The anniversary of Chili's surgery was 8 weeks ago yesterday. Its actually gone by pretty quick! He went into the vet today for final radiographs to make sure the pins are in place. Luckily, the hardware is in perfect position, and there is no swelling. He handled the anesthesia like a pro. Essentially, he is cleared for normal activity!!! He can run around in the yard again, go for longer walks, and go up the stairs. We need to keep his jumping to a minimum, and there will be no jumping off the bed ever again!!
Dr. Rodriguez did say that dogs with 1 leg done many times need the other, but at this time he doesn't need surgery on his other leg. We need to keep an eye on him and look for any discomfort with his other leg. On the surgery leg, we're supposed to look for him limping for any prolonged period of time, as well as any redness or swelling.
I think he's feeling much better, he keeps trying to run and play with Bridgett, keeping him in the crate was getting harder and harder! I'm sure he'll be confused and won't know what to do with his new found freedom. I'll post another update in a few weeks with information on how he's handling normal activity after being crated for 2 months!
Friday, June 26, 2009
Tuesday, June 9, 2009
Bridgett
Ok, I know this blog chronicles Chili and the events surrounding his surgery. However, it wouldn't be complete without a post about his sibling, our other pup, Bridgett. I'll give a back story, and let you know how she is coping with his surgery.
When we moved to Raleigh in June of 2007, we just had Chili. Once we both had full time jobs, we realized Chili would be bored and lonely at home alone all day, so we made the decision to get another dog. I looked on Petfinder.com and found Bridgett's picture almost immediately, listed as "No Name Chihuahua Mix". She looked so similar to Chili, and had a pathetic little look on her face, I was so drawn to her (we have the picture saved somewhere, but I can't find it!) She was located in Florence, SC at a rescue group called Home Away From Home. The woman who ran the shelter rescued animals from animal control that were going to be euthanized. She managed to get Bridgett and a couple other dogs the night before they were going to be gassed. She was taken to a volunteer vet and given her shots, and was spayed as well (she had at least 1 litter of puppies in the past). I made an appointment to meet her about 5 days after her surgery.
On September 21st, 2007, we drove down to Florence with Chili and met Bridgett (the rescue group had given her a name the day before, and we didn't change it, as it seemed to fit her). Chili was in love with her, and we couldn't resist her cute face. We were told her estimated age was around 4. We paid the adoption fee and brought her home. The first few nights were very rocky, and after a few weeks, we realized how much psychological damage she had from her previous life, which mostly likely included homelessness and abuse. After a week or so, we took her to our vet for a checkup. She ended up being older (about 7) and having more issues than we thought. Hook worms, slight heart worms, a cloudy eye, ticks, ear infection in both ears, a heart murmur, and a fatty tumor on her side. She received medicine for both the hook worms and the ear infection, and we removed about 7 ticks from the inside of her ears. She had the sutures from her spay surgery removed, and was started on a heartworm preventitive (since her positive was weak). She needed to gain a few pounds, and she had hardly any back leg muscle, probably from being crated at animal control and the rescue group. Her eye had a calcium deposit, so there wasn't much we could do, but it doesn't cause her pain, she just can't see well.
Over the next few months, she went on routine walks, had a steady diet, and got plenty of sleep in her cozy bed. She gained a couple pounds and formed her hind leg muscles, and the fatty tumor ended up disappearing all together. On her next vet visit, her heart murmur had disappeared, and the heartworm test was an even weaker positive. She was still very skittish and had trouble trusting people. However, she slowly began to gain confidence, and loved to play with Chili, and followed him everywhere.
We bought a house and moved in June of 2008. Bridgett was completely my dog by then, the 2 of us had an inseperable bond. However, trouble soon struck. 3 weeks after we moved, Bridgett was on a walk with Ian (she's still nervous around men) and got startled and slipped out of her leash and ran off. Ian chased her for almost an hour before she ran out of sight. I came home from work and helped look for her, as did many of our neighbors. We had to go to bed that night without her. I quickly printed up flyers and posted them around the neighborhood and some surrounding areas. I contacted the microchip company and listed her as lost. I also called animal control, the humane society, spca, and 7 different vet clinics in the area alerting them to look for her. I went to work the following morning in tears. My boss understood, and sent me home to look for her again. Our friends came and also helped look, once again to no avail. The following morning (I had now not slept or eaten for 2 days) I looked again. I didn't want to face the chance of going to work again without her home. Suddenly, I saw her dart across our neighbor's yard. I called to her, but she ran off. I grabbed food, and kept looking around, knowing she'd be hungry. After 30 minutes, I got discouraged and headed back to the house. Lo and behold, Bridgett was sitting on the porch, and ran up to me once I came around the corner. 3 weeks later, she ran off again, this time from my in-laws house. She snuck out the door, looking for me (we had left out the same door about an hour earlier). She was only gone about 6 hours before some good samaritans called (my father in-law had posted signs) and told us where Bridgett was. We chased her down, and again she ran up to me once she saw me. Both times we were so lucky to have a happy ending. Needless to say, she is now under lock and key, and I'm the only person that takes her anywhere!
Every day gets a little better with her. She continues getting bolder, and loves to play more. She still loves Chili, and always follows him around. Which brings me to another subject: how she has handled Chili's surgery. Obviously, the surgery was a huge deal for Chili, but it had a huge impact as well. When she was left alone during the day of Chili's surgery, she didn't quite understand. But when Chili didn't come home that night, she was clearly distressed and worried. She pouted in her crate for most the night. When we brought him home, she was still a little befuddled. He was loopy from pain meds, and was confined to his crate with a bandage and his cone on. She didn't understand at all. Then came the week when he spent the day at the vet, and she was home alone. I know she was lonely, and probably a little jealous. She still tries to play with him through the crate. Whenever he goes on walks around the cul-de-sac with us, she follows him off leash, never going more than 15 feet from him. She sits near him whenever he is out of the crate. And I think he's missed her too. He now licks her head and ears, which he never did before. I think they'll both be glad when restrictions are lifted for Chili!
Here are a few pictures of Bridgett. These were taken around 9 months ago, and she looks even better now! I think she is genuinly happy with us, and hopefully we don't have to worry about any more runaway episodes!!!
The 4 week update (a little late)
Ok, so its been almost 6 weeks since surgery. How time flies! Chili is doing very well! He had his 4 week checkup on May 29 with Dr. Rodriguez. Everything looked great, and he got the approval to start 5 minute walks every day. We've been taking him around the cul-de-sac; doing one lap in one direction, then reversing for the second lap. He limps a little bit sometimes, but it doesn't seem to bother him too much. I'm really glad he can pick his own locations to go to the bathroom at- he's a picky pooper! Try and select the right place for your dog to fertilize, its harder than you think!
He ended up going back to the vet on June 5th. He had a little string at the bottom of the incision (from the interior stitches). He kept chewing on it, and the clinic advised me to bring him in instead of cutting it myself. He spent the day at the vet (they treat him like royalty!) and he had the string removed and a secondary check (everything still looks good!)
