Murphy Update

    • Gold Top Dog

    Murphy Update

    I know, the subject line reads better than what you're about to read. No, no surgery yet for his left hip, BUT he passed basic obedience. I think that is HUGE for him. Now he has a woking vocabulary that we can both use, as can the PT group, when he has his surgery.
     
    Unfortunately, we still have sleet, ice, snow, etc., and I'm waiting just a bit longer. But not much longer.
     
    At any rate, he can do a nice Sit, Down, Stay, Heel, Leave It--all the basics. He's not a perfect Sit or Down, of course, but boy, he's a beautiful Sit and Down.
     
    So, I have a couple of weeks before he sees the surgeon. I guess we'll tackle using his sling next so that when I go and pick him up, we'll know it works already.
     
    Thanks, Sally, for the great suggestion on classes; I decided to take them during winter so that we'd have a vocabulary and expectation deal going on prior to his surgery.
     
    Now, if I can only get past my BIG fears of that surgery!
     
     
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             Congratulations on Murphy passing his obedience course.[:D] We took Jessie to obedience classes when she was 10 months old, and the commands come in handy every day. It was a great idea to train Murphy to help with his recovery from surgery. Murphy will come through the surgery just fine. If he could talk he would be saying," Don't worry, everything's going to be okay. I know you're doing this because it's what is best for me, and I'm going to be fine."
    So glad that Murphy is doing so well.  Learning the sling before you actually need it helps wonders...but you may find that his good leg is good enough that he won't need it for long.  I would definitely wait until the snow and ice are gone before I'd tackle it though.......you'll be out there with him.  Can you believe that daffodils have been in bloom here for 2 weeks and trees are growing leaves already? 
     
    Keep us posted!!
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    Well, so I have an appt to meet with the surgeon next Tuesday. I started crying after I made it hung up the phone. Two FHOs? Really? Is this even normal? I am scared to death of what he'll say.
     
    My poor Murph Man. I hope I'm making all the right choices for him. Really, though, I don't have to rush into it all right now. Just an appt and a consultation. That's all. I'll see if he can tell me how much pain Murphy is in and if I can wait until the end of April for this. Or, well, what his suggestions are.
     
    I'll let you all know . . .
    • Gold Top Dog
         Just want to offer you some moral support. It is very scary to think of a dog going through these surgeries. They are major surgeries, no doubt about it, but Murphy will be better afterwards. He will be able to live without pain for many years once he recovers from the surgery. You will have a better idea of what surgery Murphy will need after the consultation. I know you and the surgeon will make the right decisions and do what is best for Murphy. Let us know what the surgeon says.
    I know that you are beside yourself over this....who wouldn't be?  But you have to step back and really consider if Murphy is in pain.  I don't think a surgeon is going to be able to judge that better than you....Mom.  Do you think he has quality of life as he is now?  If you think his quality of life is good, and you can compare him to Elllie, then there's no reason to even have the consult.  A surgeon is going to look at x-rays, and guess what he's going to recommend??  You will do what you think is right by him.  And of course, I am sure the folks here will support whatever your decision is.  Think of the folks who have done both legs at the same time.  I know I can direct you to a couple stories.....they are much braver than I would be. I have faith that you will make the right decision for you and Murphy, whatever that is. 
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    Hey.... when is your consult?
    I've been thinking about you two!
    Two FHO's is not unusual, sometimes they do them at once.
    I've been too busy with so much stuff going on to be online much this week or the next few but feel free to pm me with updates or if you need support... we know what you're going through!!

    Skritches for Murphy!
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    Where did my avatar go? that's weird... it was there after the change but not now... Hmmmm, anyway this is Oliver's mom if you didn't recognize me without the avatar :)
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    I know about those surgeons, Sally. I know what you  mean. Sometimes (this is me, being a boob, but still) I think this is fascinating to them. You know? Cutting open, doing this and doing that. Sawing off the femur head, etc.
     
    I honestly don't even know if he'll remember he recommended FHO to begin with. Remember that woman vet back in Jan who asked me, with a hint of dismay or disgust in her voice, if I'd ever considered THR on Murphy? Oh, I'm not looking forward to this.
     
