Wednesday, February 29, 2012

Feb 29 Day 5 - A Day Home Together

Bunny and I wake up at 4a.m. I'm happy knowing that Bunny and I can spend the day together. We have some tea, water and watch some movies.




Chris gets up and goes to work. I pick up and start some laundry. Bunny is hungry and she stands up for longest I've seen, about 15 seconds. She even walks around a bit, mostly in a circle for 5-10 seconds.

Since she still hasn't gone poo, I mix some pumpkin, a crushed Osteo-form tablet and peices of boiled chicken together and heat it up in the microwave for about 20 seconds. I give it to her and she eats it up. All of it. She's the hungriest that we have seen her yet.



The vet office calls and asks how Bunny is doing. I tell them that she has not gone poo and only pee once a day. They say to call them tomorrow morning if still no poo and only one pee today.

The day goes well. Until about 3:30 p.m. Bunny starts whining and I'm not sure what it is. I give her more food, she doesn't want it, I give her more water, she doesn't want it. We go outside, she doesn't go potty.

Chris gets home and at about 5 we call the vet office. They are closed, so we call the emergency room for advice and that's what we get.

I explain that Bunny keeps whining off and on, about her surgery and non-potty activities. They say to keep giving her pumpkin, a little (half-dose) of her pain med and call her vet in the morning.

Ok, great. We take her out for another try at potty and she goes! Only pee, but who cares at least it something.

We all go to bed. Tomorrow is Bunny's first day back at work. Got to get some good sleep.



Feb. 28 - Day 4 - An Accident and An Appetite

Bunny wakes me at 2 a.m. I take off her diaper and take her potty. She's doesn't go. I don't put her diaper back on and lay her next to me on a pee pad.

Chris' alarm wakes me up. He gets out of bed and says Bunny peed the bed. I look and she did. I must not have put her all the  way on the pee pad. However, she managed not to get a drop on her. The urine stopped at the mattress pad and did not get the mattress. I strip the bed. My mom says she will wash our bedding during the day. Thanks again mom.

I work late. I'm on deadline at work and an off tomorrow to stay home with my dog, so I try to get ahead for Thursday.

My mom leaves when Chris gets home at 430. I miss her as get home at 530. She had also made our bed. She is the greatest!

Bunny seems a bit more alert and has an appetite. She eats more chicken, treats and a knuckle bone with marrow. Still no bowel movement and only pee was in the bed this morning.

Chris opts to sleep on the couch and gives up his place for Bunny. We put several pee pads down and her and I hit the hay at 830 p.m. We are exhausted.


Eating a knuckle bone with marrow. 

Feb. 27 - Day 3 - Thanks Mom

I wake up at 1 a.m. in a sweat. I'm nauseated and feel like I have diarrhea. It's food poisoning. I was the only one who ate the green salsa. It was no good. I'm in the bathroom getting very sick while everyone sleeps.

I remember I have a "magic herbal potion" from Thailand just for these kinds of ailments. I take two teaspoons and go back to bed. A half-hour later, I'm better. My insides are tore up, but I'm not getting sick anymore. It's 2:30a.m. and I'm about to fall asleep and Bunny whimpers.

I get her out of her crate. She has a diaper on just in case. I take it off and take her to her potty. She doesn't go. I put back on her diaper and lay her next to me. She is a cuddler and wants to be close to me.

We sleep until the alarm at 6.

Chris and I go to work and leave Bunny with my mom.

My mom mixes a crushed Osteo-form tablet with the marrow of a boiled knuckle bone. Bunny eats it up.

They have a good day. Bunny eats a little, but no potty all day. She doesn't go until I get home and take her. She tries to stand and falls over or just sits down.

My mom makes us dinner and does our dishes. Thanks mom.

Feb 26 - My Mom Comes to Help

It's Sunday the 26th and my mom is coming to spend a few nights and look after Bunny while Chris and I are at work on Monday and Tuesday.

Bunny had woken me at 1a.m. She was crying. I took her to her potty, but she did not want to go.

