Well it's not nearly as bad as Mimo's string incident, but we're having our own mini-health crisis over here. Perhaps crisis is too strong a word, but it seems like everything is a crisis for an elderly dog like Thirteen.
About a week ago Thirteen started pacing again. Pacing and panting and fussing at us all the time, day and night, keeping me from working, keeping us awake, and generally acting like she was in pain. At first I thought it was the sudden change in weather aggravating her arthritis. Aren't damp weather and drastic changes in atmospheric pressure supposed to bother arthritis? Am I remembering that right? Anyway, I have a prescription of Rimadyl for Lina, which I started giving to Thirteen twice a day. At first it worked pretty well, she could sleep most of the day or night after getting a pill. Unfortunately by Sunday it seemed much less effective.
Called the vet, got an appointment and spent most of the day there with Thirteen yesterday. They gave her a full physical, blood and urine tests, an radiographs. No definitive answers yet but they think it's the spinal infection again. The vet said that there was more fusing of vertebrate than there should be after having already treated it during the summer. The vet also told me somewhat reproachfully that they like to have a followup radiograph after the antibiotic, to see if it worked or not. Which I would have been happy to do, if anyone had ever told me that before yesterday. I didn't say anything though. No point in arguing about whose fault it is, I just want to fix it.
Anyway, we will find out the results of the blood and urine tests today. In the meantime we went ahead and started Thirteen on two weeks of Clindamycin (sp?), a new antibiotic for the spinal infection. Also we have a few days' worth of Tramadol, another painkiller. Thirteen has to take both Tramadol and Rimadyl for five days, then we have to stop the painkillers and see if the antibiotic is working.
They didn't give me info booklets on the new drugs, but I looked them up and Clindamycin can cause life-threatening colitis. I already knew that Rimadyl can cause kidney failure. So I have to go out into the yard when Thirteen goes out, and make sure her bodily functions are all normal. Good thing I have that fur hat. Tramadol doesn't seem to have any fatal side effects, but it is addictive. The vet only gave me enough for 3-5 days though, so I'm not too worried about ending up with a junkie dog.
The bad news about Clindamycin (besides having to go out in the bitter cold and watch Thirteen poop, and also having to give her 3 capsules twice a day! plus 2 tablets of Tramadol 2-3 times a day! jeez!) is that it is expensive: about $5.50 a day. I already bought 14 days' worth, and if it works she'll have to take it for another month. If it doesn't work, the bottle we have now will have been wasted, and we'll have to start another round of expensive diagnostics.
The vet commented that I didn't seem scared by the costs involved. I said that it's not like money is no object, but it's also not the most important factor. I'm not going to withhold treatment just because of the cost, if it really will help Thirteen.
The good news is that Thirteen's heart and lungs are no worse than they were in the last radiographs, last summer. That's good to know. Other good news is that they don't see any signs of cancer. The vet found a lump in Thirteen's armpit, but it turned out to be harmless. Whew.
(Can I just say that I wish the name for a harmless fatty tumor, lipoma, did not sound so much like the word lymphoma? I nearly had a heart attack when the vet told me Thirteen had a lipoma in the armpit.)
Last night Thirteen seemed pretty good in the evening, but then she was up all night pacing again. Turns out that Tramadol only works for 4-6 hours, so it must have worn off just as we were going to bed. No wonder she kept us up all night. Tonight I'm going to give it to her right before bed.