Doctor’s orders…

After spending the better part of an hour this morning with the orthopedic surgeon, he basically confirmed what was a foregone conclusion. Winston has a complete tear in his cranial cruciate ligament (CrCL). The only interesting bit I gleaned from the appointment was that the tear most likely occurred long before he started showing signs of it two weeks ago. His knee is already showing signs of scar tissue filling in and trying to stabilize the joint. That’s the good news.

For the moment, as long as he’s taking anti-inflammatory and not putting any undue strain on his leg, he’s getting along without any real sign of trouble. The bad news is that he can’t stay on the anti-inflammatory indefinitely. When that prescription runs out in a few weeks, we’ll have to make a judgment call on how severely his range of motion is effected, how much pain he’s in, and how much his quality of life is disturbed. For the moment, we keep him medicated and keep him relatively calm (which isn’t particularly hard with a bulldog).

For now, all options remain on the table – from basic medication and plenty of rest to the repeat of the TPLO surgery he had on the opposite leg three years ago. I wish there was something more definitive to report this evening. As you can probably well imagine, I’m not at my best when dealing with the vagaries of time and a whole lot of “maybe.”

Tales of a Sickly Bulldog #487…

English bulldogs are freaks of nature. I mean that in the nicest way possible, but the fact remains that anatomically they’re a creation that would not exist in nature. That’s what makes them endearing to “bulldog people,” but it’s also what makes them prone to all manner of genetic illness.

Currently, my Winston is battling another skin infection. That’s nothing unusual. Bulldogs seem born with skin problems that only get worse as they age. At nearly seven, my boy isn’t a youngster by any stretch of the imagination. I’ve been dealing with skin troubles with him since he was 2. The challenge this time is that the bacteria causing the infection has progressively gotten more resistant to typical antibiotic treatments. In fact we’re basically down to the last one that the vet considers reasonably “safe.” Beyond minocycline there are two others we could have used, but their side effects in dogs are generally worse than what they cure. Other options include a couple of daily IV therapies, but those have the unfortunate side effect of destroying the kidneys while they save the skin. That didn’t sound like a worthwhile trade off.

The long term prognosis for Winston fighting off this particular infection is officially “We’ll see how things look after he’s run the full three week course of antibiotics.” That’s not what I wanted to hear, but if there’s anything I appreciate in a vet it’s giving me an unpleasant truth head on and then working into what options are left from there.

Winston has come through infections before, he’s come back better than I could have hoped from leg surgery, he even fought off a MRSI about 18 months ago. I also know each infection and operation and round of meds take their toll. I’m not ready to start thinking about the decisions I’ll need to make if the options box dwindles down to medicine-induced kidney failure or an infection that will slowly spread across every inch of his skin and make him miserable in the process. We’re not there yet, but the vet’s Very Serious Voice on the phone this afternoon told me that we’re not as far off from there as I’d like to be.

All I can really say as we sit and wait is that I’m determined he’s not going to be left to suffer out of my own misguided desire to keep him around forever. But we’re not there yet and I’ll just have to burn that bridge when we get to it.

Needy…

I’m hopelessly devoted to the dogs. It’s safe to say that there are human children in Ceciltucky who are more poorly cared for then these two fur balls. Even so, it would occasionally be nice to take a step backwards without needing to check my six. I only bring it up because Maggie has been exceptionally needy this afternoon. And by needy, I mean attached to my hip even more than usual. That’s not an exaggeration. Every time I move, she adjusts so that some part of her is in direct contact with me. It’s sweet, but more than a bit inconvenient.

Winston, bless my stoic descendent of British fighting dogs, is mostly happy just to lay in front of the couch protecting his marrow bone and casting an occasional look around the room to make sure everyone is still there. George, being a tortoise, could care less. At the moment, he’s under his heat lamp looking very much like a round, shiny rock. It’s for the best. I’m not sure I could manage with three that need undivided attention.

This post would be longer, but you’d be surprised how difficult it is to type anything coherent with one hand while the other is occupied with playing tug and dispensing ear scratches…

The kids…

Where I have little to no patience for human beings (regardless of whether they be large or small), I have a decided soft spot for most of the other members of the animal kingdom. I’d rather spend a day with dogs, horses, turtles, or dolphins than I would 99.999999% of the people on the planet. After living with myself for 35 years, I suspect I’m uniquely unsuited for the role of parent by aptitude, attitude, and general level of interest. I don’t have human children and I’m completely at peace with that decision. Kids 2Whatever nurturing instinct other people have for small humans, I seem to have for animals.