I gave her the pain med which was liquid form. I drew some in a syringe and squirted it in her mouth. She liked it and it smelled like honey.

We laid on the couch and watched movies until Chris woke up, then I went back to bed.

My mom arrives at 4, we watch the Oscars, and love and dote on Bunny. Bunny eats some chicken and does not take the Osteo-form tablet. I crush it and put it on her chicken, still doesn't want it.

We have dinner. Mexican food from our favorite taqueria.

Bunny goes potty (pee-pee only) in her potty. We are all so excited.



We all go to bed. I thank my mom for being a trooper and sleeping on our couch. She is an awesome person and great mom.

Feb 25 Night - First Night Home

We get home and realize that we don't know what to do. We need to keep her bandages clean. When she goes potty we are to put something on them so they do not get dirty or wet. A nurse told us to use a hair dryer if they get a little wet.

We get home and put her in her favorite bed on the couch next to us. She pees on her bed and herself. She's really drugged. The nurse said she had a shot that was similar to morphine and will be out of it for a day or more.

Chris and I decide we are unprepared. I go to Petco for pee pads, doggie diapers, a new pad for her to lay on and her favorite treats, Tater n' Tots.

I get home and we set her up. While I was gone, she peed a little on Chris while he was holding her.



She eats some boiled chicken and a couple treats. She drinks a lot of water. We take her out to her potty and wrapped her legs in saran wrap. It's hard to get on and plan on getting baby socks tomorrow. Much easier.

I give her the antibiotic. It's small, so I open her mouth and drop it at the back of her throat, she swallows and it's that easy.

We all go to bed about 10. Bunny has been going in her crate at night since we found out about her luxating patellas. So she is ready to go in her bedroom when we tell her. We carry her in and lay her down and she goes to sleep.

Goodnight Bunny, we are happy that you are home.

Feb. 25th - The Pick Up

I hardly sleep. I wake up at 4 and stay awake. Chris gets up at 6 and we start cleaning house and doing laundry, regular Saturday chores. We check the clock frequently, we can call about Bunny at 11:30. I go grocery shopping to kill time.

I get home at 11:15 and we call at exactly 11:30. Dr. Grant was with a patient, we need to call back in ten minutes.

Ok.

11:41. We call. We can pick up Bunny at 2 p.m. Great. We feel relieved that she is ok. We have lunch and leave at about 1:30.

We arrive a little bit before 2. Dr. Grant is with another patient who is going home after surgery too. In the meantime, we pay our bill and receive instructions. Grand total is $3,504.25. We are given antibiotics (twice a day for 14 days) and liquid pain meds (once a day). We can start with the antibiotics tonight and the pain meds in the morning at about 5-6 a.m.

We are called back and Bunny comes out to us. Her back legs are bandaged and she is drugged, but wags her tail when she sees us. I get teary.

Dr. Grant calls us into a room and recaps the surgery and what he told us last night. He drew us a diagram of what he did. He expects a full recovery by summer. First check-up is next Friday, March 2. We can come between 10 a.m. - noon. She may have a bandage change or may wait until the two week check. At the last minute, he gives us a bottle of Osteo-Form. They are huge chewable tablets, He said Bunny needs to take two tablets twice a day to help with healing.

As we leave, Chris asks me if the follow-up appointments were included (good question!). We ask. We are told that there is no charge for return visits, but that they charge if they do something. If they need to change the bandages it's $25 per leg and more if they have to sedate her. Ok. We can deal with that.

We get in the car and drive home.

Feb. 24th - One Night Without Bunny

Chris and I work all day and stay busy. We text and call each other. I give him updates. By 3:30, Bunny still has not gone into surgery. There was an emergency and her surgery was pushed a couple hours. I think that Bunny must be starving and thirsty wondering why the hell no one is giving her anything. UGGGH.

I leave work at 4 and have an acupuncture appointment at 5:30, my nephew's four-year-old birthday party from 6-8 and my friend's dog's four-year-old birthday party, drop-in 6-9. Who knew the night would be so chaotic.