    But, I worry, too, that I'm not doing the right thing by him. He's on Rimadyl (he had his blood and liver tested and they're fine, but NSAIDs are not great for any dog to be on, though I realize some are probably better than others) and he's on some ortho chrono powder with some analegisc (sorry abou the spelling, I'm being lazy and typing fast) and i worry that I don't know what else to give him when he runs out. Kina, my hound, never even had arthritis and I'm a complete idiot about these things.
     
    I guess I'd be interested in seeing how far the deterioration of his left hip/joint has gone. Lately, when we're walking, I see his left hip "pop" a bit and I see it sticking out more and more--like the joint is coming out of the socket.
     
    I just want to be strong enough to ask the tough questions since Murphy can't. I just want to know enough and ask enough to help me decide when/where/what after that.
     
    I hope he's going to be a good guy as well as a good orthopedic surgeon because I don't know that I'd even do the surgery yet. I'm gauging and hoping.
     
    Oh boy--I'm feeling so sick over it all! Wahh!
     
    Thanks for the words of encouragement, everyone. BTW, Murphy got invited to do some basic/novice Rally-O work Sunday night and he shined. But of course! (Ellie, on the other hand, was being very naughty all night long--sigh)
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    I saw that quite a few people have read my post but probably haven't been included in this hysterical discussion of mine so I thought I'd update the subject line. I'm sure, Sally, that you'll read this and have something to say, and I could certainly use that about now!
     
    Now that we've been back from the surgeon's for about 4 hours, I have mixed feelings. I don't know how much I'll write tonight, because it's so late and I'm so tired, but I know now what you meant, Sally, by MY having to understand and discern Murphy's quality of life, and not let the surgeon do it for me. Believe me--I'm feeling the weight of that responsibility on my shoulders right now, but going in, I was pretty level-headed and for that I'm proud of myself. Thanks, everyone, for helping me get to where I am right now with this situation.  
     
    Sometimes it's so overwhelming to have a disabled dog. I told the surgeon that I'm not sure I know what's right for Murphy and if I'm making the right decisions, doing the right thing, etc. It's so overwhelming for me sometimes and I know, now, that Murphy wasn't adopted because of this problem! Surgeries galore won't change the reality I will have with him for the rest of his. And after saying all of this, you know what he did? He started to cry a bit. The surgeon. I don't know what that was about, but he told me that without a doubt I've changed Murphy's whole life and he's probably changed mine and that I AM doing all the right things.
     
    On the plus side, we took X-rays and Murphy's left hip hasn't worsened much, so I don't have to do anything now. He can stop the Rimadyl and take it ONLY when he's showing lots of pain symptoms (which, aside from the foot incident in Jan he hasn't done much). I can keep giving him his chondro/analgesic powder twice a day.
     
    His right hip FHO might not have been the clean break I'd hope it would be. The X-ray showed a very tight cut was done--that is, it looks like the surgeon didn't cut it back far enough from his pelvis. Great. The surgeon put him under today (yikes) and quickly rotated his right hip and there is some grinding. Granted, it's only when he's really pulling it out (away from his body) and extending it there, but still. It looks like his socket/hip/pelvis area on the right side is getting "bumpy" from the constant grinding. But, I also can't tell for sure when/where it's grinding, given the three X-rays and the PT was always moving that leg and felt nothing. So . . . there is that complication (the first surgeon vs the X-ray vs the PT vs the new surgeon).
     
    He thinks that Murphy's right leg isn't as strong as he wants it to be--he thinks it's still smaller than his left leg (atrophy) and he's not doing the full use thing with it yet. I can push Murphy and myself to do more PT and I can get him acupunture and watch it and see. I would imagine if it were stronger the surgeon would be happier. (Maybe, huh?) I was crushed by the atrophy comment. I constantly stare at his legs and compare them to every other dog (like at class and at daycare) and I don't know anymore. I've tried so hard to help Murphy and thought we had made progression and it was hard to hear that maybe we hadn't. Or maybe it was the surgeon's opinion since the PT saw things quite differently. 
     
