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Cynthia | 12 months ago
My Little Dog Angel (14 Yo Shin Tzu/ Lhasa Apso Mix) Went To The Vet On November 28 …

My little dog Angel (14 yo shin tzu/ Lhasa Apso mix) went to the vet on November 28 due to stumbling , possible blood in stool, and weight loss. The vet said she had no blood in her stool and was diagnosed with intestinal parasites. She was prescribed metronidazole, Regan, and Pepcid. Prior to her starting the medication she was walking but slipping on her hind legs. Also prior to the medication she was eating and drinking water. As the days went by she started dragging her hind legs. I did research and found your videos on the beagel with IVDD. So yesterday December 3rd we took her to a second vet and explained everything that was going on with Angel as well as showing the vet the medications Angel was taking. According to the vet from yesterday the dose was too large for her 7.4 lb frame that she could have developed some neurotoxicity. However the vet said since she was having some difficulty walking prior to the medication then it was more likely IVDD. We were told she was too far along and would require surgery. I ask about oral medications to treat her IVDD and then we were told she was in renal failure. So due to her renal insufficiency and possible upper GI bleed they are unable to give prednisone to help with the inflammation. Angel’s lab work showed an elevated BUN/Creat and she is acidotic. I ask about IV fluids to resolve the renal insufficiency and the vet said we could do IV fluids for 24-48 hours which may only give her a 50/50 chance of renal improvement. The vet then went on to say even if we corrected her renal function she would still have the issue of IVDD and with her dark stools Angel would still not be able to take the prednisone. The final option the vet suggested was euthanasia.

She said we could take Angel home with gabapentin, sucralfate, mirtazapine, and cerenia. Just spend time with her and love on her with an life expectancy of about 2 days.

At this point I’m at a loss because it seemed everything snowballed very quickly.

Today December 4 my adult kids are coming to see her and my husband said we need to take her in for euthanasia on Tuesday December 5th. I feel like I’m giving up on her. The vet said her prognosis is poor and even with surgery she may never have a good quality of life.

Any advice would be appreciated.

Thank you

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  1. Krista Magnifico

    Hello

    I’m so sorry to hear about your dog. For Ivdd suspected cases I tell people to cage rest, give pain meds , and give them 3 weeks before giving up. Just my advise from being in practice. Most get better. They need time.

    1. Cynthia Post author

      Thank you so much for your response. I wish I would have seen this prior to everyone including the vet telling me she needs to be euthanized. My heart and my gut was telling me not to give up but everyone else told me this is the most humane option. Yesterday afternoon we buried her on my Mom’s farm and today has been so very difficult. I feel like I failed her in so many ways.

      Again thank you for your response.

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Abi | 1 year ago
Hi There, I Have A 16 Month Old Mix Breed Medium Sized Dog. I Had Her Spayed 5 …

Hi there,

I have a 16 month old mix breed medium sized dog. I had her spayed 5 days ago and there’s a bulge to the left of the incision site (size of a tennis ball). Medium firmness.

The vet has suggested it be drained, but he’s 1.5 hours away and I’d rather not inflict another long journey and more trauma on her.

I’ve read that this could resolve on its own and want input as to whether I should take the trip (would you consider the swelling severe) or wait & see if it worsens/improves without intervention.

Thanks for any input.

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  1. Krista Magnifico

    Hello,
    Please call your vet. Maybe you can send them a picture to help?
    I would worry that the incision might be infected and this would warrant an antibiotic ASAP.

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Doug | 1 year ago
Hello And Thank You For Anyone Willing To Share Their Expertise Or Experiences With Toe Amputation. …

Hello and thank you for anyone willing to share their expertise or experiences with toe amputation. My dog Theo is a 14 year old beagle mix and was attacked by another dog a month ago and sustained many injuries but the most severe was a broken 5th metacarpal bone on his front right leg. He has been wearing a splint/cast for a month and just had his 4 week X-ray to check healing and unfortunately it doesn’t appear that much healing has happened. Ultimately my vet had recommended that the fastest and most effective way for him to recover and walk again. Would be to amputate the tie up to the knuckle. I am just concerned about his ability to walk after the surgery and how other people’s dogs, particularly older ones have handled this type of surgery. Because of his age and a previous herniated disc in his back which causes some weakness in his back end he has been unable to walk since the injury. Just hoping to find the right solution to get him back to normal as soon as possible. Any information you can provide would be helpful. Thank you!

