Four years ago this week, my dog Connor was released from a Baltimore-area veterinary orthopedic and sports medicine hospital after THREE failed TLPO surgeries and multiple significant infections, which created the beginning of Connor’s end. The reminders of this are coming up daily in my Facebook “Memories” feed, which is why I’m currently wrestling with taking action four years after the fact. Connor completely tore his CCL and the ortho surgeon sold me–HARD–on TPLO for him. This same practice and surgeon had successfully repaired a torn CCL for another of my dogs, Tessa, when she was five and a half years old. Connor was 13, and the surgeon was all but guaranteeing success, citing examples of 12-year-old Great Dane patients who regained great quality of life and movement. Connor fell off a ramp getting out of our car and three of the six screws broke after the first TPLO surgery. The surgeon did a second TPLO surgery, after which Connor went NOWHERE and did NOTHING, and the screws failed again. Plus, the second time, he developed an infection so bad I mistook the stench for a sewer problem I was having in my house. When the vet intern cut off his splint and dressing, what was inside was bright green and smelled horrendous. I’d been mistaking Connor’s crying and balking as stubborness, not recognizing he was in PAIN. The staff whisked Connor away to the back and kept him for more than a week. MONTHS later, one of the vet techs told me they weren’t sure he was going to make it that first weekend (our appointment was Saturday; while they were typically closed on Sunday, they had this staffer with him around-the-clock, doing regular debriding they didn’t tell me about). The third surgery involved an external fixator I was cleaning multiple times a day. When they found out I was doing this, I was yelled at and told to only clean it once a day. I followed the directions–and another significant infection developed. There were multiple instances of their applying splints in ways that hurt my dog, and I ultimately had to move him to another veterinary ortho practice because the surgeon who performed the surgery, the vet who owned the practice and finally the office manager (who had been the final person who would even respond to my calls and letters) stopped responding. Second and third opinions were that Connor developed a bone infection so severe he might not recover–because a fragment of screw had been left behind from one of the first two surgeries. He ruptured a disk in his back trying to manage the awkward splints the first ortho vet used. The second ortho vet did an MRI–discovering the TWO ruptured disks (one was several years old and had been misdiagnosed by the original vet ortho and sports medicine practice as a “congenital defect”). I went ahead with the spine surgery–within three hours in recovery, Connor pushed the baby-gated pen he was in around a corner. The second surgeon was amazed, and said to me, “Younger dogs who recover perfectly well from this surgery can’t even stand at this point–Connor is rearranging the furniture. I can’t imagine how much better he must feel right now to be doing that.” But the leg wasn’t healing due to the infection, and I finally conceded that, despite my best intentions to give him back his mobility and his life, the decision for TPLO actually made his last year of life miserable and then forced me to put him down. (And I can’t even tell you about the in-home “euthanasia” service–it was so horrible I still weep thinking about what happened there, more than three years later.) With this brief (really!) background, would it be unreasonable of me to file a complaint with the state veterinary licensing board? It’s only now that I realize THEY made mistake after mistake, didn’t fully advise me of the situation and options, and caused me to put my dog through pain and misery that wasn’t going to help him improve. I’ve been really fired up about this complaint this week, but then I read your blog about euthanasia and how clients can be unreasonably cruel, and I need to know if you think there would be anything gained from the practice having to answer for their decisions (which include blaming me and refusing to talk to me or treat my dog until I fully paid them ongoing bills that were supposed to have been covered under the “guarantee” they provided in writing.) I really appreciate your taking the time to read this long post and offer your advice.

my 7 year old dog, we aren’t sure of breed, but we think a lab/beagle mix of some sort experienced extreme pain and loss of the use of his back legs 2 days ago. I immediately took him to the emergency vet. They told us med management and cage rest. They brought him to the car with the use of a sling for his hind legs stating he still had some movement of his hind limbs intact. 2 hours later I believed he had declined and had no use. I called back to the vet who made me feel guilty for asking for further evaluation stating she would not put a dog through an MRI and surgery that still exhibited neurological function. He cried all night long and every time I moved him to potty was in excruciating pain. he wouldn’t eat and no longer could void. I took him back to the vet the next morning where he received an MRI and underwent surgery for a ruptured disc. at that point he no longer had deep pain sensation. My question is did that delay diminish his chances of recovery? and what are the odds now? I’m just heartbroken for him and do not want him to suffer. I am a nurse practitioner and very willing to provide the care he needs however I don’t want him to be in long term pain or have a poor quality of life.

My sweet little Josephine is 2 1/2 years old and has herniated discs in her back and also has severe heart failure in the right side of her heart. I have to make the heartbreaking decision of whether or not to take the chance on anesthesia to repair the disc herniation since a week of sedation and pain medication has not produced any improvement on her motor skills (she can’t stand and poop or pee and her appetite is waning) and risk complete heart failure, or take her home and try other alternatives to back surgery. The doctors tell me that the results of the EKG tell me that I only have about 2 more years with my little girl given the condition of her heart. Do I do the back surgery? Are there successful alternatives?

