For those of you who are crazy lucky enough to share your life with a German Shorthaired Pointer, I’m sure you are quite familiar with the “oh sh*t” feeling when a veterinarian tells you that you have to somehow do the impossible….restrict your GSP’s activity. Even at 10 years old Lager does NOT act his age. He’s still got that insane-in-the-membrane-never-ending-crazy-high GSP energy. Along with praying that somehow we are miraculously teleported to the “all clear from restrictions” date our veterinarian gives us, my usual go-to for a restricted activity period is stuffed West Paw brand Topl or Qwizl, lickimats, puzzle toys, and snuffle mats. In Lager’s case, however, we could not do any of that due to his simultaneous recovery from his rostral mandibulectomy. Lager’s jaw and chest surgery were on October 31st. He was due to get his chest sutures out on November 11th. However, when his body bandage was removed, there were signs of an infection. Restricted activity and suture removal date was then extended to November 17th while Lager completed a round of antibiotics. Once the bandage was off, Lager began to try and lick the area, so he continued to wear a Suitical Recovery Suit until his chest could be reevaluated. At his appointment on November 17th, the surgical team at Blue Pearl decided that the chest sutures could be removed, Lager’s jaw was healed enough that we could remove the E-collar, AND Lager could have all restrictions lifted …giving some MAJOR thanks for this!
Sutures are out, but incisions still need time to heal
Lager runs free for the first time since having his surgeries on 10/31/22
Enjoying being “naked” …no sutures, no Suitical, no cone and no E-collar!
Once home, even with the sutures having been removed, Lager began to lick the area, making the healing incisions redden. We still have him wearing the Suitical Recovery Suit until this area is fully healed in order to try to avoid an infection, giving him a break from wearing it only when we can watch him closely.
Lager does not need to have a follow-up appointment with Dr. Jennings (Dentistry Team) or the Surgical Team in the future unless a problem arises. However, there was a nodule observed on his adrenal gland during his abdominal ultrasound. It was suggested that we may consider reevaluating the suspected growth in 3-4 months, so I will be discussing this with Lager’s medical team to determine if they believe that repeating the ultrasound would be appropriate for him.
“We often take for granted the very things that most deserve our gratitude.”
~ Cynthia Ozick
Eight dogs, sixteen feedings per day, and each meal was prepared and presented to our dogs without realizing I should be grateful for the whole process….not only for being blessed with the food itself, but for the fact that all of our dogs could eat on their own. I never thought about how I should be grateful for that…it’s just something dogs do, right?! I took for granted that I put food in front of our dogs, and voilà…They ate it…UNTIL…Brian and I were hand-feeding Lager after his surgery. It was then that I realized I needed to take a step back and direct more focus on being grateful for the daily routines that are in fact blessings as well.
Lager had been doing wonderfully with being hand-fed “meatballs,” (made from a mixture of his regular kibble ground to a fine powder using a food processor wet food, pure pumpkin purée, and grizzly salmon oil) however, he was having a difficult time learning how to pick up food without us having to place it in his mouth. We tried meatballs in a bowl, meatballs on a flat dish, dry kibble that had been put through the food processor, soaked kibble, regular kibble…you name it, Lager had not been able to pick up any of the food. However, Lager’s never give up attitude paid off…It is with an extremely grateful heart that I share the progress Lager had during breakfast on November 20th: Lager was able to pick up meatballs and eat it all by himself! The meatball still needs to placed on a flat dish at an elevated angle, but picking up the meatball on his own is a huge accomplishment! We are so proud of Lager and his motivation to improvise, adapt, and overcome!
Lager picks up a “meatball” on his own for the first time since his rostral mandibulectomy!
Lager has also been doing a phenomenal job picking up soft stuffed toys! He has been enjoying all the toys that he received as gifts!
Lager picks up a stuffed toy (CVS FURmacy receipt toy given to him by our neighbor)
No One Fights Alone
I added some oral cancer awareness bling to Lager’s collar this week! Canine Acanthomatous Ameloblastoma (CAA) luckily is not known to metastasize if clean margins are achieved during surgery (which was the case for Lager). Even though we are celebrating what we hope and pray is the end of Lager’s CAA Journey, he will still have some challenges to face as he continues to adapt to doing daily activities differently with his mouth. We want to be sure to continue to bring awareness to this type of canine cancer, and do our best to support other families that one day may find themselves on this same journey with their pup.