I get a call that Bunny's surgery started at about 4:30. Dr. Grant will call us sometime before 9 with post-op news.

I get out of acupuncture at 7, pick up Chris and head to Chucky Cheese for birthday festivities. We arrive an hour and half late. The party is wrapping up. We give the birthday boy hugs and kisses. As we say our greetings, Dr. Grant calls us.

He explains that Bunny's surgery was a success. Both knees were badly deformed and her issue was genetic. One of her family members had been over- or mis-bred. Her right leg was a bit worse than the left. Her femurs did not have the groove that holds the knee cap in place. He made her grooves and tightened up the facia around the cartilage. We can call in the morning around 11:30 to see about picking up Bunny. She will be done with her IV fluids around that time.

Whew. We leave Chucky Cheese and forgo the other "pawty." I'll drop off his present in the morning.

We go to our quiet home and send good thoughts to our girl.


Feb. 24th Day of Surgery

Bunny has to be dropped off between 7 and 9 a.m. and had nothing to eat or drink after midnight the night before.

It's 6 a.m. Bunny looks at Chris and I wondering why her breakfast and water bowl are not in their regular place. She cannot find them at all. She snorts at us. We feel bad.

Sorry Bunny, no breakfast or water this morning.



Chris and I have to go to work. What else will we do all day besides worry and have bubble guts? Chris leaves at 6:30 and its hard for him to say goodbye.

We leave 10 minutes later. We get on the 22 heading towards Garden Grove. I realize Bunny has no idea what's going on. 



We arrive and sit in the parking lot for a few minutes.

Exchanging hugs and kisses before we go in.

We walk in. I sign Bunny in and and fill out a form. No one is there except one nurse. I tell her I'm nervous and she smiles. She calls us back and weighs Bunny. 12.1 pounds. She says that I can call sometime this afternoon. She may have her surgery around 3 this afternoon and will be out about 4:30 - 5. I can call then when she's in recovery. She takes Bunny out of my arms. I kiss her and last thing I see is her sad face going behind the doors. I'm sick to my stomach.

I go out to my car and cry for about 20 minutes. I call Chris and my mom. This is tough. 


See you tomorrow. 


Feb. 19 - Preparing for Surgery

It's Sunday before Bunny's Friday surgery. We are panicked and a bit scared for her and us.

We are an urbanite family, so we decide to make her an outdoor potty. We live in a large open studio apartment with a patio. Bunny usually hits the pavement to relieve herself. This will be new to her. She puts her toys on it.


I bought her a pop up kennel for when we are at work. Just in case we need it. $30 at Target. We test it out. Bunny likes it, reminds her of her crate at home. 



Questions Inbetween

At the the end of the consult, Dr. Grant said, "Feel free to ask any questions in between." 


Questions I had: 


January 14: 


Pam: Both legs would be approximately $3500. Is this a correct approximation (1900-2000 per leg minus 5-600)? I understood this to include any of the four procedures that may be done during surgery, overnight care, medications and any take home items. Am I correct about this?

Dr. Grant: Yes, your figures are correct as listed.

Pam: We will most likely have funds secured for the surgery in late-February - early March. Is it ok for Bunny to be on pain meds for this long (six weeks)?

Dr. Grant:  Most likely not going to be a problem. Like most non-steroidal medication the difference in response is usually based on the patient and not the drug. We have had some animals on these medications continuously for years without any issues, and some animals have a sensitivity issues within one week. 

Pam: Will we have to change bandages at home? 

Dr. Grant: Usually there is one bandage change which is performed at our office one week after the surgery. Some dogs do not require any bandage change until the two week recheck when the bandage is removed. (good, I don't think I could handle changing the bandages).

Pam: Approximately, how long is recovery? When would Bunny be able to jump, run and play again? 

Dr. Grant:  Recovery time is based on the number of procedures performed. The prognosis is also based on the severity of disease at the time of surgery. In Bunny's case I would expect full return to run, jump, play assuming that the procedure is done in the not too distant future as planned. Certainly no apology for any question, ever. This is a major procedure and a lot to consider. (wow, thanks.)   

