Note:ย this post is back-dated. I am currently attempting to catch up on many missed memories that I failed to post over the last 2-3 years). I appreciate your patience as I attempt to bring my diary of โspecial moments with my dogsโ up-to-date!
November 7, 2023
While waiting in Dr. Eagleson’s office, we saw Porter’s 1 Year Seizure Free picture hanging on the bulletin board!
Getting back scratches while the nurse inputs his information for Dr. Eagleson
Waiting for Dr. Eagleson
Dr. Eagleson said that overall Porter looked great and did not have any changes from his last exam.
Physical Exam:
General: Bright, Alert, Responsive
Eyes/Ears/Nose/Throat: No significant findings
Heart/Lungs:
No murmur detected
Lungs clear
Strong synchronous pulses
Abdomen: No masses found
Urogenital / Rectal exam: Within normal limits
Peripheral lymph nodes: Within normal limits
Integument: diffuse symmetrical alopecia (mainly on extremities)
Musculoskeletal:
Body Condition Score: 5/9
head muscle atrophy
Neurological Exam:
Mentation: Bright, Alert, Responsive
Gait: Very mild UMN tetraparesis / general proprioceptive deficit ataxia (appears to be drug related)
Reflexes:
Normal withdrawal in all limbs
Normal patella bilaterally
Normal perineal reflex
Postural Reactions:
Very mild delay in hopping in pelvic limbs
Normal thoracic limbs
Normal placing in all limbs
Cutaneous nerves: Normal
Cranial neves: Normal
Sensory: No pain on spine palpation or neck range of motion
Neuroanatomic Localization: Normal exam
Overall Dr. Eagleson was pleased with Porter’s current seizure control so no changes to his medications will be made at this time.
It was recommended that Porter have a CBC and chemistry profile done. Dr. Eagleson was pleased with all the lab results.
Porter will have his Bromide level checked in March of 2024 and see Dr. Eagleson again in November of 2024.
You blessed us with 12.5 wonderful years of having the privilege to call you family. How we got so lucky to be the ones you picked as your people, Iโll never know – – but I will forever be thankfulโฆthe memories you created, the gifts you bestowed upon us, and the lessons that you taught us are things we will hold dear for eternity.
Little did we know the grand escapades you had planned for us when you joined our family! Campingโฆhikingโฆdock divingโฆrescueโฆsocial mediaโฆall things we knew NOTHING about until you came along. The interests and activities you introduced us to paved the way to countless memorable experiences, enabled us to help many humans & pups, and connected us to the most wonderful, supportive, kind-hearted people anyone could ever hope for in their lives. Our proudest moments were brought about by you. You ushered friendship, love, and adventure into our lives. You made us better as individuals – and as a couple – and guided us to find our purpose. We are forever grateful for your direction and enlightenment.
We are beyond fortunate to have an enormous network of extended family members -both near and far- all because of YOU. Our involvement in dock diving, Celloโs Corner social media and rescue has enabled us to be members of communities filled with support that is truly inconceivable to others. At times the wonderment of it all is even unbelievable to us. Thank you for renewing our faith in humanity and surrounding us with such an immense and astounding group of people.
Every pastime, hobby and passion we have began because of YOU. You have taught us so much about the remarkably strong bond between humans and dogs and showed us how it goes above and beyond what we ever imagined. Itโs going to be excruciating to continue these ventures without you. We thank you for continuously introducing us to new activities and promise to proceed to ๐๐ฆ๐ช๐๐๐ฏ๐ ๐ฉ๐๐ ๐ฟ๐๐ฎ in your honor.
Over the course of your lifetime, you benevolently accepted 8 new dogs into your pack. You took leadership with each one and showed them the way (aka YOUR way)! I loved watching the admiration in the other pack members as they followed your every move. They adored you. You heightened our pack expectations as you managed proper pack order and behavior with confidence and grace. The transition will be a difficult one for your pack, but we know in our hearts you will still be watching over us all, and guiding us.
You eagerly did ๐ข๐ฏ๐บ๐ต๐ฉ๐ช๐ฏ๐จ we asked of you with trust and love in your eyes. You let us ๐กโ๐๐๐ WE were teaching you – but the reality was: It was YOU who was schooling ๐๐. Thank you for tolerating our faults and humbly making us look like we knew what we were doing.
You are THE definition of ๐๐ฆ๐ช๐๐๐ฏ๐ ๐ฉ๐๐ ๐ฟ๐๐ฎ. You let nothing obstruct your path. A miraculous full recovery from Dilated Cardiomyopathy was just one of the many examples of your strong will, strength and determination. You loved to surprise your medical team! Intent on ending your journey YOUR way, you shocked everyone, and competed in the DockDogs World Championships for the 9th year in a rowโฆletting cancer know full well that “๐๐ก” did ๐๐๐ have you โฆ ๐๐๐ had โ๐๐ก.โ YOU called the shots. We will forever admire your fortitude, willpower and tenacity and pray that we have even a fraction of your strength as we try our best to continue to carry out the purpose you paved for us despite any roadblocks we encounter.
Your medical team was taken aback with the dramatic results of your CAT scan – yet you stood before them asymptomatic and unfazed. For two full months after your diagnosis you continued to silently fight a battle most humans could not endure- saving us the heartache of displaying how you may have truly felt. For those 9 weeks after your diagnosis you pressed on – hiding any signs of discomfort from us- and ambitiously continuing to do things that most healthy dogs donโt ever get the chance to do. You are a true inspiration and the mightiest of warriors.
On November 2, 2023 you let us know that you could no longer quietly fight. We had been nervous wondering ๐ฉ๐ฐ๐ธ we would know when โthe timeโ had arrived. Thank you for clearly alerting us that you were ready to cross the rainbow bridge. It was one of the most difficult days of our lives but our grief is just a small price to pay for the abundance of joy, love, and companionship you unconditionally gave to us. It is worth all the tears and pain in the world to make sure you are not in agony. We are heartbroken and devastated that you are not here with us, but we are comforted knowing you are no longer suffering.
You hold a place in our hearts that no other being could ever fill. We are grateful beyond measure that you chose us to be your family. Thank you for for loving us and for completely changing our lives for the better. We will miss you each and every day – every single second – for the rest of our lives. As God embraces you in His arms, we will hold you closely in our hearts and pray that you continue to guide us until we can meet again.
We love you, Limoncello.
Fly high, Limoncello. Your time on Earth may have ended but the impact you had will live on forever in the countless hearts you touched.
When you know a loved one is living on borrowed time, the clock seems to tick much faster…Although I am doing my best to incorporate the advice of “take one day at a time,” lately it seems that several days gang up and attack me at once. Some days I find myself caught in between having hope… and knowing there isn’t any….between trying to stop myself from grieving as if Cello is no longer here…while trying to be grateful that she still is. Daily laughter provided by the antics of our pack, support for each other between Brian and I as a couple, as well as the continued encouragement and love from family and friends both near and far keeps me sane and reminds me each and every day to reset and refocus on faith, gratitude, and positivity. Limoncello has taught me many things, but one of the most important lessons of all is to live in the moment and ๐๐ฆ๐ช๐๐๐ฏ๐ ๐ฉ๐๐ ๐ฟ๐๐ฎ…and as difficult as it may be, I intend to do just that for her.
Update
Nine weeks go, on Wednesday, August 30th 2023, Limoncello was given a terminal diagnosis. Her estimated prognosis was 3 weeks to 3 months…with the realistic approximation weighing heavily at the three-week end. For the last two months, Limoncello has certainly ๐๐ฆ๐ช๐๐๐ฏ๐๐ ๐ฉ๐๐ heck out of each and every ๐ฟ๐๐ฎ. Aside from the initial observation of what we first thought was an irritated right eye which led to her diagnosis, in the last 9 weeks, not only she has she shown zero additional symptoms, but her right eye also seemed to miraculously transform back to its normal state.
Cello’s right eye this week (left) in comparison to 9 weeks ago after her diagnosis (right)
She traveled out to Iowa, and enthusiastically competed in the DockDogs World Championships.
Cello enthusiastically waiting in line for her turn to jump at the World Championships
Limoncello’s competition jump at the World Championships (vid cred: Kevin Johnson)
We are extremely grateful for these last 9 weeks!
A couple of days after our return from Iowa, Limoncello developed a dry cough. It did not sound like kennel cough and none of our other pack members were displaying any symptoms. When the cough persisted, we took Cello to her primary veterinarian. Although Cello was not exhibiting the typical kennel cough symptoms, Dr. Campbell put Limoncello on an antibiotic to be sure any type of infection would be avoided. Cello’s overall exam was unremarkable. Her heart sounded to be at its “normal” function with her murmur sounding no worse. Her lungs sounded clear. However, over the the course of her antibiotic, our other pack members still remained asymptomatic, while Limoncello’s cough did not diminish.
October 29, 2023: First observation of nasal discharge. Limoncello’s right nostril had a discharge of mucus that also contained some blood. Although alarming, we were prepared that this was one of the symptoms we would see. We contacted Dr. Campbell right away to update her.
Discharge from Cello’s right nostril
October 26, 2023: Cello has never been a picky eater… In fact, she is the type of dog that will eat an”unhidden” pill right out of your hand and not question it. She eats every meal and licks the bowl clean. On October 26th, Limoncello hesitated to eat her breakfast. She eventually did eat the meal, but began to grow increasingly hesitant to eat. After several experiments of food consistency toleration, and height elevations of her bowl, I began to notice that it appeared to be the bowl she was hesitant of (meanwhile her food bowl has not changed). I began to offer her the meals from my hand, and she began to eat her meals in their entirety again.
October 31, 2023: I touched base with Dr. Campbell again to inform her of the change in eating habit, as well as to let her know that Cello’s cough has not resolved. Dr. Campbell said the cough may mean that Cello either has mucus or blood dripping into her throat or that the cancer has spread to her lungs. It is uncertain why all of the sudden Limoncello will not eat from her bowl, but Dr. Campbell speculated that the height and/or angle of eating from the bowl may create a pressure or discomfort of some sort which is deterring Cello. The important detail is that she still is eager to eat – and if that means I need to hand-feed her for the rest of the time we have with her, so be it. Later that evening, evening we once again noticed a minimal amount of discharge from Cello’s right nostril that contained a small amount of blood.
Until now, I have been shocked that Hooch has not been acting any different. In the past, ANY time there has been something wrong with Cello (including her DCM), Hooch knew it before we did and would display odd behaviors that led us to take Cello to the vet. This time however, “Dr. Hooch” has been unfazed…unti… Limoncello was laying next to me on the couch. Hooch walked up and began to sniff her right nostril and her right eye. This was an additional confirmation to me that there are obvious changes and/or developments occurring with Cello’s cancer. Hooch then “stood guard” of Cello the rest of the night.
November 1, 2023: The good news is, as of today, Cello has not had any additional discharge from her nostril and is eating as long as her meals are delivered from my hands and not her bowl. Close observation, documentation, and communication with Dr. Campbell are all extremely important at this point. Continued prayers for Limoncello are very much appreciated as she continues to ๐บ๐๐๐๐๐๐ ๐๐๐ ๐ซ๐๐ and live her life to the fullest despite her cancer diagnosis.
Anticipatory Grief
As Limoncello begins to show signs decline, we are remaining vigilant in observing when more bad days than good are apparent. We are beyond grateful that we have Dr. Campbell to be Cello’s advocate and to help us determine when Cello becomes too tired. We still are remaining positive and grateful for every day we have with Cello, focussing on the “little” moments that are creating memories, and letting Cello call the shots. I’m not going to lie – the anticipation is not easy. In fact, some days it feels like I am sitting on train tracks waiting for the locomotive to hit. Preparing for the blow that I know is coming is both sad and terrifying. Brian and I are doing our absolute best to follow Cello’s lead to ๐๐ฆ๐ช๐๐๐ฏ๐ ๐ฉ๐๐ ๐ฟ๐๐ฎ every day and not let our feelings of grief take over before the loss even happens. Above all, we are trying to take things one day at a time. We understand that at this point, Limoncello will have good days and bad days and that as her caretakers and family, we will have good days and bad days also.ย
The Struggle Is Real, But So Are The Blessings
Some days are truly a struggle. However, we truly have so many blessings in our lives … Here are just some from the past few weeks:
Support at the 2023 DockDogs World Championships
โThank youโ doesnโt even come close to expressing the gratitude we have. There is nothing – and I mean NOTHING like the DockDogs communityโฆ.
Our trip was filled with support, love, friendship and reunions within our dockdogs family. Iโm not sure where to even begin, as it is impossible to find the proper words to convey all that I feel. I don’t think that I am even capable of being a good enough person to figure out a way to thank everyone involved in helping our special girl ๐บ๐๐๐๐๐๐ ๐๐๐ ๐ซ๐๐ and make the most of the present ๐๐๐๐๐๐ก. To everyone who took the time to come up to us to tell us how happy you were that Cello was there โฆ you ALL turned an already-very-special-week into one-big-spectacular-๐๐๐๐๐๐ก that will forever be cherished and ๐ง๐๐ฏ๐๐ซ be forgotten.
We had less than 24 hours from the time we had Limoncelloโs exam to the time we had to leave for Iowa, not knowing if weโd be able to make the trip or not. Understanding there was a good possibility we weโd have to cancel the trip, I chose to only purchase the necessities- food for ourselves and the dogs – skipping the usual team shirts, banners, and trading cards…But our DockDogs family would not have that โฆ As a surprise, a friend had shirts made not only for us – but for anyone else who wanted to support Cello. It was so heartwarming to see all the Cello-yellow both at the competition and in posts from afar!!!
โฆ but that wasnโt allโฆ
…We arrived to the competition to find a sign and banner, and trading cards were made …
…Yellow bracelets were purchased, and lemon string-lights decorated our crate area…
…Yellow Super Fly suits were made for our team as well as others who chose to wear one in support of Cello…
…We were also gifted a custom handmade metal team sign…
…a friend and fellow Pointer Rescue, Org volunteer traveled many hours to come visit with Cello…
The kind and generous gestures overwhelmed our hearts and made this trip filled with moments that we will remember forever.
Grand Marshall of the 2023 DockDogs World Championships
Leader of the 2023 DockDogs World Championships Hero Parade
Visits from Family and Friends
Watching MLB Championship Series
Snuggles on the Couch
Halloween
Lemons and Yellow in My Social Media Feed Or sent to me from a Friend
I will continue to do periodic updates on Limoncello and appreciate all of the love and support you all continue to send for our special girl!
“๐๐ฆ’๐ณ๐ฆ ๐ข๐ญ๐ญ ๐ฎ๐ข๐ฅ ๐ฉ๐ฆ๐ณ๐ฆ!” โฆCelebrating the ongoing escapades, nonsense & absurdity this curious pack brings to us on a daily basis! Thank you all for joining us as we follow our pack down the many peculiar and exciting rabbit holes they lead us to- we are grateful for all the adventures! Happy Halloween from our Wonderland crew!
**We are especially thankful to be celebrating another Halloween with our packโs “Queen,” Limoncello. Cello update to come soon – thank you all for your patience.