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  1. Krista Magnifico

    Hello,
    Have you spoken to your vet about splinting or using a half cast to allow the broken bone to heal. I only amputate when I am concerned about cancer.
    Also this fracture seems very high in the foot to allow amputation unless you remove the leg? And oh my that sounds very aggressive. Please ask for a referral to an orthopedic specialist or get a second opinion. Also it is imperative (!!!!!!) to cage rest. Strict cage rest with limited mobility. Your pet should only be leashes walk to use the bathroom. No free ranging or unsupervised activities.

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Patty | 2 years ago
Is It Safe To Put Chicken Broth/stock On My Dog’s Food? She Is A 13 …

Is it safe to put chicken broth/stock on my dog’s food? She is a 13 year old German Shepherd mix who is a picky eater. She has no problem eating human food but isn’t especially interested in eating her dog food. Just trying to think of ways to get her more interested in her food.

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  1. Krista Magnifico

    Hello,
    If you told me that you were making the stock and you werent using any salt, or dangerous ingredients (onions, garlic, etc), then I might say ok..

    but the issue for me is in the why your dog isnt interested in a dog food? Ask your vet for recommendations on a diet that is suitable for your dog. This advice should come after you have done a thorough physical exam and blood work to include fecal, thyroid and urine. (maybe additional diagnostics after these?).

    I also use canned and dry food with my dogs to keep the dry kibble more interesting and palatable.

    hope this helps

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Pam | 2 years ago
My 9 Year Old Potcake (probably Shepherd/lab/etc Mix) Has A Long History Of Lipomas, Which …

My 9 year old Potcake (probably shepherd/lab/etc mix) has a long history of lipomas, which grow fairly large. In late October of 2022 I found a lemon sized mass on the back of his right hind leg, which was not bothering him but was firm. Our vet in Ottawa ON is a VCA practice nearby; I was able to get an appointment the next day. The vet and I were both concerned at the location, size and consistency of the mass.

She recommended an xray of the limb and a chest xray to rule out cancer and metastasis as well as blood work. (all normal) She sedated him for the radiorgraphs and aspirated the mass multiple times with a presumptive diagnosis of lipoma. We discussed the fact that it was probably and inter-muscular lipoma, between the two muscles of the hind leg at the back . To remove it she advised a board certified surgeon elsewhere, who she said would want to do an MRI of the limb first to evaluate the extent of the mass in preparation for surgery. When I expressed concern about the cost she offered a surgeon at the VCA who is not board certified but who may be able to attempt a surgery without the MRI.

Since October the mass has grown, especially medially, and is now the size of a grapefruit. He is still not lame or uncomfortable when I feel the mass. I want to prevent problems for him with this leg but I also worry about the invasiveness of the surgery – and the cost, which I can’t afford right now. I am waiting and watching at this time. I worry about having the mass return even after surgery and wonder about removing the majority of it just to give him more comfort when moving – is it ok to wait until it gets bigger? I know that lipomas don’t tend to spread to other parts of the body like malignant cancer – this is why we took the xrays, to look for other signs of cancer in his body. Now i wonder if this was too soon, and should have waited on those tests.

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  1. Krista Magnifico

    Hello,
    Almost all of the lipomas hat I see are easily removed as they tend to form in a capsule that makes it easy to remove. Usually they can be shelled out without much if any bleeding and other than resolving the issue of left over dead space ( a drain might be needed) they heal quickly and easily. I have seen a few invasive lipomas that seem to form from within the muscle and are embedded within in the adjacent muscle. They do not shell out but often can be “debulked”.
    If cost is an issue see if you can find an independent veterinarian who is comfortable and proficient in surgery. I don’t think that many of these cases need or can afford an mri or boarded surgeon. At least in my cases I offer to try to remove and I usually know within a few minutes of surgery if this is going to be a routine lipoma surgery or something else. Talk about options cost and scenarios. Be available by phone while the surgery is taking place and know that it’s ok to both wait and monitor and look for affordable options. Lastly I would recommend you find an independent vet practice and avoid corporate practices as they tend to be more expensive and refer cases to specialists most people struggle to afford.

    I hope this helps.

    Good luck

  2. Pam Post author

    thank you for all of the advice, it helps a lot in decision making

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Julia | 2 years ago
Hi! My Dog Is A 3m Old Shepherd Mix And She Was Attacked By Another Dog, …

hi! my dog is a 3m old shepherd mix and she was attacked by another dog, she has multiple fractures in her jaw. I was referred by Dr. Trout to UPenn but they’re quoting 6-10k and I just dont have it, I’m very young so no one will lend to me and rescues that I’d contacted basically said they would euthanize because of the costly procedure, shes only a baby and I really want to save her, is there any financial aid for hardships like this anyone can recommend? Dr Trout said to get in contact with Dr. Magnifico and her practice referred me here to get in contact with

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your pup. I spoke to two of the vets who are taking care of your dog to try to get a better idea of what kind of injured there are. This is absolutely imperative to try to formulate the cost of treatment. In some cases a broken bone can be more affordably managed by a splint or cast IF very very!!! strict cage rest is implemented for the 6-8 weeks that it takes for a bone to heal. But your pup has a brown jaw which needs to be stabilized very quickly so your dog can go back to eating normally. We don’t have weeks to see if it heals.