I'm going to try and take a couple pictures of his leg tonight, and hopefully post them within the next few days. He's starting to grow his fur back, and there are a few hairs already growing on the incision, I think it'll hardly be noticeable in a month or two!
He ended up going back to the vet on June 5th. He had a little string at the bottom of the incision (from the interior stitches). He kept chewing on it, and the clinic advised me to bring him in instead of cutting it myself. He spent the day at the vet (they treat him like royalty!) and he had the string removed and a secondary check (everything still looks good!)
I'm going to try and take a couple pictures of his leg tonight, and hopefully post them within the next few days. He's starting to grow his fur back, and there are a few hairs already growing on the incision, I think it'll hardly be noticeable in a month or two!
Sunday, May 17, 2009
Water Therapy
Today we started water therapy with Chili (in the bathtub, where else?) He's totally not a water dog, but he did ok. We just did some exercising with his life jacket on for about 5 minutes, then he got out and took a 2 hour nap. Yep, hard work. Really. He did actually swim/walk/float more than I thought. His body is a little front heavy, so he tried walking on his front legs while his back end sorta floated. Once I picked his front end up a little bit, he started using his back legs, which is good. Here are a few pictures:
Suture Removal
Chili got his stitches out on Friday (yay!) The vet said everything looked good so far. We have to keep the cone on him until Tuesday, so he doesn't lick his incision site (precaution, I guess). He is no longer taking any pain meds and seems to be doing just fine. He's getting used to staying in his crate, but he definitely wants exercise when we take him potty. Its going to be hard keeping him still for the next 2 weeks. His next vet check is in 2 weeks. Here's a picture of how his incision looks today.
Its healing really well. Hopefully everything continues to progress normally!
Its healing really well. Hopefully everything continues to progress normally!
Wednesday, May 13, 2009
Computer Guard
I had to go to work a little early today, and the vet wasn't open yet. My boss agreed to let Chili into work for the first 2 1/2 hours of the day. I was running around, so Chili got a prime nap spot right next to my keyboard. He slept on my sweatshirt for awhile, but he looked up at my phone for a photo op. He'd growl whenever anyone got too close to my desk, what a great security guard! I was a little sad to take him to the vet and return without him, my desk seemed a bit empty. Here's a picture:
10 Day Update (a little late)
Well, I'm giving the 10 day update (a little late, since its technically been 13 days since the surgery). Here are some pictures of Chili taken 10 days post surgery:
Recovery has been good. He has finished his medicine, and gets the occasional pain pill when he gets a little cranky, but I think he's comfortable overall (except for the cone!) We tried leaving him home in his crate during the day, but he is able to pull off the ecollar and he likes to chew and lick his sutures, so we decided it was worth the money to board him at the vet. $17 per day was totally worth the peace of mind... I think.
He gets the stitches removed on Friday, then we'll talk to the doctor about more rehab. All we're doing right now is gently moving his leg around while he's laying down, then icing it (he is finally letting me do it without attempting to bite my hand off). We bought him a little life jacket, with the intention of doing some water therapy.... in our bathtub (come on, where else?) We have to wait for the vet's go-ahead to do it, though.
He is trying to walk on the leg normally, its hard to keep him in one spot going to the bathroom. He lays on either side of his body, likes playing with his toy (in his crate) and stands, eats, etc completely normal- you'd forget he had surgery! I'll be relieved when the sutures come out though, and he doesn't have to wear the cone. I'm sure he'll be glad to spend a normal day at home (although everyone at the clinic loves him. He has a "harem" of the ladies that take care of all the day boarders. Hooray to the kennel staff for keeping my little guy happy!)
Recovery has been good. He has finished his medicine, and gets the occasional pain pill when he gets a little cranky, but I think he's comfortable overall (except for the cone!) We tried leaving him home in his crate during the day, but he is able to pull off the ecollar and he likes to chew and lick his sutures, so we decided it was worth the money to board him at the vet. $17 per day was totally worth the peace of mind... I think.
He gets the stitches removed on Friday, then we'll talk to the doctor about more rehab. All we're doing right now is gently moving his leg around while he's laying down, then icing it (he is finally letting me do it without attempting to bite my hand off). We bought him a little life jacket, with the intention of doing some water therapy.... in our bathtub (come on, where else?) We have to wait for the vet's go-ahead to do it, though.
He is trying to walk on the leg normally, its hard to keep him in one spot going to the bathroom. He lays on either side of his body, likes playing with his toy (in his crate) and stands, eats, etc completely normal- you'd forget he had surgery! I'll be relieved when the sutures come out though, and he doesn't have to wear the cone. I'm sure he'll be glad to spend a normal day at home (although everyone at the clinic loves him. He has a "harem" of the ladies that take care of all the day boarders. Hooray to the kennel staff for keeping my little guy happy!)
Monday, May 4, 2009
"The Care of Your Pet Following Surgery"
The following is an instruction sheet (1 of many) that we received from our vet when we picked Chili up on Friday. I thought I'd post what the sheet reads for some further information. (Please note: I wrote down the sheet as it was filled out for Chili's specific situation. There were more options for other surgeries, etc.)
Care of Your Pet Following Surgery and Hospitalization
Procedure: MPL (Medial Patella Luxation) right hind limb
Proper Restraint
Please protect your pet when leaving the hospital by using either a leash or a carrier. Excessive activity may result in your pet getting loose or result in an injury if your pet is recovering from surgery. Try to prevent your pet from becoming overly active and excited when you pick him up from the hospital.
Food and Water
With the excitement of returning home after surgery, your pet may be inclined to drink and eat excessively, which may result in vomiting. To avoid this, we recommend restricting access to food and water for an hour or so until your pet is calmed down. Then you may offer water and a light meal later in the evening. Normal feeding may resume the next day.
Exercise and Activity
Patients recovering from surgery or illness should have limited exercise. Avoid access to stairs or situations that may lead to injury. Due to the effects of anesthesia, he may be groggy for 12 hours. Your pet should be strictly confined to a cage or small room for 8 weeks. Carry your pet outside for eliminations. No running, jumping, or access to stairs is permitted.
Medications
It is important to follow all label directions carefully. Medications dispensed:
Clavamox
Tramadol
Rimadyl
Sedative
Sutures/Staples
Discourage your pet from licking or chewing at the sutures. Please check the incision line daily for any redness, swelling, or discharge. If it appears irritated or infected, notify us immediately. Also, keep your pet dry (no bathing or swimming) until the sutures are removed. Sutures will be removed 10-14 days from the date of surgery. Please keep an e-collar on at all times to prevent self trauma.
Bandage and Splint Care
The bandage should be kept clean and dry. Notify us if the bandage slips, the toes swell, or if you notice any odor or discharge. Discourage your pet from licking or chewing the bandage. It may be necessary to use an Elizabethan collar to restrict your pet's access to the bandage. Keep your pet confined to keep the bandage from becoming loose. Tape a plastic bag around the bandage temporarily to keep the leg dry when your dog goes outside. Immediately remove the bag when the dog returns indoors.