Oral cancer awareness ribbon charm for Lager’s collar bling
No one fights alone charms… Half for me to wear as a necklace and the other half will be added to Lager’s collar bling
We have many reasons this year to give thanks with a grateful heart. This week, in addition to the more obvious “bigger things,” I will be focussed on recognizing and mindfully appreciating the smaller blessings in our daily life as well.
May this Thanksgiving be filled with peace, love and happiness for you and your family.
It was has been three weeks since Porter began taking the Thyro-Tabs for his hypothyroidism. Porter saw his primary veterinarian, Dr. Campbell, for a physical exam and blood work to re-test his Total T4. Total T4 (Thyroxine) measurement is a screening test for diagnosing hypothyroidism in dogs.
The lab results brought us good news! On October 25th, Porter’s Total T4 was 0.8 . His blood test on November 27th showed that his Total T4 has now risen to 2.1! (Normal therapeutic range is from 1-4).
This result proves that the Thyro-Tabs are in fact doing their job. Porter’s hair has not begun to grow back yet, so that will continue to be monitored. Porter will see Dr. Campbell again in 4 weeks for an exam and another Total T4 test.
Now that the pathology report from both the chest masses as well as the jaw sample has returned, we have a new diagnosis, but still much to be thankful for!
Chest masses
pathology result: follicular cysts
Follicular cysts are large bumps, or nodules, on a dog’s skin that originate in the hair follicle. The hair follicle becomes dilated and fills with a dark brown substance that looks similar to a blackhead. These cysts are prone to becoming infected. Lager’s follicular cysts should not grow back now that they have been removed.
Oral Mass
The mass originally deemed Oral Papillary Squamous Cell Carcinoma was reevaluated as Canine Acanthomatous Ameloblastoma (CAA)
The tumor diagnosis can sometimes change as a better sample is acquired during the removal of the “heart” of the mass. This type of tumor has “layers” and the superficial part of the mass is made up of similar squamous-type cells which often produces an inaccurate diagnosis. During Lager’s first surgery, only the superficial part of the mass could be removed and sampled.
About Canine Acanthomatous Ameloblastoma (CAA)
Acanthomatous Ameloblastoma is a locally aggressive tumor that originates from the epithelial cells of the dog’s jaw. Acanthomatous Ameloblastoma forms a large red mass on the gums. Beneath the visible portion of the mass, there is usually considerable bone destruction. These tumors have not been documented to spread to other areas of the body. As Lager’s tumor was removed with clean margins, it is not expected that there should be any recurrence. Without treatment, this type of tumor will continue to grow and destroy the jaw bone, becoming life-threatening for the dog.
Dr. Jennings said that Lager looks great! Dr. Jennings is pleased with the surgery site and healing process. Any remaining oral sutures will fall out and/or dissolve on their own over the coming few weeks. During today’s appointment Dr. Jennings answered all of my questions in detail. The following was covered in today’s appointment:
We have observed some teeth chattering. Dr. Jennings said this should subside as the mouth continues to heal
Lager may begin return to a normal diet. Over the next week, we will work on transitioning from wet food meatballs to soaked kibble to regular kibble as we monitor Lager’s progress in re-learning how to eat on his own.
We can begin brushing Lager’s teeth immediately. Dr. Jennings also recommended that we continue to use products to help reduce plaque and tartar. We currently use a water additive called Vetradent, which is included in products that have earned the VOHC Accepted Seal , so we will continue to use this.
Lager is cleared to compete in dock diving once we start up again in the Spring, and is cleared to train and condition throughout the fall and winter once his jaw and chest is completely healed!
As long as no issues arise, Lager does not need to have further follow-up visits with Dr. Jennings. Dr. Jennings recommends that we have Dr. Campbell monitor Lager’s oral health at his regular check-ups. If we happen to notice any bad breath or dental buildup/inflammation of the gums, Dr. Jennings instructed me to have Lager evaluated by Dr. Campbell or himself.
Lager can begin to have soft toys within the next week. We experimented today during the appointment with an Extreme Vertical/Speed Retrieve bumper. Upon sight of the bumper, Lager grabbed it up! After dropping the bumper on the floor, in less than 30 seconds Lager had learned to pick it up on his own! He is truly amazing and an inspiration! There was some minimal dilute blood on the bumper which Dr. Jennings said was normal at this point. In about 5-7 days when Lager is closer to being completely healed, we will try giving him some soft stuffie toys.
