Stella

Stella

Sunday, March 31, 2013

Another Setback??


Sigh…..where do I even begin?

It’s a long story but I’ve always felt it’s important with this blog to be as detailed as possible; the better you can compare the possible circumstances of your dog’s life to my Stella.

On Friday, March 22 we took the girls for their usual walk.  We noticed Stella was walking really slooooowww.  No limp, just really slooooowww.  She seemed fine in every other way so we chalked up to her just not feeling like going for walkies that day.

Saturday morning (3/23) when I woke up she did not bring me a toy.  Every day when I wake up or come home (whether I’m gone for minutes or hours) Stella ALWAYS brings me a toy.  She pretends to want to play tug-of-war but she really just wants to taunt me with it.  We will “fight” over the toy and, of course, she always wins – happy little girl.  This has been going on every single day for as long as I can remember.  This day there was no toy and Stella in fact did not even rise from her dog bed to greet me.  I went to her and noticed that her belly was trembling, almost vibrating.  She had eaten that morning and did her usual “business”.  Nothing else seemed amiss.  We decided to watch her closely and not jump the gun.  But the fact that this was a Saturday around 9am was at the front of my mind as I knew our vet’s office would close at noon for the weekend and if Stella got worse we would end up in the emergency room.  A few hours later there was no change – her belly was still trembling, she was very withdrawn and had no typical Pug animation to her face.  We took her to the vet.

Our vet examined her and found Stella’s blood pressure, heart rate and respiration rate were normal.  She also had no fever.  Dr. A. decided to take some abdominal x-rays thinking that Stella might have a blockage.  Although Stella had “gone” that morning (and the days before) and did not appear on x-ray to have a blockage there was still a lot of stool in the colon so Dr. A. suggested that Stella may be constipated.  She sent us home and told us to watch her and watch for the usual “sick symptoms” like vomiting, confusion, etc.

Later that day Stella seemed worse.  It was dinnertime and she wanted to eat but could not reach her food bowl, just inches from her face.  She did this sort of chicken dance jerking her neck trying to reach the bowl.  It appeared she could not bend her neck.  We hand fed her and she ate a full meal.  A little while later we noticed her gait and her stance was somehow “off”.  Something did not look right with her rear left leg.  We massaged her entire body but she did not seem to have any pain.  Again, we decided to wait it out.  We went out for a few hours and when we returned Stella seemed somewhat better as her face was more animated and she didn’t seem so withdrawn.  Still her gait appeared off to us and when we offered her a treat on the floor, she wanted it but still could not pick it up – this time she did not even try.

Sunday (3/24) still no toy.  Stella’s condition seemed unchanged since the night before.  We raised her food bowl on a box and she was able to eat by herself.  We noticed that when we attempted to give her a treat she was super gentle and somewhat shy about taking it; it wasn't that she did not want the treat, it was as if she wasn't sure it was there.  Normally, Stella practically takes all your fingers off trying when given a treat of any kind.   Regular bowel movements today, normal appearance, normal amount. 

Monday morning (3/25) she was improved and could now reach her bowl but we raised it on a box anyway in case there was some healing injury involved.  Monday afternoon when we arrived home from work she finally brought me a toy and her face was back to being animated.  Her gait was still off and we knew she just wasn’t 100%.  She also kept wanting to sit and did not want to walk around much. Again, regular bowel movements, normal appearance, normal amount.

Tuesday (3/26) she was the same as the day before but we discussed the approaching weekend and how we did not want to end up not being able to see our vet and having to go to the emergency room if something should happen.  We decided we would let our vet re-examine her just to be sure. We attempted to go for a walk but she was still walking really slowly so we came right back home. 

Incidentally, Stella has been very timid the past 4 days with taking the "doggy steps" up to the couch, so we have been giving her "elevator" rides.

Wednesday (3/27) Dr. A. re-examined her.  Her opinion was that Stella’s walk looked “normal” but we told her it was a dog-owner thing, something only the dog’s owner would see and we were certain something was not right.  Because of the chicken dance thing Dr. A. decided to pursue that first and see if Stella had a neck or spinal injury – it appeared she didn’t.  Dr. A. then tested the pressures in Stella’s eyes and found that they were high.  In her opinion, borderline glaucoma.  She also told us that Stella appeared to be almost blind in her right eye but this is something we have known for years.  In one of my very early posts I explained how Stella was kicked in the eye by a littermate and later when she had eye surgery (to close off the eyelids because of the exaggerated bugginess of her  eyes) our veterinary ophthalmologist told us that Stella probably had very little vision in that eye.  Dr. A. then examined the rest of Stella’s body and suddenly exclaimed “oh my goodness, Stella’s left ACL (anterior cruciate ligament of the knee) was torn in her opinion.  Dr. A. believes that 1) Stella’s balance being off was due to the pressure build-up in her eyes.  Pressure build-up can cause vertigo and a headache (what to us would feel like a migraine) and 2) her gait was off due to the ACL being torn.  It seemed odd to us that Stella seemingly had no pain (in the knee) and no limp but then again she has always been a tough little trooper.  So our instructions were to see both the ophthalmologist and orthopedic surgeon; the same orthopedic surgeon that performed Stella’s neck surgery in 2011.  Meanwhile Dr. A. gave us pressure-relieving eye drops so we could tend to the knee issue first.