Appointments
Please make an appointment for the following:
Bandage change/removal in 4 days
Suture removal in 10-14 days
Recheck in 4 & 8 weeks
Monitor
A decrease in activity or appetite for one to two days may be observed. However, if your pet exhibits any of the following signs, please notify the hospital.
Loss of appetite for over 2 days
Weakness
Depression
Refusal to drink water for more than one day
Vomiting
Diarrhea
Unwillingness to move around as usual
Care of Your Pet Following Surgery and Hospitalization
Procedure: MPL (Medial Patella Luxation) right hind limb
Proper Restraint
Please protect your pet when leaving the hospital by using either a leash or a carrier. Excessive activity may result in your pet getting loose or result in an injury if your pet is recovering from surgery. Try to prevent your pet from becoming overly active and excited when you pick him up from the hospital.
Food and Water
With the excitement of returning home after surgery, your pet may be inclined to drink and eat excessively, which may result in vomiting. To avoid this, we recommend restricting access to food and water for an hour or so until your pet is calmed down. Then you may offer water and a light meal later in the evening. Normal feeding may resume the next day.
Exercise and Activity
Patients recovering from surgery or illness should have limited exercise. Avoid access to stairs or situations that may lead to injury. Due to the effects of anesthesia, he may be groggy for 12 hours. Your pet should be strictly confined to a cage or small room for 8 weeks. Carry your pet outside for eliminations. No running, jumping, or access to stairs is permitted.
Medications
It is important to follow all label directions carefully. Medications dispensed:
Clavamox
Tramadol
Rimadyl
Sedative
Sutures/Staples
Discourage your pet from licking or chewing at the sutures. Please check the incision line daily for any redness, swelling, or discharge. If it appears irritated or infected, notify us immediately. Also, keep your pet dry (no bathing or swimming) until the sutures are removed. Sutures will be removed 10-14 days from the date of surgery. Please keep an e-collar on at all times to prevent self trauma.
Bandage and Splint Care
The bandage should be kept clean and dry. Notify us if the bandage slips, the toes swell, or if you notice any odor or discharge. Discourage your pet from licking or chewing the bandage. It may be necessary to use an Elizabethan collar to restrict your pet's access to the bandage. Keep your pet confined to keep the bandage from becoming loose. Tape a plastic bag around the bandage temporarily to keep the leg dry when your dog goes outside. Immediately remove the bag when the dog returns indoors.
Appointments
Please make an appointment for the following:
Bandage change/removal in 4 days
Suture removal in 10-14 days
Recheck in 4 & 8 weeks
Monitor
A decrease in activity or appetite for one to two days may be observed. However, if your pet exhibits any of the following signs, please notify the hospital.
Loss of appetite for over 2 days
Weakness
Depression
Refusal to drink water for more than one day
Vomiting
Diarrhea
Unwillingness to move around as usual
Bandage Removal
Chili went back to the vet today for his bandage removal. His incision looks good, and he has a few stitches in (so the e-collar will be on pretty much 24/7). He's very tender on the leg, we got the go-ahead to do a little bit of gentle movement with his hip (with him laying on his good side) but he's so tender he won't really let us. We are also supposed to ice for about 5 minutes a day, but I can't get the ice pack near his leg without a tantrum! The vet says the next 4 weeks are imperative to his recovery: he'll be on VERY strict crate rest! We go back in 10 days-ish (May 15th) to get his stitches removed. Then he doesn't have to wear the e-collar anymore!
With the bandage off, he's trying to move more, so its very hard to keep him still, but we're trying. Bathroom time is hard, because he wants to run all over the yard, but we keep him on a very short leash, so he can only take about 1 step in either direction. His appetite is good, and we're only giving him the sedative at night now (although it doesn't seem to work: he kept us awake ALL last night, I feel like I need a sedative, too!)
I have some pictures of Chili now with the bandage off. They are of the incision site, so may be a little bit graphic. I'll try and post new ones every few days or so, so people can see his progress. His hair is growing back pretty quickly, and pretty much all of the razor burn is healed or scabbed over.
Hopefully Chili will let us sleep more tonight, I feel like I'm about to fall over! He seems to be in pretty good spirits and is always wagging his tail, which is great. Right now he's finally sleeping, so maybe we'll get lucky and it will continue until the morning! We're setting up a private webcam so I can keep an eye on him during the day (I have some emergency people to call in case he gets that e-collar off)! I'll post an update within the next few days!
With the bandage off, he's trying to move more, so its very hard to keep him still, but we're trying. Bathroom time is hard, because he wants to run all over the yard, but we keep him on a very short leash, so he can only take about 1 step in either direction. His appetite is good, and we're only giving him the sedative at night now (although it doesn't seem to work: he kept us awake ALL last night, I feel like I need a sedative, too!)
I have some pictures of Chili now with the bandage off. They are of the incision site, so may be a little bit graphic. I'll try and post new ones every few days or so, so people can see his progress. His hair is growing back pretty quickly, and pretty much all of the razor burn is healed or scabbed over.
Hopefully Chili will let us sleep more tonight, I feel like I'm about to fall over! He seems to be in pretty good spirits and is always wagging his tail, which is great. Right now he's finally sleeping, so maybe we'll get lucky and it will continue until the morning! We're setting up a private webcam so I can keep an eye on him during the day (I have some emergency people to call in case he gets that e-collar off)! I'll post an update within the next few days!
Saturday, May 2, 2009
Actual Surgery Cost
So, awhile back I posted the Estimate I was given for his surgery. I'm now posting the actual amount we paid for his surgery- feel free to refer to the estimate for comparison.
Rimadyl $13.15
Tramadol $8.88
Clavamox $23.40
Biohazard Disposal Fee $3.25
Pre-Op Blood Panel $52.25
Radiology- Additional View $103.50
Bandaging $18.00
Injection- Cefazolin $18.00
Fluid Therapy (I.V.) $72.00
Catheterization $39.00
MPL Right Rear $875.00
Analgesia (Pain Medication) $25.00
Surgery Room Fee $68.00
Surgical Monitoring $15.50
Anesthesia- Induction $16.25
Isoflurane Anesthesia $87.50
Analgesia Injection $16.00
E-Collar $13.00
Acepromazine $8.72
TOTAL: $1477.25
Cost so far: $1809.25
I have to say, I hope its worth it and the surgery works, I think it will! The people at the clinic have been amazing, they took great care of him. I'll post back once we have a few more updates!
Rimadyl $13.15
Tramadol $8.88
Clavamox $23.40
Biohazard Disposal Fee $3.25
Pre-Op Blood Panel $52.25
Radiology- Additional View $103.50
Bandaging $18.00
Injection- Cefazolin $18.00
Fluid Therapy (I.V.) $72.00
Catheterization $39.00
MPL Right Rear $875.00
Analgesia (Pain Medication) $25.00
Surgery Room Fee $68.00
Surgical Monitoring $15.50
Anesthesia- Induction $16.25
Isoflurane Anesthesia $87.50
Analgesia Injection $16.00
E-Collar $13.00
Acepromazine $8.72
TOTAL: $1477.25
Cost so far: $1809.25
I have to say, I hope its worth it and the surgery works, I think it will! The people at the clinic have been amazing, they took great care of him. I'll post back once we have a few more updates!