I was fortunate enough to complete the 2023 Chase Away K9 Cancer 5K with our current cancer warrior, Limoncello, and our cancer survivor, Lager. Both dogsโ cancers fall under the head/neck cancer category.
Limoncello’s journey is going documented HERE. She has a tumor that encompasses her right nasal passage, right eye socket, and has reached her brain. Due to the location of the tumor, it’s size, Cello’s age and her heart condition, only holistic methods are an option. She was originally given a few weeks to a few months to live. As of today, she has vibrantly celebrated 4 weeks and 2 days since her diagnosis.
You can read about Lager’s journey through oral cancer by clicking HERE. Lager was first thought to have Oral Papillary Squamous Cell Carcinoma, but with further pathology testing, it was discovered that he had Canine acanthomatous ameloblastoma (CAA). He had a rostral mandibulectomy in October 2022, leaving him with only 1/4 of his lower jaw. Over a year later, he is living his best life and has not let his cancer journey or his surgery slow him down ONE bit! The photos below show Lager’s jaw before (in a much younger picture of Lager) and after (a current photo of Lager).
Margarita was a Lymphoma survivor. Despite taking a bite out cancer by beating Lymphoma, she was taken from us suddenly a couple of years later in June 2021 by Hepatocellular Carcinoma (HCC).
We walked this 5K in small increments and in honor off ALL canine cancer warriors – both past and present. Youโll see Lagerโs and Margaritaโs name on our shirt because at the time I ordered our race swag, we were unaware of Limoncelloโs diagnosis.
A dock diving friend participated in this 5K as well and we very much appreciate her walking for Cello and Lager!
Chase awash K9 Cancer is near and dear to my heart and is a division of the National Canine Cancer Foundation. For additional information about the National Canine Cancer Foundation, please visit www.wearethecure.org
This is one of my favorite photos: Brian and I along with fellow competitors doing a limoncello shot after a dock diving event. Photo Credit: KJ Photography
Whoah! Hold up, Cancer…Limoncello is calling the shots here!
October 6, 2023: Check-Up with Primary Veterinarian
Cello at her check up on 10/6/23
During Cello’s exam, I received both good and bad news.
The bad news:
There is a slight change in her skull on the right side. This is caused from the tumor spreading more in the direction of her brain and deteriorating the bone.
We will have to continue to watch for seizure activity.
Her right nostril that was previously partially blocked now appears to be completely blocked.
We will have to continue to watch for nosebleeds
The good news:
The left nostril is still clear and Cello continues to be able to breathe comfortably with her mouth closed.
Her right eye continues to appear to not be protruding as it once was, and is no longer weaping
No pain or discomfort was observed
Overall Dr. Campbell said that Cello looks good, all things considered
At this point, I was prepared to hear that it would be best for us to stay home. After Dr. Campbell was done with Cello’s physical, she asked me when we were leaving for our trip to the World Championship. I told her that we were only going if we got the thumbs-up from her after today’s exam, and that if we DID get the thumbs-up, we would plan to leave tomorrow. Dr. Campbell’s response: “So what time are you leaving?” … My eyes welled up, and the biggest, happiest tears poured down my face!
DockDogs World Championship,
Here come The Liver Killers!
Yes, some decline was observed, but not enough to hold back Limoncello from going on her trip. Overall she is doing exceptionally well. In fact, if you didn’t know her you would think she was just your typical senior dog. Of course we know that in the blink of an eye, something devastating could occur, and that we have to prepare ourselves for that.
Limoncello was originally given just a few weeks to a few months to live. We are grateful that as of today, Limoncello has given the paw to cancer for a blessed 5 weeks since her diagnosis. Beware, cancer….Limoncello is taking charge and calling the shots.
๐๐๐ฆ๐ช๐๐๐ฏ๐ the Day
Dogs are pretty amazing aren’t they? Regardless of what’s (sometimes literally) thrown at them, they live in the present and savor every moment. Despite being abused, neglected, and let down by humans, regardless of diseases that try to destroy their short lives… dogs not only carry on, they accelerate forward with gratitude, grace and enthusiasm ….without regret…without grudges…and without fear. For dogs, each day…heck – each moment – is an opportunity to seizesqueeze the day. So Brian and I are going to try our best to take a page from Cello’s book and do just that…
Brian and I are going to SQUEEZE every bit of this opportunity by doing our best to put aside our fears of the “what-ifs” of this trip and focus on the present – focus on our gratitude for the value of every second we are blessed with on this trip. Not only will we look forward to seeing Limoncello finish up her dock diving season on her own terms and in her own way, but we will also be extremely grateful to be with the community that Limoncello created for us. We will see friends who we often get to spend time with, we will be reunited with friends we have not seen since pre-covid, and we are hopeful to meet new friends as well! Best of all, we will have Limoncello competing as a cancer warrior and Lager as a cancer survivor.
Moments Become Memories…Memories Become Treasures
Some every day moments that made me smile, and some memories that I will forever treasure…
Still the Reigning Neighborhood Fun Police
Don’t think for a second that because Cello is a Cancer Warrior she has neglected her Yard Guard duties…and if you’ve dared to walk, run, or ride a bike by our house, you already know this first hand!
Daily Walks
Whiskey and Limoncello
Showing Cancer Who the REAL Beast is!
I was doing some indoor conditioning with Hooch and I heard Limoncello whining. Thinking she had to go outside to potty, I opened the door to the room I was in … and in runs Limoncello…enthusiastically barking at me and looking at the conditioning equipment! She wanted IN on the workout fun! She was so excited to participate…Beast mode!
Never Give Up Reminder
A key chain that was gifted to me on one of Porter’s Therapy Dog visits…so appropriate!
Lounging on the Couch
Limoncello’s favorite sleeping position:
Watching Phillies Games
One of our most favorite pastimes…made that much more special:
Personalized Painted Box
A very special person sent me this beautifully painted box. The likeness to Limoncello is spot-on! This artist is truly outstanding…the pictures I took of this box don’t even do it justice! I will forever cherish this personalized gift box!
Chase Away K9 Cancer’s Chase Away 5K
Both Lager and Limoncello completed this 5K in several outings with me. My shirt only has Margarita and Lager’s name on it because at the time I ordered my race swag, we were unaware of Limoncello’s diagnosis. Limoncello is sporting Margarita’s Chase Away K9 Cancer bandana.
First Day of Fall
Oh my gourd…it’s Fall y’all!
GSP Rescue Support
Li’l Biscuit Bar
I saw a post on Facebook that mentioned a dog bakery called the Li’l Biscuit Bar. Immediately I thought bringing Cello to the bakery for her to pick out some treats would make a nice memory. When I searched for the business’s page, I noticed that the town that was listed was only about 20 minutes from us. However, I couldn’t find an exact address. I sent a message to the Li’l Biscuit Bar. The owner, Dawn, replied that she is a mobile treat trailer and asked me how I heard about her and if I had an event that I would like to have her attend. I explained I was looking to take Cello to a bakery in an attempt to continue creating memories due to her terminal cancer diagnosis. Dawn said, “I’ll do you one better, and bring the bakery TO Cello!” But that wasn’t all Dawn did for our family…she bought a special “Cello” shaped treat and offered to donate 100% of the proceeds of that treat to a charity of my choice (of course I chose Chase Away K9 Cancer)! In just two hours, thanks to Dawn, The Medford Lakes Lions Club, EMM Loans, and amazing friends and family…we raised $500 for Chase Away K9 Cancer! Thank you do everyone who helped make this happen and to those of you who came out to the event!
Homemade Treats and Chase Away K9 Cancer Donation
A neighbor who heard about the Li’l Biscuit Bar event but couldn’t make the PAWty…so she gifted Cello some homemade biscuits of her own and a donation to the Chase Away K9 Cancer foundation!
Lemon Blanket and Drink Coaster
Love these two gifts from a family member!
Support from Chase Away K9 Cancer
Chase Away K9 Cancer shared our post…I had no idea that Chase had the same cancer as Cello.
Handmade Wooden Sign
A coworker of Brian’s had this sign specially made:
Yellow for Cello
The pack’s Aunt Jackie wore yellow two days this week for Cello and even had lemons in the backdrop in hopes for a good report during Cello’s check-up!
Duck-Duck-Jeep!
I had been feverishly packing in hopes that Dr. Campbell would give Cello the thumbs-up for the trip all while knowing it is a possibility we would not be able to go. And let me tell you – it has been quite a week…
Y’all, it is NOT easy to move 8 dogs and 2 humans half way across the country in a camper…but I have a routine at this point and usually I have all my ducks in a row. Not so much this time!
I was getting nervous – – not about the possibility of having to cancel our trip – – but knowing a thumbs-down to the trip by Dr. Campbell would mean Cello has declined significantly.
My head was in a million places as I sped down the aisles at ShopRite. As I exited after checking out, I saw a pretty green Jeep parked next to me. Immediately I was excited because I had just filled my Halloween Duck-It-Bucket with some cool Halloween themed ducks and I couldn’t wait to duck a Jeep with one. As I came around to my driver’s side door – – there was a glittery yellow (ok gold – – but I’m still considering it yellow!) duck sitting on Betty White! I’m sure any customers in the parking lot thought I was nuts when they heard me squeal with excitement as I took my new glittery friend and placed her in her new home on my dashboard! I was hoping this was a sign that we would get good news at Cello’s appointment. Of course I ducked the pretty green Jeep in return with one of my skeleton ducks!
Note on From Dr. Campbell on Invoice
Gift Box
The pack’s Aunt Jackie always seems to send a goodie box just at the right time! This amazing box of goodies arrived right after I got home from Cello’s appointment!
Please excuse any typos and choppy sentences…I put this together quickly because, well…. I’ve got some packing to do! Stay tuned on our Facebook page for daily updates as our pack makes their way out to Iowa for the DockDogs World Championships!
A part of never giving up means making the most of every single moment – – and in typical Limoncello fashion, she is schooling us on how to do exactly that….
Weekly PUPdate
We as humans have so much to learn from dogs…Dogs live each and every day with a sense of excitement…with a ๐ zest for life. They are resilient and move forward despite the challenges they face. Today marks three weeks-post diagnosis (8/30/23), and yet Limoncello continues to show pretty much zero symptoms outside of her right eye looking slightly larger than the left. Although that makes me happy, if Iโm going to be honest… I need to share that the past three weeks have been stressful to say the least. Upon diagnosis, Limoncello was given only a-few-weeks to a-few-months to live. I feel like this cancer has left us feeling much like we did when Porter and Jรคgermeisterโs seizures were not under control – itโs like living with a ticking time bomb โฆ never knowing when itโs going to โexplodeโ โฆ never knowing when that seizure or nosebleed is going to dreadfully emergeโฆWaking up each morning wondering if that day will be her last. Despite efforts to remain positive and have faith, the worries still find a way to slither their way into my mind, especially leading up to her 3-week check-up. However, I am (cautiously) relieved to share this week’s report!
September 19, 2023: Three Week Check Up With Primary Veterinarian
Limoncello saw our primary veterinarian, Dr. Campbell, on September 19th.
Observations I Shared:
Celloโs activity level, eating/drinking habits and behavior have not changed at all
Dr. Campbell was happy to hear this.
Cello has begun to sneeze periodically, which is new for her – but we were told to expect this, and luckily there has been no bleeding that has accompanied the sneezing
I thought I was crazy to think her right eye looked better than it did three weeks agoโฆ
Dr. Campbell agreed that she thought Cello’s eye looked better as well!
Evaluations DuringExam:
The following have had no decline/changes:
signs of discomfort
left nostril airflow (right nostril is blocked by tumor)
heart murmur
facial bones and skull
mouth, throat, and swallowing
right eye
My Questions:
When should see Cello be seen next?
suggested time frame was 2-3 weeks
Can we review what we are we watching out for?
seizures
discharge from nostrils
nosebleeds
swallowing with effort
snuffling
squinting
teeth chattering
Can we get a letter to submit to DockDogs so that we could request a reimbursement for Celloโs World Championship entry fees due to her medical condition?
When I heard the words come out of Dr. Campbellโs mouth, it took my breath away and immediately the tears began to flow: โI think you should go. She deserves one last jump.โ (Insert ugly crying here)! Dr. Cambell said that because Cello surprisingly did not show the decline that was expected in the last 3 weeks, it is highly likely there will not be a drastic decline in the upcoming next few weeks – although we have to understand that anything is possible of course. BUT, if sheโs doing well and feeling good, why not let her do what she loves โฆ revel in what she created for our familyโฆ and jump at the World Championship one more time?! Since Cello has had no decline and her exam went well, her previous restriction of not jumping off the dock has been lifted at the moment and for as long as it is deemed safe for her to do so.
If we go to the World Championships in Iowa, we take the chance of an emergency happening on the road, and although because of past experience, it has become one of our biggest fears, that emergency could (or could NOT!) happen anytime, anywhere. The last thing we want to do is just “sit around and wait” when we could be making the most of Limoncello’s enjoyable moments.
I will have to plan and pack as if we are going to the World Championship with the mindset of knowing we could have to cancel at any given moment – including less than 24 hours before weโd have to leave. Limoncello will have to remain asymptomatic and she will also have an exam again with Dr. Campbell on October 6th. If all goes well again at that exam, we will leave early on the morning of October 7th to what very well may be the most memorable and meaningful trip our team as a whole has taken.
I have done zero planning for the World Championships, considering we had already resigned to the fact that we couldnโt go…So we wonโt have new fancy team shirts, or cool trading cards for our pack, but what we will have is 2 of the greatest gifts of all: Limoncello making most likely her last jump while battling cancer, and Lager competing as a survivor. We have had some pretty amazing moments, awards, and accomplishments at the World Championships over the years, but THIS, my friends, will truly rival them all. No award…no nomination…no victory can or will ever fill our hearts with a greater sense of pride and gratitude than seeing Cello flipping cancer the paw and doing what she loves most…rockin’ the dock one last time! Fingers and paws crossed that we are able to make the trip.
The Best Thing About Memories is Making Them
A devastating diagnosis is a jolting wake-up call that reminds us that time is precious and not meant to be wasted. Live every day making every moment count. Even though cancer can eventually take loved ones away from us, the one thing it can never steal from us is our memories…so make LOTS of them. Here are some I made with Limoncello this week:
Bike Ride Around Town
Betty White’s First Off Road Adventure
Chillin’ on the Couch with Brother Hooch
National Cheeseburger Day
Visiting with Friends and Family
PUPpuccino
National String Cheese Day
With Gratitude
I am a true believer in the power of positivity – and it is extremely apparent that Limoncello is feeling the prayers and good vibes you all have been sending. Brian and I appreciate each and every one of you.
Here are a few gifts from this week:
Box of Sunshine
Care Box for the Whole Pack
Cello-Yellow Flowers and Cookies
No News is Good News
If Limoncello continues to do well, my plan is to post an update after her October 6th exam instead of a weekly update next week. Until then, please continue to send those positive thoughts Cello’s way, and don’t forget to keep making those memories with your loved ones!