By the way, how does an 8 year old, 25 pound couch potato tear her ACL???

We made an appointment with the orthopedic surgeon for Tuesday 4/2.  Maybe she won’t need surgery?  I’ve read where sometimes adult dogs under 30 pounds that are not super-active sometimes do not have to have surgery.  But I’ve also read that not having surgery can sometimes cause other issues like bone spurs and debilitating arthritis.  Enough internet searching for now, we’ll let the expert give us the proper information.

The next day, Thursday (3/28), we came home from work and the usual happened – Stella brought me a toy, taunted me with it and I proceeded to mock scold her for stealing MY toy.  I was careful not to let her run around like usual to not stress her knee any further.  She then went out and did her business and we had her come back in the house so as to not run around the yard.  I then went to the bathroom sink and while I was standing there I felt Stella walk between me and the sink cabinets – something Pugs do all the time to sit or lay on their owner's feet.  This time was different – I felt Stella slide down and when I looked down her arms were extended in front of her, her legs extended behind her, her chin on the floor;  she was laying flat on the floor, spread eagle.  I could tell her eyes were open and bent down to see if she was ok.  She managed to sit up at the same time I sat on the floor and started to nuzzle into me. She kept pushing her head into me like she couldn’t get close enough.  It reminded me of a shy child who is introduced to a stranger and they bury their face into their mother’s side; she was doing just that.  I soothed her and held her tight as her entire body trembled, all the while she was pushing her head really hard into my chest.  Trying to talk to her I noticed her eyes were open but she wasn’t responsive to my voice.  She would not look up at me and appeared to be in a trance-like state as if hypnotized; her eyes were completely glazed over.   I held her and comforted her and in less than 2 minutes whatever this episode was, I’m assuming a seizure, was over.  She got up and walked away and went to sit on the dog bed.  Within 5-10 minutes she was her normal self again.  The rest of the night she was fine – no residual “after effects” that we could see.

The next day, Friday (3/29), she still seemed fine and we went to work.  I contacted our vet and asked if the episode was indeed a seizure and she responded that it sounded like it.  I also asked if it could be caused as a result of sudden pain from her knee or the pressure building up in her eyes – she responded no, a seizure would not happen in those circumstances.  She also pointed out that although Stella’s eyes were open it did not mean she was “conscious”.  Dr. A. was very upset by this new incidence and stated that our “game plan” would now have to change.  She stated that this seizure and figuring out why it happened should take precedence over all else.  She said Stella had some sort of brain or vascular event.  As this was a Friday afternoon we were in that situation again where no one, specifically a neurologist, would be able to see her until the weekend had passed.  The neurologist is at the same specialty facility where Stella would see the orthopedic surgeon and also where her oncologist is.  As we already have an appointment on Tuesday 4/2 to see the orthopedic surgeon Dr. A.’s advice is to watch Stella closely.  If she should have another seizure we are to bring her to the emergency room immediately, otherwise we should report this to the orthopedic surgeon who will coordinate her care at that point. 

This past week Stella (and her sister Betty) has been gated off in the house so she cannot jump on furniture or otherwise hurt herself.

Meanwhile today is Sunday 3/31 and Stella seems better now than she has in a week.  The only thing noticeable to us is that her gait and stance are slightly off.  Still no limp and seemingly no pain, just off.  She is back to eating with her bowl on the floor and wants to run around but we have to restrict her.  Her personality is her usual happy silly self.

The panic in me is starting to rise.  Why did she have a seizure?  My baby girl has been through so much in her life, especially in the last two years, and she just had a third Mast Cell Tumor removed a few weeks ago.  Could this event be something catastrophic……the thought is unimaginable.

Tuesday, March 5, 2013

Results are bad...but good...

Got the call from the vet today with Stella's pathology results.  The pigmented skin tag on Stella's paw, the one the oncologist was somewhat worried about, was nothing; just a skin tag.  The one on the back of her right hind leg, the one BOTH our regular vet and oncologist was certain was nothing turned out to be Mast Cell Tumor #3.  The pathology report however stated that the tumor was Grade 1 and had clean margins, which means it was fully excised and there are no residual cancer cells in the area.

So there's nothing more to do with this tumor but I somehow feel so sad, so uneasy.  A third one?  Really?  We pointed out the lump on Stella's right hind leg in August, a little more than a year post treatments.  At the time it was thought to be nothing but in hindsight we now know that she developed another MCT in one year or just over a year after the discovery of MCT #2.  MCT #2 had been discovered around a year after the removal of MCT #1.  Is this a pattern?

The oncologist said there is no pattern.  MCT's pop up "just because".  There is no "likelihood" one way or the other.  Asked Dr. F if there was any sort of drug therapy to start as a preventative - we already knew the answer, as I was sure we asked this before....."no, there is nothing you can do to try to prevent this from recurring and/or progressing".