He's Home!
I would have written an update on how Chili is doing last night, but we were so tired and focused on Chili, we just didn't have time.
He apparently did pretty well the day of surgery, he started chewing on his bandage at the clinic the following day, so he has to wear an e-collar when he isn't monitored by us. He barked so much at the clinic, they had to move him from the hospital wing to the boarding wing! Dr. Rodriguez was great, she sat both of us down when we picked him up and told us what to expect. Chili will keep his bandage on until Monday- then they will remove it and the sutures. When the bandage is removed, we do a little bit of "therapy" with his hip (basically, he lays on his side and we move his hip around). He is 100% crate confined and should remain so for 8 weeks! I don't want the correction from the surgery to be undone if he moves too much or jumps.
I have to admit, when they first brought him out from the back room, my heart nearly broke. We tried to hold him, and he just whimpered and squirmed in our arms. We finally got him into his crate in the car, and all he did was whine on the way home. I really thought I had made the wrong decision, I was almost in tears. However, once we got him home and settled in his crate, and he got to see Bridgett, he seemed to settle down a little bit. He has a ton of medications- antibiotics twice a day, pain pills every 8 hours, an anti-inflammatory once a day, and a sedative every 12 hours (if needed). Last night was a bit of a rough night, we were awake most of the night with him. He would sleep a little bit, then wake up and bark. I think he was just uncomfortable. (There was also quite a bit of razor burn where he was shaved). He's been sleeping on and off throughout the day. I sure do hope tonight goes better! Here are some pictures of Chili just after we brought him home:
I'm hoping his path to healing will continue. I will be sure to post an update with pictures once his bandage comes off. Keep the positive thoughts coming our way!
He apparently did pretty well the day of surgery, he started chewing on his bandage at the clinic the following day, so he has to wear an e-collar when he isn't monitored by us. He barked so much at the clinic, they had to move him from the hospital wing to the boarding wing! Dr. Rodriguez was great, she sat both of us down when we picked him up and told us what to expect. Chili will keep his bandage on until Monday- then they will remove it and the sutures. When the bandage is removed, we do a little bit of "therapy" with his hip (basically, he lays on his side and we move his hip around). He is 100% crate confined and should remain so for 8 weeks! I don't want the correction from the surgery to be undone if he moves too much or jumps.
I have to admit, when they first brought him out from the back room, my heart nearly broke. We tried to hold him, and he just whimpered and squirmed in our arms. We finally got him into his crate in the car, and all he did was whine on the way home. I really thought I had made the wrong decision, I was almost in tears. However, once we got him home and settled in his crate, and he got to see Bridgett, he seemed to settle down a little bit. He has a ton of medications- antibiotics twice a day, pain pills every 8 hours, an anti-inflammatory once a day, and a sedative every 12 hours (if needed). Last night was a bit of a rough night, we were awake most of the night with him. He would sleep a little bit, then wake up and bark. I think he was just uncomfortable. (There was also quite a bit of razor burn where he was shaved). He's been sleeping on and off throughout the day. I sure do hope tonight goes better! Here are some pictures of Chili just after we brought him home:
I'm hoping his path to healing will continue. I will be sure to post an update with pictures once his bandage comes off. Keep the positive thoughts coming our way!
Friday, May 1, 2009
The Day After- short report
I called the vet clinic around 10am this morning to check on Chili's progress, and spoke to one of their technicians. She was very nice and spent a few minutes on the phone with me. She said they had to move him to a back room because he kept barking after surgery (surprise). He ate his dinner and breakfast just fine (she said he acted like he hadn't been fed in a year, not surprised at that, either!) He's been very perky (oh joy) and she mentioned that he has plenty of personality! Thats my little guy! All in all, he's been good and is comfortable. I'm still pushing for a few days worth of sedatives- make him a little easier to handle!
It was strange being home without Chili last night. Bridgett ran around looking for him- she ended up just laying down in her crate. We sure did miss him, I'm excited to get him home!
It was strange being home without Chili last night. Bridgett ran around looking for him- she ended up just laying down in her crate. We sure did miss him, I'm excited to get him home!
Thursday, April 30, 2009
Surgery Day- He's Awake!
I got a phone call from the surgeon at about 12:40pm telling me that Chili was waking up. She said the surgery went very well and his post-operative radiographs looked great. I'll be able to talk to her more tomorrow when I pick him up. We'll be given all his therapy exercises and medication when he's discharged (oh yeah, and I think they'll want our money, too!) I'm very relieved everything went well.
I called back the clinic and spoke to a vet tech- she said Chili was still groggy and had his IV in. He was propped up on some heated blankets for comfort. Once he's fully awake, the IV will come out and they'll try and get him to eat some solid food. She told me to call in the morning and check on him. It will be a very strange and quiet house tonight without the little guy. I think Bridgett will initially be happy to get some peace and quiet, but I know she misses him when he's not there.
I may post tomorrow morning once I talk to the staff at the clinic with an update on Chili (if there is anything worth reporting). Expect a detailed update tomorrow night, along with some pictures. Thanks again for all the positive thoughts!
I called back the clinic and spoke to a vet tech- she said Chili was still groggy and had his IV in. He was propped up on some heated blankets for comfort. Once he's fully awake, the IV will come out and they'll try and get him to eat some solid food. She told me to call in the morning and check on him. It will be a very strange and quiet house tonight without the little guy. I think Bridgett will initially be happy to get some peace and quiet, but I know she misses him when he's not there.
I may post tomorrow morning once I talk to the staff at the clinic with an update on Chili (if there is anything worth reporting). Expect a detailed update tomorrow night, along with some pictures. Thanks again for all the positive thoughts!
Surgery Day- The Operation!
I dropped Chili off at the clinic at 7:30 this morning. I took 2 bags of food for him, labeled "am" and "pm" (for tonight and tomorrow morning). I also took his blanket and 2 of his favorite toys. They usually give his harness back to me and use their leash to take him potty, but he wasn't used to just a collar and leash, so they readily agreed to use the harness to take him out. I think the look on my face said it all: I walked in and they greeted me and said "Its Chili's big day, how are YOU doing?" I asked a couple questions, how long it would take, etc, and got ready to go. The technician got Chili and took him to the crates in the back room. I could hear him barking when I left, it nearly broke my heart to pieces!
I got a call at 11am from Chili's regular vet. She wanted to let me know Chili was anesthetized and surgery had just started. Everything is smooth so far, and they would call me after he wakes up. I don't know when that will be. They have to do post-operative radiographs before he wakes up, so he'll be under a little bit longer. I'm so anxious- I want my baby to be ok!