Another week to be thankful for – – Limoncello continues to reveal no symptoms other than her right eye looking slightly irregular. Her eye does not look any worse, her activity level is normal, and she is eating and drinking as usual. Tuesday she will have a check-up with her primary veterinarian.
“We Don’t Remember Days, We Remember Moments“
~Cesare Pavese
I never really thought about it…but you never know when you are making memories, do you? Limoncello’s diagnosis made me realize that without even being aware of it – everything we do in our daily schedule is a live recording of memories-in-the-making. It’s easy to get wrapped up into social media and focusing on “post-worthy” events/photos/videos that often overpower other important moments in life. Sometimes life is just to busy to realize that everyday activities that appear to mean nothing at the time, actually turn out to mean EVERYTHING when a devastating diagnosis is delivered. If there is even a positive that can come out of a situation like this, it’s that it sure does make you slow down and focus on being grateful for the routine things that tend to go unnoticed because they become ordinary, unremarkable activities…it makes you appreciate each and every moment in your day – because all those little things…all those non-post-worthy moments…are about to become the most important and significant memories you’ll have with those you love…
Memorable Moments Made This Week
Lake Time
We were given the “go-ahead” to let Limoncello swim in the lake if she enters at her own will. Although we will miss tossing a toy for her, we are grateful that she can still enjoy one of her most-loved activities.
Family Visits
Limoncello is enjoying being the center of attention when visitors come to see her.
Breakfast at Evergreen Dairy Bar
Any M. Night Shyamalan fans out there? One of his latest movies, “Knock at the Cabin” was filmed extremely close to us here in the Pine Barrens. One of the scenes towards the end of the movie was shot at one of our favorite breakfast and ice cream spots: Evergreen Dairy Bar. For the movie, Evergreen’s name was changed to “Angie’s Roadside Diner.”
Limoncello enjoyed a scrambled egg with bacon.
Pointer Piles on the Couch
Shopping at Tractor Supply
Walks Around the Neighborhood
Dollar Tree Find
I stopped into a dollar store for something totally unrelated, and my eye caught something yellow! Brian and I always enjoy a glass of wine at the end of each night. These lemon themed wine glasses will help us remember to toast to Cello each night
Cheering on the Philadelphia Phillies
Porch Sittin’
Car Ride Around Town
Thank You For Accompanying Cello On Her Journey
Good company on a difficult journey … it lessens our fear and fills our minds and hearts with the hope, faith, and courage needed to uphold the strength needed to support Limoncello with a positive tone and light spirit . We deeply appreciate the kindness, support, and love that our friends, family, and community continues to offer during this difficult and uncertain time. Your post comments, private messages, and phone calls help to ease our stress and brighten’s Limoncello’s days. Your support is a majority of the fuel that keeps us going strong on this difficult path. Thank you all…for everything.
Limoncello Profile Pictures
Friends changed their Facebook profile pictures in support of Cello.
Surprise Chewy Box!
Another Surprise Chewy Box!
Dock Diving Friends Jumping for Cello at Their Dock Diving Competitions
Collection for Chase Away Canine Cancer
Chase Away Canine Cancer is an organization that is near and dear to our hearts. This organization was created in memory of a canine dock diving competitor named Chase. Chase Away Canine Cancer’s passion and commitment is to improve the prevention, diagnosis and treatment of this terrible disease.
It’s The Memories We Make with Others That Are Forever Written In Our Hearts
When I began this blog about 10 years ago, it was meant solely to be a collection of all memories that were created with Limoncello. What it has become is far more than I ever imagined. It’s by no means a “famous” website – what I mean is that this blog has not only held each and every memory that Cello created in our lives, it has also become a means to help others by sharing information and experiences. It has been a gateway into a whole new family of amazing people and pups that I am now connected with – all because of Limoncello. My mission is to continue to help as many people and pups as I can as I promote my compassion for animals, share activities that strengthen the bond between humans and their fur-kids, and document experiences with our pack.
I am disappointed in myself for falling behind on this blog, (about 2-plus years behind to be exact!) …but writing about Limoncello’s recent diagnosis as prompted me to remember the whole reason I began this journal of posts in the first place: to share all the memories that have been gifted to me by Limoncello – and now ALL of my fur-kids. Itโs important to me to be able to look back on just how blessed I am to be spending a part of my life with each and every special 4-legged angel included in this blog, and it has become even more important to me to have a diary of adventures and experiences that can easily be accessed to help others when needed….whether it be as simple as sharing a dog friendly establishment, or offering support with documented information on diseases and injuries that PAWrents find difficult to navigate through.
So I apologize in advance for any of you who subscribe directly to the blog for the abundance of email alerts that (hopefully!) are to come as I try and buckle-down, back-date posts, and publish “missed memories” in an attempt to catch the blog up to date.
Bucket List A Medley of Memories in the Making
There’s nothing wrong with making “Bucket List”… In fact, I think it’s actually a great idea…but when I decided to create a list for Margarita, I chose to call it an Adventure List because “Bucket List” had me more focused on the fact she was dying, instead of concentrating on celebrating her LIVING days . Although I was blessed to have completed 8 out of the 10 adventures before she had passed, it wound up adding to my heartbreak that the list remained with “adventures that would never be”…
…So when Brian and I spoke about doing some extra special things for Limoncello, we decided that a spontaneous Memories in the Making would be a nice choice. Instead of making a list and stressing out about trying to complete everything on it, each day (or each week), we will choose to do something special with Limoncello. That “something” could be as simple as individual time of sitting with her on the couch or the porch, or as elaborate as a planned overnight trip. Whatever hits us as a good idea in-the-moment will be the memory that makes the list. The list will be ongoing…in the making…until Limoncello decides it is her time to cross the rainbow bridge.
1 Week Post-Diagnosis (August 30, 2023)
It took us a quite a few days to get our heads on (somewhat) straight….but even still, we managed to squeeze quite a bit into the last week! Due to schedules and life getting in the way at times, we know we won’t always be able to create such an abundance of memories each week, but we are grateful for the memory-packed week that we had with our special girl!
August 31, 2023
Sun bathing and neighborhood walk
September 1, 2023
Watching the Phillies game with brother Hooch
September 2, 2023
1/2 mile hike at a local park
Picnic in a local park
September 3, 2023
Making a memory box.
I save special items throughout each dog’s life. I have the items in basic cardboard boxes until I make a “fancy” box for each dog. Although this was not the situation that I wanted to prompt me to do Limoncello’s memory chest, I am glad it is finished and that all her special things are inside for us to cherish always. I bought the box at Joanne Fabric store, did a pencil transfer of Limoncello’s name, used a wood burner to burn her name into the wood, then stained it with “Lemon” (yes, that was the actual name of the color!) tinted stain by Minwax (so excited that I found stain that can be colored!!)… and lastly, I put a couple coats of clear polyurethane over the stain to protect it.
September 4, 2023
Pool PAWty
From the time Cello was a puppy, she loved to just lay and chill in a baby pool and would often try to lay in any puddles she could find along our walks!
When life gives you lemons…make limoncello (literally).
It has been quite a while since a batch of Tommy D’s Limoncello has been made. A batch has now been started and we plan to try and always have some on-hand from this day forward.
September 5, 2023
Duck, Duck, Jeep with cousin James
Cello got ducked with her very own stuffie-duck, and off we went to duck some Jeeps!
September 6, 2023
Ice Cream
“I’ll stop the world and melt with you.” This week’s heat wave was a great opportunity to have a cold treat. Our local ice cream shop, Sand Stand, offers dog-friendly pup cups! It was dark by the time we got there today, so the pictures aren’t the best but it sure was fun to watch her enjoy her ice cream!
We May Not Have A Lot of Ammunition, But We Surely Are Not Going Down Without at Least Trying to Defend Cello
I’m going to be honest…I had a lot of anger with this diagnosis…A LOT. I couldn’t fathom how this cancer took over so much of Limoncello and went undetected in bloodwork and in our daily observations….how she is otherwise healthy aside from this vast tumor taking over half her head. I don’t ever like to accept the notion that there is nothing we can do….but I had to also come to grips with the devastating diagnosis at hand. Through tears of sadness and anger I realized it is my reality that I cannot save the sweet soul who single-handedly rescued us…that’s a hard pill to swallow.
We may not have a lot of ammunition, but we surely are not going down without some kind of a fight…even if that “fight” is geared more towards defending Cello with the only options we have. We will battle daily for Limoncello to be sure she is happy, content, and comfortable for all of her remaining days. We will fight to prolong her quality of life.
Our goal at this point is to support Limoncello’s immune system with anti-tumor, anti-cancer, and antioxidant benefits. In conjunction with the traditional medications Cello is on (Gabapentin and Carprofen), the finalized list of holistic options we chose to incorporate for Limoncello (with he help of her medical team of course) are as follows:
Organic turkey tail mushrooms
Antioxidant properties, boosts gut health, and known to have cancer-fighting properties
Yunnan Baiyao
helps to control bleeding
Pet Wellbeing’s Life Gold
Immune system support and antioxidant protection for dogs with cancer
helps to boost the immune system and aids in reducing inflammation. The lauric acid in coconut oil is also known to have anti-cancer properties.
Support from Others is Not Just an Important Thing, It’s EVERYthing
The outpour of support has been absolutely amazing. Brian and I appreciate every post comment, phone call, gift, text, and private message. This just makes us that much more grateful for Limoncello, who is responsible for the fact that we have this huge community of support and love.
Our Primary Veterinarian
I’m sure everyone thinks their vet is the best… but honestly…OUR VET IS THE BEST! Dr. Campbell is the most brilliant, caring, compassionate (and most patient!) person I know. With each issue that arises, we learn so much from Dr. Campbell. We always have (a ton of!) questions and we are so grateful for the time, efforts, and love this saint-of-a-woman provides to our family!
Care package
Great friends of ours, who we met at Limoncello’s first-ever dock diving competition, recently lost their amazing dog to cancer. Limoncello received a box filed with some items that helped our friends’ pup when he was on his cancer journey.
Visitors and Cello-Yellow Flowers
Family members stopped by to spend some time with Cello and each brought a bunch of Cello-yellow flowers.
Connected to Author Penny Miller for Holistic Approach Advice
A great friend, who I met through Instagram in sharing Cello’s DCM diagnosis, connected me with this author, who contacted me directly to share her advice on hospice care and holistic options.
Card Expressing Support
Close friends – you guessed it – we met because of Limoncello – – sent a card of support even though they check in with us regularly. We are truly blessed!
Shots of Limoncello at the Competition We Had to Skip
We received a video from great friends at the competition in Ohio doing a shot of limoncello for Limoncello. As we watched the video, we smiled….and we cried… what an amazing group of people! We were so upset not to be there. Friends sent us pictures and videos all weekend long to make us feel like we were right there with them as we cheered them on from New Jersey. This group of people right here is the true meaning of community. Limoncello prompted us to get involved in dock diving…and having our DockDogs family in our lives has been life-changing for us. We are forever grateful!
Session with an animal communicator
What an amazing gift! We have never done something like this before. An absolutely awesome couple we were fortunate enough to meet through Limoncello thoughtfully and generously gifted us a session with an animal communicator whose expertise is having insight into the physical body (medical intuition). Our session was extremely cathartic during this very difficult time.
A Lemon Themed Mani-Pedi for Cello
An amazing friend had her manicure and pedicure done …Limoncello style in an effort to spark up both conversation and more prayers for our girl!
With sincere gratitude: Thank you ALL for the love and support you continue to extend to Limoncello, and to our family
There is no easy way to put this, and no back-story to tell…as this all happened so suddenly. This week it has been discovered that Limoncello has an inoperable mass that encompasses the entire right side of her headโฆincluding her eye socket & nasal cavity. It has deteriorated bone, including breaking through the cribriform plate and extending to her brain. Due to the vast size, locations of the mass, Celloโs age, and her Dilated Cardiomyopathy, surgery and treatments such as chemo, radiation, or CyberKnife are not options.
There were zeroโฆ ZERO signs. Limoncello had been playing in the yard, swimming, going on walks, eating normally, acting normally and had no abnormalities in her physical features โฆ She had her annual cardiology exam just a couple of weeks ago and not only did her cardiologist give her a gleaming report, a comprehensive bloodwork panel returned with near perfect results. โฆZERO signsโฆ until…about a couple of weeks ago when I noticed that Celloโs right eyelid looked a bit โdroopy.โ In the following days I noticed that the third eyelid was elevated. She was seen by our primary veterinarian, Dr. Campbell, just days after the observation with our thought being that she somehow irritated her eye, or had an infection. At this point, we noticed that her eyeball now seemed to be protruding. Dr. Campbell examined her and placed her on antibiotics in the event she may have an infection/abscess behind the eye. We did discuss the possibility of a retrobulbar mass. Dr. Campbell suggested that we secure an appointment with an eye specialist as soon as possible.
August 29, 2023: Ophthalmologist Appointment
Luckily we were able to schedule an appointment on 8/29/23 with Dr. Shelby Reinstein, board-certified ophthalmologist at Vet Vision Center, located about an hour from our home. Upon exam, Dr. Reinstein ruled out two of the three common eye socket abnormalities: (1) an abscesses (infection), and (2) cellulitis (inflammation)โฆ.with all her observations leading toward a retrobulbar tumor (mass in the eye socket). Dr. Reinstein also noted that now Celloโs right nostril had decreased airflow. It was recommended that we get a CT scan to see exactly what we are dealing with.
Note: the growth on her left bottom eyelid has been deemed in the past to be benign and not bothersome
August 30, 2023: Appointment with Internal Medicine Doctor and CT Scan
Cello arriving to Blue Pearl for her CT scan
We were fortunate to get an appointment the very next day with the internal medicine doctor who has cared for both Margarita and Porter in the past. On 8/30/23 Limoncello was examined by Dr. Peter Chapman at Blue Pearl Pet Hospital in Levittown, PA, who also agreed that all signs pointed to a mass that was most likely malignant. A CT scan was performed that afternoon that revealed the suspected mass behind Celloโs eye was only the tip of the iceberg. Bones are deteriorated, her right nostril is mostly blocked, and not only does the mass encompass the entire right side of her head, it has broken through the cribriform plate and has reached her brain. Due to the initial findings during the CT scan, we opted not to obtain a biopsy. Using a scope to secure a biopsy would have been too invasive and we did not want to put Celloโs body through any more stress. In addition, it was taken into consideration by both us and Celloโs medical team that no treatment options meant that unfortunately a biopsy would not provide us with any additional beneficial information.
We are still waiting on the finalized results from the CT scan. We have been told that it could take a couple of days to a couple of weeks for us to receive it. We are reluctantly anxious to read the report… Although we want to learn every detail that we can, we also know that it may not provide any positive news.
(Left): One of the images from the CT scan. View is from the back of Cello’s head. (Right): Shows the approximate extent of the mass that is visible
We are grateful that doctors determined Cello is not yet in any pain or discomfort. With all traditional treatments off the table, Cello will be closely monitored until she lets us know she is ready to make her journey over the rainbow bridge. Doctors have given us signs to look for which include but are not limited to: recurring nose bleeds, seizures, difficulty eating, and labored breathing. Cello will also have regular check-ups with our primary veterinarian, Dr. Campbell. The time she has left with us is unknown but it is only estimated to be anywhere from a couple of weeks to a couple of months.