    Also, he wants me to consider a THR. Murph weighed in at a smooth and sleek 46 lbs, so I suppose it's an option, but I'll be honest--it's a scary one for me, too. The surgeon said that Murphy's right leg might be shorter now, given his FHO on that hip, so wouldn't we hope, at this point, to shorten his left leg/hip, too?  I know that another FHO could spell trouble, but mainly because he's not using that right leg 100%. Crap. I just worry that something could happen with the THR and we wouldn't be any better off then. I already dread the thought of them going back into his right hip to cut more bone off and then they want to try the THR on his left hip? Again, the PT thought he was small enough to be a perfect candidate for FHO--I said, "Well, he might have THR," to her, when we last discussed Murphy, and she said, "For him? No. FHO--he's small and he's strong." So, now I'm lost yet again.
     
    See--I don't know and I'm sure I'm rambling here and not making sense, so I need to go to bed and clear my head and write more tomorrow.  I'm relieved I may not have to do anytthing for a year, and in a year's time I can continue to save money for Murphy (always) and I can study up some more, watch Murphy, work with him this summer, hike with him a teeny bit, and kind of see how things go.
     
    On the plus side, I could rattle off a lot of the terms during the consultation visit and that gave me confidence. He admitted that THRs aren't perfect, and that infections can happen, though he downplayed them (as he should). He also said Murphy could be a great candidate for the cementless THR. And also admitted that the plastic can be worn through and then arthritis could settle in.
     
    Oh my . . .
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    Wow Nancy - that's an awful lot to consider (and worry about).  I can't even imagine what it must be like getting all this advice and conflicting opinions.  For your sake, I'm glad that you do have a year to make some major decisions.  I honestly don't know what I would do but without a doubt, Murphy is in good hands with you.  I think that having a Dr. that cares enough to shed a tear is a wonderful thing.  It would tell me that they're heart is in it and the recommendations would be carefully weighed out.  I hope you're able to take a breather and enjoy some time with Murphy without the worries of "what next?".  It sounds like both of you could use some rest.
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    OH Nancy...
    you are going through a lot right now... boy can I relate.. we should form some sort of support group lol.
    I'm so sorry to hear about the first hip... I had heard that they need to really cut all of the ball down real flat and smooth carefully so nothing grinds... I learned that at my consult with the "good surgeon". He mentioned a lot of times that can happen.
    As for the next hip I wish I could give you advice....
    I know THR can be a great option for some but it's so expensive....
    Honestly, had I known what I know now I think I might have opted not to do surgery on Oliver at all and managed his pain until it was unbearable. I think about that fact that complications can, and did happen to us and wonder how many dogs I could have helped with that money. I know it doesn't help you to hear that... but it's something to consider, that you might not get the result you want from THR... on the upside, they can do FHO to a dog that has a failed THR. Problem with that is the long recovery and pain we put the dogs through for it. You have to balance how much you can afford, what you are willing to put Murphy through and what it will accomplish. Does the surgeon want to revise the first FHO to get rid of the grinding? Maybe that's an option to see if he'll start using that leg more if it doesn't hurt anymore.
     
    I'm glad you don't have to make a decision now. I'm sure all that obedience and activities you do with Murphy will build up those muscles more, the atrophy is NOT your fault. Besides, if it is grinding, it could be that he is not putting pressure on it and causing some of the atrophy himself.
     
    I'd definately take the surgeon's opinion over the PT though.. I know the PT said he was perfect for the THR but they are not the ones doing the surgery and are not trained in making those decisions, also.... keep in mind an FHO would mean many sessions with the very PT that recomended it (ok so I'm a little skeptical :))
     
    Hope you guys are doing ok... I'm so glad Murphy has you to care for him and agonize over these decisions for him, he's very lucky even if you don't do anything because he is loved.
    Nancy, wow.......I'm almost speechless.......
    I have to ask this, when you made the surgeon cry, were you crying?  I'm trying to picture this, but, in my mind's eye, you were crying, too.  Otherwise, I don't see how you drove the poor guy to tears......
     