I'll be sure to update as soon as I hear back from the vet- thank you for all of the well wishes and prayers!
I got a call at 11am from Chili's regular vet. She wanted to let me know Chili was anesthetized and surgery had just started. Everything is smooth so far, and they would call me after he wakes up. I don't know when that will be. They have to do post-operative radiographs before he wakes up, so he'll be under a little bit longer. I'm so anxious- I want my baby to be ok!
I'll be sure to update as soon as I hear back from the vet- thank you for all of the well wishes and prayers!
Wednesday, April 29, 2009
The Eve of Surgery
So, here we are- the eve of Chili's 'big day.' I have to say he's somewhat clueless, but he'll know something is up tomorrow morning when he doesn't get his breakfast! He has to fast after 8pm, so he got his normal dinner at 6:30, and now only gets water until after surgery tomorrow.
The vet called this afternoon to let me know that Chili should be checked in by 7:30 am, he's the first on the surgery schedule! I'm glad, that we he doesn't have to wait in the cage- he can just have surgery and then be sedated on meds. It also means they have longer to look after him. I'll make an appointment tomorrow for Friday afternoon to pick him up and meet with the surgeon. We'll be going over all the post-op care.
I knew I wouldn't be able to bathe Chili for a few weeks after the incision heals, so I called the vet to be sure that it was ok if I gave him his monthly flea bath tonight, and they ok'd it. Here are some pictures of (a not-so-thrilled) wet and sudsy Chili!
He is now clean and smells like baby powder! Aww!
I have to admit, I'm really nervous for tomorrow. I'm so scared something could go wrong during surgery and he'll never come home. It's a horrible thought, but one I can't quite shake. All I can do is trust the very competent staff at the clinic and our very talented surgeon. And pray. Everyone please keep your thoughts with little Chili throughout tomorrow's surgery and his recovery! Thank you for your support!
The vet called this afternoon to let me know that Chili should be checked in by 7:30 am, he's the first on the surgery schedule! I'm glad, that we he doesn't have to wait in the cage- he can just have surgery and then be sedated on meds. It also means they have longer to look after him. I'll make an appointment tomorrow for Friday afternoon to pick him up and meet with the surgeon. We'll be going over all the post-op care.
I knew I wouldn't be able to bathe Chili for a few weeks after the incision heals, so I called the vet to be sure that it was ok if I gave him his monthly flea bath tonight, and they ok'd it. Here are some pictures of (a not-so-thrilled) wet and sudsy Chili!
He is now clean and smells like baby powder! Aww!
I have to admit, I'm really nervous for tomorrow. I'm so scared something could go wrong during surgery and he'll never come home. It's a horrible thought, but one I can't quite shake. All I can do is trust the very competent staff at the clinic and our very talented surgeon. And pray. Everyone please keep your thoughts with little Chili throughout tomorrow's surgery and his recovery! Thank you for your support!
Wednesday, April 22, 2009
Chili's "vacation"!
Ian and I went to NYC for about 5 days, so Chili and Bridgett got to spend some time at my in-laws' house, and play with their 2 Boston Terriers! Both dogs behaved well, to our relief!
Chili didn't get to go on the normal walks my in-laws usually take him on (vet's orders). Poor little guy did get to spend some quality time outside in the yard though, which I think he enjoyed. Overall, I think both pups had a ton of fun and got totally spoiled, but like us, enjoyed coming home, too!
Being away from Chili for almost a week, I got to have a fresh look at how he's acting with his leg. Sadly, there was no incredible miracle, and he still has the luxating patellas (hey- I can hope, right?) He wasn't wimpering at all while we were gone, so he didn't need any pain pills, which is a good thing. He's still a little tender around the leg, though. He did whine a little when I touched it, and he frequently looks back at it and licks it. We have 8 more days until his surgery. He's sleeping well in a crate at night now (in preparation) and we cut down on his food, since he isn't getting any exercise, and I don't want him overweight before or after the surgery (I still worry about anesthesia complications, and I also don't want any extra weight on his joints that he doesn't need). He is, of course, completely clueless about what is going on, and is probably wondering why mommy and daddy yell at him whenever he tries to jump or climb stairs.
I'll post another update in about a week, just before the surgery. I'm also making an online gallery, so we have some pre and post surgery pictures available.
Chili didn't get to go on the normal walks my in-laws usually take him on (vet's orders). Poor little guy did get to spend some quality time outside in the yard though, which I think he enjoyed. Overall, I think both pups had a ton of fun and got totally spoiled, but like us, enjoyed coming home, too!
Being away from Chili for almost a week, I got to have a fresh look at how he's acting with his leg. Sadly, there was no incredible miracle, and he still has the luxating patellas (hey- I can hope, right?) He wasn't wimpering at all while we were gone, so he didn't need any pain pills, which is a good thing. He's still a little tender around the leg, though. He did whine a little when I touched it, and he frequently looks back at it and licks it. We have 8 more days until his surgery. He's sleeping well in a crate at night now (in preparation) and we cut down on his food, since he isn't getting any exercise, and I don't want him overweight before or after the surgery (I still worry about anesthesia complications, and I also don't want any extra weight on his joints that he doesn't need). He is, of course, completely clueless about what is going on, and is probably wondering why mommy and daddy yell at him whenever he tries to jump or climb stairs.
I'll post another update in about a week, just before the surgery. I'm also making an online gallery, so we have some pre and post surgery pictures available.
Wednesday, April 15, 2009
Update
There hasn't been much of a change regarding Chili's rear right leg. He seems to do ok with it, but there are times when he is in pain. This past weekend, he started whimpering and hopping on it again, so I gave him a little Rimadyl in some peanut butter, and he was feeling fine about 20 minutes later (was it the pill or the peanut butter?)
I think Chili's sister, Bridgett, is glad for the break. He plays with her a little less, and she doesn't seem to mind. We're headed up to their "grandparents" (my in-laws) tonight and dropping them off there for our trip to NYC. Chili isn't allowed to have any walks, and I know he'll miss going with my in-laws and their 2 adorable Boston Terriers. It should be a fun vacation for both Chili and Bridgett though.
After we get back from NYC, there will only be about 1 week to prepare for the surgery. I'm still so nervous about it and hope nothing goes wrong! (of course Chili is totally clueless!) We're re-training him to sleep in his crate in preparation for the surgery, and it seems to be going well, he hasn't woken us up yet!
On another note- we'll be dogsitting our friends chihuahua, Desiree Sky, for a little over a week in early May, which is so exciting! Chili adores her, and she's such an easy keeper. I'm hoping he won't want to play with her too much, but that she'll be a good distraction for him after surgery!
I'll post another update in about a week, although I don't expect any change on how he's doing. I'm hoping that in 6 months, he'll have had both legs done and will be a happy, pain-free chihuahua!
