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Friday, December 23, 2005

Happy Holidays~

I know, its been awhile since I've updated.

Last week, I started to write my update blog about how Trixie had been returning to normal, but before I could hit send, I got another phone call... Trixie had lapsed back into seizures, and they weren't the mild ones.

So the past week has been a huge step backwards again. A lot of emotions, a lot of fear, and a lot of pain in watching her so miserable. At one point, after a trip to the nighttime vet, whose pessimism had us believing that we were prolonging the inevitable and that she would not recover, we sat through a sleepless night of wrestling the thoughts of whether keeping her here was selfish on our parts. Thank GOD for Dr. Bloszies and Dr. Meyers at Buena Vista Animal Clinic, who immediately rebutted that horrible lack of faith and brought us back into believing. They have taken Trixie under their wings and their concern and genuine caring natures have made this difficult time so much more bearable for us. Dr. Bloszies called the
Auburn University Veterinary Hospital, and although they were not accepting patients until after the New Year, he spoke with the chief neurologist about Trixie's case and what his professional opinion for treatment would entail. They decided that Trixie needed to "reset her computer" again, which meant putting her in a sedated state for a period of time and then slowly weening her off the sedative and keeping her on the anti-seizure drug. So Trixie has been drugged up for the past week, and is now starting to show signs of improvement. She's eating again, she's drinking, and she's not had any more seizures. Now, we'll start tapering off her dosages and monitor her until it is determined the proper dosage to control her seizures (if required).

Its still perplexing what caused this tramatic episode in Trixie. Here are the possible culprits:
  1. Potential Ingestion of Marinol - We determined that while at my parents home in FL, she may have found a Marinol tablet that my grandfather had dropped, but believed had fallen under the refridgerator. Marinol is a synthetic form of Marijuana that is given to cancer patients to control nausea and boost appetite while in chemotherapy. I researched a case study on canines that had ingested marijuana (mostly in larger dogs), and found that her early symptoms had mirrored the reported cases. However,the cases reported lasted no longer than 5 days, which makes this theory dwindle as time passes. Could she be just a drug junkie who needs rehab after the amounts of Valium (to control the seizures) and marinol in her system?
  2. Hormonal/Chemical Imbalance related to Cycle- There have been cases in small dogs such as Trixie where their seasonal cycle brings such hormonal changes that it alters their brain chemistry and brings about "crank brain cells" which result in seizures? Chihuahuas have annual cycles, with her first cycle happening in late November of last year. That means Trixie is past due for her "time of year". Dr. Bloszies has witnessed patients having this type trigger return to normal after being fixed. Nothing can be done until she stabilizes and finishes this cycle, so it may be spring before she will go in for that surgery. Could Trixie maybe just have the ultimate case of PMS??? (Like mother, like daughter I suppose...) Incidentally, today she showed the telltale signs of being "in heat".
  3. Epilepsy - Whether triggered by the ingestion trauma, or just an unfortunate coincedence, another possibility is that she is a natural epileptic doggie. If this is the case, she will be kept on the anti-seizure medication phenobarbitol permanently to control the seizures. This drug takes several weeks to reach effective controlling properties, which may explain her lack of dramatic improvements.

In any case, it is good to see her in her more calm and relaxed state. She has made friends at the vet, and they have gone to extraordinary measures to baby and spoil her during the day. I am extremely blessed to have found such great caregivers, and am completely indebted to them for their graciousness. Her being here with me is the best Christmas present I could have asked for, and knowing that she continues to make small improvements.

Merry Christmas to everyone! Hope that your days are merry and safe!

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Posted by Erica Ortiz at 8:19 AM | | Comments | links to this post

Monday, December 12, 2005

Walking... Eating... Believing....

Well, the ongoing rollercoaster continues. Trixie has begun eating well on her own, but still cannot see. She is no longer walking in circles... and has returned to her eager "begging" when she smells food. Now, giving it to her is another story entirely. She cannot see still, and will mistake fingers, limbs, or any other object in the vicinity for food, and will accidentally bite the ever living tar outta ya. Her momma quickly solved that problem after almost losing a pinky, and Trixie now eats from a fork, a safe distance away from my fingers. Its a matter of time now... sit and wait to see if her vision will return, or start learning to adapt to life without sight. I think she can see far things very vaguely, but cannot see anything up close. I'll just keep praying...

To try and return to some normality, I've returned to work today, with Trixie safely in the hands of the vet. I made some good contacts at the PRI show, and will be sending out some information and thanks to those folks. I've had so much on my plate lately, I haven't had much time to get that information back out. Speaking of time... I have not even STARTED my Christmas shopping. Uggg... I HATE the mall during Christmas. But, I'll be braving some stores tomorrow, once Dan gets back into town and can watch Trixster for me.

