I Question My Decision, Really Question Whether or Not I Did The Right Thing!

Sunday March 21st 2010 Today my sister Lisa stopped by with her 3 sons and daughter-in-law. Josie is ever so happy to see them! She is such a people dog! Everyone is amazed with how good she is doing. She really does get along well.

Today Marsh took Gully for a walk to help relieve her energy. Much to our surprise he arrives back at home within a half hour. I hear the front door open and Miss Gull enters the kitchen….Marsh yells up the stairs “Gully needs a bandage!” I look and sure enough she has a big gash on her leg and it looks like it needs stitches. Well, that is so Gully, she always needs to be the center of attention. Josie can’t go get an amputation….Gully will need a bandage….So typical. I decide to just put some triple anti-biotic ointment on it and wrap it up with that self cling bandaging like Josie is wearing, only Gully gets pink. She bleeds through 3 of them by the end of the night, so by the time I get to the last one, it is almost a tourniquet.

This afternoon we all took a 3 hour nap, Gully on the dog bed and Josie and I on the mattress. Ahhhh…..sleep…..it sure does a body good.

We take short walks a few times a day. After one walk Josie decides to go potty on the front lawn. She loses her balance and does a face plant. UGH!!! I feel so bad for her. I am sure she doesn’t feel embarrassment, but I still feel for her.

I notice that a few times throughout the day when Josie goes to lay down she accidentally tips to her amputation side. When this happens she just lays down completely, head and all….she lays there for a while, completely still…..I wonder what she is thinking….When she does decide to get up, she is like a turtle on its shell. She cant do it and cries with pain. I try to help her but can only push on her amputation side to do so, which I am sure causes more pain, but I have to help her.

Today she seems to be really restless…she doesn’t know where to lay….outside…inside…..dog bed….mattress…..blanket….. She seems different, panting…..and different.

Tonight she is REALLY restless and she whines when moving. I think she is in pain. So I give her the two pills of Tramadol. This doesn’t seem to do anything at all. I wonder, or over-think, and decide to cut off her bandage…maybe it is pinching her. That doesn’t help either. I call UW Hospital and speak with the doc in the ER. She tells me that according to Josie’s weight, I can give her up to 4 1/2 pills. She suggests that I give her two more…which I do.

I am just an emotional wreck! I cry and cry….Josie is my baby and she is apparently suffering. Something I never intended!!! I question my decision, really question whether or not I did the right thing!

12:30am JOSIE WAKES UP WITH A SHRILL CRY!!! She jumps off the mattress. She is scared to death! She is scared of me, she is scared of the room. For 5 minutes she pants and salivates like crazy! She hops in place…small hops…and does an anxious yawn, then she does something strange, she lays on the carpeting in front of the door. Her eyes look strange, almost fixed. Her pupils are large. I pet her, talk to her softly, kiss her snout. She wont even look at me.

1:20am I call the UW Hospital again and tell the ER doc my suspicion…that Josie is having a psychotic episode from the Tramadol. She tells me that it can make some dogs anxious….WHAT?  She isn’t anxious, she is paranoid….she is totally out of it. Tramadol does not make her drowsy…it freaks her out! I ask her how long before this drug wears off and she tells me about 8 hours. It is going to be a long night….

1:30am I think maybe food will help her body get rid of the drug faster, so I make her gravy food. She eats it, pants and continues to hop in place. Her nose is running constantly and she is salivating like crazy. She lays by the door again…on the carpet. I fall asleep with the lights on hoping that the lights will help her recognize her surroundings.

3:49am I wake up to another shrill cry. Now, she is laying in the corner behind the pool table by some chairs. I call her name. She looks over to the area where I am sitting but never looks right at me, but she is responding to my voice. She tries to figure out how to get over to me. She finally meanders through the maze of furniture she was hiding behind and gets closer to me. Her tail barely wags, but it does wag….She is very restless still and doesn’t know where to lay….

How much sleep did we get? not very much…..tomorrow has to be better….because it can’t get any worse than this….

Monday March 22nd 2010 It is 7am and we are up already…Josie is panting….hard….I think she is hot….or is it that damn drug….She goes outside. The Wisconsin air is cool, I hope it helps. She comes back inside and lays on the mattress with me. She leans up against me, pushing me into the bookshelf behind me, but I don’t mind, I am just happy that she knows who I am and she isn’t afraid of me. We fall asleep for a few minutes and my phone rings. It is Dr. Danielson and he tells me to stop the Tramadol….that is a no-brainer. He tells me that she should not be having much pain anymore and should get by with just the Deramaxx.