I think Chili's sister, Bridgett, is glad for the break. He plays with her a little less, and she doesn't seem to mind. We're headed up to their "grandparents" (my in-laws) tonight and dropping them off there for our trip to NYC. Chili isn't allowed to have any walks, and I know he'll miss going with my in-laws and their 2 adorable Boston Terriers. It should be a fun vacation for both Chili and Bridgett though.
After we get back from NYC, there will only be about 1 week to prepare for the surgery. I'm still so nervous about it and hope nothing goes wrong! (of course Chili is totally clueless!) We're re-training him to sleep in his crate in preparation for the surgery, and it seems to be going well, he hasn't woken us up yet!
On another note- we'll be dogsitting our friends chihuahua, Desiree Sky, for a little over a week in early May, which is so exciting! Chili adores her, and she's such an easy keeper. I'm hoping he won't want to play with her too much, but that she'll be a good distraction for him after surgery!
I'll post another update in about a week, although I don't expect any change on how he's doing. I'm hoping that in 6 months, he'll have had both legs done and will be a happy, pain-free chihuahua!
Wednesday, April 8, 2009
A Date Change
Chili's surgery has officially been scheduled! He will be having his operation on Thursday, April 30, 2009. I'm dropping him off at the vet early in the morning (about 7:30). He cannot have eaten any later than 8pm the night before, and is only supposed to have limited water intake after that. I'm bringing a towel from home for him, hopefully it will be a small comfort. He'll be staying at the hospital overnight, and I go to pick him up in the afternoon of May 1st. They also told me I could bring him some food from home, but they also have medicated food he can eat so it doesn't mess with his stomach. Not sure which is best for him. We'll be spending the next few weeks mentally preparing (although Chili is absolutely clueless!) At least he'll have a nice break at my in-laws next week while we're on vacation in New York. Perhaps we'll get a little stroller for him, since he won't be able to go on walks for most of the summer!
Sunday, April 5, 2009
The Estimate
Here is a quick post regarding Chili and the estimate we received from the vet clinic.
Chili is no longer taking his prescribed steroids or his painkiller (Rimadyl). He couldn't keep either one down, so we decided it was pointless to try and keep giving them to him. (Although he misses the peanut butter!).
He is limping and holding up his hind right leg more frequently now. My in-laws came down and brought their Boston Terriers, so he had some low-key indoor playing, which may have aggravated things. Its beautiful weather here, and we're sad we can't take poor Chili for evening walks. I think we may buy a little wagon and strap him to it, so at least he can come on walks with Bridgett.
As some of you may know, Chili was featured on a website (that his mommy loves) called famous chihuahua (on Nov. 18th 2008). (www.famouschihuahua.com) Famous chihuahua has recently posted an article about the Luxating Patella, featuring Teaka the Famous Chihuahua. The article is located here: http://www.famouschihuahua.com/chihuahua-health-concerns/patellar-luxation-a-knee-problem-in-chihuahuas/
I was going to try and post photographs of his xrays. However, it costs $25 per xray scan, and at this time I just can't see justifying the cost. We did get the final estimate from the vet for his surgery. Here is what the estimate entails (this is the estimate from our vet clinic and the surgeon. Each clinic in different areas will have varying fees and items. I'm not posting this as a comparison of cost to any other facilities, I just want people to know where the money goes in a surgery. If you think this is complex, you should see one for a person!):
Charges Estimation
Biohazard Disposal Fee $3.25
Fluid Therapy (IV) $72.oo
Catheterization-Intravenous $39.00
Pre Op Blood Panel $52.25
Anesthesia- Induction $16.25
Isoflurance Anesthesia $87.50
Analgesia (Pain Medication) $25.00 - $48.75
Ortho- Patella Lux Repair $1050.00
Surgical Monitoring $15.50
Injection- Single $18.00 - $36.00
Surgery Room Fee $68.00
Bandaging- Routine $18.00
Radiology- Additional View $51.75
Radiology Interpretation $30.50
Cephalexin 250mg Capsules $9.10
E-Collar Tie On $13.00
TOTAL COST: $1569.10 - $1610.85
Is it worth it? I think so. I love the people at our vet clinic and have complete trust in them. Little Chili is totally worth it. They did mention some things may not be needed, such as the E-collar, and we may need more of some things, such as the pain meds. Luckily, we are able to save up for it. We also know enough that we need to save for his other leg in a few months. Some people may not understand spending so much on a dog, but he is our family! It may cost thousands to get him feeling good- but having a happy healthy dog will be priceless!
**NOTE: The estimate posted is put up as an example and to further education only. Constructive questions will be entertained, but any comments judging the estimate will be abruptly deleted. I did not post the estimate to enduce criticism to our vet clinic or surgeon. Every facility has different charges, and after doing my research, I feel the charges in our estimate are justified. I encourage people who get estimates from their vet clinics to ask questions if they do not understand the need for a certain charge.
Chili is no longer taking his prescribed steroids or his painkiller (Rimadyl). He couldn't keep either one down, so we decided it was pointless to try and keep giving them to him. (Although he misses the peanut butter!).
He is limping and holding up his hind right leg more frequently now. My in-laws came down and brought their Boston Terriers, so he had some low-key indoor playing, which may have aggravated things. Its beautiful weather here, and we're sad we can't take poor Chili for evening walks. I think we may buy a little wagon and strap him to it, so at least he can come on walks with Bridgett.
As some of you may know, Chili was featured on a website (that his mommy loves) called famous chihuahua (on Nov. 18th 2008). (www.famouschihuahua.com) Famous chihuahua has recently posted an article about the Luxating Patella, featuring Teaka the Famous Chihuahua. The article is located here: http://www.famouschihuahua.com/chihuahua-health-concerns/patellar-luxation-a-knee-problem-in-chihuahuas/
I was going to try and post photographs of his xrays. However, it costs $25 per xray scan, and at this time I just can't see justifying the cost. We did get the final estimate from the vet for his surgery. Here is what the estimate entails (this is the estimate from our vet clinic and the surgeon. Each clinic in different areas will have varying fees and items. I'm not posting this as a comparison of cost to any other facilities, I just want people to know where the money goes in a surgery. If you think this is complex, you should see one for a person!):
Charges Estimation
Biohazard Disposal Fee $3.25
Fluid Therapy (IV) $72.oo
Catheterization-Intravenous $39.00
Pre Op Blood Panel $52.25
Anesthesia- Induction $16.25
Isoflurance Anesthesia $87.50
Analgesia (Pain Medication) $25.00 - $48.75
Ortho- Patella Lux Repair $1050.00
Surgical Monitoring $15.50
Injection- Single $18.00 - $36.00
Surgery Room Fee $68.00
Bandaging- Routine $18.00
Radiology- Additional View $51.75
Radiology Interpretation $30.50
Cephalexin 250mg Capsules $9.10
E-Collar Tie On $13.00
TOTAL COST: $1569.10 - $1610.85
Is it worth it? I think so. I love the people at our vet clinic and have complete trust in them. Little Chili is totally worth it. They did mention some things may not be needed, such as the E-collar, and we may need more of some things, such as the pain meds. Luckily, we are able to save up for it. We also know enough that we need to save for his other leg in a few months. Some people may not understand spending so much on a dog, but he is our family! It may cost thousands to get him feeling good- but having a happy healthy dog will be priceless!