Lager holding a dock diving bumper
Dr. Michael Jennings and his nurse, Ashley McCullough, provided outstanding care and surgical excellence for Lager. Confidence in a medical team and their abilities was imperative to us. Beyond the medical aspect, Dr. Jennings and Ashley displayed such care and compassion not only for Lager, but also for me as I broke down in tears (at every single appointment)! They not only patiently answered my notebook full (literally) of questions, but also took the time to explain everything in detail. I will never forget the personal touch and willingness they spent making sure I felt comfortable with all of the information being presented to me, and comforting me during a terrifying time to ensure me that Lager was going to pull through this procedure just fine. Dr. Jennings and Ashley’s love and passion for animals is remarkable, and shines bright for all to see. We are blessed to have been lucky enough for Lager to have this the dedicated, thoughtful, and compassionate surgical team.
Chest Suture Removal
November 11, 2022
The Surgical staff at Blue Pearl was also wonderful! Their attention to detail on Lager’s chest surgery and kindness towards me was beyond appreciated. Today Michael Pawenski evaluated Lager’s chest incisions. After removal of Lager’s cross-your-heart bandage, Dr. Pawenski noted that the incision is healing well, but there are two small areas of dehiscence and a small amount of discharge that may be due to an early surgical site infection. As a result, the sutures cannot be removed, and Lager will be required to take antibiotics. This also means that his activity restrictions will still need to be in place. The bandage was not reapplied but Lager will have to wear a tee-shirt or Suitical Recovery Suit to prevent rubbing or scratching of the incision. Lager will return to Blue Pearl on Thursday November 17th for an exam with the Surgical Team, and and hopefully suture removal.
October 21, 2022October 21, 2022November 11, 2022
We Don’t Know Them All, But We Owe Them All
Lager’s check-up fell on Veterans Day 2022. Blue Pearl Hospital is located on Veterans Highway with a Veterans Memorial 0.2 mile down the road from the hospital parking lot exit. with Lager being a Veteran himself, I knew we had to stop at the memorial. It was raining pretty steadily, but we stopped anyway, and I’m so glad we did. Lager got a break from his cone and was able to take a small, slow walk around the beautiful memorial.
With respect, honor, and gratitude, Cello’s Corner would like to thank all who have served and continue to serve our country. Your bravery and the sacrifices you have made to protect our freedom will never be forgotten. Thank you to all veterans – you are our heroes!
Things That Make You Go MMM…
…A vanilla McDonalds milkshake! Lager had a few licks of the milkshake as a treat on his way home.
Ba da ba ba ba …I’m lovin’ it!
Keep on Keepin’ On
Over the next week, we will continue Lager’s restricted routine while working on transitioning his diet back to his regular kibble. I will post another update after Lager’s appointment on November 17th. Thank you ALL for your continued prayers, positive thoughts and good vibes for Lager and for your support for Lager’s PAWrents!
November is National Epilepsy Awareness Month. During this month, the goal is to educate and raise awareness about one of the least understood of all neurological diseases.
Our fellow EpilepsyWarrior and IG friend, Rosie the Labradoodle ‘s Mom, published a great journal for PAWrents of dogs with epilepsy. This journal is an efficient way to document your epilepsy warrior’s information, log seizure activity, track medications, triggers, appointments and medical history. The journal measures 7×10 inches and makes traveling with your epileptic pet easier in the event of an emergency trip to the vet by having all of your pet’s medical history in one convenient place. Over 125 epileptic canine warriors are pictured throughout… including OUR very own warriors, Porter and Jägermeister (can yo spot them on the page below?! This journal can be purchased on Amazon.
Epilepsy? What’s That?
“Epilepsy” is a general term for neurological disorders that are characterized by recurrent seizures. In some cases, the seizures are caused by trauma, a toxin, a brain tumor, an infection, or an issue with your dog’s blood, kidneys, or other organs. At other times, the epilepsy is referred to as “idiopathic,” which simply means that there is no identifiable, underlying cause.
Seizures commonly fall into two categories: generalized (grand mal) or partial (focal). Generalized seizures commonly appear as involuntary jerking or twitching movements of all four limbs with loss of consciousness. Partial seizures may involve one limb, side of the body, or face. Partial seizures may progress to generalized seizures. Seizures may also result in abnormal behavior, vocalization, salivation, chomping/chewing, and involuntary urination and defecation.
