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  #411  
Old 04-04-2011, 06:33 AM
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Dollydog Dollydog is offline
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Default Re: Jack the project!

Wishing you all the best and hope it goes as smoothly as possible....love the pet-friendly motel across the parking lot....doesn't get much better than that!
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  #412  
Old 04-04-2011, 08:34 AM
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Default Re: Jack the project!

Praying all goes well and you get some answers with the scan!
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  #413  
Old 04-04-2011, 09:33 AM
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Default Re: Jack the project!

Positive tail wags are coming your way!
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Soaphie = 15 yr old Border/Berner mix dx 07/08. ~8.25 units a.m./p.m. vetsulin, blind/deaf. Ultra Senior, Vital Beef/Bison, Brown Rice and lots of loving. Soaphie passed on October 29, 2015. Sydney = 14.5 yr old Aussie/Shar Pei mix dx 11/10. NPH-varies w/ predinisone a.m./p.m., blind/deaf. Sydney passed on June 3, 2014.
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  #414  
Old 04-04-2011, 06:02 PM
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Default Re: Jack the project!

Interesting day. And no MRI done.

The neurologist gave Jack a very thorough examination. And he wasn't able to elicit or demonstrate any expressions of pain or any neurological impairments despite cranking pretty hard on his back. Which is essentially where the previous neurologist left off too - that the diagnosis is "apparent back pain" that's demonstrated by Jack's poor exercise tolerance and sometime stiffness and limping.

He asked that we take Jack off of his Metacam for four or five days and bring him back for another exam in a week conducted without the benefit of his anti-inflammatory medication. And to take some video of him while exercising if we can capture some of the signs of pain in Jack and push Jack a bit more to see how he responds to running and jumping.

We can call off the whole thing if, off of Metacam, he seems okay.

The neurologist's feeling is that the MRI should be done only when he or someone has identified and localized the source of Jack's pain and at this point he is unable to do that. His symptoms don't necessarily fit well with blown discs at the thoracic/lumbar junction. Not that they couldn't be the source of pain. But the pain could be coming from some entirely different region of the spine or some other part of his body.

At his current level of impairment, he said even if Jack had a blown disc he wouldn't recommend surgery because it's so invasive but would rather manage it with pain control. I'm not sure how I feel about that yet but I'm on board with further evaluating Jack and trying to better identify what's causing his poor exercise tolerance.

So that's the plan - back to his office next Tuesday for another exam and, in the interim, see if we can capture on video some of his signs of pain.

I have mixed feelings... I'm kind of wrung out emotionally and would have liked to have some resolution / identification of the problem. But, at the same time, I think his plan makes sense. And the fact that we didn't have this conversation with the previous neurologist makes me feel like we are doing the best thing by having Jack seen by this one.

Jack is tired! Two hours in the car each way, nonstop standing up looking out the windows.

Jack did well in the exam. He was muzzled, of course, and he did growl a couple of times when the doc was manipulating his limbs - it was not the most fun exam for him. But he didn't hold a grudge and generally did great. He was leaning into Jeff for protection, which, given how much difficulty Jack had trusting Jeff two years ago, was very sweet to see.

Natalie
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  #415  
Old 04-04-2011, 06:09 PM
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Default Re: Jack the project!

Quote:
I have mixed feelings... I'm kind of wrung out emotionally and would have liked to have some resolution / identification of the problem. But, at the same time, I think his plan makes sense. And the fact that we didn't have this conversation with the previous neurologist makes me feel like we are doing the best thing by having Jack seen by this one.
I can understand that. You want to know as much as you can, whether that's through an MRI or otherwise. Sounds like a good plan...and a tiring day for Jack coming up.

Quote:
He was leaning into Jeff for protection, which, given how much difficulty Jack had trusting Jeff two years ago, was very sweet to see.
Awe. Love that!
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  #416  
Old 04-04-2011, 09:43 PM
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CarolW CarolW is offline
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I think I like this vet who examined Jack. I like the thoughts and the plans. And I LOVE it that Jack leaned into Jeff!

Jack is tired? (haha!) You also must be really, really tired; yet you continue to help others on the forum.

Sounds like a bit of a tough week coming up, but undoubtedly worth the experiment. I'm also very glad to know Dr. Kay's hospital has such a good neurologist. OUGHT to have, in theory at least, but it seems to me the guy is excellent; I like the approach.

Now, for about the umpteenth time tonight, I'm off to bed - shortly, anyway!

Mon, 4 Apr 2011 21:43:10 (PDT)
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  #417  
Old 04-05-2011, 04:25 AM
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Soaphie & Sydney's Mom Soaphie & Sydney's Mom is offline
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Default Re: Jack the project!

You do have a tough week coming up - please keep us posted on how he is doing. I sure hope you can capture some of the moments of pain on video.

Good luck Natalie!!

Tami
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Soaphie = 15 yr old Border/Berner mix dx 07/08. ~8.25 units a.m./p.m. vetsulin, blind/deaf. Ultra Senior, Vital Beef/Bison, Brown Rice and lots of loving. Soaphie passed on October 29, 2015. Sydney = 14.5 yr old Aussie/Shar Pei mix dx 11/10. NPH-varies w/ predinisone a.m./p.m., blind/deaf. Sydney passed on June 3, 2014.
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  #418  
Old 04-05-2011, 11:18 AM
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Margaret Boyle Margaret Boyle is offline
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Default Re: Jack the project!

Natalie,

Poor wee Jack it must have been painful for him............I am hoping and praying for a good outcome to this Natalie.

Jeff was his protector he was looking to Jeff to say "Don't let this guy hurt me"

It would be nice to get a proper diagnosis..........I know how you feel

Hugs

Margaret
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  #419  
Old 04-11-2011, 09:47 PM
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Default Re: Jack the project!

Our second neurology appointment is tomorrow.

Jack has definitely been in pain this week. He limps or walks stiffly at times and he's been subdued and a little "edgy" in that his tolerance for fearful situations is not as good. This is something we saw in October too, before we had him on Metacam every day.

I'm hoping for a chance to say hi to Dr. Kay also.

Natalie
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  #420  
Old 04-11-2011, 09:50 PM
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Default Re: Jack the project!

Prayers for your guy Natalie. I imagine he's going to be a tired, sore pup tomorrow. Hoping it yields some answers.
Patty
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