No Options for Traditional Treatment Plans…So What Do We Do NOW?
To say we are completely shocked and devastated is an understatement. Again – there have been ZERO signs. Cello is otherwise healthy – she displayed no symptoms – and we now have no way to try and stop this. We feel powerless with no options to help her. Aside now from the look of her right eye, you would never know she had a mass that took over the entire right side of her head. She is eating and drinking normally, her breathing sounds typical, she is still bossing the pack around and is physically active.
I have never been one to ever accept hearing “there is nothing we can do.” When protecting our fur-kids, we NEVER go down without a fight – but how do you battle something that has already won? We are by no means surrendering, but it seems this silent killer has left us with no choice but to focus our efforts on helping Cello live her remaining days to the fullest.
Cello will begin some medications and supplements to help support her through her remaining time. Supportive measures will be introduced slowly and in stages. The start of her schedule will look something like this:
Immediately:
Gabapentin
anticonvulsant drug used to treat chronic pain caused by certain cancers. It is also used to prevent seizures
Carprofen
a non-steroidal anti-inflammatory drug (NSAID)that has been known to relieve the pain associated with certain cancers and reduces swelling and inflammation.
In 7 days:
Yunnan Baiyao
helps to stop bleeding, provides pain relief, and helps to reduce inflammation
In 14 days:
CAS Options or I’m-Yunity
supports immune health
In addition to the above, Cello will have coconut oil added to her diet. Coconut oil helps to boost the immune system and reduce inflammation. It contains lauric acid, which has also been known to have anti-cancer properties.
We are doing our best to push the anger and sadness away and to shift our focus to ensuring that our actions and demeanor are positive and hopeful, as we know that Cello will feed off of our energy. We know that we are blessed to have had Limoncello in our lives for 12 years when so many other dogs and PAWrents have been less fortunate. Although it is difficult to see it that way in the moment, above all for Cello’s sake, we will find the strength to remain positive and celebrate any and all additional time with her that we will be blessed with. She has led us on so many amazing journeys that we would never have embarked on had it not been for her – now it is our turn to walk beside her on this new and difficult path. We intend to make every second count and ensure that every day is viewed as a chance to make a new memory that will be cherished always.
The Well-Being of Our Pack
There is no doubt Limoncello is our pack’s leader. There are two pack members in particular who are extremely bonded to her. They look to follow her every move, and when they aren’t in motion, they are laying intertwined with her. We have already begun putting methods and schedules into place in hopes to make their transition a bit less difficult when the dreaded shift in their pack and home occurs.
We originally had a dock diving trip planned for this weekend that we canceled. We wish all of our friends a successful weekend as they strive to obtain invitations to the DockDogs World Championships. We will be cheering you all on from NJ. As you know from the past – we have an “All for one, one for all” mantra for our pack. As of now, all future long-distance dock diving trips/competitions for our team are on hold so that we may focus on celebrating time with Limoncello, remain in close proximity to her medical team, and center our attention on the well-being of our pack during this difficult time.
August 31, 2023
Limoncello enjoyed sunbathing in the yard and a walk in our neighborhood.
Our Sincere Gratitude
Comfort fooddropped off to our house by great friends
Friends and family have already offered support on so many levels…post comments, private messages, phone calls, texts, dropping off comfort food, offers to cancel plans and spend the weekend with us…all reminders of just how truly blessed we are to have you all in our lives – and for the majority of you – it’s Limoncello we have to thank for leading us to cross paths with you in the countless adventures she has taken us on. We are so appreciative for all of you, and would ask that you please continue to offer up those prayers and send along those good vibes for Limoncello.
You may be a part of our boy, but you surely donโt define him. This boy kicked you to the curb, earning titles and excelling in obedience, trick training and dock diving.
Jรคger is proving to the world that dogs with Epilepsy not only can can have a good quality life, but can also beat you at your game and ๐ฝ๐๐๐โ๐๐โ. You are ๐ง๐จ ๐ฆ๐๐ญ๐๐ก for our boy’s resilience.
Our efforts: Relentless.
Our faith and hope: Endless.
We wonโt give up. We wonโt give inโฆ๐ฌ๐ฝ๐ฌ๐น.
We are beyond grateful to be able to celebrate this important day with our boy, and fully understand that there are dogs and families who are less fortunate. We will continue to fight each and every day for the warriors of the past and present in hopes that one day all dogs can live seizure-free.
Note:ย this post is back-dated. I am currently attempting to catch up on many missed memories that I failed to post over the last 2-3 years). I appreciate your patience as I attempt to bring my diary of โspecial moments with my dogsโ up-to-date!
Dear Epilepsy,
You may be a part of our boy, but you surely donโt define him.
You ๐๐๐๐๐ ๐ก succeeded in the battle you picked with Porter. After recovering fully from his Status Epilepticus episode, not only did he ๐๐โ, he is thriving and paying it forward by helping others.
Porter is proving to the world that dogs with Epilepsy not only can can have a good quality life, but can also beat you at your game and ๐ฝ๐๐๐โ๐๐โ. You are ๐ง๐จ ๐ฆ๐๐ญ๐๐ก for our boy’s resilience.
Our efforts: Relentless.
Our faith and hope: Endless.
We wonโt give up. We wonโt give inโฆ๐ฌ๐ฝ๐ฌ๐น.
*********************************
We are beyond grateful to be able to celebrate these days with our boys, and fully understand that there are dogs and families who are less fortunate. We will continue to fight each and every day for the warriors of the past and present in hopes that one day all dogs can live seizure-free.
Our wild-child, ๐ต๐๐๐๐๐๐๐๐๐๐๐, is 6 years old today!
Jรคgermeister came to us an owner-surrender in 2020 due to his epilepsy. He has kept us on our toes and challenged us in every way possible โฆbut there is not a day that goes by that he doesnโt make us laugh! His energy is outrageous and his enthusiasm is contagious!
2 cups organic wholewheat flour, plus extra for sprinkling on cannolis
1 1/2 Tablespoons organic ground cinnamon
1 organic egg – large
1/2 cup organic unsweetened plain almond milk
1/4 cup organic extra virgin coconut oil, melted
1 Tablespoon organic honey
Filling
1/4 cup all-natural organic creamy peanut butter – room temperature (** Do NOT use a peanut butter with Xylitol (also called birch sugar) as it can be deadly to dogs)!
1/2 cup Organic plain Greek yogurt
Instructions
Preheat oven to 350ยฐF
Line a cookie sheet with parchment paper
In a large bowl, add the flour & cinnamon and mix well. Set aside
In a small mixing bowl, add egg, milk, coconut oil and honey and mix well.
Pour wet ingredients into dry mixture. Mix well using your hands. You can add more almond milk if mixture is too dry or more flour is mixture is too sticky.
Roll out dough to aprox 1/4″ thickness and with a 3-4โ circle cookie cutter (I used the lid to a mason jar that was 3.5โ) make circles in the dough.
Wrap the circle of dough around the handle of a wooden spoon to form the cannoli shape, putting one side of the dough onto the other and pressing firmly so it sticks together. Slide off end of wooden spoon and place on parchment lined cookie sheet.
Bake at 350ยฐF for 20-25 minutes.
Cool on a wire rack or allow to cool in the oven for a crunchier cannoli.
Filling: mix the peanut butter and yogurt with a spoon. Fill a piping bag with filling. When cannolis are completely cool use the icing piping bag to fill the cannolis
Sprinkle some whole wheat flower over top of the cannolis to give them a โpowdered sugarโ look.
1/4 cup organic peanut butter (**Do NOT use a peanut butter with Xylitol [also called birch sugar] as it can be deadly to dogs)!
1/8 cup organic extra virgin olive oil
1 TB organic honey
1/2 cup plain organic unsweetened applesauce
1/2 cup organic pumpkin purรฉe (***Be sure to use pure pumpkin, not pumpkin pie filling)
1 organic large egg
Organic nonstick cooking spray
Frosting (Optional)
1/2 cup organic plain nonfat Greek yogurt
1/4 cup organic peanut butter (**Do NOT use a peanut butter with Xylitol [also called birch sugar] as it can be deadly to dogs)!
Can be doubled to make more icing depending how thick you you want apply it to the cake
Instructions:
Preheat oven to 350ยฐ F.
In a large bowl, combine flour and baking soda.
In a separate bowl mix together extra virgin oil, honey, peanut butter, applesauce and pumpkin purรฉe until well combined.
Add in egg and mix well.
Combine wet and dry ingredients and stir until combined.
Pour mixture into an 8″ square or round pan that has been sprayed with non stick spray. (I chose to use a bone shaped cake pan that you can purchase HERE)
Bake for approximately 25-30 minutes or until a toothpick inserted into the center comes out clean.
Allow cake to cool completely on a wire rack prior to removing from pan.
When cake is completely cooled, add frosting if you choose.
16 oz fresh wild caught salmon (cooked, de-skinned and de-boned
1 organic egg – beaten
3 TB organic cottage cheese
1 cup organic plain breadcrumbs
1 organic carrot – finely diced
1 stalk of organic celery- finely diced
1/2 to 1 TB fresh organic parsley- finely diced (this measurement is for fresh parsley- adjust accordingly if using dried parsley)
Instructions:
Preheat oven to 350 Fยฐ
Break up /shred the salmon into pieces and remove any pieces of skin and any bones you find. I used my hands to feel around for bones, then used a fork to break up the salmon further.
In a medium sized mixing bowl, add the salmon, egg, cottage cheese and breadcrumbs. Combine well with a fork.
Add the finely chopped carrot, parsley and celery.
Use hands to mash/mix/combine. Mixture consistency should be the same as if you were making meatballsโฆ.not too dry – not too sticky.
Press mixture into a small loaf pan and bake at 350 Fยฐ for 30-40 minutes, OR until center is cooked through and top is golden brown.
Cool on a wire rack. Then slice into sections to serve to your pup!
Freeze slices for up to 2 weeks if not using right away. As with any other treat, always feed your dog portions in moderation.
Happy 9th Birthday to Windy Spotโs Homemade ๐๐ผ๐ผ๐ฐ๐ต!
HOWWWWW is it possible that you are NINE?! It seems like it was yesterday when we brought you home at 8 weeks old!! With not a gray hair to be seen (any white you see are original markings) and your never ending energy, you are our forever puppy! You may not be fond of most other dogs, but you are so lovable to every human you meet. You keep us laughing each and every day with your silliness! You have taken me on so many grand adventures with dock divingโฆ. And I look forward to many more memories and adventures with you! We love you, Hooooooooooch! Happy birthday, buddy!
๐๐ซ๐๐๐ค๐๐๐ฌ๐ญ: Egg Cups with a side of cheesy sweet potato hash browns (pictured separately because I forgot to include them in original photo), strawberries and clementines
1/2 box (8 ounces) organic whole wheat spaghetti (can also use organic buckwheat or chick pea spaghetti)
1 firmly packed cup of finely chopped organic spinach leaves
1/4 cup grated Parmesan
2 tablespoons organic extra-virgin olive oilย
For Assembling:
1/3 cup grated Parmesan
2 tablespoons organic whole milk
1 large organic egg
Organic olive oil, for drizzling
Organic baby spinach (fresh)
Fresh mozzarella balls
Directions:
Preheat the oven to 350โ . Spray the bottom and sides of four 4-inch-diameter springform pans with non-stick cooking spray.
Cook pasta until slightly tender but still firm, stirring occasionally, 8 to 10 minutes. Drain the pasta and place in a large bowl. Add the spinach, cheese, and oil. Toss well until the spinach is wilted. Set aside to cool.
For assembly: Beat the Parmesan, milk, and egg together in a large bowl until smooth. Pour the sauce over the spaghetti mixture until well combined. Twirl 1/2 cupfuls of the spaghetti mixture around tongs or a large fork and transfer to the prepared pans. Make an indentation in the middle of each nest of pasta and drizzle with olive oil. Bake 15 minutes. Let cool 10 minutes before removing the sides from the pans. Remove the bottoms of the pans from the nests using a thin spatula.
Place a bed of spinach leaves on a small plate. Place the spaghetti nests on the spinach leaves. Place 3 balls of fresh mozzarella in each nest and serve.
1/3 cup organic all-natural creamy peanut butter (no salt/sugar added and xylitol free) at room temperature
1/2 cup organic shredded carrots
1 Tablespoon organic honey
Frosting:
(1) Potato- 7 ounces – peeled, and boiled until very soft – then cooled
3.5 ounces organic cauliflower florets – steamed or boiled until very soft, and then drained and cooled
3-5 tablespoons organic unsweetened coconut milk
(1) container (5.3 oz) of plain yogurt (unsweetened)
Toppers:
Dry kibble
Organic shredded carrots
Instructions:
CAKE:
Preheat the oven to 350ยฐF.
Grease a small round springform pan. Set aside.
In a bowl, mix the eggs, peanut butter, honey, and shredded carrots. Add baking powder
Pour the batter into the pan and bake on the center rack of the oven for 15-22 minutes or until a toothpick inserted in the center comes out clean.
Keep the cake in the springform pan and let cool for 20 mins on a wire rack. Then remove from springform pan and allow to cool completely.
Cut cake lengthwise into two layers
FROSTING:
In a food processor, blend the potatoes, cauliflower, and yogurt. Add the milk gradually. Continue to add more milk in order to make the icing creamy and spreadable. After I finished with the food processor, I used a fork to mash any remaining solid pieces and to whip the frosting.
Assembling the Cake:
Spread half the frosting on the top of the bottom layer
Add the second cake layer on top, and then frost the top of the cake
Decorate the cake with shredded carrots and your dog’s kibble
Organic pumpkin purรฉe (100% pure pumpkin NOT pumpkin pie filling)
Instructions:
Preheat oven to 425 degrees Fahrenheit.
Line a baking tray with parchment paper and spray a thin layer of non-stick spray to the parchment paper (I used organic coconut oil non-stick spray)
Use a food processor to finely ground or โriceโ the cauliflower until you have 3 cups worth.
Cook the 3 cups of finely ground cauliflower until soft
Using cheesecloth to drain the cauliflower, removing as much as water as possible.
Transfer the drained cauliflower into a bowl and add 1/2 cup of shredded mozzarella cheese, 3 tablespoon of shredded parmesan cheese, and 2 large eggs. Mix all ingredients well.
Spread the cauliflower pizza dough onto the parchment paper and form a circle . Bake until golden
Once cauliflower pizza dough is finished baking, add all pizza toppings and bake for 3-5 mins or until cheese is melted.
I spread a layer of pumpkin on the crust first instead of tomato paste
Then I added cooked chicken and broccoli
Last, I topped the pizza with organic shredded mozzarella cheese before putting it back into the oven
Allow pizza to cool down and serve a piece to your dog!