    The degree of injury is so severe that a surgeon (an expert and not a regular surgeon like me or other vets) is needed. We have no margin of error to oaky with. UPenn had the best of the best and that’s why you are being sent there. They are not a rescue or non profit. If you don’t have the ability to pay for this (provably over $5,000) then your options are very limited. There are some pet care financial services like a credit card, care credit, go fund me , selling items, or asking friends and family. If those aren’t options I strongly recommend you look into rescues you can surrender her to so she can be treated and find a home. Otherwise there is only suffering with a very badly injured mouth where she may never be able to eat or euthanasia.

    In cases like this I know it’s hard but if anyone will take her and take care of her I urge you to let her go to them.

    As a personal note I will offer this. Before I went to vet school o found a puppy walking on the street in Balt Maryland. I had her for two days while I tried ti find her family. On day three she became very sick. So sick she needed to go to the er. I was 21. She came up positive for Parvo. The er bill was $200. The estimate to care for her was $3,000. Which I didn’t have. It killed me to have her put down. KILLED. so much so that I decided then and there I would never be in that position again. I went to vet school 8 years later. If anyone has offered to care for her I would have been so grateful. But no one did. Or would in those days. Sick puppies were everywhere.

    I wish you the best.

    If no one will take her call my clinic jarrettsville Veterinary Center. I will see if I can get a rescue to take her.

    Krista.

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Mario | 2 years ago
My 14 Year Old Lab Mix Has Been Diagnosed With Laryngeal Paralysis Around 6 Months Ago. She Is …

My 14 year old Lab mix has been diagnosed with Laryngeal Paralysis around 6 months ago. She is doing okay except at night sometimes coughing for 15-20 seconds and then going back to sleep. Please let me know what experiences there are from the surgery. I want to see if this is something that she can survive. Thanks for your help…

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Megan | 2 years ago
Our 10 Year Old Beagle Bassett Hound Mix Has Been Down Since Last Wednesday. She Had What …

Our 10 year old Beagle Bassett hound mix has been down since last Wednesday. She had what we thought was a seizure, and couldn’t get up after. We took her to the vet, and they kept her but said that she wasn’t giving any indication to where the pain was or where the infection might be (a blood panel revealed high WBC) Sent her home with phenobarbital and clindamycin for the infection. Fast forward to yesterday, they decided to do an x ray and discovered she has degenerated vertebrae that have fused. They gave us prednisone and methocarbamol and advised us to call in on Friday if no improvement. Our poor girl can’t get up hardly at all, and the vet isn’t giving me any information as to what caused this, if it’s curable or manageable. I don’t know what I’m up against and a 2nd opinion isn’t something we can afford right now.

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  1. Krista Magnifico

    Hello,
    I would probably go find a different vet and ask for more help. It doesn’t sound like your vet is helping you enough. I also think that a full patient care conversation is warranted. I talked about how to help manage these guys wrt feeding peeing pooping ambulating and pain meds. I also talk about methocarbamol as I think these guys need this. Also ask about gabapentin and acupuncture.

    I have a lot of information on my blog and YouTube channel. Kmdvm.blogspot.Com search Ivdd.

    1. Megan Post author

      Thank you so much. Does this seem like IVDD to you? That’s how I came across your blog, and to me, the symptoms you describe sound a lot like what our girl is experiencing.

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Beth | 2 years ago
PYOMETRA SURGERY On A Shepherd/Husky Mix: Surgery Cost Info Plus Question For Vet!

PYOMETRA SURGERY QUESTION: I have a question for Dr. Krista. Below is background information and I will include cost info for anyone that might be searching for cost information in the future and stumbles across this website. (also uploading a picture of doggie with stitches to gallery)