Where most people in my age bracket are lavishing time and attention on their kids, for me it’s the dogs. Sir Winston, my medical misfit, will turn six in January. He’s my special needs child if there ever was one. With a host of ointments, salves, and balms for his skin, drops for his ears, a prescription diet, and a bionic leg, like me, he’s alive mostly because of the wonder of modern medicine. He’s well into middle age for a bulldog and seems to be happy enough passing his time sprawled out across the middle of the living room floor. He still has an occasional surge of the old energy that’s really something to see, but more and more he’s simply the grand old man of the house, content to watch the world pass by through the glass of the back door.

Lady Margaret, the only chocolate in a litter of black labs, clearly follows in the footsteps of her older brother. By that I mean she is possibly the most atypical Labrador retriever I’ve ever met in my life. I won’t say that she’s lazy, but she is definitely laid back. Where other people complain that labs are overly excitable bundles of energy, she’s only really bothered when the doorbell rings or someone gets too close to her yard without seeking permission first. Maggie turns five in October, so it’s safe to say she’s well past the point where I need to worry about the rambunctious puppy stages.

The two of them really have been nearly inseparable since the day I accidentally brought Maggie home. Aside from a few random days and the occasional vacation, they’ve both been pretty inseparable from me, too. They’re the closest thing to kids I ever plan on having… and they have the added benefit of never wanting to go to college, or get married, or borrow the car. Now if I could just come up with a way to claim them as dependents, I’ll be all set.

This has been the final edition of “You Ask, I Write” for August. Thanks for playing.

Day without dogs…

Last night was the first time since I moved back to Maryland that I was home and the dogs weren’t. I’m not going to lie. It felt unnatural. I’ve had at least one of the furry brutes around for the better part of the last six years and a night without snorting, endless trips outside, slobber-covered toys dropped in my lap, and a constant attached at the hip presence Dogsjust felt odd. I’ve apparently grown rather fond of fighting a 70 pound chocolate lab for bed space and covers.

Sure, they’re a tremendous hassle with vet bills, specialized food, and a battalion’s worth of “stuff” that goes with them everywhere, but they’re my hassle. I won’t pretend that it’s not nice to have a break from the regular schedule of feeding, watering, chasing, fetching, farting, and drooling, but I’ll be glad to have the heathens back at the end of the week.

What Annoys Jeff this Week?

1. Short weeks feel the longest. Why is it that a four day week feels at least twice as long as its standard five day counterpart? I’m sure there’s some deep psychoanalytical reason for it, but regardless it’s just stupid. Stupid and wrong. They say time flies when you’re having fun. Clearly “they” are full of shit and it flies when you’re just barely keeping your head above water too.

2. Furlough Fridays. Look, if you’re going to start letting me stay home on Fridays, how about not waiting for six weeks to kick off the new schedule. I’m more or less resolved that it’s the new reality, but there’s really no reason at this point not to dive in to the three day weekends right away. I mean that seems like the least echelons higher than reality could to to ease our transition to part time employees.

3. The birthday thing. I generally try to be a good sport because, well, it seems to be expected, but really I’d be just as happy if the whole birthday thing would pass as discreetly as possible. Some people want to celebrate for a week or the whole month. When the time comes, I’ll open a good bottle of wine, salute my good fortune at having managed not to drop dead for another 365 days, and get on with whatever else it was I planned on doing Saturday evening. Chances are I’ll pass the night either with my nose stuck in a good book or trying to write a half-assed one.

4. Bulldog checkups. Winston’s yearly physical and vaccinations are coming up tomorrow afternoon. The only good thing is that if you’re willing to take one of the last appointments of the day on Friday, I can get the vaccinations at half price. Inconvenient? Yes, absolutely… but when you’ve spent five years keeping up with bulldog related vet bills, you learn to take your savings where you can since it’s pretty inevitable they’ll discover something new and interesting that’ll need treated while we’re there.

10 week update…

I realized this afternoon that it’s been a while since my last Winston update and figured with this being a slow news day it’s as good a time to correct that as I’m likely to find. For those of you playing along at home, tomorrow will be 10 weeks since his surgery. You’ll remember the first two weeks were close confinement with walking kept to an absolute minimum. The last six weeks have seen slightly less confinement, but still have kept activity rather limited. In two weeks when we go back to the surgeon for his alleged last post-operative check up, I desperately hope that she will give the all clear for him to resume as much of a normal life as possible.