Whiskey definitely had a tougher time with her left knee compared to the surgery and recovery of her right knee. Prior to the appointment I had been in touch with her surgical team to let them know that she was still favoring her left knee at times and that the lymph node in her rear left leg was enlarged. Whiskey also still needed to be on Gabapentin twice a day to minimize the limping on her left side. On May 4th, Dr. Morris examined Whiskey and felt that overall she looked great. Whiskey was using both of her back legs without hesitation during the appointment, but still had some swelling along her left incision. The lymph node behind her left knee was still enlarged, but Dr. Morris said she is hopeful this will resolve on its own as the swelling continues to improve. Whiskey also had X-rays done which did not display any sign of infection, and showed that her bone has completely and appropriately healed.
Home Care Instructions:
Unlimited leash walking- allow off leash for about 5 minutes after each walk
Figure 8 Circles, to the left and the right, trotting/ running speed
Trotting or running in a straight line- no sharp cuts or turns
Short retrieves
Whiskey can return to her normal activity level at the end of 2-3 weeks of gradual increases.
Whiskey’s first time off-lead since February 1, 2023
May 8, 2023
Despite how well Whiskey’s final check-up went, swelling at the incision suddenly seemed to have increased, a sore had formed, and Whiskey was limping a bit more.
Left knee:
Left knee (left) in comparison to the right knee (right):
View of both knees:
I shared my observations with Whiskey’s surgical team, who was very responsive and extremely supportive. After reviewing the photos and videos that I had shared, Dr. Morris decided to put Whiskey on a round of antibiotics. If the swelling, sore, and limping does not improve upon the completion of the antibiotics in two weeks, Whiskey will have to return to Dr. Morris for a re-examination.
Whiskey began taking Cefpodoxime Proxetil on May 8th. We are hopeful that by at the end of her antibiotic regimen, the overall condition of Whiskey’s left knee will have improved. The conclusion of Whiskey’s antibiotic schedule happens tofall on the Feast Day of Saint Rita! (Saint Rita of Cascia (Born Margherita Lotti) is the patron Saint of impossible causes and bodily ills). I will be praying to Saint Rita for relief and healing for Whiskey.
April is Oral Cancer Awareness Month. This is an annual observation that emphasizes the fact that early detection of oral cancer can increase long-term survival.ย This observance is a great opportunity to highlights the importance of making oral cancer checks a part of your dog’s teeth brushing routine.
What Are The Signs?
Some of the signs of oral cancer may be:
oral pain
loose teeth
visible lump or mass inside of the mouth
swollen areas of the face
reluctance to eat
weight loss
bad breath
excessive drooling
bleeding from the mouth
trouble chewing
Not all of the signs above may be obvious at first. Your best defense is to check your dog’s mouth regularly. Below is a guide from Chase Away Canine Cancer on how to check your dog’s mouth for signs of cancer.
Click HERE to see the full guide on how to check your dog’s entire body for cancer.
Our Oral Cancer Warrior
Although his profile may have changed, Lager’s excitement for life and of quality of living has not. Lager has adjusted well to hisrostral mandibulectomy and is eating his regular food, picking up toys, grasping small objects, doing all of his favorite activities… and even trying new ones! Lager was very fortunate that his oral cancer did not spread to any other part of his body. I fully understand that Lager is one of the lucky ones to have been deemed cancer-free after his rostral mandibulectomy, and I intend to pay that forward by trying my best to spread awareness, educate others on how to check their dog for cancer, and by doing anything I can to support fellow PAWrents who find themselves on a similar journey with their fur-kid. If you or anyone you know wind up on the same difficult path, please do not hesitate to reach out to me.
They say every path in life has a bridge and the journey is crossing it. Personally, I prefer to take the long route and avoid bridges altogether. Crossing bridges really takes a “toll” on me, as I have a huge fear of overpasses… like heart-racing-sweaty-palms-death-grip-on-the-steering-wheel-kind-of-fear…. and forget about looking over the railing while crossing. I despise driving over large bridges and dislike walking over them even more. However, despite the panic that I feel about driving and walking over these structures, I do think they are all beautiful and they do truly intrigue me – especially the covered ones!
Cry Me a River, Build Me A Bridge… And GET OVER IT!
Although covered bridges were once popular in the Garden State, NJ currently only has two remaining. Having lived in New Jersey my whole life, I was surprised to have learned that our home state had two of these magnificent structures that I had never seen…so last week, Limoncello accompanied me on a road trip to see (and drive over/through) both of them!
New Jerseyโs Covered Bridges
March 28, 2023: Scarborough Bridge
Located in Cherry Hill, NJ, this bridge was built in 1959. It has two lanes as well as 2 sidewalks for pedestrians.
We drove through the bridge (once in each direction). There was ample safe parking nearby, so I pulled over and Limoncello walked with me to the bridge to take some photos. It was awesome to see up close!
March 30, 2023: Green Sergeant’s Covered Bridge
Built in 1872 and located in Stockton, NJ, this structure is New Jerseyโs oldest (and longest) covered bridge and can be found on the National Register of Historic Places. This bridge is only one lane, so an adjacent bridge was built to accommodate traffic on both directions. I did turn around so that we could drive in the opposite direction over the adjacent bridge but there wasnโt any safe areas to pull over to take pictures with Cello.
Both Bridges were beautiful to see in person… and best of all, I got to spend some one-on-one time on the road with Limoncello!
Note:ย this post is back-dated. I am currently attempting to catch up on many missed memories that I failed to post over the last 2-3 years). I appreciate your patience as I attempt to bring my diary of โspecial moments with my dogsโ up-to-date!
March 26th is Epilepsy Awareness Day (Also known as Purple Day). This day aims to increase everyoneโs knowledge of this neurological condition affecting so many people and pups worldwide.
My hope is that through continuously sharing posts about Jรคgermeister and Porter, I will help change the face of Canine Epilepsy with the intention of dispelling common myths and fears people have about โEpi-dogs.โ
Those of you that have been following Porterโs journey know that the path traveled is not always an easy one. There have be numerous rocky roads Po has encountered, but heโs conquered them all. Jรคgermeisterโs journey on the other hand has been much less challenging. Regardless of the course the dogโs epilepsy chooses, the incredible bond that is formed between these pups and their humans is unmatched.
Epilepsy does NOT hold a dog back from enjoying life. Jรคgermeister competes and excels in dock diving, holds several trick and obedience titles, runs 5kโs, and hikes. Porter loves walking, hiking, visiting dog friendly establishments, and going for rides in his bike cartโฆ and heโs signed up for his first official Fast CAT this April!
Sharing is caring and knowledge is keyโฆ so learn more about Epilepsy, know the signs of a seizure and what to do, and spread the word that despite a diagnosis of Epilepsy, a dog can live a healthy and happy life. As the awareness about Canine Epilepsy increases, so does the number of โEpi-dogsโ that will be saved!
Join the Purple Day movement:
Learn more about epilepsy.
Show your support by wearing purple.
Donate to research on epilepsy.
Know the signs of a seizure and what to do.
Epilepsy impacts the central nervous system causing seizures and other symptoms. The types of seizures vary depending on the cause and type of epilepsy. Seizures can range from mild โpartialโ or โfocalโ seizures to generalized โtonic-clonicโ or โgrand malโ seizures.
Although in some cases a cause may not ever be found, some known causes of epilepsy include:
Dr. Morris said that Whiskey looked great today and that her incision has nearly fully healed. Whiskey is using her leg without hesitation and Dr. Morris is very pleased with her progress.
Goals next 6 weeks
Maintain stifle stability, improve muscle mass and range of motion
Home Care Instructions
Whiskey’s incision has healed so she no longer needs to wear her E-collar. However, Whiskey has been trying to lick this incision (last surgery she did not attempt this) so we may need to replace the E-collar if we note that Whiskey is licking excessively at the incision site since scar tissue is weaker than normal skin and may be more prone to trauma.
Whiskey will need to continue to be restricted to leashed walking only; no running, no jumping for the next 10 weeks.
No off leash activity outside.
Continue leash walking program with gradual increase in duration:
Week 2-3 after surgery: 5 minute intervals 3 times per day
Week 3-4 after surgery: 10 minute intervals 3 times per day
Week 4-6 after surgery: 15 minute intervals 3 times per day
Week 5-8 after surgery: 20 minute intervals 3 times per day
Begin post-op rehab exercises
Elevated Stance
Sit-to-stand
Backwards Walking
Figure 8’s
If increased fatigue, soreness or discomfort is noticed with increased walks, we are to revert to previous level of activity and begin again from there.
Whiskey cannot exceed 20-30 minute intervals until x-rays confirm appropriate bone healing.
Medications
Gabapentin will be continued for at least 1 more week as activity is increased, and then discontinued or used as needed.
Trazodone will be continued on an as needed basis to enforce exercise restriction.
Follow up
Whiskey’s next recheck appointment is scheduled for May 4, 2023. At that time, x-rays will be obtained in order to ensure adequate bone healing prior to allowing her return to normal activity.
Fixing Pains, Taking Names, Making Gains
I’m relieved that we are back in the swing of Whiskey’s PT program. Whiskey had been getting antsy and was definitely ready to get moving again! The next 6 weeks we will be knee-deep in PT working hard and hoping our efforts will result in a positive report during her next evaluation on May 4th!
People laugh when we tell them we drive hours away from our home โjust to have our dogs jump in a pool.โย DockDogs has been so much more than a competitive sport to us and our pack.ย This organization has blessed us with an extended family consisting of THE most amazing people and pups that you will EVER meet.ย Although there are countless reasons we are grateful to be a part of this community, The B.A.A.R.K Foundation is among the top.
We were able to save Lager’s life and obtain some financial relief because of the The B.A.A.R.K. Foundation, a 501(c)3 organization run by volunteers of the DockDogs community.ย The Foundation promotes community spirit, compassion and support of the DockDogs family by playing a leading role in making grants that enable and strengthen the DockDogs community when members have fallen on hard times. This foundation was truly a life-saver for us and for one of our 4-legged family members. Below is an account of our family’s story that we agreed to share with The B.A.A.R.K. Foundation for them to post publicly on their website.
โAsking for help is never a sign of weakness. It’s one of the bravest things you can do. And it can save your life.โ (Or in our case, our dog’s life)
โ Lily Collins, Unfiltered: No Shame, No Regrets, Just Me
Photo Credit: Precise Image Creations
Lager is a retired Contracted Working Dog under the State Department (War Zone name: Nayt), having served 18 months in Iraq as an Explosives Detection Canine at the U.S. Embassy in Baghdad. We adopted Lager at the age of three in 2015 when he returned to the United States.
At the time of the situation, Lager had been competing in DockDogs for about 7 years. We were driving in our camper on the way home from a World Championship qualifier Labor Day weekend 2022. It was then that I noticed a rather large mass in Lagerโs mouth, located behind his lower left canine tooth. Upon our return home, Lager had surgery to remove the mass and obtain a biopsy. Pathology reports showed not only was the mass malignant, but the type of cancer that was detected tends to be extremely locally invasive.
Lager saw an oncologist and went through a day of testing including an abdominal ultrasound, x-rays, needle biopsies, and bloodwork to be sure that the cancer had not spread to other areas his body. Luckily, there had been no sign of metastasis. He then saw an oral surgeon who informed us that Lager would need a rostral mandibulectomy (a large portion of his lower jaw had to be removed to obtain clean margins from this locally invasive mass).
Although Lager was 10 years old at the time of his diagnosis, he surely does not act like a senior-aged dog. We joke that he is the real-life Tigger as he bounces around and is happy and excited about every little thing. He had so much life left to live and is one of the most motivated dogs we have known. Although the thought of a mandibulectomy was terrifying, we knew in our hearts that he would not let anything hold him back from enjoying life, so getting him healthy again was a must.
Photo Credit: KJ Photograpy
Even though our 5 competitors had received multiple World Championship Invitations that we had already accepted and paid for, we canceled our trip to the World Championship knowing we would need the extra time and finances to appropriately care for Lager. We canceled any upcoming camping trips we had planned and opted out of Holiday gift exchanges with friends and familyโฆbut unfortunately that wasnโt enough to get us through.
We have been members of the DockDogs community for about 9 years. We have donated to the B.A.A.R.K. Foundation and were very familiar with the assistance the foundation has provided to fellow competitors. However, considering we have always carried insurance for our dogs and consistently had positive experiences with reimbursements, we never imagined having the need to reach out to B.A.A.R.K. for help. 2022 turned out to be a very tough year for us financially. When Lagerโs medical bills totaled over $12,000 we were shocked, but at the same time confident, thinking we could rely on our insurance to provide an 80-90% reimbursement as we have received in the past. However, Lagerโs insurance only covered a miniscule amount of the total. We were not financially prepared to be responsible for such a large bill and were completely distraught.
We began researching other insurance companies and reluctantly reached out to Tina from the B.A.A.R.K Foundation and explained our situation. I say reluctantly because we had never been in this type of situation before, and even knowing it was our last resort, we felt embarrassed to ask for help. In the past we had been fortunate to have been the ones donating and providing help to others in charity organizations. I am so thankful that we decided to contact B.A.A.R.K. Brian and I were brought to tears by how kind, compassionate, and understanding Tina was during our conversation, as the call was not an easy thing for us to do.
Brian and I are forever grateful to The B.A.A.R.K. Foundation and the DockDogs community for their support during such a difficult time in our lives. We plan to pay it forward through spreading the word about the foundation, offering donations in the future when we are able and encouraging all members of the DockDogs community to give to B.A.A.R.K. in whatever capacity you can. If you cannot donate to the foundation, please consider volunteering in other ways or helping to collect donations at competitions. You just never know when you or a fellow community member will need assistance with medical expenses.
Thank you B.A.A.R.K. and our DockDogs family โ this is truly THE best community. We are proud to be members and grateful that our dogs have connected us to the most amazing group of people anyone could ever wish to have in their lives.
Lager’s new profile post-surgery
Thank you from the bottom of our hearts.
~The Liver Killers: Jenny and Brian Beadling and our 8-pack of Pointers
Click HERE to see our story posted on the B.A.A.R.K Foundation’s website.
A Note About Pet Insurance
When asked to share my advice in getting insurance for your dog, my answer is always “absolutely insure your dog if you can afford to do so.” However, even BETTER advice is to make sure to do your research and talk to others with experience in insured fur-kids when considering companies.
We had insurance policies with a particular company who changed hands and in turn, changed their coverage and their quality. They dropped coverage of teeth cleaning and their plan put a (smaller than I expected) cap on each individual diagnosis. When Lager was diagnosed with oral cancer, it became glaringly apparent that we should have changed insurance companies long ago when found ourselves left with a huge bill we were not prepared to pay. I blame myself for not being on top of things enough to realize that our insurance coverage was inadequate before it was too late. We have since been working on switching insurance policies for the dogs who don’t have a laundry-list of pre-existing conditions.
This post is not meant as a sounding board to bash insurance companies. It is meant to highlight and commend The B.A.A.R.K. Foundation as well as a plea for others to protect themselves and their fur-kids as best as possible by researching, speaking with others, fully understanding insurance policies before committing, and knowing when it’s ok to ask for help.