A month later I had more questions that the nurse answered. February 14-15:

Pam: What should I expect in the first couple weeks?

Nurse: No running, jumping, playing or stairs. She should be crate confined for a minimum of two weeks with potty breaks (on a leash only) three or four times a day. First recheck is 1 week post op for a bandage change, next recheck is 2 weeks post op for bandage off and stuure removal. The doctor will advise you at that point what physical therapy (if any at all) will be needed. May be more crate confinement, maybe short walks. 

Pam: Will she be able to walk when I bring her home?

Nurse: Yes, limping with a funny walk but yes. Try to avoid slippery floors. (great, we have laminate in our apartment). 

Pam: What are normal behaviors?

Nurse: Back to normal day after surgery as far as eating, drinking, etc. 

Pam: Do you think I should use pee pads?

Nurse: If she is peepad trained they work out great. (too bad, I never trained her with those.)

Pam: I usually bring her to work with me and she sits on my desk in her bed. Will that be ok?

Nurse: She must not be able to jump and run around. If she gets excited when vistors come in the office then I would say NO, but if she is chilling out next to her Mama all day and you can keep an eye on her than SURE. I wouldn't recommend putting her on you desk incase she gets an itch to jump off. The floor would be better. 

Pam: Thank you in advance and Happy Valentine's Day! 

Nurse: I did, thank you. I hope you did as well. Hope this helps. Please fell free to ask if you have more questions. (haha..thanks)

Whew and ahh...relief that there are nice people here with us.

Bunny in her favorite bed on my desk. (oh and her toy too.)


Bunny at her window seat. 

First Visit to Dr. Grant

Community Vet Hospital is an old-fashioned kind of place. Not in a medical aspect but in business practice and decor. There are no appointments made, to see Dr. Grant, I needed to call and find out his hours and then walk-in during those hours. Bunny and I went on Friday, January 13th. Dr. Grant would be seeing patients between the hours of 10 a.m. and noon. We got there at 10.


The place looks like an old house. A very large old house. The inside reminds me of the 60's. There are deep orange accents and wood paneling. There is also a very large salt water tank with friendly fish and a crab. I was carrying Bunny when we walked in. I'm glad she weighs only 12 pounds. There were a few dogs waiting and a cat. We signed in wanting to see Dr. Grant for a surgery consult.

We sat next to a woman and a large female German Shepherd. The woman asked if we've been there before. I replied no. She said we would really like Dr. Grant as he is practical and an animal lover. She's a foster for a local rescue and said that Dr. Grant helped organizations like hers and that he was a great advocate for animals. She added that most of the time there is a wait, but well worth it. I had my doubts and was nervous too. I smiled and continued to watch old clips of Johnny Carson with animal guests. Funny stuff.

We waited about 45 mins and were called back. Dr. Grant entered the room and introduced himself to me and Bunny. He talked to Bunny as well as me. This was different than the previous vets I had been too. Most of them never talked to Bunny, like she wasn't in the room. But here, Dr. Grant comforted her by talking to her and that action comforted me.

I explained what had happened and handed him the xrays from the emergency room. He brought in his laptop and looked at the xray disk. He said the xray was a bit fuzzy, but he could see where Bunny would need repair. He then did an exam on Bunny and made her cry. He hugged her and said he was sorry.

He then drew me a diagram explaining what surgeries that he may have to do once he is in. There were four possible surgeries. One was to make a groove in her femur for her knee cap to sit in (will have to do this one for sure), another was to fix a place on the tibia where the ACL is connected, another was to tighten up the facia around the cartilage and I forget what the other was as I was scared and should have been taking notes. I think it was fixing the ACL if needed (which he said most likely not, which was different from what the emergency room vet said).



He said it would cost about $2000 per leg. He does not charge per procedure. If he has to do all four procedures, it's still the same price. They grade the severity of luxating patella from 1-4, 4 being the worse. He said that the left (what she was limping on) was a 3+ and the right was a 3-3+. His recommendation was that we do both knees at the same time. It would cut on cost (not having to pay for anesthesia twice) and Bunny would only have to go through surgery one time. If we did both knees, it would be around $3500.