**NOTE: The estimate posted is put up as an example and to further education only. Constructive questions will be entertained, but any comments judging the estimate will be abruptly deleted. I did not post the estimate to enduce criticism to our vet clinic or surgeon. Every facility has different charges, and after doing my research, I feel the charges in our estimate are justified. I encourage people who get estimates from their vet clinics to ask questions if they do not understand the need for a certain charge.
Thursday, April 2, 2009
A Moral Decision
In the last few days (even in the last few years) we had to debate whether or not we should have the operation for Chili. How can you decide? I wish I could ask him if he wanted it, and he could tell me a simple yes or no!
We have been told by numerous doctors that arthritis would set in if he didn't have surgery, but the surgery wasn't a sure-fire way to prevent it either. The success rate of the operation is very high, but nothing is 100% or guaranteed. What about the risks of anesthesia or infection? Is it worth it? How can we tell Chili and make him understand that the terrible pain he's about to endure will help him in the end?
We came to our decision. We wouldn't operate if Chili had no pain, and his leg was nothing more than a nuisence. The past week of wimpering and limping convinced us he's in discomfort and some pain, and the vet agreed. We adopted Chili with the intent of giving him a long, happy, pain-free life. We're going to live up to our promise to him. Hopefully, he'll be a happy dog after surgery, too!
The X Rays
I waited over the weekend, and saw no improvement in my little Chili. Even with the medicine, he limped and didn't want to put weight on his leg. I called the vet back, and we made an appointment for xrays on the following Monday, March 30, 2009.
I brought Chili in to the vet at 7:30 in the morning so they could keep him for the day while I was at work. They needed to sedate him (through an IV, not general anesthesia) to take the xrays and make sure they came out clean. I got a call just before noon from Dr. Rodriguez letting me know that Chili was waking up and doing fine.
I went into the clinic at 4:30 to pick up Chili and speak to Dr. Rodriguez. She was very patient with me, and thoroughly walked me through the 3 xrays they took of Chili (I had no clue that dogs had a penal bone, for example). They took 2 xrays of Chili on his side, and 1 of him on his back. It was then that I realized the extent of the problem.
Chili's kneecaps were nowhere near where they should have been. Both were severly pulled to the inside of the leg, the right a little more than the left. Dr. Rodriguez diagnosed him with grade 4 in the right leg, and grade 3 in the left. The answer? I knew it had been coming, but was hoping we could hold off for another year or two. Surgery. Both legs.
The clinic uses a specific surgeon that was very experienced in the surgery. We made an appointment for a consult.
Cost for the day: $264
Total so far: $332
I brought Chili in to the vet at 7:30 in the morning so they could keep him for the day while I was at work. They needed to sedate him (through an IV, not general anesthesia) to take the xrays and make sure they came out clean. I got a call just before noon from Dr. Rodriguez letting me know that Chili was waking up and doing fine.
I went into the clinic at 4:30 to pick up Chili and speak to Dr. Rodriguez. She was very patient with me, and thoroughly walked me through the 3 xrays they took of Chili (I had no clue that dogs had a penal bone, for example). They took 2 xrays of Chili on his side, and 1 of him on his back. It was then that I realized the extent of the problem.
Chili's kneecaps were nowhere near where they should have been. Both were severly pulled to the inside of the leg, the right a little more than the left. Dr. Rodriguez diagnosed him with grade 4 in the right leg, and grade 3 in the left. The answer? I knew it had been coming, but was hoping we could hold off for another year or two. Surgery. Both legs.
The clinic uses a specific surgeon that was very experienced in the surgery. We made an appointment for a consult.
Cost for the day: $264
Total so far: $332
A Turn of Events
We've lived with Chili's knee condition for a few years, he's now 3 1/2. We haven't really noticed any changes in his movement, but he usually keeps the left leg up, like normal.
On Tuesday morning, March 24th 2009, Chili did (what I like to call) a "flying superman leap" off of our bed. All I saw was flying white fur, followed by a *thump* and lots of wimpering. I initally thought he might have just strained his knee, so I left him in his crate (per usual) and left for work. I called the vet and asked for some recommendations. They said if there was no improvement in a day or so, to bring him in for an exam.
Over the next few days, Chili would wimper when he put his rear right leg on the ground (of course, it had to be the good leg). I caved in and took him to the vet on Wednesday.
Dr. Rodriguez at Northwoods Animal Hospital examined Chili and didn't see any signs of a cruciate ligament tear (similar to our ACL). She mentioned taking some xrays, but we took a less invasive approach and she sent Chili home with some painkillers, anti-inflammatories, and steroids. I had orders to call back if I didn't see any improvement over the weekend.
Cost for the day: $68
On Tuesday morning, March 24th 2009, Chili did (what I like to call) a "flying superman leap" off of our bed. All I saw was flying white fur, followed by a *thump* and lots of wimpering. I initally thought he might have just strained his knee, so I left him in his crate (per usual) and left for work. I called the vet and asked for some recommendations. They said if there was no improvement in a day or so, to bring him in for an exam.
Over the next few days, Chili would wimper when he put his rear right leg on the ground (of course, it had to be the good leg). I caved in and took him to the vet on Wednesday.
Dr. Rodriguez at Northwoods Animal Hospital examined Chili and didn't see any signs of a cruciate ligament tear (similar to our ACL). She mentioned taking some xrays, but we took a less invasive approach and she sent Chili home with some painkillers, anti-inflammatories, and steroids. I had orders to call back if I didn't see any improvement over the weekend.
Cost for the day: $68
The Luxating Patella
We didn't have Chili long before we realized something was wrong. Whenever he would walk or run, he held up one of his back legs (usually his left). We couldn't find any source of pain, but we wanted answers! Dogs are supposed to walk on all 4 legs, not carry 1 in the air. We took him back to our vet.
*This is a photo of Chili running with his back leg held up*
The vet diagnosed Chili with something called a Luxating Patella, or a kneecap that slips out of joint. She said it wasn't causing him pain or discomfort, but referred us to a surgeon for a consultation.
The surgeon looked at Chili's legs and diagnosed him with a grade 2 luxation on the left and grade 1 luxation on the left. (The grades refer to how bad the luxating patella is, depending on how easily it slips out of joint, and how hard it is to get back in. Surgery grade is considered a 3.) Chili was just over a year old at the time, and the surgeon recommended waiting on surgery. He did warn us that Chili would most likely need it at some point in his life. We were satisfied with the answer, so Chili just hopped and skipped along like a happy little dog.
Here is some additional information I found online that was published by a veterinary hospital. To see the full article, please go to http://www.cpvh.com/Articles/78.html
LUXATING PATELLA (KNEE CAP)
Patellar luxation is a dislocation of the knee cap either toward the inside (medial) or outside (lateral) of the leg. The patella and its ligament normally rides in a trough or trochlear groove in the center of the leg (femur). It is one of the most common knee joint abnormalities in dogs.