Irish lass full of sass ~๐ณ๐๐๐๐๐๐๐๐๐
When Irish eyes are smilingโฆ theyโre usually up to something~๐ฏ๐๐๐๐
Lucky Motha Fluffa ~๐ณ๐๐๐๐
Who needs luck… I have charm ~๐พ๐๐๐๐๐๐ (Still recovering from TPLO #2 โฆ so we just decorated her Fish Fortressย ย as to keep her as calm as possible)
Kiss me, Iโm Arfish ~๐ท๐๐๐๐๐
Zero lucks given ~๐ฑ๐๐๐๐๐๐๐๐๐๐๐
Therapy dogs accompany their owners to volunteer in settings such as nursing homes, assisted living facilities, rehab facilities, mental health institutions, schools, hospitals, cancer centers, hospice facilities, and college campuses …just to name a few! No matter what the setting, therapy dogs and their handlers work together as a team to improve the lives of other people.
It is important to note that therapy dogs are not service dogs. Service dogs are dogs who are specially trained to perform specific tasks that a person cannot perform on their own. An example of a service dog is a dog who guides an owner who is blind, or a dog who assists someone who has a physical disability. Service dogs have special privileges in public places such as on planes, in stores, and in restaurants, etc. Therapy dogs do not have the same special access as service dogs.
How Did Some of My Dogs Become a Therapy Dog?
Not every dog has the right temperament for therapy dog work. Once I determined that the dog has good manners, and would react positively to being touched by strangers, I began the process of becoming a member of a therapy dog organization and started the testing process.
The T/O tested me on the ATD rules and regulations.
The T/O did a temperament test on my dog to make sure that they have good manners and react positively to being touched by strangers.
The T/O monitored me and my dog during three visits to facilities where my dog and I had to successfully interact with strangers in therapy-like settings. During these supervised visits, the T/O instructed me and gave me advice and guidance while observing me and my dog in action.
Once my dog and I passed all parts of the test, I submitted the membership fee and necessary paperwork to ATD
Which Dogs Make Good Therapy Dogs?
ANY breed can be a therapy dog! To become a therapy dog, a dog must:
be at least one-year-old
have a calm and gentle disposition
be good around other dogs
be calm when strangers pet them all over, and must not jump on others
walk on a leash without pulling
remain confident and calm around strange noises, smells, and medical equipment
be able to follow basic commands and listen to their handler
General Benefits of a Therapy Dog
Brings joy to others
Takes a personโs mind off of problems, pains and worries
Prompts people to open up and share their emotions
Encourages people to communicate with others
Lowers stress levels and blood pressure
Rekindles memories of past pets
Benefits of Therapy Dogs in Schools
Therapy dogs have countless benefits to offer to students of all ages! The following information is from the ATD website:
Socio-Emotional Benefits
One of the most significant impacts that therapy dogs can make in the classroom is studentsโ socio-emotional development. Besides their training, therapy dogs bring their lovable and loving characteristics. These friendly companions are good listeners and offer great companionship and an audience to children without making any judgments.
Students can bond readily with therapy dogs, feeling more connected and confident. Studies show that this helps reduce negative behavior in children. Spending time with dogs also helps improve childrenโs mental well-being. There is intense pressure on children in school environments. Therapy dogs help children learn social skills, preventing social isolation.
Interaction with therapy dogs has also been found to cause a social catalyst effect, and this further helps improve the stimulation of social behavior. The relationships between the dogs and students help develop trust in children, and such children are also more likely to develop a broader capacity for empathy.
Cognitive Benefits
Besides positively impacting childrenโs emotional well-being, therapy dogs also contribute to cognitive development. Some of the key benefits of interacting with therapy dogs are as follows:
Improved reading skills
Enhanced executive-functioning skills
Stimulating memory and problem-solving skills
Studies show that the very presence in an educational environment tends to improve the areas of attention, concentration, relaxation, and motivation. This helps in reducing stress levels that would otherwise affect proper learning.
Relevant Research Studies
According to a 2019 National Institute of Health study, the presence of a dog in a classroom can help promote a positive mood. The study also recorded the notable anti-stress effects on the body of students.
Another University of California study involving canine reading programs made another exciting discovery. Students participating in a program experienced their reading fluency increasing by 12% to 30%.
Questions?
I’d be glad to help if I can! Please do not hesitate to reach out to me with questions or concerns you may have.
On March 12, 2023 Lager did a very special hike in honor of K9 Veterans Day with his best gal pal, Ellie.
Veteran’s Park is a 333 acre park built in 1977 in honor of Hamilton, NJ’s veterans. The park offers many walking paths, picnic grounds, and athletic fields. We completed a 4.1 mile hike on mostly paved paths as we explored the various memorials throughout the park.
The Hike
M-60-A3 U.S. Army Combat Tank
U.S. Army Ah-1F Cobra Attack Helicopter
Military Working Dog Memorial
U.S. Air Force F-4 Phantom II Jet
9/11 Memorial
Memorial for the Men and Women From Hamilton Township, NJ Who Served in the Armed Forces
Anchor and Two Missiles from World War II Battleships
Well…more like plates and screws…Today Whiskey had TPLO surgery on her left knee. I’m not sure why, but I was even more nervous this time around!
The surgery was performed at Mount Laurel Animal Hospital by Dr. Morris. Whiskey’s drop off time was 7am so we arrived a few minutes early so that she could visit her farm friends before being admitted for her procedure.
7:00 am: Check-In
Here we go!
Whiskey was a good girl (for the most part!) while in the waiting area after we checked in.
8:00 am
Once I got back home, I did a deep cleaning of the Fish Fortress so that her recovery area was super clean and ready for her arrival home.
8:55 am: Surgery
Whiskey was induced under general anesthesia and X-rays were obtained. She was taken to surgery, where she was confirmed to have a partial tear in her cranial cruciate ligament. Her meniscus was normal. A tibial plateau leveling osteotomy (PLO) was then performed without complication. Whiskey received an injection of a long-lasting numbing medication along her incision during closure to aid in post-operative comfort.
12:00 pm: Recovery
Whiskey recovered smoothly from anesthesia.
3:00 pm: Will Work For Food
…Specifically chicken! Whiskey schmoozed chicken from her Aunt Amanda after surgery.
3:20 pm: Potty Time
Whiskey post-surgery soaking up some sun on this beautiful sunny day.
3:30 pm: Post-Surgery Selfie
Hanging out with her Aunt Amanda after a post-surgery snack and walk. Our friend, Amanda, is the Nursing Supervisor at Mount Laurel Animal Hospital.
4:30 pm: Pick-Up
After the first surgery on her right knee, Whiskey walked out of the hospital on her own. This time, she was reluctant to walk at all or to put any weight on her left knee. She had to be carried out to the car. This is understandable and expected because Whiskey’s right knee is still in the process of healing. Whiskey will be a bit more unsteady this time around, so we will have to be extra cautious and take things especially slow.
Home Care Instructions
Incision Care:
Whiskey’s incision will need to be monitored daily for excess draining, redness, swelling or discharge. Bruising is expected at the incision site and it should progress thru the healing phase as it changes colors. Any bruising that spreads in surface area will need to be documented with photographs and reported to the hospital staff.
A cold pack will be applied to the incision area 2-3 times daily for 5 minutes for the first 3 days following surgery.
The incision will not be covered and will be kept clean and dry
Whiskey is not allowed to swim or be bathed for the first 2 weeks following surgery to allow the incision to heal.
Seroma formation is common with knee surgery. A seroma can present as swelling around the ankle, the joint below the incision. This is where edema from the surgical site will settle over the first 10 days post-op. It will feel like a fluidy sac. Applying a warm compress to the area for 5 minutes 2 to 3 times a day and gently massaging the area will help.
E-Collar:
Whiskey will be wearing an E-Collar at all times when not directly supervised.
Many patients are able to reach around inflatable donut collars or soft cones. As a result, it is recommend to use a hard plastic cone unless Whiskey is being directly supervised because if Whiskey is able to access her incision, she may be at increased risk of complications such as infection or dehiscence.
Exercise Restrictions:
For the next 14 days, Whiskey will be confined to her Fortress and activity is restricted to short (less than 5 minutes) leash walks in the yard only to go out to the bathroom…then it’s back to her Fortress.
Whiskey must always be on a leash when outside.
Whiskey is not allowed to run, jump, stair climb or play with other dogs.
A sling will be used to support Whiskey while walking.
Medications
Carprofen (Rimadyl)
This medication is a non-steroidal anti-inflammatory medication used for pain control.
Gabapentin
This medication is used to target neuropathic pain.
Trazodone
This medication is used as needed to keep Whiskey calm.
Codeine
This medication is a opioid derived medication used for pain control.
Whiskey is expected to increasingly put weight on the operated leg over the next 2 weeks so that she is at least touching the toe to the ground by the time she goes to her two-week check-up appointment. By 6 weeks post-op, Whiskey is expected to be comfortably weight bearing on her left leg. Full recovery can take up to 3 to 6 months once Whiskey is allowed to resume her usual activities.
Last week Whiskey was tapered off of all meds for pain and sedation. She tolerated it well! I kept her PT exercises the same since the pain meds were being stopped, but her walking routine increased by five minutes each session to three walks a day at 10 minutes a piece.
This week marks 4-weeks post-surgery and we once again kicked her PT sessions up a notch. Along with the exercises Whiskey began at her 2-week post-surgery mark, I added in some tug in addition to backwards walking instead of using it as an alternative, and also introduced cavalettis. Whiskey’s three walks a day also increased to 15 minutes per session. She is tolerating all of this just fine, which is great because surgery number two on her left side is less than a week away – March 6th!
Whiskey’s schedule at Week 4:
Tug
Controlled “tug” is a great way to encourage use of hind quarters during recovery.
Cavalettis
Cavalettis during rehab strengthens muscles involved in knee flexion (bending), increases range of motion in the knee joint and helps to ensure stiffness in the joint does not occur.
If you are setting up cavalettis for your dog, here is a general guideline on where to set the poles:
Pole Spacing
Measure your dog at the withers. Then set the poles at the same distance apart as your dogโs height at the withers. For example, if your dog is 22 inches tall at the withers, space the poles 22 inches apart.
Pole Height
Set the poles at a height that is equal to half your dogโs hock height. For example, if your dogโs hock measures 6 inches from the ground, set the poles no higher than 3″ high. For the purpose of rehabbing Whiskey’s knee, I set the poles on the ground at first to get her acclimated to them, and then set them at 2 inches.
*Adjusted from original guidelines at cleanrun.com
Intro to cavalettis
Cavaletti practice
Look Ma, No Sling!
Whiskey has been walking, doing her exercises, and using stairs without any assistance.
Stairs
Stairs (down)
Stairs (up)
Walking
Walking at 4 weeks post-surgery
Walking at 4 weeks post-surgery
Care Package
A very special someone sent Whiskey a โGet Well Soonโ package! Yummy treats and the most PERFECT Benebone ever…a fish! Whiskey worked extra hard during her PT for the treats and was occupied all night with the Benebone fish! Such perfect gifts – and so thoughtful and generous! Thank you from the bottom of our hearts!
We adopted Martini (Tini) from Pointer Rescue, Org. She arrived on July 10th, 2021. Unfortunately, Tini’s past left her with some deep rooted fear. She was so terrified that she could not function through daily life activities. She would release her bladder, bowels and anal glands almost simultaneously at the sight or sound of someone. If I attempted to do training, she would shut down at the sight of equipment, a leash, my hand signalsโฆ even treats.
It was beyond difficult to exhaust every option in my power to try and convince Tini that she was safe with usโฆjust to fail over and over againโฆ to see my 4-legged family member shudder in fear in her own home was heart wrenching. In March 2022, Brian and I finally realized that lessening Martin’s fear was beyond our capabilitiesโฆWe needed helpโฆ. and LOTS of it.
We sought the advice and expertise of a Behaviorist. On March 7, 2022 Martini was evaluated by Dr. Shana Gilbert-Gregory at Mount Laurel Animal Hospital. Dr. Shana diagnosed Martini with an extreme case of Global Fear. Global Fear dogs suffer from distress and anxiety caused by animate, inanimate, and situational fears, or a combination of all. It is often impossible to determine all circumstances to which a globally fearful animal may react. Dr. Shana has been so patient and kind, and her expertise in behavioral medicine is outstanding. In the last year, Tini has trialed over 10 medications and numerous combinations and doses of each. Although we observed progress along the way, it was painfully slow and included roadblocks, plateaus, and setbacks (Dr. Shana prepared us for this). Martini attended “Happy Visits” at Mount Laurel Animal Hospital, and had a re-eval on November 21, 2022. At that re-eval, I was defeated. I inquired about taking Martini off of her medications – wondering if we would ever find something that would allow her to have the quality of life she deserved….maybe we just had to resort to the idea that Tini was going to be like this forever? Dr. Shana advised against stopping any medications, and suggested that we trial another drug. Just days later, and before we had made any changes in her medication, I began to observe some breakthroughs. Could it be? I emailed Dr. Shana and she told us to sit-tight and see how things develop over the next few weeks. In the weeks following, I continued to see progress! Then… another plateau. Dr. Shana adjusted the dose of her current drugs again, and more headway was made!
Just recently, Martini has made even MORE wonderful progress. Lately I saw her becoming more and more comfortable in an upstairs room in our home, and she specifically used the bed in this room as a safe place. (The bed has recently been taken off of its frame for our dog, Whiskey, who is recovering from surgery). When I saw the confidence within Tini while in this room, I figured Iโd give training another go. I decided to use the bed as her “place” in lieu of a Klimb. If I didnโt see it with my own eyes I would have never believed it – but she didnโt shut down – in fact she had fun, and she learned each task QUICKLY… 593 days / 1.6 years later, SHE DID IT!!
Tini completed the necessary 15 points as she mastered eleven Novice Level tricks & two Intermediate Level trick (each worth 1 point) and one Advanced Level trick (worth 2 points).
Tricks Submitted for the Novice Title:
The video is not perfect by any means – but it is surely one of THE happiest, proudest moments I have ever had! Congratulations to Pinelandsโ Perfect Half-Pour: Martini! HUGE thanks to Dr. Shana… Martini is on her way to living the life she deserves and showing the world her fun personality – she would not be at this point without Dr. Shana and her staff!
Why Trick Training?
Trick training can mentally and physically stimulate your dog. It can help build the dog’s muscle tone and stamina. The tasks can also increased flexibility, balance and concentration. This type of training also tends to boost a dog’s confidence and strengthen the bond between human and dog. …and best of all…IT’S FUN! If you are interested in trick training, I am a member of an amazing trick dog group on Facebook run by one of the most kind, patient and knowledgeable people I know. I’d be glad to help you get started…you won’t regret it!
Whiskey received a wonderful get-well package on February 10th with the cutest purple toy and super yummy treats! She was SO very happy! This could not have arrived sooner, as Whiskey is starting to get a bit tired of confinement- this made her day – and ours!
