’t see it doesn’t mean cancer isn’t there.   We caught it early enough that we can’t see it.  That is a good thing.  When I get him back – he may look different, walk different, but I know in my heart his eyes will be the same.

Still, right now, my heart is screaming.

It is official.

We got the biopsy results back…  sarcoma, probably osteo.

But, the good news is Dr. S. says his bloodwork was perfect.  The weirdness in his spleen was not cancer and not related to the bone mass.  Add that to his clear lungs and all the other tests that are coming back clean and healthy and we are going into surgery tomorrow under the best possible circumstances.

Today was a day of napping and swimming followed by a bath (to smell nice for the surgeon tomorrow) concluded with a flying dutchman from in-n-out (pssst Sams says all dogs should know about the flying dutchman, AngelAbby here in tripawds suggested it, and he approves).

Cognitively, this is absolutely the right thing to do.  My prayer for the last two days is to please make this choice obvious and without question Sam did his part in making sure we were sure.  Emotionally, this is terrifying. The combination of the two is so surreal.

His dad and I keep making jokes to keep us all laughing.  “Three-paw McGraw” is Sam’s new nic-name…  but when I stop long enough to really feel what we are about to do…  it makes my heart hurt, physically hurt.   But it IS the right thing and we are ready to help him fight.

Surgery is at 8:30 tomorrow am.  Game face until we close the door behind us and leave him in the good care of the excellent staff at Tucson Vet Specialty.  Until then…

What has three paws and is red all over?

He is strong enough to fight.

So, nobody really knows this blog exists, so it is pretty much written as a way for me to get all of this out of my head.

Today was hard – but ended well.

His lungs are clear – no signs of mets (metasticized cancer tissue) We also checked his thyroid, his belly and took a biopsy.  My biggest fear is that we will come out of surgery and realize, oh – wait…  we were wrong – I guess it was valley fever.

Dr. S. is sure that she will be able to tell from the biopsy if the leision is cancerous or fungal.  We may not know what kind of cancer, but we will know it is not valley fever – 100%.  Knowing that tomorrow means greenlight to schedule the surgery for Thursday. We can always cancel if we learn something unexpected tomorrow.

Meanwhile, the family is home snuggling on the bed.  Sam is still as high as a kite, I don’t know what they gave him but it is the dopey-est I have ever seen him.  Best we just stay in one place for the night, and snuggling on the bed is my favorite place to be.

happy family tonight.