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.

I have a cat who needs a nodule removed from his liver as well as a bladder stone. Can anyone pleasee help find me a surgeon for this procedure? I can have all his recent test results and ultrasound sent from this vet to one who can do this.

Charley is a 9 year old lab mix female, approx 70 lbs. She has always been an incredibly active dog. Over the last year or so we have noticed her slowing down and assumed it was wear and tear of her joints after being so athletic and active. We started her on anti inflammatories (ostimax) after speaking with our vet, and used it as needed. It seemed to help. Within the last 3 months things worsened and we began giving her the anti inflammatory daily, as well as gabapentin. Things worsened again, and we finally requested that xrays be taken. They found a partial tear in one back acl and a fully torn acl in the other, we aren’t sure when this happened. She is receiving an injectable (adequan) 2 x a week for a month, and is taking the anti inflammatory, a cbd chew and gabapentin. This regimen is new this week and she looks a little better but still prefers to be laying down, has a hard time standing up/sitting down. We try to walk a block and she stops to lie down (we never push her). She sleeps most of the day, assuming from the meds. She is a different dog, it’s heartbreaking. She still eats and drinks but we put her food in front of her now, and mix it with wet (to hide the pills), otherwise I don’t know how often she would eat on her own. Thoughts on how surgery will help? Recovery? Our consult with the surgeon referred by our vet isn’t until July 31st (there is a backup with Covid) so we are looking for other options and might have a spot with a local vet- we are hoping to not have to wait that long because she’s just not our Charley, and we don’t want to see her in pain any longer.
some notes from vet: Ambulates tender hind legs R+L . thickened stifles- toe touching both and small stride on gait . Sits
slowly and swings legs out to avoid flexing too much . Crepitous on flex/ ext R side- patellar groove . Rlat- chip prox tibia- thickened JC and irregular lat collateral. L side – joitn mouse caudal joint – thickened JC irrgular medial collateral lig mild drawer both

Hi Dr. magnifico! Curious on your thoughts on gabapentin for pain? I’ve read mixed reviews. My pup has a painful back leg. Originally she saw a vet at our practice who thought is was due to Lyme because she had tested strong positive and did not feel a drawer sign when checked. We did antibiotic treatment and the lameness got better for the most part. She would have some days where you could see it was bothering her. Then a few months later she was back to not bearing weight on it. Saw a different vet this time at our practice and this vet said he felt the drawer sign and said he felt it was injured CCL and reccomened a surgeon. Surgeon said would need to have x-rays to confirm which I haven’t had the money for. So we did pain meds (gabapentin and tramodyl) and rest for about a month and lameness went away again. She’s been good for about a year up until the past month or two and the vet gave gaba again. When she’s on it, she looks sleepy and scared. I’ve never had an issue giving pills with her in cheese on lunch meat or something but now she tries to spit it out. It’s like she knows what it’s going to do to her. I’ve read mixed reviews. I’ve also read it’s more for nerve pain? So I’m not sure if it’s actually relieving her pain or not. I’ve also read the reciptors that tramodyl targets, dogs don’t have? Curious on your opinion on all of this. I would like to see if she’s still a candidate for surgery even though it’s been some time but I need to come up with the funds for that so I’m trying to help her in the mean time. I give her vitamin supplements for her joints. I don’t want her on pain meds all the time but want something that gives her some relief on those bad days without making her feel drugged up.

My 6 year old lab mix had TPLO surgery to repair a torn CCL on September 10. Prior to surgery, his liver enzymes were elevated but after 2 ultrasounds and bloodwork, they were unable to identify why. Because of this he cannot take anti inflammatory drugs to help with pain and took longer to be cleared after surgery. He was finally cleared on 12/11/19 and was doing really well. About a week and a half ago, he started limping again. We can’t pinpoint anything he did that would cause a limp. We haven’t let him fully run and don’t let him off his leash hardly at all. I do have another follow up appointment with the surgeon scheduled but wanted to see if anyone else experienced something like this. Thanks!