I really don’t know which of us will be more excited to finally see the plastic pen disappear from the middle of the living room. That the current Rental Casa de Jeff is a tri-level split gives me a moment of pause, though. I think it’s safe to say that my boy has climbed his last set of stairs, which means that he’s more or less limited to the kitchen and living room for the foreseeable future. That’s a lot more space than he’s had in the last two months, but still feels pretty confining. The pitch of the steps and their location make any kind of indoor ramping prohibitive, but I’m still casting around for a better idea than throwing up baby gates and calling it a done deal.

One thing I do have to say is that he’s getting around far better than I would have expected given how much work they did to his leg. I suppose in the wild a dog either plays hurt or lays down and dies, so there’s probably more than a little evolution at play. Still, even with high quality medication I’m not sure two days after having my knee rebuilt I’d have much interest in getting up and looking around.

Winston has been a real trooper through the whole experience and it seems like the hard part for him is wrapping up. Now if I can get past the notion that 50% of dogs that blow out one knee also blow out the other, everything will be just fine. Until then, I’m going to spaz out a little inside every time the poor dog takes a step.

Recovery, Day 4…

Intellectually, I know that the only thing Winston did today was hang out in his crate, chew his Kong a bit, and maybe shift from one side to the other a few times. He physically can’t bend enough to bother his stitches and nothing from the last three days gives me any indication that he will have any problems today. Knowing full well that he’d be fine when I got home, didn’t diminish my feelings of monumental guilt about leaving him to go to work this morning. I’m a worrier like that.

It’s day four following TPLO surgery and my boy is almost exactly where they surgeon said he would be… his leg is swollen, there’s fluid buildup around the ankle, meal times are still a little hit or miss, and the meds are keeping him a little out of sorts. His fentanyl patch comes off tonight, so I’m expecting a little more pain starting tomorrow morning. He’s tolerating the ice packs three times a day, but clearly is not a fan. According to the doc, I’m also supposed to be doing “passive range of motion” exercises with him several times a day. As far as I can tell from the instruction sheet, it’s more or less amateur physical therapy and Winston absolutely won’t have any of it. Any attempt to put him on his side to do the exercises results in a wildly flailing bulldog and I figure that’s doing more harm than good. It’s one of the only times in recorded history I’ve wished there was a second set of hands around this place on a regular basis.

I have to remind myself that just like us, for him recovering from surgery is a game of inches, not one of leaps and bounds. It’s going to be a long twelve weeks, but at this point I’ll be happy just to get the all clear to stop using the belly sling when he gets his five minute supervised excursions outside. I just wish I had more than a halfassed idea about what “normal” was supposed to look like. Guess I should have ditched the whole history thing and got to vet school instead.

Resting Semi-comfortably…

Winston has been home for about 30 minutes now and he’s getting around better than I anticipated. He’s still pretty unstable in the turns, but he’s putting weight on the leg and at least making an effort. That’s probably more than I’d do less than 24 hours after someone intentionally broke my femur and put in a steel plate. Other than a quick pit stop on the way inside, he went straight to his crate and is currently snoring like a chainsaw. Pain meds must be wonderful things.

I’m sitting here at the kitchen table looking at about 50 pages of discharge instructions, six bottles of pills, canned and bagged prescription food, and a helpful diagram showing how to “sling walk” your pooch. I suspect the next 14 weeks are going to be harder on me than on him… especially since the vet made a point of reminding me that veterinary medication is not for human consumption. I’m wondering if I look like a guy who thinks pet medicine would be a good idea or if that’s a standard warning to avoid liability issues.

As usual, my boy was a hit with the techs and two of them were hanging out in his kennel when I got to the vet’s office. And by hanging out I mean sitting in the cage hand feeding him and rubbing his belly. They may have set his expectations a little too high for how things are going to go around here for the next few weeks, but still, I appreciated the extra attention.

Maggie spent all day yesterday roaming the house looking for him and is currently trying to wrap her little brown head around why he doesn’t seem to want to play. For the moment, though, she seems happy crashing next to his crate and keeping an eye on things. It appears that this is what the rest of the weekend will look like.

Prep time…

I don’t see any real in depth blog posts happening in the near future. I spent most of tonight dragging out old baby gates and trying to “slip-proof” as much of the kitchen as I could manage. I’m working on the assumption that Winston will go to surgery tomorrow afternoon after our morning consultation. Sure I’ll have all afternoon and evening tomorrow to do that, but I think I’m just trying to say busy. I hate the thought of my my boy needing to more than likely go under the knife, but that’s the tomorrow I’m trying to mentally prepare for… Plus, there’s a new iOS downloading on my iPad at the moment and I’m going to need to stop trying to write and go check that out in a minute.