So it's as it has always been - we have to keep a close eye on Baby Girl and whenever we feel or see ANY little thing we are to report it right away.  The oncologist said it does not have to mean surgery each time; we can start with a biopsy or needle aspiration.

Stella and Betty get a bath in our bathtub every 2 to 3 weeks and that is the time we really scrutinize her skin and body.  This is how we found the lump on her hind leg.  We're doing the best we can, I only wish there was something else we could do.  But she remains a happy spoiled little girl so that will have to do for now.

Stitches will be removed next week.....

Thursday, February 28, 2013

Helpful Suggestion

I forgot to mention in my last post and probably in previous posts that whenever Stella (or our other pets) has any kind of procedure where she will be anesthetized we always ask the vet (if our regular vet is the one performing the procedure, not a specialist) to go ahead and clean and/or scale Stella's teeth.  This is what we did today with Stella's skin tag(s) surgery and with past procedures she has had at the regular vet's office. 

You may as well kill two birds with one stone and then your pet won't need additional anesthesia at some other point.  This of course will make your bill higher but, if your dog has teeth like ours do, they're going to need to have them done periodically.  So the bill will come anyway but you can save your pet from another anesthesia dose.  Having pets under anesthesia, especially brachycephalic dogs (those with pushed in faces), can be dangerous so the less times the better.

Incidentally, if you have a Pug you KNOW how hard it can be to cut their nails.  This would be my Baby Girl's ONE flaw!!  We always ask the vet and the techs to do this at any visit but, again, if they're going under anesthesia anyway we always ask them to throw in a pet-i-cure....ha ha.



Oh, and one more thing, did I ever mention how we care for Stella & Betty's teeth?  We use a product called PetzLife.  It is a gel that is rubbed on their teeth; we apply it with our finger while wearing a rubber glove.  The gel also encourages them to lick their teeth more which aids in the cleaning.  We have been using this product for about 2 years now and have been very happy with the results - it has slowed the tartar build-up a lot.  It comes in mint flavor which would be pleasant for us (to smell) and a salmon oil flavor which of course dogs would prefer.  We buy the salmon oil flavor; smells like minty salmon - sounds gross, I know, but the smell surprisingly does not linger on their breath or end up on their bedding or toys. 

Anyhoo, just thought I'd mention it.

*We are not affiliated with PetzLife or their products in any way nor have we been paid or asked to review the product(s).  We were never offered free samples or contacted by the PetzLife company at any time.  Product mentioned above was purchased with our own money and the expressed statements are our own unbiased and unpaid personal opinion.

Skin Tag(s) Surgery

Stella had the surgery this morning to remove the skin tags mentioned in my last post.  Originally our vet thought she would do the procedures under sedation but changed her mind and opted for general anesthesia as the bump on the back of Stella's hind leg would take a bit longer and she didn't want Stella to have any discomfort. 

Surgery went fine and Stella came home with a few pink stitches on her paw and leg.  Both skin tags were sent out to pathology and we should have the results early next week.  The stitches will be removed in about 10 days.




Monday, February 25, 2013

Skin tags?

Stella had another 6 month check up with the oncologist today - it has been almost 21 months since she finished radiation therapy.  Everything has been "same old same old" with her except that we noticed a small black skin tag (about the size of a sesame seed) on her left front paw.  We asked our regular vet about it back in October when we were in her office for our other Pug, Betty's, abdominal surgery.  Our vet looked at it and said it was "just a skin tag".  Since we were having a check up with the oncologist we thought we'd point it out to her.  The oncologist agrees that it is a skin tag but she does not like that it is pigmented.  She told us that 80% of the time skin tags are benign but given that it is pigmented and Stella has a cancer history we should have it removed.  On a side note, Stella's first mast cell tumor was also black but did not look anything like this skin tag.
 



 
 
On August 1, 2012 I blogged about a fleshy little bump that Stella had on the back of her right hind leg.  The oncologist stated at that time the she believed this to be in the skin tag family and we would watch it for now but she was not too concerned.  At our visit today we told the oncologist that the appearance of the bump had changed somewhat; it was a firm bump in August but now it is slightly bigger and softer and has also shriveled up like a raisin.  Dr. F. is still not too concerned about it and says it may have been cystic and ruptured but since Stella will be under anesthesia anyway we should have it removed as well.
 
 
August 2012
 
 
 

 
February 2013
 

We are opting to have the procedure(s) done with our regular vet which the oncologist is fine with.

So we're off to get the usual pre-op bloodwork and Stella will have her surgery on Thursday (2/28).


Tuesday, October 16, 2012

Betty

I thought the waiting was going to kill us.  The pathologist's report for Betty's mass stated it was "pre-cancerous" and was fully excised, with clean margins and with no sign of spreading.  Thank goodness!

 
Such a good girl, getting her stitches checked...

 
 
 
 

 


Thursday, October 11, 2012

Meanwhile...

Stella's "sister", Betty (our other Pug adopted from a puppy mill 2 years ago), had surgery today for removal of a mass along her mammary chains.  Vet stated it looked "nasty" and is concerned it is cancerous; Mammary Gland Tumor (breast cancer).  Once again we play a round of the waiting game; Pathologist's report is due next week.

This can't possibly be happening again.....