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Pet Forum / Miscellaneous / Animal Health / February 2004



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amputation; second opinon; vet recommendations? Minnesota.

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David Buchner - 16 Feb 2004 14:35 GMT
Sorry to not follow usual protocol and lurk for awhile before just up
and posting something; time is an issue here.

Back in December my dog, a 70ish pound lab, was caught in a trap for
much too long in below-zero weather. By the time I found him, his front
left leg was frozen stiff from the wrist joint down. We rushed him to
the vet, loaded him with antibiotics, and spent the next weeks nursing
over him, feeling sad and guilty, and watching the paw swell up like a
balloon and watching lots of skin rot and fall off. It reached a point
where there was a big deep cavity behind the toes, with visible bones
and everything.

Frostbite is really, really bad. Seriously: winter could kill 'ya. I've
lived here most of my life, but I've never really experienced this fact.

We've been into the vet several times and the plan has been to wait and
see how much of the paw survives before leaping in and amputating the
leg. If the paw goes, it's better to take off the whole thing -- because
it would be useless and unbalancing, just hanging there and not reaching
the ground.

So here's how far we've come: The swelling has gone down a lot but it's
still big, he's grown an amazing amount of new skin and hair and even
claws, but there's still one open spot -- and now we took him in a
couple days ago and the doctor thinks the leg has to come off. He says
he expected it would be a lot better than this by now, if it was going
to be OK. He says there's still a lot of necrotic tissue down inside
there, decaying, and it's pushing out through that sore, and it'll just
keep doing that and doing that (I may not be conveying his description
accurately; any flakiness should be attributed to me).

I'd welcome comments from anybody with experience in this area -- but
I'm mostly looking for a way to choose another vet to ask about this.

I'd feel much better if I at least had solid confirmation that this is
the only way to go. I'm in central Minnesota; Fargo is a relatively easy
drive from here. I've spent the last couple of hours looking around the
web to see if there's some kind of consumer-info vet recommendation site
out there. If there is, I can't find it.

I trust my vet, he's a longtime family friend, and I don't really have
serious doubts that he's right. But for something so major and
heart-wrenchingly awful, I want to be sure I've done everything
reasonable for my little buddy. I know that if he has to join the ranks
of 3-legged dogs, he'll be the smartest, bounciest, most wonderful
3-legged dog in the world. And he'll stop licking his foot, too. But
damn: there was an awful lot of trauma there. The pressure of the trap,
doubtless struggling to get free... what if it's just taking a lot
longer than expected to heal up? It seems so terrible to put him through
this for so long, grow all that nice new hair and skin -- and then just
cut it off anyway.

Well, there -- I'll appreciate any help or encouragement this yields;
thanks for your attention; I hope I explained the situation well enough.
I apologize that it got sort of long.

We have an appointment scheduled for about a week from now, to do the
amputation. I'll keep reading this newsgroup till then. Thanks.
minerva nine - 16 Feb 2004 18:40 GMT
David -- Certainly get a second opinion.  I just wanted to say, though, that
your pup will likely miss his leg less than you will.  Animals adapt to all
kinds of bizarre physical circumstances without the self-consciousness and worry
that we human are cursed with.  Maybe that's why we like them so much -- M9

> Sorry to not follow usual protocol and lurk for awhile before just up
> and posting something; time is an issue here.
[quoted text clipped - 54 lines]
> We have an appointment scheduled for about a week from now, to do the
> amputation. I'll keep reading this newsgroup till then. Thanks.
Spot - 17 Feb 2004 02:43 GMT
David,

I agree that a 2nd opinion should be sought out, perferabley with an
orthopedic vet.

If the leg has to be amputate you will be amazed at how well he adapts.  I
have a cat who had have her back leg amputated up to within 2cm of the hip
due to a large fast growing tumor.  Within 2 days of coming home she was up
and down the stairs before I knew it.  She zips around her like it was
nothing.  Other than the occasional skidding halt where she looses her
balance you'd never know it.  I've had company in and often they are here
quite some time before they even realize that she's running around on 3
legs.

Good luck
Celeste

> David -- Certainly get a second opinion.  I just wanted to say, though, that
> your pup will likely miss his leg less than you will.  Animals adapt to all
[quoted text clipped - 59 lines]
> > We have an appointment scheduled for about a week from now, to do the
> > amputation. I'll keep reading this newsgroup till then. Thanks.
David Buchner - 23 Feb 2004 22:12 GMT
Thanks to all who responded.

> I agree that a 2nd opinion should be sought out, perferabley with an
> orthopedic vet.

Did so, and the guy completely confirmed what our regular vet had said.
So at least we feel much more confident now.

> If the leg has to be amputate you will be amazed at how well he adapts.  I

Yes. Everybody keeps reassuring us of this. Most of the apprehension is
about how sad *we'll* be, looking at him all the time. For the dog's
part, he's already completely adapted to getting around on 3, because he
hasn't used it at all since the injury. All he'll lose, at this point,
is a source of pain, irritation, and distraction. He won't have to be
careful not to bump it into things.

What I'm wondering is, can a dog with 1 front leg still swim?
DMW - 24 Feb 2004 07:03 GMT
> Thanks to all who responded.
>
[quoted text clipped - 8 lines]
> Yes. Everybody keeps reassuring us of this. Most of the apprehension is
> about how sad *we'll* be, looking at him all the time.

You'll likely get used to it quickly once the wound heals up, fur grows
back in, and he starts running around again.  I've found most often when I
see a three-legged dog playing and jumping around, I often don't even
realize at first that they're missing a limb.  The first thing I notice is
a dog having fun.  Then slowly I'll realize something is a bit off with the
way the dog moves or looks, but I can't quite pinpoint it.  Finally, once
the dog has slowed down, and maybe moved closer to me or turned around,
I'll realize that the dog is missing a leg, and be amazed at how I hadn't
noticed it straight off (and how the dog didn't seem to take notice of it
at all).  At that point they stick in my mind as "a remarkable three-legged
dog."  I always think it's too bad they've lost a limb, but I can't think
of many, if any of the ones I've met, that has needed any pity, and have
never thought of one as a "poor three-legged dog."

Best of luck with your canine friend!  I hope all goes well, and that you
all adapt quickly to whatever the outcome may be.

DMW
MARK LERMAN - 25 Feb 2004 01:31 GMT
I've never had a client regret amputating a dog's leg. In very short order
the client realizes the dog feels MUCH better than he or she was while
dragging around a useless limb, and the dog is perfectly happy and mobile.
Most people won't even realize the dog is missing a limb when they see the
dog moving.

Don't give it a second thought, just have it done.

Mark, DVM

> Thanks to all who responded.
>
[quoted text clipped - 14 lines]
>
> What I'm wondering is, can a dog with 1 front leg still swim?
Hillary Israeli - 17 Feb 2004 20:56 GMT
http://www.acvs.org/acvssearch.html lets you search for a board-certified
surgeon in your area. I found there are some in St. Paul, Falcon Heights,
Minneapolis, Stillwater, Peterson, and Chanhassen. Are any of those towns
anywhere near you? If so you could call one of those practicioners...

You could also ask your current vet for a referral to a surgeon. Even if
there are no board-certified surgeons in your area there may be some vets
who have cultivated a special interest in surgery and developed lots of
experience, and who may be able to offer a more expert opinion on your
dog's condition.

-h.

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    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

 
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