Josie seems to be a bit better but she is still a little restless. She lays outside on her blanket again. I dont want to leave her out too long due to the fact that she was recently shaved… I dont want her to have to deal with a sunburn on top of everything else. I decide we should try to get into the house. Our raised ranch poses a problem….when you walk in the door it is either stairs to go up, or stairs to go down….a decision must be made…I decide it is better to go down….carpeting vs. hardwood floors.

Josie stands at the top of the stairs…Marsh is standing next to her holding the handles of the infamous blue sling….I am at the bottom of the stairs coaxing her to come down….She attempts…but chickens out more than a few times, but finally….she goes for it….I celebrate at the bottom…praising her over and over. Once she is down I close her and Gully behind the french doors and I head to Lowes. I pick up 10ft of rug runner and some double stick tape. I arrive home, rip open the drawer in the metal tool bench and pull out the staple gun. Next is the vacuum cleaner and off I go….clean the stairs, tape, carpet, staple….tape, carpet, staple…I follow the contour of each stair all the way to the bottom and only have to make one cut…about 3 inches from the end. I clean up my mess. The carpet looks nice running down the middle of the stairs…a little crooked, but Josie wont care.

Josie and I lay on the couch together….and nap…and with Gully on the love seat, we all sleep for 3 long hours…..

4:00pm My friend Amy and her daughter CC stop by and bring the girls a treat. As we sit and visit….Gully’s leg starts to bleed again…drip blood…all over the concrete…I guess she will need to go to the vet….so after the girls leave, I load Gully in the Jeep/ambulance and we are off. Marsh stays with Josie while I am gone…this is the second time I get away….and Gully…she gets 5 stitches…she IS SO a drama queen…

9:30pm Josie actually sleeps on the love seat out in the garage for a bit. She wakes and drinks some water. She comes back inside and lays down on the mattress, with my direction. She seems to be pretty normal tonight. She is a bit restless, and after a few minutes lays by my feet as I sit in the chair. I spread out some blankets for her and she lies down. She sleeps for a while after I get her to lay to her side. It seems she always wants to balance herself to stay laying upright….in the middle….something she never did when she had all four legs…it was either lay to one side or the other. Hmmm….I am puzzled…….I do this a lot….

2:00am Josie wakes me up various times but this time I am awake. She is doing her soft anxious whine through her nose. She is standing near the side of the mattress. I put her outside…does she have to poop, pee, drink? She drinks some water and comes in. Hop…hop….hop….she just cant sit still…..

3:20am We are still up…she is restless and panting. She doesn’t know where to lay.

3:30am She goes outside again………drinks water, comes in. I tell her to lay down on the love seat, which she does. I think “Is this it?”

3:43am She is off the love seat…hop…hop…hop

4:00am Maybe we should try to go in the house again??? We get in and she wants to go upstairs…so….we go up. She goes right into my bedroom. I haven’t slept in there for over a week and a half…Marsh is sound asleep and we come barging in. I turn on the light and Josie goes around the bed and hops right up! I think YES!!!! She is amazing….I break the news to Marsh….sorry….would he please go sleep in the pool room with Gully who is fast asleep out there? He does…and I crawl into the flannel sheets…ahhhh…..I try to get some blankets to cover up seeing as Josie is laying across them all, and I am happy just to get a corner….lights out….sleep…finally….

4:10am Josie gets up and JUMPS off the bed…she cries from the impact off our high bed….I now am at wits end…I can’t keep chasing her around this house! So, I let her go…she goes into the living room…hop, hop, hop…. back into the bedroom…hop, hop, hop….back to the living room…hop, hop, hop…back to the bedroom….hop, hop, hop…come to bed sweetie….come by Momma….back to the living room….hop, hop, hop….hop, hop, quiet…. clamber, clang, bang…hop, hop, hop…she went down the stairs!!!! I FLY out of the bed and there she is…looking up at me…innocent and almost smiling….I grab her sling and we take the next flight together…to the basement…where I can close the doors….She lays right down on the love seat….sleep??? is this it????

4:33 She gets off the love seat….will this ever end? She climbs up on the couch and curls up in my nest….the small area that my bent knees make….She lays there with her head lying on my hip area. Her breathing is jerky, every respiration is almost a grunt without the noise. I can feel her face twitching on the back of my thigh…..but we fall asleep…

5:52am She gets off the couch….I tell her to come back and lay down…she does. I am impressed….we fall asleep again….