Foreign object on ultrasound after surgery? My cat had a bilateral chain mastectomy 5 months ago after a cancer diagnosis. The surgery went well and at her 2 week suture removal appointment the surgeon said everything looked great. However, soon after she developed a rather large seroma in her abdominal area. I took her to my vet and she drained almost almost 100 cc of fluid and tested the fluid to confirm it was a seroma. As expected. the seroma was back by the next week and has been there ever since (going on 4 months), though this time it was rather firm. I was told that the seroma should eventually go away on it’s own. The seroma doesn’t really seem to bother her at all. I took her to my vet 2 days ago for an unrelated matter and she was concerned that it hadn’t changed at all. She drained the fluid again so she could feel the incision underneath. She was concerned that something could be causing irritation or something could have improperly healed (she said it felt odd when palpitating the stomach). She suggested that I make an appointment with the specialty surgeon.

I took her in for her appointment today and he suggested that we could do surgery to remove subcutaneous tissue and place a drain. I really do not want to do a drain and would like to avoid another surgery if at all possible given what she’s already been through!! (and I already paid for a $3000 surgery) He said we could do a limited ultrasound of the abdomen first to make sure the body wall was intact. I agreed to the ultrasound. He called with the results and said the body wall was intact and the fluid was clear but a could see a “repeatable foreign object” near the front of the seroma that could be causing irritation and fluid buildup. It seems to me that this foreign object has to be a direct result of the surgery (flipped staple, something left inside…)?? It’s outside of the body wall. I’m very frustrated. He stuck with his recommendation of a $1,500 exploratory surgery and the drain placement. However, he did say it’s not an emergency as she doesn’t seem in any distress and has been living with it for months.

Advice on how to proceed? What questions should I ask? Should the surgeon take responsibility for this?

I am the owner of a 2 year old English Bulldog. Last year his urethra prolapsed and he received a purse string suture and was neutered at the pet ER in Bel Air. The issue resolved itself and he had been doing well until this last week when the urethra prolapsed again. We took him through the Towson pet ER so he could see a surgical specialist. They evaluated him and suggested surgery. After surgery they sent him home to recover and stressed the importance of him staying calm. We stayed by his side, even staying home from work, to ensure that he didn’t do anything to distrupt the healing. We kept him in a play pen and carried him up and down the stairs to potty. Two days after the surgery (and lots of bloody laundry later) we noticed that he was extremely uncomfortable even while on the pain and sedative meds. We also noticed the protrusion of his urethra tissue. We took him back to the surgeon and they confirmed that the urethra has prolapsed and they have recommended that the surgery be performed for a second time (tomorrow). We have ruled out the obvious contributing factors that may cause pressure such as stones, uti, etc. Any thoughts for treatment options moving forward? Are we missing anything? I just want our little guy to start feeling well again! Thank you.

Amber

My cat recently had a bilateral chain mastectomy following the diagnosis of an adenocarcinoma in one of the chains. She came through the surgery well and all looked good at her follow up appointment. However, over the next few weeks I started to notice her stomach swelling. I took her into my vet 3 weeks after getting her stitches removed to check it out. She did an x-ray and tested the fluid and determined it was a seroma. She drained the fluid and started her on antibiotics. The seroma has returned (from what I’m reading here that’s not surprising) but it is firmer this time. Should I be concerned about that? Does anyone have recommendations on what to use for compression of the abdomen in a cat? I’m concerned the seroma will keep increasing in size. How do I determine how big is too big to just wait it out? Thanks!

My dog had a patella surgery 8 days ago. I read somewhere its ok to let him lie down on the side where his incision is, so I let him. But today I noticed a fluid buildup around his incision site. Its not warm to the touch and the incision isnt reddish. The orthopedic surgeon that did the surgery is far away, we have an appointment with him in a week for my dog’s suture removal.
Has anyone had experience similar to this? I read its a seroma and its better to leave the body absorb it naturally. I called my local vet and she recommended needle aspiration, Im not sure its the best idea. Advices, please.. IM AFRAID HIS SUTURES WILL BURST.
P.S. my dog develops bumps every time he gets vaccinated or when he’s given a shot subcutaneously