Thursday, April 24, 2008

Getting some closure


The incision looks pretty good at the bottom but still has a gap to close on the top. It makes sense as she has to bend her knee and that part gets stretched while the rest of the skin is more static. The red part is a scab something of that nature. It is holding up well and perhaps a bit of time and some more neosporin and we will be all sealed and can leave off the collars altogether.

Wednesday, April 23, 2008

Enjoying a little time donut fre

After her checkup, I let Adrien into the xpen without her donut collar to have some water and she went and laid down, so she is getting a little time sans donut.

A good checkup

Adrien's leg and incision have been looking pretty good to me. We had a follow-up 1 week post-op today and I gave her the tranq in the morning and she was snoring away while I was on my morning conf. call and then I went to get her up and take her and she "shook it off." She stood the whole car ride to ATA and then stood the whole time we were waiting. They took her back and came out to say things looked really good, keep with it. Come back in 2 weeks for a first xray. That is about 1 week ahead of when I thought they would start xrays, so that is great. I asked about icing, neosporin and tranq. Icing should continue another week, neosporin another 5 days, and only tranq as needed, but they provided them. I will have to see how it goes with her in the crate all day with no tranq. I can work another day from home and see how that goes. They also want the inflatable collar on her to prevent licking of the incision until I go back. I will stick with the practice of having it on in the crate but leaving it off when I am supervising her when she is with me in the xpen or if she stays asleep in the xpen while I go to the table and work where I can watch her. So, next big milestone is May 7th. Xrays are a drop off in the morning and pickup in the afternoon affair like the surgery, so will have to head there right after Ben dropoff.

Monday, April 21, 2008

Routine

Nothing major to report from yesterday. We have gotten into a routine where I let Adrien out (and remove her donut collar) in the morning to relieve herself and then we go to the Xpen for her to drink/eat/get pills/lick me. Then I get her laying down and I ice her leg and ankle and put on neosporin. I hang out with her in the Xpen for 30min - 1.5 hours (or more) and then I take her back to get her donut on and into the crate. With the tranquilizer and if I leave the room, she settles down. She must be bored, she spends all day laying around and then comes in the Xpen and lays around. We do it again in the early afternoon (I have been in here in the Xpen since a little before 3 and it is almost 5) when she gets her pain killers and I ice/neosporin and she relaxes with no donut and then back in the crate, rinse and repeat at night before bed. I try to change the comforter and launder it from the crate at least once a day (rotating with 2 comforters though I have a third I should get in the rotation). We go back to ATA on Wed. and find out what the next phase is. The meds they gave me for her are only 1 week, but I go back, so there may be more coming. Based on not taking xrays until week 4 and probably not starting rehab until week 8, she is going to be living in her crate for a long time. I need to get someone to come in and watch her while I am gone for vacation,but I need to wait and see where we are on the timeline to see how much work that is. It is possible she could go to the shelter, but the stairs are the issue there. Very bad idea for her to do stairs anytime soon unless she is in rehab and then I think she can.

It is nice to have a laptop to sit in here and work. I was thinking about bringing out the TV to sit it out here so I can hang with her while she rests. She is pretty good about resting when someone is with her (well, very good), but she is very social and gets up when you open/close a door to see if someone is coming to be with her.

Who knew I was going to be a nurse instead of a foster. The leg looks a bit better though still more swollen then I would like. I don't really see much drainage at all which is a really great sign. I see a bit in a spot or 2 when she has been outside and then comes into the Xpen and stands there eatin/drinking, but only sometimes. I hope they give her a good report on Wed. She won't lay down in the car, so I need to tranquilize her but then it will be tough to get her in and out. If she stands the whole ride there, the leg will look much worse. Not sure there is much I can do at this point. Hopefully the incision will be healed by the following Wed and the stitches can come out. It would be great to not have the meds/neosporin/icing routine.

I went to the office today for the first time since Wed. I think I may have stretched the interval to her pain pills a bit by the way she was acting after I gave them until they kicked in. I need to get that timing a little better.

Saturday, April 19, 2008

Another day, another hmm, what would be the end of that sentence

Petco adoption day was slow today, but that is normal. I took KD and Heidi and Josey. We setup outside since the weather was so nice. We did get an application on Heidi, but they had called the shelter and asked that we bring her so they didn't have to go out to the shelter, so that wasn't a surprise.