Tuesday March 23rd 2010 7:54 I wake up to her panting hard she is wide awake but just laying in my nest looking around. Her nose is running again….I wonder all kinds of things about that….We go upstairs and I set up the deck with her blanket and put a gate across the stairs so she doesn’t get any smart ideas. She seems relaxed…at ease…

10:15 I decide to hop in the shower and leave the outside door open so both dogs and both cats can get in and out and enjoy the beautiful day. I block all stairways so Josie doesn’t go on a momma-hunt while I am in the shower. I get out of the shower and find her laying in the hallway waiting for me. She gets up and whines with pain. I give her the Deramaxx pill and call my local vet for advice. I have many questions about this whole thing, meds, etc..but one of the biggest ones is if she does home euthanasia if the need arises….She is so kind and encouraging and tells me that she will help me through this all but if I ever decide for the home visit, she needs advance notice….I cry so hard numerous times while on the phone with her. Sometimes I cant even talk….

I post an entry on the discussion forum….there are such wonderful people out there…I am fortunate I have this site…no one else knows unless you have been through it. I am thankful for my stranger friends!!!!

I prepare Josie gravy food, again….if we keep this up, she is going to get fat!

It is 11:30am and she is sleeping on the floor…out cold! For about an hour now…I get her up and take her for a walk….

I get another script for Gabapentin and more Deramaxx. My third time away from the house. I decide to go all out and stop at the grocery store for some bananas and oranges…man, I live life on the wild side….

It is 9:30 right now and we have been in the house all day. Josie seems almost 100% normal, minus a leg. She is happy, wagging her tail, eating good, and today….yes, she slept all day…….I am sure she needs to catch up…..now, if she keeps me up tonight??? I will take a Gabapentin myself….don’t worry, I am just kidding!!!!

A Day of Firsts…..

Saturday March 20th 2010 Today we slept late….probably because we were up in the middle of the night. Took Josie for a short walk down the block and back. She rested when we got home….I think the walk makes her tired. It is probably a lot of work for her to hop on that concrete.

I had her go outside today and lay in the sun. She used to love to do that on nice days….It used to be hard to get her to come in sometimes. But today it takes some persuasion. I put her blanket out and instructed her to lay down. She joined Gully and they watched the world go by just like they used to….

My friend Lisa stopped by today….boy, that Lisa name pops up a lot here….Lisa is the mom of Josie’s boyfriend Curby. He is a beautiful St. Bernard. Today Lisa came alone, but Josie was very happy to see her none-the-less. She actually did her first lap sit since the surgery. She had another first when she ate on her own for the first time without me making gravy food. Things are looking up!

5:49 pm Josie got up ON HER OWN!!!! wanting to go outside….She also lays on the mattress for the first time with Gully.

Today, makes me happy….I did make the right decision. Today, I keep up on pain management pills to prevent her from suffering. Tramadol, one pill as scheduled, can give two if necessary.

8:00pm Marsh babysits so that I can go to my Mom’s 80th birthday party. I have siblings home from IL and CA. We play apples to apples and have cake…supper was done already by the time I showed up, but cake was good enough for me.

9:15pm Marsh calls…Josie is searching for me….time to go home….

3:00am Josie wakes me up whining….I give her a pill. I pet and massage her until approx. 5am and then we both fall asleep….

“Purple for the Princess”

Friday March 19th 2010 I wake to one of my favorite songs….turned into an alarm ring tone on my cellphone….it is going to be a great day! I shower and pack up the jeep….getting Josie’s comfy spot all set for the long ride home. The weather man is predicting rain this afternoon, so hopefully the doc will let us leave early.

I arrive at the hospital and for the last time, I have Lisa paged. Lisa and another doc meet me by the counter and take me into an exam room where Josie will have a dressing change. The door opens and in comes Josie with Dr. Danielson in tow! She looks GREAT!!! She is happy to see me, of course and we great each other as usual. Dr. Danielson then begins to cut away at the large bandage encapsulating her barrel chest. There it is, her incision. It is a large upside down “T” shaped mark on her side. There is a lot of bruising and a ton of staples…but it looks clean. Josie stands by me as Dr. Danielson re-wraps her incision and explains about the pocket of fluid that has gathered at the base of her chest. He includes it in this wrap, hoping that will help it go away. He tells me to check it often and if it gets warm or hard to call immediately. Her new wrap is purple, like her first one…and Dr. Danielson says “Purple for the Princess”. I half jokingly say “I guess that makes me the Queen!” Well, he did laugh, but I am sure he had another 5 letter word to describe me and it wasn’t queen….