Weak in the Knees For You: Valentine’s Day
I do annual holiday photos with our pack, but all the dogs know that when the photo backdrop gets set up, yummy treats are to follow…and that causes much excitement. I decided it was best if Whiskey did not participate in the Valentine’s Day photoshoot. Instead, I decorated her Fish Fortress (recovery pen) using a couple of photo backdrops.
It’s Going Tibia a Good Day: Two Week Post-Surgery Check Up with Dr. Morris
February 16, 2023
Assessment:
Dr. Morris said that Whiskey looked great! Whiskey’s incision has healed appropriately, she is using her leg consistently, and she was not reactive to palpation of her plate.
Medications:
Carprofen
dosage schedule is complete
Codeine
dosage schedule is complete
Gabapentin
will be continued for 1 more week while her activity is increased, then will be discontinued.
Trazodone
on an as needed basis to enforce exercise restriction.
Supplements to continue long-term
Dasuquin Advanced
VRS Omega Benefits
Restrictions
Whiskey may NOT do any of the following:
running
jumping
playing with other dogs
off leash activity
stairs (unless on a leash and speed is controlled)
Goal and Instructions for the Next 6 weeks
Goal
Maintain stifle stability, improve muscle mass and range of motion
Home Care Instructions
Whiskey’s incision has healed. She no longer needs to wear her E-collar. However, she may need to wear it again if she begins licking excessively at her incision site.
Although we can stop using the sling for assisted walking, Whiskey will need to continue to be restricted to leashed walking only; no running, no jumping for the next 10 weeks. We will also need to watch closely for lameness in either of her hind legs.
No off-leash activity outside.
Begin leash walking program with gradual increase in duration (NOTE:If at any time increased fatigue, soreness or discomfort is noticed with increased walks revert to previous levelof activity).
Now through Feb 19 / Week 2 post-surgery: 5 minute intervals, 3 times a day
February 20-26 / Week 3 post-surgery: 10 minute intervals, 3 times a day
February 27-March5 / Week 4 post-surgery: 15 minute intervals, 3 times a day
New Knee, No Cone…Who Dis?!
Whiskey was given the all-clear to be cone-free AND sling-free! Her first cone-less / sling-less post-op walk was around the grounds of Mount Laurel Animal Hospital to visit some of the farm animals.
Whiskey’s first post-op walk on the street
Follow up
Whiskey is tentatively scheduled for surgery on her left knee on Monday, March 6.
A Joint Effort: Rehab Exercises
In addition walking program, Whiskey also is also starting an exercise program. Exercises can be used in conjunction with walks as a warm up or a cool down. Together and with Whiskey on a leash, we will be practicing the rehab activities:
Elevated Stance
Have dog stand on a step or foam pad (I used a Klimb). Make sure both back legs are even.
Hold for 30-60 seconds
perform one time a day weeks 2 to 6 post-op
Sit to Stand
Sit dog with affected leg close to a wall (I used the back of our couch). Note if your dog uses both legs evenly. Drop treat in front of your dog to encourage them to stand up.
Repeat 3 times
perform three times a day
Backwards Walking
Using a treat near your dog’s nose, motion towards the dog’s tail. Reward when the dog offers one step back, gradually building up to several steps. Lower your hand if your dog sits instead of backing up.
back up for 6 to 10 feet and repeat 2 times
perform once a day
Figure 8’s
Use 2 objects (e.g. cones, milk jugs, buckets… I used folding step-stools) to encourage your dog to make a figure 8 in both directions. Make each figure 8 two times the length of your dog.
Repeat 3 times
perform before each walk
Luckily I had all of the items on-hand from doing conditioning and training with our pack, and Whiskey was already familiar with the commands and activities she had to perform.
You Can’t Spell Party Without PT: Whiskey’s Rehab Activities All-in-One Video
Git ‘Er Done
I made a checklist to print out to help keep me on track with Whiskey’s schedule.
We are hopeful that if we follow Whiskey’s rehab plan as directed, she will be ready for her second surgery on March 6!
Happy Doggone Valentineโs Day from The Crazy Eights! Which pup would you CHEWS to be your Valentine? Each pup left captions on their photo to try and FETCH you up as their Valentine!
You looking for an Alpha dog? If so, Iโd CHEWS you for my Valentine. ~LimoncelloIโd never keep you on a short leash. ~HoochI’ve only got eyes for you! And squirrels… And sticks… And dog butts… Andย dog poop… ~LagerIโll be your Tramp if youโll be my Lady. ~JรคgermeisterYour doghouse or mine? ~Whiskey (recovering from TPLO surgery #1)Iโll sniff your butt if you sniff mine. ~PorterDid you achieve โBest in Showโ? Because you sure are a winner to me. ~MartiniAre you tired? Because youโve been running through my mind all day. ~Lillet Blanc
Despite an increase in his Thyro-Tab (Levothyroxine) daily dose, Porter’s coat had been increasingly thinning and a thyroid panel showed low T4 (1.1) , low FT4 and low TSH. Our primary veterinarian suggested that at this point it would be a good idea to see an Internal Medicine Specialist.
Porter hangs out under the desk of the Internal Medicine Department’s nurse (pic taken by the nurse)
The Exam:
Dr. Klag noted that it is difficult to interpret Porter’s prior lab results, as the TSH level would typically be high with hypothyroidism. Dr. Klag explained that he cannot eliminate the possibility of the multiple drugs Porter is on for seizures having an effect on his coat and thyroid hormone measurements. At this time, Dr. Klag is not certain that Porter has true hypothyroidism and is also not convinced that the thyroid is the cause of his alopecia.
Dr. Klag’s plan is to increase Porter’s Thyro-Tab (Levothyroxine) dose in an attempt to get Porter’s T4 into the target region (3-4 ug/dl) to see if this has any effect. If in two weeks after the medication increase Porter’s T4 is not in the target range, then Dr. Klag would discount hypothyroidism as a cause of Porter’s hair loss and consider tapering him off the thyroid supplement.
February 14, 2023: Lab Results
The Good News:
Porter’s overall lab results looked good and his Albumin level is normal (it had been at abnormal levels in the past).
The Not-So-Good News
Although Porter’s T4 had risen to 2, Dr. Klag would want to see Porter’s T4 level at a 3 or 4. Dr. Klag had us increase Porter’s ThyroTab daily dose once again. In two weeks, Porter will have another T4 blood test. At that time, Dr. Klag will make a decision on what path we take.
Porter during his Internal Medicine exam at BluePearl, Levittown.
Next Step
Porter will begin his Levothyroxine increase this evening (2/14/23). He will have his T4 level tested again in two weeks on 2/28/23.
The Barclay Farmstead is comprised of 32 acres and was built in 1816 by a Quaker farmer named Joseph Thorn. It is now owned and operated by Cherry Hill Township.
Porter completed this 0.66 mile hike with our friend Heather and her pup, Kayla.
One week ago today, (2/1/23) Whiskey had her first TPLO surgery on her right knee. I am happy to report that she is still doing very well! Her incision and surgery sites both had normal progression and she is tolerating wearing her cone as well as her confinement.
In this post I included a photo of the incision as well as a rear-view photo from each day over the last week, as well as some videos of Whiskey progressing with using a few stairs and walking (with a lift sling in place in case she stumbles). A lift sling is especially important for Whiskey since she has a tear in her left knee as well.
Day 1: Thursday 2/2/23
She slept well her first night and only woke up once at about 4am to go out to potty. Swelling and bruising had started around the incision.
Day 2: Friday 2/3/23
Morning:
Evening: Bruising was at its worst tonight.
Day 3: Saturday 2/4/23
Today the Nocita was due to wear off. Nocita is given for postoperative pain relief. It is a long-acting local anesthetic that provides up to 72 hours pain relief and helps preventย increasing pain during thetransition period from the epidural given before surgery to the oral pain relievers we administer at home. We saw absolutely no change in Whiskey – she was in good spirits and did not display any signs of pain. The bruising looks much better already this morning.
Day 4: Sunday 2/5/23
One of her mini walks around the yard today:
Today I took the bed frame and headboard away so that the mattress was on the floor. The mattress is 14 inches high so I put a child safety guardrail on the far side of the bed as well as the foot of the bed so that Whiskey can’t fall off. Runners were placed at the exit side to help with traction when Whiskey is able to get on/off the bed independently.
Whiskey is learning to navigate the stairs. She is allowed to try up to 5 stairs as long as she has her lift sling to assist her.
This was a 1.2 mile hike located in Haddonfield, Camden County, New Jersey. Lillet Blanc and I completed this trail with my friend Heather and her dogs Kayla and Ellie.
February 2, 2023 …The First 24 Hours: We Made It! (Phew!)
I have to admit, even with having a great friend on the surgery team to prepare me and guide me through the surgery procedure, I was still SO nervous about… well… EVERYTHING! However, the first 24 hours have gone much better than I expected! Whiskey slept well the first night until about 4am this morning when she needed to go out to potty. She has been calm, tolerating confinement, eating well, willingly taking her medications, having normal bowl movements and urinating regularly.
Pimp My Crib Fish Fortress
Once Whiskey was in her recovery pen, I noticed that she was having trouble repositioning herself on the bed I had placed inside the area. It seemed that the bed was a bit too small for her to safely maneuver herself. I also observed her shivering. After I had taken her out to potty again at 7:30am and gave her breakfast, I knew changes had to be made.
Whiskey enjoyed “breakfast in bed” before the “renovations” began.
Immediately following breakfast, The Pimp My Crib Fortress Crew did an on-the-spot makeover (it’s me… Hi.. I’m the crew, it’s me…) I changed out the dog bed for a bigger one, and added a heavy blanket “wall” to block cold drafts from our ancient cabin’s exterior wall. I also added a “bed comforter” … a Pointer themed blanket that is on the human bed Whiskey normally sleeps on and also included one of the bed pillows because she loves to sleep with her head on the pillow. I felt these items would have a familiar smell and comfort her.
Lastly, I performed some surgeries of my own and “de-squeaked” a few larger stuffy survivors from Christmas to help block out cold drafts as well as to provide padding against the wire walls of the pen. (Squeakers removed so that the stuffies didn’t squeak while Whiskey leaned on them or played with them โฆ in an attempt to avoid a whole-house riot when the others hear the squeak and realize THEY don’t have a toy!
Whiskey in Good Spirits
Whiskey has been alert, wagging her tail and even felt well enough to nom on some of the stuffies!
Whiskey seemed to approve of her upgrades and was much more settled after the “renovations.”
Invest in Rest
Lights out! Sleep gives the body time to repair itself so we kept Whiskey’s area as quiet as we could.
Visiting Hours
Some of the pack visited Whiskey throughout the day. All of the dogs except for Jรคgermeister have been respectful of visiting hours. Jagermeister has decided heโs just going to bark at Whiskey so he has been banned from visiting for the time being โฆ I think he is a bit put-off that he doesnโt have nice digs like Whiskey! Haha!
Incision Check
A quick check-in with our friend AmandaโฆWe sent her a photo of Whiskey’s incision and she told us that it looks normal for 24 hours post surgery.
๐ถAll The Pretty Girls Walk like This, This, This, This, This๐ถ
Whiskey is supposed to take a 5 minute or less leash walk around the yard a few times a day to keep her right leg moving. A lift-sling is used just as a precaution for support – but only if needed so that Whiskey can naturally rehab her leg and learn to walk on it. The video below is Whiskey on her most recent walk before I wrote this post. There is no support being given to her -and she is doing wonderfully!
MedicationsโฆGet it Write
In order to keep track and make sure I don’t miss any medication doses, rehab walks in the yard, or cold pack sessions, I made a very simple chart to keep myself organized. I’m sure it would look much prettier if it were completed on the computer, but I tend to make less mistakes when creating these by hand.
Keep Your Cool (Packs)
The hospital sent us home with a cold pack which I have been using, but our friend, Amanda, gave us this great tip as well. Take a wash cloth or dish towel, run it under water, then ring it out. Place the cloth in a zip lock bag and put it in the refrigerator. The temperature won’t be too cold for the dog, and it remains flexible instead of a hard/stiff frozen pack so that you can wrap it around the leg. Whiskey has been so good and has let me apply the cold pack throughout the day with no issues.
I am so relieved and thrilled with the first 24 hours and I will remain hopeful that Whiskey will continue to have a smooth recovery. Brian and I thank everyone for their continued support, positive thoughts, and prayers!
Today Whiskey had her TPLO Surgery at Mount Laurel Animal Hospital. She was in the best hands with our our good friend, Amanda, who is the Nursing Supervisor for Specialty Surgery.
Pre-Surgery
Porterโs Poo Palace that we use for camping has been sanitized (twice) and brought indoors to be transformed into The Fish Fortress for Wish the Fishโs recovery from TPLO surgery. A secluded, confined area for Whiskey is imperative for her safety and proper recovery from her surgery. This area included a low, flat bed, a feeder, non-skid whelping mat that covered the entire floor, and lighting courtesy of a rechargeable camp light. Luckily we had all of this on-hand!
Checking out her recovery digs:
Lounging with Mom after we administered the pre-surgery medications to help her relax:
Arrival
We arrived a bit early to Mount Laurel Animal Hospital…but Whiskey didn’t mind because she was watching all of the farm animals from the car, then took a short potty break before entering the hospital.
Check-In
Amanda checked Whiskey in and fully explained the procedure and what to expect.
Whiskey and Amanda
X-Rays
Radiographs were taken and confirmed that Whiskey has a complete tear in her cranial cruciate ligament. Effusion is present in the left knee where the suspected partial tear is located.
Getting ready for X-rays
Dr. Morris called me once the radiographs were taken to let me know Whiskey is doing well and was about to get her epidural in preparation for surgery.
Surgery
Whiskey was sedated and anesthesia was administered.
Once the incision was made, Dr. Morris could see that luckily Whiskey’s joint is normal and her meniscus is intact. Whiskey’s X-rays are displayed on the screen so that there are live views of her measurements as Dr. Morris reconfigures the angle and makes a curved cut in the top of Whiskey’s tibia bone
Whiskey’s heart rate, oxygen level, blood pressure, CO2 levels, breathing rate and body temperature were all monitored throughout the surgery.
The TPLO was performed without complication. Whiskey received an injection of a long-lasting numbing medication along her incision during closure to aid in post-operative comfort.
Post-Surgery X-Rays
Whiskey’s incision was closed and post surgery X-rays were taken before moving her to the recovery room.
Possible Complications
Although we are optimistic that Whiskey will not have any complications, we need to be aware that it is a possibility. The risk of these potential (and hopefully unlikely) complications far outweighs the benefits of repairing Whiskey’s knees so that she can return to her normal Pointer shenanigans and be provided with the opportunity for the best achievable quality of life. Potential complications associated with this procedure include infection, dehiscence, need for implant removal, implant failure, implant migration, persistent lameness, patellar luxation, progression or arthritis, pivot shift, fracture, future meniscal injury, and need for additional intervention.
Recovery
Whiskey recovered smoothly from anesthesia. The breathing tube was taken out and a warming blanket was placed over Whiskey while she recovers with her IV fluids. Dr. Morris called to review the surgery. After a few hours of recovery, Dr. Morris called us again and let us know that she was comfortable at this point to release Whiskey to come home since she was doing so well.
