Friday, October 3, 2014

Another Minor Surgery and Test Results

Wow has it been a crazy week! Before I get into everything that has been going on let me say first that Pheona is finally starting to feel better today (other than the oppressive heat). She even showed passing interest in a toy twice! I also have great news, that I am saving for the end ;-)

Saturday was surgery and she came home Saturday night pretty groggy and wobbly from the anesthesia and narcotics. She seemed to progress slowly but steadily all day Sunday and seemed to be over the worst of it by Sunday night. We went to bed feeling so relieved that the worst of it all was over. On Monday morning though, things were much worse suddenly.

Pheona woke up Monday morning refusing to put any weight on her right rear leg. Not knowing if this was a surgery complication or what we gave it enough time to make sure her leg wasn't just "asleep" and then took her right up to the SFVS. They immediately noticed that one of her toes was pretty swollen and did an xray to make sure her toe hadn't somehow gotten broken.

When they brought her back after the xray they said it wasn't broken but they thought it looked like a bee sting or spider bite. They gave her a big shot of benadryl and told us to double the dose of it we were giving her as part of her mast cell tumor treatment. We brought her home and worried about what kind of insect we had in our home (I was bitten by a brown recluse several years ago and am now terrified of spiders).

Her foot continued to swell on Tuesday but we thought it would stop soon, but when it was still swelling on Wednesday we called SFVS. They said we didn't need to bring her back but to pick up an antibiotic for her since it sounded like the bite/sting had become infected. We picked up the medicine and started giving it to her immediately.

By Wednesday night the foot was still swelling but I was hoping I just needed to give the antibiotic more time to work. By Thursday morning her whole leg was starting to swell and her foot was huge, looked like it was splitting open and was starting to ooze plasma. We didn't bother calling, we went right to SFVS. (Thankfully we have the dog stroller a wonderful person bought us off the wishlist, the wagon we bought fell apart and she can't walk right now).

This time when the ER vet looked at it they found what they thought was a puncture wound through the bottom of her foot and out between the toes. We had to leave her there to undergo another (minor) surgical procedure. They sedated her and made 2 small cuts in her foot to drain 2 pockets of infection they found. No wonder her foot was so swollen and painful! They "aggressively" looked for anything that might be lodged inside but found nothing. The vet said it most likely traveled through but left enough bacteria behind to start an infection. The surgery and steroid may have made her less able to fight it also.

With the timing and how long an infection takes to "cook" into what we saw Monday morning we think it happened Friday, the day before surgery. We took her to Golden Gate Park that day to have some fun before going in for surgery the next day. I remember seeing her appear to stumble and limp for 3 steps but recovered and went back to playing so I didn't think anything more about it. I believe now, thinking back, that is when she was injured.

We picked her up last night and brought her home. (2 trips to the ER, an x-ray and the lancing procedure were an additional $800 but we had to take care of it.) We could tell already that the swelling had gone down slightly. She has a different antibiotic and we have some antiseptic solution that her foot needs to be soaked in 3xs/day for 5-10 minutes. As today has gone on I have almost been able to see the swelling decrease. Her foot is still swollen some, but nowhere near as big as it was yesterday. She is still favoring it, but she will walk to go outside now, with very little 3 legged hopping. It is also obviously much less painful than it was yesterday. It is such a relief to see her finally starting to feel better.

And finally for the really good news: the tumor was not cancer! When the original vet looked at the cells under a microscope they showed "purple granules", which is how they diagnose mast cell tumors he said. They also told us back then, though, that couldn't know for sure until after it was removed and tested. This lump was actually a "perianal edema", but it still needed to be removed. Since it was not actually cancer to start with there is NO CHANCE it can "return"!!! I have never been so relieved to hear that something was incorrect! While this edema thing is benign Dr. Kidd said it would have needed to be removed anyway, so it isn't like this was for nothing. (This also means she doesn't need all the Benadryl and Pepcid, and we can wean her off the prednisone quicker than originally planned. That alone has made her perkier!)


It is better to be safe than sorry when it comes to my baby's life, so I'm glad the lump is gone. She will do just fine without her tail and I know now that she is going to recover from this surgery (and injury) and be absolutely her old self again soon. Thank you all again, so much, for donating, sharing and cheering us on. Words will never come close to expressing the enormous gratitude and love that I feel toward the generous donors for making this surgery possible. Her stitches come out in just over 2 weeks and after that we will have a day at Dolores Park when anyone who wants to come meet her can. I am sure she will be ready to play after all of this!

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