Dogs with idiopathic epilepsy typically have their first seizures between the ages of 6 months to 6 years. Though idiopathic epilepsy can occur in any breed, it is considered an inheritable disease in many breeds and in some breeds a genetic basis has been identified. Therefore, dogs diagnosed with idiopathic epilepsy should not be used for breeding. Commonly affected breeds include:
Labrador retrievers
Golden retrievers
Poodles
Keeshonds
Beagles
German shepherds
Dachshunds
Irish setters
Cocker spaniels
Is a seizure painful or dangerous to the dog?
Despite the dramatic and violent appearance of a seizure, seizures are not painful, although the dog may feel confusion and perhaps panic. Contrary to popular belief, dogs do not swallow their tongues during a seizure. If you put your fingers or an object into its mouth, you will not help your pet and you run a high risk of being bitten very badly or of injuring your dog. The important thing is to keep the dog from falling or hurting itself by knocking objects onto itself. As long as it is on the floor or ground, there is little chance of harm occurring.
A single seizure is rarely dangerous to the dog. However, if the dog has multiple seizures within a short period of time (cluster seizures), or if a seizure continues for longer than a few minutes, the body temperature begins to rise. If hyperthermia (elevated body temperature) develops secondary to a seizure, another set of problems need to be addressed.
Symptoms
Prolonged seizures lasting more than 5 minutes or two or more consecutive seizures without full recovery are referred to as status epilepticus. This is a true emergency and you should seek immediate veterinary care for your pet. Two or more seizures in 24 hours are referred to as cluster seizures and are an indication for beginning anti-seizure medication.
In dogs, seizures often occur in three distinct phases:
The first is called the aural phase and the most common signs are behavioral changes. These changes may be subtle and include restlessness, attention seeking or anxious behavior.
The second phase, called the ictal phase, is when the seizure itself takes place. A seizure can last from just a few seconds to several minutes.
The final phase is called the postictal phase, which occurs after the seizure. During this phase, your dog may seem restless, uncoordinated and/or disoriented. Occasionally, temporary blindness, deafness or other neurologic abnormalities may occur.
It may be difficult to watch your pet have a seizure but most are of short duration and cause no permanent harm. Avoid being bitten by keeping your hands away from your pet’s mouth during a seizure. If it can be done safely, provide padding and move your pet away from stairs to prevent injury.
Diagnosis
Your veterinarian will take a complete history and perform a thorough physical and neurological exam to determine if there is an identifiable, underlying cause of your dog’s seizure.
In order to do so, the following tests may be recommended:
Chemistry tests to evaluate kidney, liver, and pancreatic function, as well as sugar levels and electrolytes
A complete blood count to screen for infection, inflammation, anemia, and other blood-related conditions
Urinalysis
PCR testing and/or serology to evaluate for infectious diseases that may cause seizures
Referral to a neurologist for advanced testing including MRI and cerebrospinal fluid analysis
Cultures, PCR testing, and other specialized tests that can identify if specific parasites or diseases could be the cause
Treatment
Epilepsy cannot be cured, but it can usually be controlled with anticonvulsant drugs. If your veterinarian determines that your dog’s epilepsy is idiopathic, one or more of the following medications may be prescribed:
Phenobarbital helps reduce the frequency of your dog’s seizures and is the most prescribed medication for dogs with idiopathic epilepsy. It is generally a well-tolerated drug.
Potassium bromide is another seizure medication that may be added to your dog’s treatment, if she does not respond well to phenobarbital alone.
Levetiracetam (Keppra)
With these medications, as with all drugs, some patients experience side effects. In order to make sure an adequate dose is being given, and to monitor for side effects, it is important that blood levels of each medication as well as complete blood counts and blood chemistry profiles be monitored periodically. Liver function tests may also be indicated. Your veterinarian will advise what monitoring needs to be done and how often. Medication dosages should not be changed without talking to your veterinarian.
Dogs diagnosed with idiopathic epilepsy may require treatment for life, and sometimes more than one drug is needed for adequate seizure control. And while many dogs are well controlled, some are not despite multiple medications. In addition, adequate seizure control does not necessarily guarantee that a dog will be entirely seizure free. The degree of seizure control may need to be balanced against potential side effects of the medications.
Management
Besides medication, there are many ways for you, yourself, to help manage your pet’s epilepsy:
Maintain a seizure log that lists date, time, length and severity of seizures as well as videotape and share this with your veterinarian
Do not change or discontinue medications without consulting your veterinarian
Have blood work and other lab work done when recommended by your veterinarian
Consult your veterinarian whenever you notice a change in your pet’s condition
Put a medical alert tag on your pet’s collar so that if he becomes lost, whoever finds him will be aware of their seizure disorder and need for medication.