I asked when was the soonest we should have it done. He said because of the severity, surgery should take place in the next month or two. Can push it out to three at the most. The knee slipping could cause more damage to the ACL and other knee parts.

We booked the surgery for February 24th. Until then no jumping, running or playing and crating at night.

A Friend of a Friend and An Old Account

One of my friends is a horse trainer and from being around animals and their ailments, she's knowledgeable in this area. I trust her completely. Her long time friend at the barn also went through the luxating patella with her dog, Izzy. Izzy is a bigger dog, she looks like a Vizsla mix, very beautiful. She had injured her knee and needed repair.

She recommended me to Dr. Grant at Community Vet Hospital. Dr. Grant actually is the second Dr. Grant. His father, also Dr. Grant, opened the hospital in 1956. Dr. Grant is Izzy's family pet doctor, her family had been going there for years, long before Izzy came into the family. The family of vets and their long lasting business comforted me as I am a big fan of family businesses. 



Of course we asked our parents for loans. What else were we going to do? My parents and Chris' mom couldn't help us. Chris received a call from his dad. His dad said that there was an old insurance policy that had accrued interest for the past 20 years or so. There might be enough in there to pay for Bunny's surgery. The paperwork to withdraw funds began. 

This was surely a blessing. 

First Vet Visit

On January 12th, I took Bunny to her regular vet. She really doesn't have one, but we go to an office and see a couple of vets there. My previous experience with this office is that they charge too much and like to push unnecessary tests. Unfortunately, most animal hospitals are like this and I do not fully trust them.

This $50 visit confirmed what the emergency room had said. Bunny was going to need surgery, most likely on both legs. They would charge between $3,000-4,000 for one leg.

That night Chris and I both cried. We didn't have that kind of money and we did not want to see our little girl in pain. We had to pull our resources, we made some calls, texts and emails.

January 10 2012 - The Trick Knee Causes Trouble

Our journey began on this day. My boyfriend of four years, Chris, took our dog, Bunny for her nightly walk as they usually do. When they came back, Chris said there was something wrong with Bunny's left leg. She was limping and holding her leg up. It broke our hearts to see her in pain. She is our companion, our kid and my familiar. She goes everywhere with us and with me to work everyday.

We knew this was going to be trouble and headed toward the animal emergency room. By the way, my name is Pam.
Pam, Bunny and Chris

Chris and I rescued Bunny from the Long Beach Shelter in Nov. 2009. She was around a year old. They said she was a poodle mix and called her Bunny because she hopped. She seemed to like that name so we didn't change it. The vet I took her to said she was most likely a mix between Poodle-Maltese-Bichon Frise. A week or two after we brought her home, we noticed that she skipped or "hopped" when she walked. We took her back to the vet and they did an xray. He said that her legs were fine and the "hop" was just something she did, like a personality tic. We believed him and thought nothing of it until the night of the emergency room.

Bunny Nov. 2009

Our trip to the emergency room was a game changer. The vet on duty was young, but completely knowledgeable at her job. They took an xray and introduced us to the words "luxating patella." In short, it means that Bunny's knees slip out. When they do, she skips or hops to put it back in place. It's been happening for so long that on this night, her knee would not go back, the emergency room vet had to "put" it back. Ouch. They sent us home with an information sheet about luxating patellas, some pain meds, no running, jumping or playing, follow up with her regular vet as she will need surgery and a copy of her xrays (that was nice). The bill was $320. We went home and started to research and made an appointment.

Luckily, we had crate trained Bunny for the first year we had her. Only at night. We still had the crate in storage and brought it back out. Bunny resisted the first couple nights, but became used to it again. After a week, when it was time for bed, she would go in her "bed room" to sleep. 

If you are in the Long Beach area and your pet needs an emergency room, go to Long Beach Animal Emergency. They are good at what they do.