    Overall, it sounds like Murphy's doing pretty good.  OK, so one leg is thinner than the other. One of my legs is thinner than the other, oh well. Is it better than it was when you got him?  Is he using it most of the time? Does he walk, (vs hobble)?  Does he seem in a "manageable" amount or less of pain?  Assuming you are saying "yes" to these questions, then he's doing pretty good.  Most people can live with some pain, many do.  That does not mean that they have poor quality of life, nor does it mean that our HD dogs have poor quality of life, either.  It's a matter of degree, and I would suspect that you'll know when it's time that you have to do something.
     
    I would go to [linkhttp://www.acvs.org/AnimalOwners/FindaSurgeoninYourArea/]http://www.acvs.org/AnimalOwners/FindaSurgeoninYourArea/[/link]
    and see if the surgeon you are talking with is certified.  Not that I wouldn't use them anyway, but if Murphy was my dog,  I'd want to know before I did anything. 
     
    If I were you, and in some ways I walk in these shoes myself, I would not rush into anything.  If Murphy's doing OK, I'd give both you and him a rest and enjoy the summer.  Give your pocketbook a rest, too.  Then, you can think through these issues:
     
    1.  Cost - How does the cost of FHO plus PT compare to THR?  I know you have a list of questions to ask a surgeon about THR before you commit to that surgery.  If you need me to email you another copy, let me know.
    The surgeon is probably not going to make a "lot" more money on THR. The THR is more expensive because you also have to pay for the implants.  A PT person probably makes much more money on an FHO dog.  We never did any professional PT after Casey's THR, and I don't expect to need it after her 2nd one either.  I walk her every day, and she has a Walmart swimming pool for her hydro therapy.
    2. Recovery - While timewise, both recoveries are at about 3 months to good 6 months to 100%, I think the THR may be less emotionally draining - assuming it all goes well.
    3. Risk - All surgeries come with risk and should not be approached lightly. Modern medicine is great, but, the risks are real.  My mom lost a dog during surgery, and lost another one after surgery due to complications of anesthesia.  Both were years ago, and the drugs are better today, but again, the risks are real.
    I would not put my dog through surgery until I really felt it was a quality of life issue, otherwise, Casey's 2nd hip would have been replaced already.
     
    Now, I'm just throwing out my rambling thoughts on this, but here's my opinion.
    If, when the time comes, you can afford THR and Murphy is a good candidate, I'd go that route.  Here's why:
    1.  If you have complications with THR, they remove the implants and you have a modified FHO.
    2.  It is not as dependent on the dog's muscle structure being well developed.  While that is not an issue in a young dog, it can be an issue in an older dog.  
     
    But, all that being said, Murphy is a little young for THR.  If his quality of life is good now, I would just wait until you have to do something, and in the meantime, start setting money aside so when the time comes, you'll be ready.  Of course, this is just my opinion......
    Keep smiling.......Murphy is happier than he's ever been!
    Sally
     
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    Hello everyone--
     
    I have survived yet another day at work and another evening getting everyone all settled in. (Sort of--Murphy is zipping around, whining at the cats and looking for any extra food they may have dropped and the daycare said that El might have a UTI so I have that to deal with tomorrow, somehow.)
     
    Sally, first off--no, I wasn't crying. I know! I wasn't even feeling that emotional. I was worried, yes, and trying to take it all in, but here I am with Mr AntiSocial sitting in the corner, shaking (hard), and staring at the ground. Isn't that funny that I wasn't crying (for once since I have cried over Murphy quite a bit)? Instead I  was being honest with him--here's a dog who has been left to live in a barn for two years of his life, who lacks basic social skills, who hasn't had any help until last summer for his hips (after I got involved), who hasn't been adopted because of his hips, who once couldn't even wag his tail because of his hips, and here we are, discussing all of it. His quality of life or lack of it, his social skills of lack of it, his pain and his "awareness" of his disability (as much as dog can be)  and how all of it has shaped him. And then the guy is teary-eyed and I'm thinking, What happened? I'm sure I could have been more emotional if I'd had given myself a few minutes but I was very focused at this consultation (hey, it was $100 for the consultation alone so I had to be) and wanted to get to the heart of matter.
     