Several treatments are available for pets with epilepsy. By working closely with your veterinarian, you can maximize the chances of controlling the disorder and giving your pet a long, happy, and comfortable life.
As a pet owner, seeing your dog have a seizure can be one of the most frightening experiences you’ll have. Seizures are often sudden, seemingly occur without reason and leave you feeling helpless as the owner.
There are a variety of different types of seizures found in dogs. However, one very important type of dog seizure to be aware of is cluster seizures.
What are the types of seizures in dogs?
Unfortunately, there are actually several different types of seizures found in dogs, and they can vary greatly in severity. It’s valuable to be able to differentiate the different types of dog seizures so you can have an idea of what type of treatment and outcome to expect.
Epilepsy in Dogs
Believe it or not, epilepsy itself is actually NOT a type of seizure, rather a condition that often causes repeated bouts of seizures. The term “epilepsy” refers to recurrent seizures that originate in the brain. There are different forms of canine epilepsy as well, but again, these are not types of seizures themselves.
Grand Mal Seizures
In a generalized seizure, the dog will fall, lose consciousness, and extend his limbs out rigidly. The dog may also have sudden apnea, meaning he will briefly stop breathing. This will generally last for around 10 to 30 seconds. Afterwards, the dog will begin paddling his limbs or start chewing. He may also have dilated pupils, salivate, urinate or defecate.
Mild Seizure
A mild seizure begins the same way as a grand mal seizure but will typically not involve the extension of the limbs or paddling. The dog usually will not lose consciousness. Mild and grand mal seizures are most often associated with epilepsy.
Petit Mal Seizure
Also known as an absence seizure, petit mal seizures are very rarely recognized in dogs. These seizures are very brief, lasting just seconds, and can manifest as a brief period of unconsciousness, loss of muscle tone, blank stare, or possibly even an upward rotation of the eyes.
Partial Seizure
During a partial seizure, the associated movements will only be seen in one area of the body. This can be the movement of one limb, a muscle jerking, a turning of the head or bending the trunk to one side or even facial twitches. Partial seizures can progress to generalized seizures and are associated with secondary epilepsy.
Complex Partial Seizures
These seizures are notable for the strange or complex behaviors that they repeatedly cause. In humans, complex partial seizures cause us to distort our thought perception, and certain emotions, like fear.
When they happen to dogs, they might be displayed as lip-smacking, chewing, fly biting, aggression, vocalization, frightened running, covering or hiding. Dogs may also experience vomiting, diarrhea, salivation, blindness, unusual thirst or appetite or biting.
These can last minutes or even hours, and can be followed by or progress to a generalized seizure. Like partial seizures, complex partial seizures are also closely associated with secondary epilepsy.
Status Epilepticus
Colloquially known as simply “status,” this type of dog seizure can occur either as a series of multiple seizures within a short timeframe with no periods of normal consciousness in between, or as one continuous seizure that can last up to 30 minutes.
Although closely related to primary and secondary epilepsy, status can sometimes occur suddenly in dogs that have no history of seizures or brain injury. Status can often be difficult to differentiate from cluster seizures. These seizures are considered life-threatening emergencies.
Cluster Seizures
Cluster seizures in dogs occur when a dog experiences multiple seizures within a short period of time, generally considered within a 24-hour window. Like status epilepticus, cluster seizures should be considered life threatening. These seizures are typically brief and isolated, but can also be more serious. Large breed dogs tend to be the most susceptible to cluster seizures.
When a dog experiences cluster seizures, he will usually have one, seem to recover, and then have another a few hours later. However, the dog never fully recovers from the first seizure before the second strikes. This can continue on and on until the dog is in critical condition. With the aforementioned status epilepticus, these seizures won’t be spread out, but will be one long seizure that doesn’t stop. Both are true emergencies.
Cluster seizures can be managed with medication, but the cause of the seizures must first be established before any medication can be prescribed.
What causes cluster seizures in dogs?
Cluster seizures in dogs are often caused by a problem in the dog’s brain, such as a tumor that interferes with the communication between parts of the brain. They can also stem from a lack of oxygen in the brain, low glucose level in the blood, known as hypoglycemia, or hypothyroidism, which is a deficit of thyroid hormone production.
If the seizures seem to happen for no apparent reason, then idiopathic epilepsy may be the cause. This type of epilepsy is difficult to detect because it leaves no lesions or lasting damage on the brain. Genetics can also be a factor in dogs having seizures, but this is not yet absolutely proven.