I have a question about our 13 yo dog who likely has a bulging disc. He is a mutt (probably part Border Collie, part Shepherd). Soon after a small slip on our stairs, he had lameness in his one back leg; this went away after one day, he limped for a few days after, and he quickly recovered from those things.  Though he was walking fine fairly quickly, he showed stiffness, showed hesitation going up stairs unless we gave him a treat (we have only stairs to the outside), and his tail was down and only wagged from the tip of it. We had him quickly on an anti-inflammatory (Novox) and a pain med (started on Gabapentin but had to discontinue). He was fine on a walk; we went on short walks and he always craved for much more than we allowed. We prevented jumping, aerobic exercise, stopped him from using stairs by having a ramp to the outside, etc. We continued the Novox. His symptoms continued, then got better, and then seemed to regress when he started showing signs of pain (panting even when lying down and even when it was cool outside and some anxiety); the pain thing was probably because of taking him off Gabapentin. We took him to the Neurology Dept at a local, large vet hospital and a physical exam indicated that he “likely” has a bulging disc. When they inspected his back, he showed signs of pain and anxiety and his back legs bent and his rear went down. We don’t think we want to do surgery due to his age. He has not had an MRI as the regular vet and my husband and I thought that the treatment would be the same if we did not do surgery — treatment being restricting movement, continuing anti-inflammatory and pain meds, and looking into possible physical rehab. A switch to the pain med Amantidine helps a lot and the panting and anxiety are gone. He now continues to crave longer walks and, at the rare times we forget to block off the couch, he will try to jump up on it. We have been continuing to restricting movement but we just don’t know what to do about activity restrictions and have not had a lot of advice from neurology. He has always craved movement and exercise and when we take him around the block his stiffness seems to go away a bit and he seems energized and maybe even more comfortable. He has always craved a lot of exercise and movement. His spirits are lowered a lot if we keep in him in a small space — it almost seems like he wants to move around. He is eating and drinking, can do #2 (though he struggles some if doing it a long time). If allowed to do some movement, he is mostly happy and getting around with walking. Questions are: Should we restrict his movement altogether despite all this? Should he we do no walks at all? Is it bad if he is free to walk around the first floor or should he stay only in a very small area? I feel we are so confused as to what to do and how to know how to prevent regression. We’d love the input of any veterinarians or other owners with the same experience!

My 11 year old cat has a lump on her hind leg which I believe was caused by a knock to the area after being chased by a neighbours dog that entered my garden, causing my cat to run under the house, I heard the scuffle & not long after she developed this lump, which my vet diagnosed as a seroma, they took a biopsy which was inconclusive. The assesment states Distal left hindlimb mass 1.5 cm tumour (bening or neoplastic) with enlargement due to seroma. She shows no signs of pain in area only when touched, walks fine and is acting perfectly normal. Vet recommended surgical removal costing $1800 .Any advice would be greatly appreciated. I include an image of actual lump

My dog ran out of my house and got bitten by dogs and returned back . The right front leg has some bite marks and that’s all. It’s day two and he is yelling in pain. In day 1 , he used to walk with 3 legs. But in day 2, he is struggling to walk at all. He got pain in the other 3 legs too. I think rabies is not the issue as it shows symptoms only after a week.

My six year old male mini pin was crying out in pain four nights ago. He sticks his neck foward in a downward gaze, arches his back and lifts one leg. I timed each cry and they were 10 minutes apart. We decided to take him to the emergency vet, which was located 25 miles away. During the car ride, my baby did not cry out loud once. After completing blood work, the vet. did not mention anything concerning other than she thought he hurt his back. She prescribed two medications. Fast forward to today, and the pain continues, although it’s not every ten minutes, but almost every single time he moves his body. He can walk on all four legs, eats and drinks as he normally did, but he is not the same. You can tell he is in extreme pain- the medication does not seem to be helping. Why did the emergency vet not screen for IVDD? Do you think these are the early signs of the condition? If so, how should I go about mitigating the pain?

My dog is paralyzed from the waist down. My dog is a 4 year old, 10 pound Shi-poo mix. He suffered from some trauma yesterday (Friday) after getting his paws stuck in some metal grating he seemed ok but then his symptoms exacerbated after running around the park and playing with another dog. At around 5pm on Friday, he was able to poop and urinate and ran around at the dog park but by the evening he couldn’t put any weight on his hind legs. At 8pm, my dog was still able to wag his tail. We went to a doctor this morning and that doctor says he still has sensation in his hind legs (even though they he cannot move them). We have been given the option of MRI followed immediately by surgery but we are not sure if we want to put his body through that much trauma with the risk that he could die on the operating table. We have taken him to a “holistic” vet who has treated him with acupuncture, Chinese herbs, and cortisone. The acupuncturist Vet said he would need 4 weeks with 1 session a week to see if that method could help but also told us we could very well have “missed” his critical cure time if it doesn’t. Nevertheless the acupuncturist said he is very confident as his method has seen much success in IVDD in older dogs. My dog is in a lot of pain and has not urinated or passed stool since yesterday I do not believe he has control over his bowel movements And he is constantly holding his head back and he is constantly propping himself up on his two front legs. I would love a second opinion and an honest opinion of what his chances of regaining full motor function and bowel control are with OR without surgery.

Hello!
my cat chunk has been recently having issues with his front paws for the past 2 months. It’s off and on and when I touch his paws he doesn’t wince or cry. He still uses the scratching pad with no issue, but he’s limping and he can no longer jump up on the bed as easily. I’m afraid he may have arthritis. What is a good supplement or something we can get to help him with his joints so he’s strong again! He’s not an elderly cat, I guess you could call him middle aged. Thank you! He’s about 15 lbs

My four year old dachshund was just diagnosed with IVDD, and is presenting with full paralysis of his hind legs. He seems to be in a lot of pain despite being put on Robaxin by our vet. I am feeling very overwhelmed because it happened so suddenly, and am really looking for ways to help him as much as I can. I work full time as well, but live with my parents who will be home with him everyday so I would like to be able to coach them in what I learn. Is there a go to resource for helping your dog to heal from IVDD?