    Anyway, it's kind of funny. I'm about 5 ft 4, weigh about 115,  and have blond hair and blue eyes and sometimes I get categorized as, well, a bimbo, but I wasn't about to be categorized yesterday. So, now I can laugh a little, but yesterday? I was nothing but perspiration and determination. (Which cracks me up about myself.)
     
    I really like what everyone had to say. I really did. You all have been great. The place we went to is considered top notch, premier, the best of the best. There is no other facility like this one in Idaho. Both surgeons are board-certified and the head surgeon started this specialty clinic. It's top notch and expensive, too. Really. So, here they also have a premier PT--Murphy's PT. It's the one place you can find a real-deal vet who is also a certified PT (for humans). She's "one of three" in the nation, to quote their brochure and she can grab quite a crowd when she gives lectures. So, they work in tandem.
     
    One thing I was not pleased with was the lack of prep on the surgeon's part. I know they're busy, but goodness, I worked with the Tech on Murphy's history and she said he'd review it and then come in but we had to keep going over it again and again. It kind of set things off weird for me. He couldn't figure out how long it had been since Murph's FHO and it was one little glitch after another for a bit. And then things settled down. I wish he had read more of her report, or, well, that he read it at all. I had to remind him that Murphy had been through 5 weeks of therapy because he kept forgetting. Not that the PT was a cure or anything, but that he did have it and there should be a record of where we started (and his condition) and where we ended.
     
    So, there was that. That and Murphy. OMG Murphy! He wouldn't stand for the surgeon, he just slid to the ground, and if he stood, he was hunched over and all of this led the surgeon, initially, to see Murphy's condition as far worse than it really is. It was so emabarrassing and Murphy can be super stubborn when he's upset. So, that was hard. We walked up and down the hall for the surgeon and initially he thought Murphy seemed strong and fairly normal (enough for an HD dog). Later he told me that Murphy was running on fear and that made him seem stronger. Probably. I told him that Murphy does everything, because he does. He jumps on the bed, on the couch, rips and tears with his sister, walks 2-3 miles a day. All of it.
     
    Sometimes I think Murphy's will to survive and to believe in better things is as large as Alaska. Now that he has a home, he into everything. He even unrolled a roll of toilet paper from the spool the other day. He's really into life and he loves his LIFE. His quality is good, I think, but I worry about turning a blind eye to the reality of his situation. His denegerative disease and his pain.
     
    I won't lie--finding out that he could be grinding is upsetting to me. He said that if Murphy moves it front to back and doesn't swing it out (and I mean SWING it out), then he might not be feeling much at all. It did seem that Murphy's femur has done some regrowth, so perhaps the first surgeon wasn't that bad after all. He (yesterday's surgeon) hoped for a straighter cut, just as you said, Karen. As for what to do, I don't know. I dread his having to be cut open again for that. I really do. The first one was so incredibly painful for him to go through.
     
    One thing I know, thanks to Sally, is that this isn't an emergency, and I'm telling you, it was my mantra yesterday. Over and over I told myself that and because if it, I wasn't about to be pushed anywhere fast. And, truthfully, he didn't push.
     
    My biggest concern centers on two things (as I told my best friend at work today over lunch--she has no dogs, but she has kids and she knows that my hairy kids are like, well, my kids, so she's a great friend):
     
    1--Because of his FHO'd right hip, his right leg is not exactly equal in length to his left one. That causes some swaying when he walks, and it also causes him to, perhaps, not use it as much--it's shorter and it would mean more compromise on Murphy's body. I worry about a THR when I have this issue already. Would they lower his left hip or will this be an issue? I hate for his right leg to become useless to him. Right now, he is using it more and more, I can tell, but if it's going to always be shorter, he won't every shoot for total use. I figured that FHOing the left hip may shorten it, too (should shorten, the surgeon says), thereby making him more equal that way.  I didn't discuss this with the surgeon. He did tell me about the plastic "ball" wearing out and wearing through and this and that, so I know that. I just worry about one leg being shorter and perhaps missing the boat on making the other leg match.
     
