Saturday, May 4, 2024

The Dog Watch

Sadie in a bad patch
Few things are sadder than a sad dog. All of my empathy cells vibrate to the sight and sound of a dog in pain. 

Sadie, my girl's dog who lives with me when she is out of town, has been having issues since mid-March. The tiny little thing is doing much better now than she was, probably no longer in pain, but not back to her vigorous self.  She has been having some kind of muscular-skeletal issue, probably caused by pinched nerves in her neck. At her worst, she could barely walk, and the pain caused non-stop shaking. There was a fairly quick onset of initial symptoms, followed by progressively more aggressive interventions with steriods and other medications. After each intervention, she got a bit better, then got even worse as soon as she started to feel better and moved around again. The one bright spot is that I was referred to a relatively new and close emergency-and-specialist vet practice that I really like. I have twice left there with a bill under $100!

Sadie in her living room cell (I mean kennel)
Now, we're on a long, slow, taper of steroids (and other meds) and her activity is strictly limited by me. She literally has a kennel in the middle of my living room, and another pen in the backyard. She gets time snuggling with me, often outdoors so her little nose gets stimulated, and a little leash walk each day. In an effort to keep her from jumping (and inevitably falling) I can't leave her loose in a room where she is used to jumping on the furniture. Blocking her in the kitchen while I'm there works as a change of pace from the living room kennel. She is used to being fed in her little spot in the living room, and the steroids are driving a big increase in appetite, so she willingly returns to it when she gets a chance. I have food puzzles for her, to give her a bit more
stimulation.

My two assistant cooks, drugged

Meanwhile, Bixby, my dog of roughly the same size, has been anxious since he first came to live with me. He is afraid of intruders at the house, and afraid of any people or dogs seen while out. Often times, his fear turns into barking fiercely and non-stop. At its worst he goes into what I call "Rumpelstiltskin mode" where I think he will burst out of his own skin, turning circles and unable to stop himself, showing the whites of his eyes and trembling. Other times, he goes into "autobark" where he just keeps barking, without any outside stimulus to keep him going - not so frantic, but again, in a loop, unable to stop himself. We've been working with a trainer on counter conditioning for over a year. Sadly, his "trigger point" where he gets hyper-activated has been very high, and so my alternative positive association (ie, physical comfort and/or treats) fails to catch his attention. While of course I find the barking annoying and sometimes embarrassing, I have been more concerned about his quality of life - it can't be comfortable to feel under threat all the time, to feel that hyper-vigilance is your only possible mode of survival. 

So now I've got Bixby on anti-anxiety meds. The plan is to lower his trigger points and overall anxiety level, during which time I'll intensively work on counter-conditioning (trying to change his response to a stimulus.) After two weeks, he is sleeping more, (peering anxiously out the window less) and has only had a couple of melt-downs into full Rumpelstiltskin mode in the house. I can usually calm him quickly by touching him. On walks, I'm still avoiding as best I can other dogs. Sadly, the drugs seem to have put him off his appetite, and so treats are less effective on walks. I've taken away his food bowl, and he has to work for all his food, which helps. But sometimes, he doesn't even get excited about a kong filled with frozen canned dog food. I will probably seek more advice, and consult with the vet on the meds.

Daily med administration

I've got a full blown dog-medication station in my kitchen, for the twice-a-day administration to each dog. Multiple pills have to be sliced into tiny pieces for tiny dogs, and stuffed into a soft pill pocket. Sadie gets five different meds, different morning and night, with a quarter of a tylenol tablet added if she is having a bad patch. Bixby gets two meds, at least they are the same morning and night. I have a routine turned into almost autopilot, designed to minimize the possibility of getting these multiple drugs for each dog wrong. I'm hoping this is temporary for both dogs, but each of them is having a better time now than a month or so ago, at least.