What dogs have cluster seizures?
Any dog of any age and breed can experience cluster seizures, but they are most often seen in middle-aged dogs. Breeds like Border Collies, Cocker Spaniels, Dachshunds, German Shepherds, and Boxers are known to be susceptible. Research has actually shown that male dogs are more prone to cluster seizures than females.
What are the symptoms of seizures in dogs?
It’s important to note that most seizures are brief, and that your dog can live a normal life when given the proper dog seizure treatment. However, cluster seizures are much more serious, and can cause serious brain damage, or worse.
A dog experiencing a seizure will most often suddenly collapse, exhibit abnormal movement in its limbs, excessive drooling and uncontrollable jaw movement, as well as incontinence. The dog will usually be unconscious and unresponsive, and have no control over its spasms.
In cluster seizures, the dog will seem to recover between seizures, although he will be very tired and lethargic, potentially even staggering, as seizures are exhausting events.
Though their demeanor will otherwise seem fine, they do not fully recover in between seizures and can get progressively worse. If they don’t regain consciousness at all, or seem to have a prolonged seizure lasting up to 30 minutes, this is not a cluster seizure, but status epilepticus, which is extremely dangerous to your dog and can be life threatening.
How are cluster seizures diagnosed?
Dogs that have encountered cluster seizures should be brought into the veterinarian immediately. Once there, your vet will give your dog a glucose test. Often, your vet will also test to see if your dog has ingested poison.
A lot of the diagnosis will come down to what you are able to report to your vet when you bring your dog in. Pay attention to the symptoms your dog displayed during, before, and after a seizure. If you suspect cluster seizures, tell your veterinarian why and that will help them make a proper diagnosis.
Your vet may also conduct a CT scan or an MRI to see if there are any brain tumors or lesions. Since cluster seizures are so serious, you can expect a full round of testing.
How to Treat Cluster Seizures in Dogs
Medication will be prescribed by your veterinarian in order to treat a dog that is experiencing cluster seizures, but there are also a few things you can do at home to help care for your pet.
If you happen to notice your dog having a seizure, you can spring into action if necessary. Make sure your dog isn’t near anything sharp or close to stairs. Note your dog’s behavior during the seizure and, if possible, try to pinpoint the trigger. Comfort your dog after the seizure and see your vet immediately, especially if another seizure occurs.
If your dog has had cluster seizures, you should also be sure to monitor his other bodily functions. Things you’ll want to monitor include:
Packer, R, “Risk Factors for Cluster Seizures in Canine Idiopathic Epilepsy.” Current Neurology and Neuroscience Reports, Apr. 2016, Accessed 1 April 2017. www.ncbi.nlm.nih.gov/pubmed/27033922.
Porter being a ridiculous attention hog as usual while the Tech takes notes for Dr. Eagleson
Summary of The Last Year
Porter has not had any seizure activity for the past year (440 days to be exact)! However, added to his laundry of health issues, Porter was diagnosed with Atypical Addison’s disease this past year. Most recently, he was also diagnosed with hypothyroidism in October. Once Porter was started on prednisone following his Addison’s disease diagnosis, he became a lot more alert and coordinated and his daily “twitching” (which was thought to be focal seizure activity) also subsided.
Neurological Exam Summary
Porter’s neurologist, Dr. Eagleson, thought Porter looked great and is pleased with his current seizure control. Dr. Eagleson would like us to try reducing the CBD to once a day. In regards to his anti-epileptic drugs, Dr. Eagleson said that since his seizure control has been so good, it may be worth trying to reduce some of his daily drugs. That being said, Porter seems to be tolerating all of the medication well. Dr. Eagleson also said he would be ok if we did not want to tempt fate. Since Porter has just begun the thyroid medication, Dr. Eagleson recommended that we wait about three months before making a decision about reducing any anti-epileptic medication. If it is decided to reduce meds, then we would likely start with tapering his Topiramate.
Next Exam
If Porter continues to do well, he will have his next neurological exam in one year.
Today Lager had an appointment for his re-check for the sutures on his chest and a re-wrap of his body bandage. I was relieved that he had an appointment today, as his body wrap was a hot mess after just four days!
The surgical team said both his chest and his oral surgery site look great! They re-wrapped him in red (YAY!).. and said the stitches on his chest will come out on November 11th when he has his re-check with Dr. Jennings, the oral surgeon.
New red body wrap, who dis?!
Lager is ready for tonight’s World Series game… GO PHILS!
