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  #241  
Old 12-14-2010, 05:56 AM
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peggy0 peggy0 is offline
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Default Re: Jack turns three, two year anniversary of his adoption!

Poor Jack. I hope they figure it out for you and for Jack Natalie. Let us know how he is doing poor baby
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  #242  
Old 12-14-2010, 08:20 AM
pgcor pgcor is offline
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Default Re: Jack: bad back and anxiety issues

Oh boy, I feel bad for you and Jack. Poor guy just can't catch a break. I remember my Shih Tzu having spinal issues due to his long back. All we could do was treat the bouts of lameness with pain killers. But, that was many years ago, so hopefully there is something better for Jack?

No wonder he's so anxious. I read you were doing better too Natalie. When it rains it pours.....
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  #243  
Old 12-14-2010, 01:04 PM
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Default Re: Jack: bad back and anxiety issues

I am sorry to hear about Jack's back! Silkie had back surgery for herniated discs. He became paralyzed in just a couple of days. But that is ONLY TEMPORARY...surgery will fix that. It was horrible. He had surgery, and after rehab, and patience, he was walking again in a month. Now he is running and doing everything as usual, just no jumping up and down. I hope all is ok, and know, in the worse case senario, surgery is an option. We got through it! If you have questions, I am happy to answer. We have been through 2 major surgerys and now diabetes. (For anxiety, I took perscribed xanax, and it helped, for Jack too!!)

Silkigal

Last edited by silkiegal; 12-14-2010 at 01:07 PM.
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  #244  
Old 12-14-2010, 02:57 PM
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Margaret Boyle Margaret Boyle is offline
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Default Re: Jack: bad back and anxiety issues

Natalie,

Saying prayers and having positive thoughts for wee Jack

I hope everything goes well at the Neurologist I hate them having pain

Hugs

Margaret
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  #245  
Old 12-14-2010, 03:54 PM
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Default Re: Jack: bad back and anxiety issues

Anxious to hear how the visit went.
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  #246  
Old 12-14-2010, 05:10 PM
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Default Re: Jack: bad back and anxiety issues

So am I. I've been checking this thread periodically all day.

Hope all with well with Jack and Natalie

Louise
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  #247  
Old 12-14-2010, 08:31 PM
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Dollydog Dollydog is offline
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Default Re: Jack: bad back and anxiety issues

Just checking in too to see how it's going....
Jo-Ann
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  #248  
Old 12-14-2010, 09:35 PM
SeattleCraig SeattleCraig is offline
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Default Re: Jack: bad back and anxiety issues

add my best thoughts to Jack and his worried ma.

I hope the appointment was productive today.
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  #249  
Old 12-14-2010, 10:55 PM
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Default Re: Jack: bad back and anxiety issues

I am sorry to be so slow to get back to the forum and to report on our visit. I have a huge pile of work to do this week and on top of that have had serious trouble sleeping the past two nights. Might be the last of the flu bug as I didn't sleep at all the day I felt so terrible and usually I would. I feel pretty good now but I can tell that there's some vestiges of the flu left.

The neurologist was extremely harried today. I got the impression there was something critical going on in the back with another animal and he had to leave the room rather abruptly for a few minutes mid-appointment. So I wasn't able to get all of the information that I needed.

The potential solutions haven't changed. I mostly wanted him to run his tests and see how much impairment there seems to be.

So... have I bored you silly before getting to the point?

He did the pinch and proprioception tests and was able to see the stiff gait and limping. One thing he didn't find was signs of pain when he pressed on the area where the discs are damaged. But he does believe that there is pain. His feeling is that there is currently some reduction in communication across the spinal cord and that Jack is rotating his legs when he walks because he doesn't have a clear sense of where they are.

I asked if we needed to do something equivalent to crate rest and he felt like we basically are resting him in that his activity is pretty limited. He's not doing anything strenuous.

Options, same as before, are:

- Gabapentin (Neurontin) which treats pain generated by nerves.

- Steroids - antiinflammatory

- Better diagnostics: MRI or Myeologram that would possibly lead to surgery.

Jeff and I both agree we would want MRI cuz of the risks of a Myelogram. And that surgery has to have a demonstrably very good chance of making the situation better.

I sometimes feel like the neurologist gets frustrated because I don't want to go the steroid route unless I have to. But I've been there before and I'd really like for Jack not to be a diabetic or have Cushing's disease (call me crazy) so I just can't make myself put it at the top of the list. I will do it if we have to.

And since he's not paralyzed or incontinent or falling down, we're not ready to go to an MRI yet either - not until we have to resort to a much more serious and invasive treatment if there is one.

So that leaves Gabapentin at the top of the list, followed by steroids, followed by MRI to see if anything else can be done. Jeff is not on board with Gabapentin yet but I think it's worth trying as the side effects and risks are smallest.

One thing I didn't get to ask is why Gabapentin alone or steroids alone would work... maybe I'm confused but my understanding is that they target very different pathways - nerve excitability versus inflammation. So if inflammation is behind the impairment, why should Gabapentin iimprove his gait? It seems like it might reduce the pain but not improve spinal cord function.

As far as what to do about my questions... I may make another appointment and just leave Jack at home. And in the meantime, we may be able to try to Gabapentin and see if it helps.

Natalie

Last edited by k9diabetes; 12-15-2010 at 07:17 AM. Reason: correct typo
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  #250  
Old 12-15-2010, 03:36 AM
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CarolW CarolW is offline
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Talking Re: Jack: bad back and anxiety issues

Sorry about the harried neurologist; that does make things difficult, especially when you are recovering from the flu and not yet fully recovered!

(And I noticed you did a lot of work on the diabetes forum too.)

If I may make a recommendation, which I am also trying to implement for myself (look how well I'm doing), catching up on sleep might be a big help. (I am working on it for me!)

Wishing you and Jack all the best!

BIG HUGS and thanks for all you do!

Wed, 15 Dec 2010 02:35:07 (PST)
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