    2--Murphy's personality is not an easy one to deal with. I worry about having any type of surgery that might lay him up for long. He is very clingy with me and very connected to me and very worried, panicky, nearly all the time, about his life. It's like he still worries about staying with me, like he'll be shipped off. He's not a purebred from a family who socialized him well. He's been neglected and abandoned and most likely has been abused. For a long time, he growled at me when I'd give him a kiss on his forehead. He still won't take things directly from my hands--he has to do that from an angle. And when I tell Ellie that "I'm going to get you" (meaning she has to find the first toy she can and then play keep away with me), he tells me off. He doesn't like me stomping my feet in play, or getting close to his face, raising my voice (and I'm kind of a loud person anyway, so I'm amazed he can stand me like he does), or touching him from behind.
     
    Here's an example: I have beds all over my house. No, really. And fluffy wonderful ones, too. I have one under the table becuase that is where Murphy was happiest when I first brought him home. Well, so I'm walking toward the table this morning, carrying the newspaper, just normally carrying it, not balled up, not rolled up, just carrying it, scanning the front page as I walk, and he freaked out. Bad. He scrambled up and around the table, ran into the living room, and then came right back in at me (not charging, just walking quickly) and began barking at me. LOUDLY. And with some force to his voice. And so I put the paper on the table and said, "Hey, Buddy. What?" And with that bit, he started to calm down. But he wouldn't come all the way in to see me, either. That took some extra time.
     
    But, that said, maybe in a year he'll be better. Maybe not. I told my coworker today and that the surgeon was great at telling me the happy purebred with HD story, but not the very unsocialized (and he is) shelter dog with emotional issues and with HD story. You know what I mean? I can't imagine Murphy being crated and being made to rest for 8 weeks. He's skittish and standoffish and maybe in a year he'll change. Maybe not. So, there is that weighing on me, too. On the other hand, I can't imagine Murphy not having his strongest leg to help him after FHO, either.
     
    It was funny that when I was leaving he was saying that if he had to face this situation, he'd go THR and I agreed that it has always seemed like a fine choice (which I believe, too), and then I said, "But you probably wouldn't get a dog with HD. You'd probably have him tested and certified before getting him and getting attached to him." Of course I was laughing and he was too, but he nodded. I'm sure he knows how difficult this can be, but more so when you're attached.
     
    Anyway, now I'm rambling and I should be finishing up a work project and going to bed so that I can get El in for her UTI test.
     
    It never stops . . .
     
     
     
    • Gold Top Dog
    I have no idea if anybody is reading what feels like my own private blog lately, but last night was a huge downer for me. I worried myself sick over Murphy. The reality of his life, and now mine, hit me pretty hard and I haven't had anyone to talk with about this, aside my coworker and this "blog."
     
    I called our town's famous vet acupuncturist and I am going to take Murphy there for a visit--a healing visit for both of us. She is a DVM, but she no longer does surgeries or even deals with X-rays and for a little while, this is what we both need. I'm sick to death of seeing nothing but his disability and I need to step away from the specialty clinics and learn to "resee" this dog's life.
     
    Tonight, though, I'm heading out of town for fun. Just for one night. And he and his sister will be at the daycare--actually, they won't stay overnight at the daycare, they'll go home with the owner where they'll seep on fluffy beds--and then tomorrow I pick them up and we head into a new arena. The healing and getting-to-know-you one.
     
    I'm sure I'll "blog" and let you all know how this new adventure goes. Yes, of course we'll do future X-rays and probably I'll meet with the PT, who really is so wonderful and very positive to be around, and we'll work on this and that. But, for now, we'll keep things low key and more focused on being happy that Murphy can move, that spring is coming, and that he has his forever home.
     
    BTW, I did some additinal research and found that sometimes the "bone on bone" post FHO can happen and then, after about a year, the false joint steps in, pushes the femur further away from the body, and voila, things turn out okay.
     
    I'm holding my breath but will stay open to reality of this situation, too.
     
    Thanks for reading.
     
    N