We put a Suitical over Lager’s body wrap in hopes to make it last until his re-check on November 11th. If needed, we will drive Lager back to get a new wrap prior to his appointment.
What a difference five days can make! The huge red bubble of swelling is almost gone !
11/1/22 (Left) showing the swelling (big red bubble) and 11/5/22 (right) showing no visible swelling11/1/22 (Left) showing the swelling (big red bubble) and 11/5/22 (right) showing no visible swelling
I continue to be in awe of Lager’s resilience. He proceeds to act as if nothing happened. He’s getting better at eating his “meatballs” and his tail has not stopped wagging since we brought him home! He has also been THE best patient ever… he has not tried to chew his body wrap, he has not bothered with his cone, he lets us check his oral surgical sight, and when we hold up his E-collar, he pokes his head through the hole of the cone and waits for us to secure it. This boy is truly AMAZING!
Continued Appreciation
Lager is definitely feeling all of the prayers, love, and positive thoughts that are sent to him daily! I read each and every comment that is posted – and the kind words bring me to tears. The private messages and check-ins have warmed my heart and have given me strength. Thank you for everything. This week one of our wonderful neighbors gifted Lager this awesome toy for when his restrictions are lifted … a CVS receipt that unravels into the real-life ridiculous long length of CVS coupons ! Hilarious!
Lager hanging out under the Blue Pearl Dentistry Department’s desk as they caught up on emails and prepared for his surgery
Lager was first anesthetized for an oral exam and dental X-rays. These radiographs confirmed the mass centered on his left lower canine tooth had invaded the underlying bone along the back of canine tooth root. Dr. Jennings called us at that point to inform us of the degree of bone invasion. He recommended removal of the front of Lager’s lower jaw at the level of the left 3rd premolar and right lower 2nd premolar in order to hopefully obtain clean margins of normal tissue along with the oral tumor. Dr. Jennings informed us that this also means Lager’s mandibular symphysis (where jaw meets in “V”) will no longer be connected. We agreed to the new plan in hopes to get clean margins for Lager.
Lager received both systemic pain medication and local nerve blocks to help control any discomfort associated with his procedure. His rostral mandibulectomy was performed, and the sample was submitted for histopathology to confirm the tumor type and clean margins. Dr. Jennings explained that it’s rare, but in some cases he has seen the cancer evolve into a different type/stage, so the biopsy will confirm the tumor type and also will dictate if Lager would need further treatment after he heals from his surgery. Dr. Jennings noted that the biopsy results may take a couple of weeks to come back. Lager’s remaining teeth were also scaled and polished.
Lager also had two dermal sternal masses removed. Those of you who know Lager well and have enjoyed his enthusiasm up close/ in person know that he has had a problem spot on his chest since we adopted him that had to be expressed on a weekly basis. Although it was not easy to manage at times, the problem spot was deemed not to be concerning. However, recently the area had gotten bigger and changed in appearance so it was decided that it would be best to have this removed and biopsied while Lager was undergoing his oral surgery. The two masses on his chest were also removed and submitted for histopathology to confirm the tissue type. The surgery sites were closed with absorbable sutures and he was wrapped in a cross-your-heart chest bandage. The biopsy results for this sample should return in about a week.
Lager’s chest showing the 2 problem areas
Dr. Jennings called after surgery was completed and told us that Lager did well during the surgeries and had recovered smoothly. Lager had to be hospitalized overnight so that pain, anti-inflammatory and antibiotic medications could be monitored and managed. Although we knew it was best for Lager to stay the night, we missed him dearly and called every couple of hours to check on him. The staff assured us that Lager was recovering well and in good spirits.
November 1, 2022
We called to check on Lager first thing in the morning and the staff said that he did well overnight. He ate from someone’s hand and was able to lap-up water. Dr. Jennings called around 12pm and thoroughly reviewed Lager’s recovery plan and confirmed that Lager was doing well enough to come home. The drive to Blue Pearl is about an hour, so my parents drove me to the hospital to pick up Lager so that Brian could monitor Porter and Jägermeister while working from home.
Much anxiety had built up with preparing to see Lager post-surgery. Upon arrival to Blue Pearl, my mother and I were escorted to an exam room to wait for Lager to be brought out. Although I was extremely upset at first sight, Dr. Jennings entered the room with Lager happily prancing by his side. Lager’s eyes were bright and alert, his tail was wagging, and he gave me a heartfelt greeting. My heart and mind were so relieved – but this didn’t stop the tears from flowing – what an absolutely amazingly resilient soldier this warrior is! He was in such great spirits!