Whiskey hung out with the best nurse any patient could ever ask for…our friend, Amanda! Whiskey took a trip to the kitchen and ate a snack, which she was able to keep down!
Whiskey on her way to the kitchen for a snack after her TPLO surgery.
Pick-Up
Amanda met with me and reviewed all of the post-surgery instructions. Success of the surgery depends heavily upon the adherence to the post-operative instructions for the next 8-12 weeks. Too much activity too soon, or failure to closely follow the given instructions could disrupt and potentially fail the repair, which would require a re-operation. Whiskey is expected to increasingly put weight on the operated leg over the next 2 weeks so that she is at least touching the toe to the ground by the time of suture removal. By 6 weeks post-op, Whiskey is expected to be comfortably weight bearing on the leg. Full recovery can take up to three months.
Incision Care:
Monitor the incision daily for excess draining, redness, swelling or discharge: Bruising can be expected at the incision site and it should progress thru the healing phase as if changes colors. Any bruising that spreads in surface area should be documented with photographs if able and the hospital should be contacted.
Cold pack the incision area 2-3 times daily for 5 minutes for the first 3 days following surgery.
Incision does not need to be covered. It should simply be kept clean and dry.
No swimming or be bath for the first 2 weeks following surgery to allow the incision to heal.
Seroma formation is common with knee surgery. A seroma can present as swelling around the ankle, the joint below the incision. This is where edema from the surgical site will settle over the first 10 days post-op. It will feel like a fluidy sac. A warm compress can be applied to the area for 5 minutes 2 to 3 times a day and gently massage the area. If the site is painful or red, the hospital should be contacted.
E-Collar:
An E-Collar is imperative at all times when not directly supervised. If the incision is accessed, there will be increased risk of complications such as infection or dehiscence.
Many patients are able to reach around inflatable donut collars or soft cones. As a result, use of a hard plastic cone is recommended
Exercise Restrictions:
Restrict activity to short (< 5 minutes) leash walks only to go out to the bathroom for the next 14 days. Whiskey must always be on a leash when outside.
No running, jumping, stair climbing or playing with other dogs. If you need to use stairs and your pet is too large to carry up and down – make sure Whiskey is on a leash and walk up and down the stairs very slowly.
Whiskey should be crated or kenneled in a small room without furniture when not directly supervised. Using a crate is a security for Whiskey to heal appropriately. If Whiskey is hyperexcitable when you are home, use the crate to create safe periods of rest.
Use yoga mats, bath rugs or carpet runners to cover slick floors in the kitchen or hallways to prevent slipping. Major areas of concern are around doors where Whiskey will be coming in and out as well as around food and water dishes. If needed, use a towel or sling to support your dog during walking around these areas of your home.
Medications:
Carprofen (Rimadyl)
This medication is a non-steroidal anti-inflammatory medication used for pain control. Adverse effects include anorexia, vomiting, diarrhea, and dark tarry stool. Please stop this medication and call if you note these. Do not administer this medication with other NSAIDs (Aspirin, Meloxicam, Previcox, Deramaxx, etc.) or steroids (Prednisone, Temaril-P. or injectable/topical steroids).
Gabapentin
This medication is used to target neuropathic pain. Adverse effects include sedation, anorexia, constipation and occasional anxiety/tremors/neurologic sions.
Trazodone
This medication is used as needed to keep Whiskey calm. Adverse effects include excessive sedation, anorexia, constipation, and occasional anxiety/tremors/neurologic signs
Codeine
This medication is a opioid derived medication used for pain control. Adverse effects include sedation, anorexia constipation
Bag of Goodies
medications
a pill cutter to help us with the dose amounts
cold pack
food that is easy on the belly in case her stomach is upset
folder with post-surgery instructions
Shortly after the post-surgery discussion, Whiskey walked out of the hospital with Amanda!
Arrival Home
Besides setting up a safe confined recovery pen, we also had these two items to assist us to lift and/or support Whiskey if needed:
Once we were home, Whiskey quickly settled in to her Fish Fortress.
Whiskey’s same-day release was possible because of the outstanding skill and medical expertise of the Mount Laurel Surgical Team. We are so grateful for the compassionate attention and professional care displayed from each and every person involved in Whiskey’s surgery.
Follow-Up Care
A recheck examination will be scheduled at the 2-3 week post-surgery mark. At this visit, Whiskey’s incisional healing will be assessed.
Originally Whiskey was supposed to have her consult and surgery on Monday, January 30th. However, we decided to use a different hospital for Whiskey’s surgery. On January 31st Whiskey had a consult with Dr. Kate Morris, the Surgery Department Head at Mount Laurel Animal Hospital. A great friend of ours, Amanda, is the Nursing Supervisor for Specialty Surgery at Mount Laurel Animal Hospital, so we know Whiskey will be in good hands, and the clinic is much closer to home.
Mount Laurel Animal Hospital is located on a 16-acre fully-functioning farm that is home to longhorn cattle, goats, emu, alpaca, sheep and more.
Whiskey waiting for Dr. Morris
“Hey, why is all my personal info broadcasted on that screen?” ~Whiskey
Exam
Dr. Morris examined Whiskey and confirmed that there is a suspected cranial cruciate ligament injury (bilateral, right worse than left). It was decided that Tibial Plateau Leveling Osteotomy (TPLO) surgery will be performed on Whiskey’s right knee first. Four to eight weeks later, Whiskey will need a second surgery on her left knee in addition medical management.
Tibial Plateau Leveling Osteotomy (TPLO) Surgery
In surgery, the first step will be to look in the knee joint in order to confirm that the cruciate ligament is torn, and to assess the meniscus. If the meniscus is damaged, the damaged portion will be removed in order to provide pain relief.
Dr. Morris explained that during the TPLO procedure, a cut is made in the top of tibia, allowing her to rotate the top of the tibia to remove the slope. By altering the biomechanics of the joint, Dr. Morris will be able to negate the need for the cruciate ligament and provide a stable surface for the femur to rest on. The two parts of the tibia will be held in the new position with a plate and screws. Though the plate and screws are no longer needed once the bone has healed, most patients keep their implants for the rest of their lives unless infection or irritation occur.
Following surgery, most patients begin toe-touching within the first few days. By the two week recheck, most patients are consistently placing their leg though lameness will still be noted. This should steadily improve over the following weeks. Strict rest is required until the bone has healed, at approximately 8-12 weeks following surgery.
Potential complications associated with this procedure include infection, need for implant removal, future meniscal injury, patellar luxation, incisional complications, pivot shift, persistent lameness, and fracture.
Pending Whiskey’s progress with her right knee, surgery will be performed on her left knee as soon as 4 weeks after surgery on her right knee.
Medical Management
Weight management
Keeping Whiskey lean will decrease the load going through her injured knee, and will also decrease systemic inflammation.
Activity modification
Limiting Whiskey to controlled exercise such as walks and swimming as opposed to high impact activities like jumping and running may help maintain her comfort.
Physical rehabilitation
Whiskey may benefit from enrolling in a formal rehabilitation program where her muscle mass and range of motion can be maintained while she is also mentally stimulated.
Joint supplements
Glucosamine and chondroitin supplements are thought to support cartilage health. A recommended veterinary brand is Dasuquin.
Omega 3
These fatty acids work as anti-inflammatory medications and can be particularly effective in treating joint pain. Recommended veterinary brands include Welactin, Nordic Naturals and Canine Omega Benefits.
Non-steroidal anti-inflammatory medications
These medications are used to decrease inflammation and keep Whiskey comfortable. Examples of NSAIDs include Rimadyl/Carprofen and Metacam/Meloxicam.
Pain control
As Whiskey’s arthritis progresses, other medications such asGabapentin, Amantadine or an opioid may become necessary to keep her comfortable, especially after periods of activity.
Procedure
Whiskey is scheduled for tomorrow morning, February 1st, for the first of her two surgeries. Dr. Morris said that the decision to have Whiskey spend the night at the hospital following surgery will be determined once Whiskey is awake and assessed.
Below is a journaled account of how we discovered Whiskey’s bilateral CCL tear. As with just about everything else our pack members acquire, it is never presented in textbook fashion, and always a puzzle to figure out!
January 8th
Whiskey took a walk with Jรคgermeister. Nothing out of the ordinary was noted during the walk, and she was completely fine afterwards. About an hour later her hind end collapsed and she could not stand back up. This lasted only a few seconds and then she was walking normally…well…normally for Whiskey… Those of you who have been following along for a while now or who have met her in person know that she has a “wonky” gait due to a broken shoulder and broken growth plate – both acquired before she was rescued by Pointer Rescue Organization as our foster dog, “Wish.” We thought maybe she just tripped or lost her balance but to be sure, we put her on crate rest into the next day. She seemed fine and resumed normal activityโฆplaying, walking, running, jumping up/down on the couch, etc. She continued to show absolutely no symptoms for the next week.
January 16
Whiskey and I took a walk with a friend and her dog. Whiskey was absolutely fine throughout the entire walk. It was a nice day so after the walk was over, I sat down to eat lunch with my friend and Whiskey remained her usual busy self for approximately 40 minutes, walking around and keeping an eye on the geese in the nearby lake – and then all of the sudden once again – her hind end collapsed. She got right back up and seemed fine – absolutely no limping. We had a 25 minute ride home. When we arrived to our house, Whiskey could not support her hind end at all, and was not recovering. Luckily, our primary vet, Dr. Campbell, got us right in for an appointment. When we arrived, Whiskey still could not support her hind end. An exam was performed and an X-ray of her spine was taken. No significant findings were observed. Dr. Campbell gave Whiskey a steroid shot and sent her home with Prednisone. Dr. Campbell suggested that we see a neurologist.
Radiographs:
Lateral TL spine (T4-Sacrum): Spondylosis at LS. No other significant findings.
Note “weird” right leg movement at about the 16 second mark.
January 17
Whiskey was able to walk and was not limping.
Jan 19: Neurological Exam
Whiskey was still displaying no symptoms at this time. Porter and Whiskeyโs neurologist, Dr. Eagleson at BluePearl Pet Hospital, performed a neurological exam on Whiskey.
Physical Exam:
General – BAR, appropriate, ambulatory
ENT – No significant findings
H/L – No murmur ausculted, lungs clear, strong synchronous pulses
ABD – Soft non-painful, no masses palpated
lUG – WNL
PLN – WNL
INTEG – Clean hair coat
MS – BCS ~ 6/9, thickened right shoulder joint
Neurologic Exam:
Mentation – Alert and appropriate
Gait – Normal
Reflexes – Normal withdrawal in all limbs; normal patella bilaterally; normal perineal reflex
Postural Reactions – Normal
Cutaneous trunci – Normal
Cranial nerves – Normal
Sensory – No pain on CTL palpation or neck ROM
(NEUROANATOMIC LOCALIZATION – Normal exam
Diagnostics:
Bloodwork
CBC: NSF
Vetscreen: NSF
Release Notes from Dr. Eagleson:
Whiskey’s neurologic exam was normal. In the video, it appears that she is having trouble/difficulty supporting weight in her back legs. This is causing her to shift her weight forward onto her thoracic limbs and she walks with her back arched. She would be taking on this posture either due to weakness or discomfort when bearing weight. I did not find any source of pain on her exam and her stifles and hips palpated normally. We performed bloodwork which was normal (including her muscle enzymes). A lack of blood flow to the back legs could cause weakness; however, she has no evidence of this (she has great femoral pulses). To further rule out a spinal cord problem an MRI is recommended. This is scheduled for next Tuesday (1/24/23). In the meantime, we are going to wean her off of the prednisone. If she has another episode, I would like you to try to evaluate her reflexes if possible.
January 20
Whiskey began limping again, but this time only what appeared to be on her right side.
Holding her right leg up while drinking
Rear-view of Whiskey trotting away – note right leg not moving properly
Slo-mo of previous video – Rear-view of Whiskey trotting away – note right leg not moving properly
January 24: MRI appointment
Whiskey was still limping predominately on her right side. Prior to our appointment, I had sent all videos I had taken to Dr. Eagleson. I took Whiskey to her MRI appointment and when Dr. Eagleson examined her upon her arrival, he suggested that we hold off on the MRI when he saw that she was now presenting in a different fashion. He suspected that Whiskey torn her right CCL. Dr. Eagleson had the Surgical Team look at Whiskey and noted that if Whiskey were to continue to have episodes of hindlimb weakness after correcting her knee(s), we will pursue the originally planned MRI.
Dr. Deahl, a surgeon at Blue Pearl viewed all the videos and examined Whiskey. Dr. Deahl determined that Whiskey has a bilateral CCL tear after palpating her kneesโฆ.a complete tear on the right, and a partial on the left. It was suggested to surgically repair the right side and then reevaluate the left side once the right is healed. It is suspected that the left will have to be repaired as well. An appointment to sit down and speak with Dr. Deahl has been set for January 30th. It is also quite possible that Dr. Deahl will perform surgery on Whiskeyโs right CCL that same day.
Release Notes from Dr. Eagleson:
On exam today Whiskey had a consistent right pelvic limb lameness. On physical exam it was found that he had a torn right cruciate ligament. An orthopedic consult was performed which confirmed the right cruciate ligament tear as well as evidence of a partial tear/chronic remodeling in the left knee. I showed the videos to the surgery service who agreed that the way Whiskey was holding the right leg up is peculiar for a CCL tear. It’s also a bit strange that she wouldn’t bear weight in both limbs as episodes and then recovered. However, since there is evidence of the left knee not being completely normal, then it’s possible that she was just sore in both knees on those days (since it happened after longer walks). Although it’s possible two issues could be going on, I feel it’s more likely the cruciate tears presenting in a slightly atypical fashion. We discussed either performing MRI first to rule out a possible neurologic issue versus correcting the knee first. I feel that a 5 year old Pointer will need to have the knee fixed in order to remain highly active. The only reason not to correct the knee would be if there was something seriously bad going on in the nervous system (e.g. tumor), which I do not feel there is a high likelihood of. If Whiskey were to continue have episodes of hindlimb weakness after correcting the knee, we would always pursue MRI at a later date. At this time you have decided to follow up with the surgery service.
CCL Tears and How a TPLO Surgery Works:
More Great Resources That Were Shared With Me to Help Explain CCL Injuries and TPLO Surgery:
Today Lager had his abdominal ultrasound re-check that was suggested at his oncology visit.
We are pleased to share that no significant abnormalities or changes were noted in the recheck interim! The small nodule on the left adrenal gland was deemed to be consistent with an incidental adenoma (these growths usually don’t pose a health threat or require treatment). There is a faint nodule on the liver, however this was considered to be consistent with a benign hyperplastic nodule (also benign).
The only way to guarantee failure is by quitting. NEVER…GIVE…UP!
Lager lets NOTHING get him down! He is 80 days out from surgery and playing ball like a boss! He can grip the ball, run with the ball, and even shake his head around… all without dropping the ball! Lager has not skipped a beat! He can hold his tongue inside his mouth but it does hang out only when he’s tired or excited. Such an amazingly resilient boy!
ย as to keep her as calm as possible)