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Posted by Erica Ortiz at 2:47 PM | | Comments | links to this post

Saturday, December 10, 2005

Saturday AM Update

Well, the roller coaster ride continues.

Trixie has spurts of energy where she walks all on her own and wants to go explore. Thursday night she had worn herself out from walking around, so she was out for most of the night. She still isn't really taking to eating or drinking... we've been giving her Pedialyte through a eye dropper, so Friday morning the doctor gave her some fluids "sub-que" or under the skin (she looked like a camel) to absorb during the day, as well as a toothpaste like tube of some super high concentrated nutrution that she can lick on (and LOVES). Dan stayed with her while I went to work, and then while I was gone, he took her across the street to run around in the park. She was almost pracing about normally! Great sign! Again though, she wore herself out, so she went back to napping and almost limp again. Dan's now experience that rollercoaster as well... one minute she's walking perfectly normal, the next she can't hold herself up. When I came home to get her (Dan had to go to the shop), she was outside walking, but disoriented-- and walking in clockwise circles. She acts as though she's blind, which may be a temporary problem. I took her to work, and the blindness really set in. She stared blankly, and she wouldn't flinch if you wave your hand in front of her face. She slept through the rest of my shift, and then most of the way through the night.

This morning, she woke up rarin' to go. Took her to the vet again, which he explained the circles as possible brain damage on the left side of her brain. He also explained that it may be temporary, and may come and go. The vet recommended that we take her to Auburn University's Veteranerian Medicine Hospital on Monday, as they have 3 neurologists on staff and the equipment to help sort out her problems. She's much more alert today, holding her head up high and reacting to noises around her. We get her back in the car and stop at Dunkin Doughnuts for some bagels. Well, THAT triggered her appetite... she went crazy! She couldn't see the food, but she sure could smell it! Much more the Trixie I know! So I gave her a teeney tiny piece of bread... she missed and got my finger a time or two, but she scarfed the bread! Got her back inside, and she's running in circles with the occasional straight path mixed in. The circles are getting a bit looser, which Dr. Meyers said is how other dogs pull out of it... so, now only time will tell. After about an hour of that, she is now asleep on my lap as I type this. I think its time for a momma/puppy nap. I haven't slept all week! Thank god for Dan... he's been such a miracle for us this week! He's back at the shop on the weekend, having to catch up for all the work he missed helping me and Trixie out all week!

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Posted by Erica Ortiz at 9:58 AM | | Comments | links to this post

Thursday, December 08, 2005

A rollercoaster ride...

Its been a long, long night for Trixie and I. What a roller coaster ride we've been on...

It started off yesterday morning, when we picked Trixie up at the nighttime vet and were told that they had to constantly administer valium to her because just as soon as it would wear off, she'd seize again. When I went to visit her around 9:30pm on Tuesday night, she was cold to the touch and shivering. I told them I thought she was cold, and they assured me I was wrong, she was having pre-seizure movements.

So, Wednesday morning, when Dan went to pick her up, she was still shivering. Trixie is cold natured, even for a chihuahua... she climbs under my shirt to snuggle when its 90 degrees outside and a breeze hits her. Low and behold, as soon as Dan gets her into the heater-toasty truck, she immediately stops shivering and is totally relaxed. We both transport her to the day vet, and speak to him about our own feelings and what we viewed her behavior to be. Dr. Balozi agreed to watch her, took my list of meds from my parents house to research, along with the knowledge that we now know that my dad had indeed dropped a Marinol tablet (yes, marijuana synthetic-- for his cancer and appetite-- for those who are keen on meds). He thought it had fallen away under the refridgerator. However, as resourceful as Trixie is, I do not put it past her to have dug the darn thing out. So, we leave her at the vet for the afternoon.

At lunchtime, I check back in on her at the vet's office. She is sleeping peacefully.... no sedation, no seizures. Just some light feet paddling movement, which Dan & I believe to be her trying to stand up (she has a catheter in her front leg). Good news for sure. By afternoon, I am stuck at work, so Dan runs down to pick her up (I can't tell you how wonderful he is handling this whole situation... he's definately done wonders to balance my panicky anxiety attacks). She had a light seizure-like movement they suspected, that she had flipped herself over in her cage, so they sedated her again so she would not harm herself. Dr. Balozi agreed that the best thing would be to take her home and keep her under constant observation. He gave Dan a syringe of Valium just in case she had a bad attack. The nighttime clinic is right up the street, so I felt good about keeping her home knowing help was a mere minute away and we had Valium on hand to calm her. And so my neverending night began...