Dr. Jennings was amazing… I mean REALLY AMAZING…he was so patient, compassionate, and kind. He took the time to explain everything and also to offer support and reassurance that everything was going to be alright and he could already tell that Lager was going to be back to doing everything he loves to do in no time at all.
Post-Surgery Photos
Believe it or not, it was difficult for me to even get non-blurry pictures on the way home because Lager did not sit down the entire time! He barked the whole way home and actively looked out the window for the duration of the ride. Pictures below to show Lager’s new lower jaw length:
Although alarming in appearance, the large pinkish-red “bubble” you see under Lager’s tongue in the photos below is normal after a surgery like this and should go away on its own in 5-7 days:
Photos below are the best shots I have so far of Lager’s new “chin.”
“Dogs Are a Miracle With Paws” ~ Susan Ariel Rainbow Kennedy
I always say that as humans we have so much to learn from dogs. I am in awe at Lager’s resilience and ability to adapt. As you can see from the photos above, Lager’s tongue was hanging out of his mouth during our car ride home. Dr. Jennings informed us that Lager’s tongue will most likely be hanging out of his mouth for quite some time and that Lager may…or may not… adapt to holding his tongue differently so that it stays inside. Well, by the time our one hour drive home ended, Lager had already learned how to hold his tongue inside of his mouth! When we arrived home, he was able to drink water and was extremely motivated for food.
Lager after arriving home has already learned to hold his tongue differently so that it remains inside his mouth.
Lager has not even skipped a beat. He’s happy, alert, and prancing around the house – handsome as ever! Dogs truly are amazing, aren’t they? They don’t look in the mirror or focus on their appearance, and they don’t care what others think either. Dogs remind us to focus on the important parts of others – HEART and SOUL… not physical characteristics or imperfections. They teach us that you shine from WITHIN and that imperfection can impact the world in a positive way….to use your difference to make a difference. Dogs adapt, overcome, and continue to enjoy their journey despite the obstacles that may develop in their path. They don’t worry about challenges – they conquer them. Lager is living proof of this. In my eyes, Lager is an inspiration. I am grateful for the lessons he has taught me, and for the experience he has shared with me. His journey will equip me with the ability to pay it forward when someone else is faced with seeing their dog through the same operation.
Lager has to be hand fed soft food until he heals completely and adapts to eating / drinking with his shorter lower jaw. On November 1st, his first night home, I used a blender to make his kibble into a powder and mixed in some wet food and water to make it “meatball” consistency. I made little meatballs and although I was proud of how well the prep went, I’m not going to lie … our first attempt at properly delivering the “meatballs” to Lager’s mouth was quite a messy situation! The morning of November 2nd, I did a better job of creating the meatballs, and Brian figured out that it was easier to “deliver” the meatballs to Lager while standing behind him and using gravity to help Lager get the meatball in his mouth.
Blending Lager’s kibble so that he can be kept on his same diet to avoid stomach upsetFirst I added water to the powdered kibble, then to help bind it (and add a treat for Lager!) I used a gravy-type wet food. Lastly, I rolled the food into meatballs.Hand-feeding the meatballs to Lager
Grateful…Thankful…Blessed!
We very much appreciate the continued support, prayers, and positivity sent to our family! The overwhelming outpour of post comments, private messages, and kind gestures have filled our hearts with hope, love and courage during a very emotional time. We appreciate ALL of you beyond what words can express.
Below is a picture of the beautiful Belle…Her wonderful Mama posted this adorable photo in support of our boy:
The pack’s amazing Aunt Jackie sent a care package that arrived on Halloween day… some really cool Halloween dog toys, and an awesome mug displaying Lord Byron’s quote, “The poor dog, in life the firmest friend, the first to welcome, foremost to defend” and featuring her dog, Freya (who we refer to as Whiskey’s sista-from-anotha-mista)! I certainly will need extra caffeine and will get good use of this mug… and once things settle, the dogs will enjoy these toys !
A good friend who I met while her pug, Axl and our girl, Margarita, were battling cancer simultaneously, sent Lager some pre-surgery treats and a Comfy Cone for his recovery!
What’s Next?
Lager will have his chest site and bandage changed on Saturday November 5th as long as the bandage holds up. If we see anything seeping through the bandage, or if the bandage is failing, we will have to bring him in sooner. He will then see Dr. Jennings on November 11th for a re-check of his jaw.
Lager taking a break from the E-collar and resting comfortably during the World Series