My 7.5 year old Shepherd/Husky mix just had surgery for pyometra. It was approximately $2000 at a pet hospital in Tennessee for the surgery. (actual surgery was a little under $900 and then additional things such as anesthesia, overnight boarding charge, IV, antibiotics, e-collar, medication, etc ended up racking up the charges to almost $2000.) Her symptoms that caused me to go to the vet were not eating, depressed, excessive drinking, constant licking her private areas, and I did notice she was drooling a lot as well. Her not eating was the main thing that had me worried as this dog will eat anything and gobble her food up in seconds and then lick the bowl clean searching for any missing bits under normal circumstances, yet she even turned her nose up at her favorite foods. I had initially been worried about blockage since she had eaten some table scrap bones a few days prior (which I now know not to do for future reference), but after googling , I came to the conclusion pyometra was more likely. She had just finished her heat cycle a few weeks prior, so everything lined up on her symptoms matching pyometra. The vet did an x-ray and blood work and it did end up being Pyometra. I had never heard of this before and really wish I had as this was an expensive lesson for us to learn and painful for our poor doggie. If we had spaded her when she was younger, it would have been $250 at the exact same place I just paid $2000 to for pretty much the exact same surgery. (though now much riskier and doggie sick) The vet did the surgery the morning following her initial examination. (the initial exam was $425 for exam, x-ray and blood work and was not included in the cost of surgery. I received a 25% discount off of this price for being a new customer) She had the surgery at 10 AM and stayed the night to get extra fluids and antibiotics as she had a pretty bad infection and keep and eye on her. I picked her up at 2 PM the day after her surgery. My doggie was happy to see me when I picked her up and seemed to be feeling much better. She wagged her tag and happily jumped in the car and was excited about going in our house. Once in the house, she visibly drooped, though. I thought that was probably normal after having surgery and she slept a lot. She ate that night and I gave her the medicine in her food. This morning, however, she once again refuses to eat- even her favorite foods. She drinks normally, but doesn’t eat anything, so I also cannot give her the medication, which consisted of an antibiotic and pain pill. I tried forcing a piece of bread in her mouth with the pill inside it but she just spit it out. My question for Dr. Krista or anyone who has had experience with pyometra…. is this normal for a dog not to want to eat a couple of days after surgery? It has now been almost exactly 48 hours since her surgery. She went to the bathroom a little bit ago and both urinated and had a wet bowel movement. I have tried offering all different kinds of foods and she shows no interest. She is just laying around. She is still drooling more than normal, but seems in better shape than when I initially took her to vet… but worried about her lack of appetite. How I can give her the medication if she will not eat. Any recommendations?

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  1. Krista Magnifico

    Hello
    Thank you for the information and sharing your story. I would say that based on the information provided I would call your vet and ask for help. It migh t be pain, infection or secondary disease process. An appetite stimulant might also help. Regardless there is a cause for her nausea and inappetance and that needs to be diagnosed and treated. Start there.

    I wish you luck.

    Keep us posted

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Sandra | 2 years ago
My Dog Got Spayed On August 1st, She Is A 13 Year Old Poodle Mix. She Also …

My dog got spayed on August 1st, she is a 13 year old poodle mix. She also had a mastectomy along with her spay so she has a very big incision. She is on her 4th week and the lower half of her incision does not look like the top half. The surgeon said it may take a while to heal because of the placement but I noticed a bump at the base of her incision at day 4 that has not gone away. She keeps licking at it and the surgeon suggested we must let her heal and later investigate. Also, at day 10 I noticed a white tiny pimple sized thing trying to come through under her skin. I really checked it out today since it has not gone away and it feels like something sharp poking under her skin, she has two of these that feel the same. I am scared she might have torn her internal stitches but the surgeon did not seem too worried. I notice when she eats she seems to look like she feels uncomfortable. She threw up yesterday but I took it as maybe her pancreatitis acting up. I am freaking out and don’t know if I am making a big fuss over nothing. She did not run during her recovery but she would stand up on her hind legs no matter how much I attempted to keep her calm. She did slip 3 times and land on her tummy, twice at day 8 because I had her on a short leash and she would try to run, the third slip was at day 13 and for the same reason of the short leash and attempting to run. I feel so sad and don’t have peace of mind. I feel guilty she slipped on me those three times but then again don’t know what to make of that lump at day 4. After the two slips at day 8 and after on day 10 she started having severe diarrhea. I contacted the surgeons team and they suggested boiled chicken and boiled rice, but at day 12 the diarrhea was a soft serve ice cream consistency and then she thew up so I took her into emergency immediately. At emergency they checked her vitals and incision and could not figure out what may have caused the stomach upset since from her pancreatitis history did not have the swollen tummy and her incision looked fine. They attributed the upset to possible pain med side effect and prescribed a probiotic and to stop the gabapentin. It’s has been a tough healing process for her. I will attach pictures of of what the incision looked like at day 7, 10, and now. I hope it’s not what I am fearing but it’s better to know if I should advocate for her and have them check again. Thanks guys, sorry for the long story but this is my little girl who is my first owned dog and who has been by my side for 13 years. I love her so much and it pains me to see her uncomfortable. Fyi her appetite is always good no matter what and her bowels are back to normal since the 18th of august and they were fine before the 10th of august as well.

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