She was still pretty loopy, but started to move around a little around 11pm, enough to have wet all over Dan not once but three times (bless his heart). Dan had taken the first shift, while I prepared clean towels and blankets for her and got ready for my turn. I took over for awhile, calming her and petting her when she started to stir. Her motor skills were absent, she couldn't hold her head upright or walk on her own, yet she still tried to muster the strength to stand up. Around 1am, I couldn't stay awake any longer, and my shoulder was killing me from balancing her head, so Dan took over for awhile. He called for me at 3:30am again... she had been awake, looking around and trying to walk. She couldn't move her front legs, nor hold her head up, but she shuffled her hind feet as Dan helped her across the floor... headed straight for her #2 spot. She didn't quite make it, but her bowel movement was also a good sign. That energetic episode had her pretty drained, so I took over. She was having small eye/mouth twitches throughout the night, but rubbing her tummy kept her calm and stopped them quickly, so she made it to morning with no sedation. Dan took over at 6:30am so I could shower, and then off to the vet we went...

Dr. Balozi was off, so Dr. Meyer saw her first thing. She was looking better, but the minute that we laid her on the table away from us, she started twitching more violently than before. Dr. Meyer said that it was obvious that the best place for her was home with mom, so back to the house we went. I had to go into work to finish a presentation for a 10am meeting ,Dan stayed with her while I was gone. When I got back at 10, he headed off to work as I used an eye dropper to give her pedialyte. She had begun the twitching more frequently, and a little more forceful, so I called Dr. Meyer, and he instructed me to give her 1/2 cc of Valium to calm her. She didn't like that too much. But she was out again, and so was I for about an hour. I laid nose-to-nose with her so that I could feel if she moved. Dan came back around 1pm to bring me lunch, and stayed with her while I ate, but work called and I had to run back to the office (grrr.) I had been researching on the internet while I ate, and was upset again, because seizures lasting 5 minutes or longer constant (not clustered or repeating with breaks) can cause brain damage. We have no clue how long her Tuesday seizure had lasted, all that I know was that she was alone from 9:30-12, and that the sheet was wet when I found her. I worried that her loss of motor skills might be a bad sign. In the hour and a half that I've left the house to be stuck here at work, Dan calls me to tell me that Trixie is up and spazzing out trying to walk. Her catheter is preventing her from doing a good job, but she is holding her head up and won't hold still. She had tired him out from helping her walk... he had to call his brother to help him get her to the vet to remove the catheter. I do not know what caused the sudden change in her condition, but I will take good news any day...

Now, its just a day at a time. I'm hoping this is a positive step forward for her, and will be burning the midnight oil again tonight.

Thanks for the many emails and messages of support... I haven't had time to answer them, but your prayers are appreciated.

Love and puppy kisses,

Trixie & Erica

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Posted by Erica Ortiz at 3:18 PM | | Comments | links to this post

Tuesday, December 06, 2005

Trixie Update

Her condition worsened today. Dan took her to the vet this morning, with everything checking out ok, and we were told that she just needed time to return to normal. Thinking nothing was amiss, Dan left her at the house alone. When I came home at lunch, I found her in a full blown seizure. I rushed her again to the Emergency Vet, and luckily, found them there (although they are closed during the day). They administered Valium to her, and had her calmed somewhat as we transported her to the daytime vet. The daytime vet kept her sedated all day, and at 6pm, we again transported her to the nighttime vet for observation. She was still having small pre-seizure movements, so they have continued to sedate her and she is taking plenty of fluids to rid her body of any possible toxins.

Trixie is my absolute world.... Please, please, please keep her in your prayers.

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Posted by Erica Ortiz at 9:29 PM | | Comments | links to this post

Monday, December 05, 2005

A prayer for Trixie...

Please say a prayer for your favorite little "pit rat".

Trixie had a seizure yesterday afternoon, and was in the Emergency room last night for observation and blood work. At this point, doctors cannot determine exactly what the cause is, but blood work has ruled out common epileptic episode triggers such as hypoglycemia and water on the brain syndrome. Liver, kidney, and other blood work came back normal with the only change being in a heightened platelett count. The doctor told us that its highly *possible* that Trixie may have gotten into some medication, possibly from the floor of my parent's house, where she stayed while we were all out at the PRI show. My parents are all on medication, so it is possible that at some point, a pill was dropped onto the floor and forgotten, and that Trixie may have discovered and then ingested the medication. With no further episodes to this point, the doctor does not want to put her on any epileptic medication, citing that it may be a one time occurence. As you can imagine, Trixie is my world, so the thought of her having a seizure as frightening as yesterday's episode while I am at work is very alarming. I didn't sleep last night, as Trixie laid on my chest, I stayed awake monitoring her breathing and worrying about her all night long. I came into work a little late this morning, and after speaking with my boss (who knows how much my dog is like my child) returned home to pick up my lethargic little pooch. Trixie has laid sleeping on my lap all day long here at work, save her brief meal moments ago. We are not out of the woods yet, but I am thankful for no more episodes and hope that she will return back to her energetic self soon. Please say a prayer for my little angel...

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Posted by Erica Ortiz at 2:44 PM | | Comments | links to this post

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