Luxation may result from traumatic injury or congenital (present at birth) deformities. If the groove that the patellar ligament (knee cap) rides in is too shallow or if the distal attachment of the patellar ligament is medial instead of central, the patella will dislocate medially when the knee is bent. When this occurs, the dog (or cat) has difficulty bearing weight on the leg until the ligament snaps back into place. Sometimes only one knee is involved, but the disease can become bilateral (involving both legs) in 50% of cases.
Patellar luxation is most common in toy and miniature dog breeds, especially Poodles, Yorkshire Terriers, Pomeranians, Pekingese, Chihuahuas, Miniature Pinschers and Boston Terriers. It is uncommon in cats, but may be more common than suspected because most affected cats are not lame.
Clinical signs of patellar luxation vary depending upon severity and chronicity of the disease and may develop soon after birth or generally after four months of age. With mild forms of luxation, animals may occasionally pick up the affected leg when they run. As the disease progresses, animals may present with increased lameness with a decreased ability to jump. Pain is usually not associated with this condition unless it is the result of trauma or until degenerative arthritis has occurred due to chronicity of disease.
Some pets can tolerate this disease for many years, some for all of their lives, with minimal consequences. However, this weakness of the knee joint can predispose the knee and even the hip joint to other injuries such as degenerative arthritis and torn knee ligaments, both painful conditions.
Grade I -- The patella can be manually luxated but easily comes back into normal position. Patient may or may not occasionally carry the affected leg.
Grade II -- Patella luxates on flexion of the knee joint and remains out of place until manually replaced or patient extends and rotates joint. Patient intermittently carries the affected limb with the knee joint flexed.
Grade III -- Patella remains luxated most of the time but can be manually reduced (placed back into position). Flexion and extension of the knee joint reluxates the patella. Patient transfers most of the body weight to the front legs, bunny hops or carries the affected legs, and appears bowlegged or knock-kneed.
Grade IV -- Patella is permanently luxated and cannot be manually repositioned. The quadriceps muscle group starts to shorten, making it difficult to extend the leg fully. Patient transfers most of the body weight to the front legs, bunny hops or carries the affected legs, and appears bowlegged or knock-kneed.
Patellar luxation is diagnosed based upon history, physical exam findings, and radiographs.
Patellar luxation is a dislocation of the knee cap either toward the inside (medial) or outside (lateral) of the leg. The patella and its ligament normally rides in a trough or trochlear groove in the center of the leg (femur). It is one of the most common knee joint abnormalities in dogs.
Luxation may result from traumatic injury or congenital (present at birth) deformities. If the groove that the patellar ligament (knee cap) rides in is too shallow or if the distal attachment of the patellar ligament is medial instead of central, the patella will dislocate medially when the knee is bent. When this occurs, the dog (or cat) has difficulty bearing weight on the leg until the ligament snaps back into place. Sometimes only one knee is involved, but the disease can become bilateral (involving both legs) in 50% of cases.
Patellar luxation is most common in toy and miniature dog breeds, especially Poodles, Yorkshire Terriers, Pomeranians, Pekingese, Chihuahuas, Miniature Pinschers and Boston Terriers. It is uncommon in cats, but may be more common than suspected because most affected cats are not lame.
Clinical signs of patellar luxation vary depending upon severity and chronicity of the disease and may develop soon after birth or generally after four months of age. With mild forms of luxation, animals may occasionally pick up the affected leg when they run. As the disease progresses, animals may present with increased lameness with a decreased ability to jump. Pain is usually not associated with this condition unless it is the result of trauma or until degenerative arthritis has occurred due to chronicity of disease.
Some pets can tolerate this disease for many years, some for all of their lives, with minimal consequences. However, this weakness of the knee joint can predispose the knee and even the hip joint to other injuries such as degenerative arthritis and torn knee ligaments, both painful conditions.
Grade I -- The patella can be manually luxated but easily comes back into normal position. Patient may or may not occasionally carry the affected leg.
Grade II -- Patella luxates on flexion of the knee joint and remains out of place until manually replaced or patient extends and rotates joint. Patient intermittently carries the affected limb with the knee joint flexed.
Grade III -- Patella remains luxated most of the time but can be manually reduced (placed back into position). Flexion and extension of the knee joint reluxates the patella. Patient transfers most of the body weight to the front legs, bunny hops or carries the affected legs, and appears bowlegged or knock-kneed.
Grade IV -- Patella is permanently luxated and cannot be manually repositioned. The quadriceps muscle group starts to shorten, making it difficult to extend the leg fully. Patient transfers most of the body weight to the front legs, bunny hops or carries the affected legs, and appears bowlegged or knock-kneed.
Patellar luxation is diagnosed based upon history, physical exam findings, and radiographs.
For more information on luxating patellas in canines, please visit the following websites.
Chili: A History
I figured the best place to start with Chili's story is the beginning, or at least the beginning with us.
We found Chili at the Savannah Humane Society in Savannah, Georgia. He was jumping up and down in a little pen with 5 other small dogs, and won our hearts over immediately. We adopted him the next morning, July 1st, 2006. We quickly became a happy family!
Chili's first vet visit went well, he was in perfect health! (He also had to be muzzled since he tried to bite the technician when she tried to take his temperature. In all fairness, many people would have done the same thing!) He saw the Independence day fireworks with us and loved it!
We spent Chili's 1st birthday (October 1st) in the park near our house. He loved laying in the grass. A few weeks later, Chili met his best friend; Loki! Loki's "Dad" was in a class in school with me, and Loki's "Mom" later became a great friend. Sadly, Loki and Chili were separated when we all moved away from Savannah (there was a happy reunion in August).
We found Chili at the Savannah Humane Society in Savannah, Georgia. He was jumping up and down in a little pen with 5 other small dogs, and won our hearts over immediately. We adopted him the next morning, July 1st, 2006. We quickly became a happy family!
Chili's first vet visit went well, he was in perfect health! (He also had to be muzzled since he tried to bite the technician when she tried to take his temperature. In all fairness, many people would have done the same thing!) He saw the Independence day fireworks with us and loved it!
We spent Chili's 1st birthday (October 1st) in the park near our house. He loved laying in the grass. A few weeks later, Chili met his best friend; Loki! Loki's "Dad" was in a class in school with me, and Loki's "Mom" later became a great friend. Sadly, Loki and Chili were separated when we all moved away from Savannah (there was a happy reunion in August).
*This is a photo of Chili taken by a professional photographer walking around River Street in Savannah, Georgia. He was 10 months old.*
We moved with Chili to Raleigh in 2007, and a few months later, adopted a sister for him, named Bridgett. She's a bit older than him, but loves to play with him and acts like a great big sister! Chili is very happy, and loves going on neighborhood walks and to the dogpark to meet up with other members of the Raleigh Toy Dog meetup group!
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