Adrien was pretty good this morning. She didn't get her no bite collar off last night. She was laying into the corner of her crate when I saw her last before heading to bed. These collars make it hard for her to lay down normally. I hung out with her in the xpen so she could eat and drink and I pet her and got her laying down and then as time came closer for me to go to adoption day, I gave her the tranquilizer and let it slow her down. She didn't want to get in the crate, but Ben told me she was sleeping well when he got up. She wasn't overly cooperative on the ice packs. I did use a much colder pack and I got it done a couple of times today, but the leg is still plenty swollen and has a little weeping. It isn't as inflamed, but it has a long way to go to be looking okay. While at Petco today, I picked up an inflatable ring collar. It is an alternative to the ecollar and no bite. It looked like it might be less uncomfortable than the no bite. Not that the nb collar isn't working, I am just checking out an alternative.

I came home from Petco (after a stop at the grocery store) and Adrien thought I was going to come let her out of the crate. She was mistaken. I had to make dinner for the Passover Sedar and then after we finished and cleaned a little, I let her out to go in the yard and then took her in the pen to take off the no bite and to let her eat/drink and got her laying down to neosporin the leg and to ice it. I hung out there in the pen with her for about an hour to an hour and a half and she napped. I finally decided that she was tired and sleepy and I could put the inflatable collar on to see how it worked and let her go for a final potty break and in the crate. The inflatable collar didn't seem to bother her too much, but as with the other collars, she has to lay her chin on the front lip of the crate to get it up so that it matches the extra height of the collar. I need to throw in a pillow tomorrow.

Can't keep a good girl down but you can slow her for a while

Well, the tranquilizer knocked Adrien out yesterday during the middle of the day. She was behaving so I took off the No Bite collar so she could be more comfortable. When I put I put it back on later, I apparently didn't do a great job as she got it off in her crate while I was running an errand. After taking her in the pen to lay with her, put on her antibiotic and try to ice her leg, I put the collar back on and put her in the crate for the night. She wasn't happy at all, but settled down. It took her a bit to find a position where she could lay with her collar.

This morning I switched to a better cold bag instead of the ice pad in a sleeve that I was using and I can tell it is more effective since she doesn't want me to keep it on her. I spent a while petting her and letting her lay there with me with her collar off so she would settle down. Finally I had to give her the tranquilizer so it would take effect while I am off at adoption day. My buddy Randy called to let me know about the boomerang event going on at Zilker. I feel bad that I can't be there to help out. Joe Rader had sent out a request for help and I fully intended to help but then the surgery was scheduled this week and the leg has been swollen and a bit weepy and I have my adoption day and I just haven't/can't make it down there. I have to leave for the shelter to get things ready for adoption day in 30 minutes and she is curled up and sleeping there in her bed and I have mixed feelings about leaving the collar off and leaving her there but I know that the correct thing to do is to get her up, put on a collar and put her back in the crate. The tranquilizer should help her relax in the crate even though I got her up. I guess I am a softy, but I need to do what is best for her whether she likes it or not, but feel guilty because it is only what is best for her because I have to leave. If I were staying here with her, she could just lay there and sleep like she is now for the entire afternoon. Sigh.

Friday, April 18, 2008

No, it is not from an auto accident, it's a no bite collar


I called the vet today because I was concerned about how the incision looked yesterday and that she was already putting weight on the leg and that she was doing the "wake up" shake which I thought might be from wearing the cone head. The vet asked me to bring her in and I loaded her up in the car and we went right over to ATA. He looked at it (she stood up most of the car ride, wouldn't lay down) and said she is being overactive and the incision doesn't look good. I said I was doing what I could to keep her laying down, but can't force her down in her crate and am only letting her walk outside on leash in the yard to quickly go relieve herself though she takes a minute or so to find a spot. The only options at this point are to give her tranquilizers (which they provided) and they also suggested replacing the cone if it was really bothering her. They called Petsmart to see if they had those inflatable donut collars and they didn't have anything other than what I had bought at Petsmart last night (cone head). They checked their resource list and sent me to another vet that carries no-bite collars. So, now instead of being from France (conehead, get it?), she looks like she has whiplash.

So, now the routine is add in topical antibiotic twice a day, ice the incision 3 times a day as it is swelling from leg usage, and 1 sedative in the morning to lay her low. She is down and snoring right now, so the sedative kicked in (she took it around noon). Will have to see how long she stays down.