Once the bandage is on, I assume that she will go back in the “ward” until they decide to release her….so I ask if I can sit with her until she can leave….Much to my surprise, Dr. Danielson tells me that she is good to go! I just have to go over discharge instructions with Lisa and we are on the road! I ask the two Dr. if they would help me load her into my truck. She weighs 125lbs and I don’t know that I can lift her by myself without hurting her. They quickly agree and all four of us escort the princess to her waiting chariot.

When I arrived at the hospital, I had conveniently backed my jeep up to the curb right in front of the door so she wouldn’t have as far to get up into the truck. Dr. Danielson had hold of the chest sling and lifted Josie’s front end up while Dr. Foy scooped up her rear end and boosted her into the jeep. I took the dish of food that Josie refused to eat for them and placed it on the bed I had set up for her in the back. She immediately scarfed down the gravy food. I opened two windows for her and followed Lisa back inside for the discharge instructions. I was told about medications, patches, staples, pain, and a return visit….I was then handed a brown paper bag of meds and was out the door in a few minutes….I hugged Lisa and cried, I was so thankful that she was there with Josie through every step of her procedure. She was kind, gentle, meek and mild, just the thing Josie needed at a time like this. I wished her the very best in her career as a Vet upon her graduation in May. We departed and I headed over to pay the bill.

I left the hospital….with a big sigh, opened the drivers door to my truck, with my Josie waiting in the rear. She was standing….first thought as a pet owner….what if she has to pee? We wont be home for over 2 hours….so….I open the lift gate and stand there perplexed…how am I going to get her out of here??? I decide to scoop Josie up around her body, chest and rear….and lift her down. She winces a tiny bit but starts hoping right to the grassy area. At that point I think I am right, she does have to pee…..until we get there and she hops and hops and hops…and then starts hopping all over the parking lot. She is just taking me for a walk. So, back to the truck we go. I get to the lift gate and look at it…how am I going to lift her in? Down, was easy…but up??? I may need help. Just then Josie decides she is getting in the truck. She puts her only remaining front leg on the bumper…as I bend down to scoop up her rear end, she changes her mind and gets back down. Okay, I am going to have to go get help….and just as I think that, she does it….SHE JUMPS RIGHT IN THE TRUCK!!!! Just like that…she is in…I quickly head to the drivers door, jump in, praise her over and over… and then instruct her to lay down….she wont be able to stand while I drive, well, at least not for a while.

Josie sleeps all the way home, she looks very comfy in the back and I cant help but continuously look back at her. I even tip my rear view mirror to I can constantly  monitor her. We arrive back to Manitowoc and I treat her to a cheeseburger from McDonalds. Being a vegetarian, I don’t normally buy hamburgers, but this time….it is a special day for my little carnivore. I get fries and a coke and we eat them on the way home.

We pull up at our house and I decide to use the curb just like I did when we were at the hospital…so I back my truck in a 90 degree angle to the curb, the hood of the jeep is clearly out in the lane of traffic, but….we live on a street with little traffic and in the event someone comes, they can still drive around me. I wrap Josie’s sling under her chest and she hops out. We walk to the garage and head into the “pool room”. I get her some water and let her out back. The whole time using the sling….I chase her around waiting for her to go potty. She apparently thinks that both me and that sling are nuts, as she hops right out of it and almost runs to the far edge of the lot and squats and pees, just like a pro.

My boyfriend Marsh comes out to see her. We put up a baby gate in the door way so that Gully can come see her too without being overly excited. They greet each other with sniffs and licks and finally after a few minutes we let Gully in. We just have to be careful that she doesn’t lick off the fentanyl patches, they could be deadly if ingested….Josie lays on the mattress and relaxes. My sister Lisa comes over to see the patient….Josie is soooo happy to see her…which is evident by her ever present groan. The rest of the night is uneventful….I am just happy to have her home and I think she is just as happy to be home.

Until 3:45am…….

Josie wakes me, she is breathing hard….almost like a pant….I give her another pain pill. Tramadol. I let the girls outside and she drinks a bunch of water and her and Gully wake up the neighborhood with their loud barks. They come back in, she repositions on the mattress and Gully takes over the love seat and then they both sleep….but I, am awake….the nurse sits and watches her patient sleep…..