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Recovery Period - Day 2

Just a warning, some of the pictures included in this post are not pretty so don't look if you get grossed out easily.

Just as promised I'm going to keep documenting Remington's recovery so others that have to have this surgery done can have a better idea what to expect, since it was extremely difficult to find anything on the subject during the time that I was researching this.

We picked up Remington this morning at 9:00.  I think that both Dan and I were very nervous to actually see first hand the outcome of this surgery!  YIKES!  Brandy greeted us soon after we got there and took us to a room to explain Remington's take home instructions.  They are as follows:

Appointments
We need to schedule an appointment with our regular vet in 10 - 14 days for incision recheck and suture remnant removal.

Specific Instructions
Remington will need to wear an E-collar for the next 10 days. If he doesn't there is a chance that he will cause trauma to the incisions and the surgical site could become infected. He has absorbable sutures that may not need to be removed, however, if at his recheck there are suture remnants, please have those removed. If Remington has not had a bowel movement by Monday afternoon, please give Purdue a call.

Medications
1) Tramadol (50 mg) - Give 2.5 tablets by mouth every 8 hours for 3 days. This is a pain relieving medications that will help Remington stay comfortable while his incision heals. Side effects include sedation and constipation. If sedation occurs, give 2.5 tablets by mouth every 12 hours.  We began the medication today at 1:00 pm.
2) Rimadyl (75 mg) - Give 1 tablet by mouth every 12 hours for 3 days. This is a non-steroidal anti-inflammatory medication that will decrease the inflammation around Remington's incision and will provide some pain relief. Side effects include GI upset (anorexia, vomiting, diarrhea). If any side effects occur, stop giving the medication and call Purdue. We began medication tonight at 8:00 pm.
3) Metronidazole (250 mg) - Give 1.5 tablets by mouth every 12 hours for 7 days. This is a antibiotic directed towards bacteria in the large intestine, it will help to reduce the risk of incisional infection. Side effects include staggering (walking abnormally) and GI upset (anorexia, vomiting, and diarrhea). If any side effects occur, please call Purdue. We began medication tonight at 8:00 pm.

Brandy told us that Remington had not yet had a bowel movement.  This is probably because he fasted so long and it is taking his system a little while to warm up.  I really wanted him to have his first one there because I'm scared to death about dealing with his first one at home!  YIKES!  The Doctor who did the surgery came in soon after and talked to us about the surgery.  He said that they did not have to cut through any muscle and he is very confident that Remington will not suffer any bad effects (incontinence) from this surgery! YAY!

After they were done giving us all the information it was time to bring Remington in!  He of course was a complete wiggle monster!  He was running all around giving us hugs and kisses.  I was soooo thankful that Dan was with me because he is able to get control over Remington a lot better than I can.  We put him in the car and headed home!  He was a trooper on the car ride and spent most of his time looking out the window.  He loves his car rides!

Once home we tried to see if he wanted to poop... nothing.  We've been home for pretty much 7 hours now and he is not showing any sign of wanting to go.  I'm just hoping Dan is home when he does his first one because I'm very nervous about it.  I'm not sure if he just doesn't have to, or if he is kind of scared to. I'm pretty sure I would be!  Most of the day he has been sleeping.  He seems pretty exhausted.  Not that he didn't sleep at Purdue, but you always sleep better at home in your own bed.  His bum seems to be bothering him a bit.  He is constantly trying to bite/lick at the area... this is obviously why they want an E-collar on him always :)  He has ate pretty well most of the day and taken his meds for me without any problems.  For the most part he seems to be doing as well as can be expected at this point.

Below are some pictures from the day and the surgery area...

My sweet boy is home!!!  He is running into everything with his lamp shade, include us... my legs are gonna be bruised :)
Shaved spot on left front leg where IV was.
Shaved spot on back where I believe they were injecting pain meds.
Surgery site. On each side of his bum hole is the incision sites and where the stitches are... this is kind of difficult to see, but it is the part that is scabbed over a bit.  His whole rear is shaved down and he has razor burn very bad, but this should disappear in a couple of days.
This is how Remington spent most of his first day home.  I got everything done on Friday night so I could be his on call nurse all weekend.  Probably not as good as Brandy, but I'll do my very best :)
Are we happy we did the surgery you ask?  Yes... however, we'll feel much better once he is completely back to normal.

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Comment by Doris, Knox & Flash on May 21, 2011 at 9:03pm
That last picture says it all...home sweet home...
Comment by Nancy, Ned, Clancy, and Charlie on May 21, 2011 at 8:58pm
Yay!  I am so glad he is home safe and sound.  That first bowel movement would be scary to me also. I hope your DH is home when it happens also.
Comment by Colleen, Jake & Baxter on May 21, 2011 at 8:50pm
I am glad he is home safe and sound but his poor bum........my re-homed doodle came to us full of fleas had had to be shaved down.  He ended up with a terrible razor burn and someone recommended to me a product called,  "Vetericyn - wound & infection treatment" - this stuff is pricey but it worked great on the burn and made Jake more comfortable.  It's something I keep in his first aid kit.
Comment by Suzann, Rosey & Bandit on May 21, 2011 at 8:31pm
Oh I bet he is glad to be home!!  This is really good information so thank you for being so diligent on sharing your experience.  You will be a great nurse to Remi, each day he will be a little stronger. We are praying for a speedy speedy recovery!!
Comment by Pat and Traveler on May 21, 2011 at 8:22pm
Yipeee!  So glad Remi is home with his people and can continue the healing process in his own place.  His bum really does look sore, poor little guy!  I'm surprised they didn't give you some cream or ointment to put on the razor burn.  Anyhow--hope his first poops go okay and he just continues to get better.  It's great that he's taking his meds so well.  Paws up, Remi! 
Comment by Jennifer and Jack on May 21, 2011 at 7:10pm

What a relief he is home with you. I pray his first poop is painless and goes real well. I bet he is so happy just to be home with you, in his home home with him own mom and dad which are way better then any nurse could ever be....

Welcome home sweet boy, we are all pulling for you to feel better fast!!

Comment by Laurie, Fudge, and Vern on May 21, 2011 at 6:54pm
My computer has been down since Thursday and I was so worried about Remington. So glad to know he is home and on the mend.
Comment by Kaytlin and Cooper on May 21, 2011 at 6:52pm
Ouch, he does look sore, but so happy and comfortable with Mommy on the bed! Keep us updated!
Comment by Joanne ~ Spud* on May 21, 2011 at 6:51pm
Probably not as good as Brandy, but I'll do my very best :)   Kendra, I think Remington, if asked, would only want to be with YOU!  So glad you are all back together again.  Something about being home with his humans..... it is just the best medicine he could ask for now.   Who can argue?  Just look at you two in the last picture.  Have a peaceful night and a very speedy recovery.  Thanks for the posts.  Very informative and I'm positive in the future will be helpful to another family going through the same thing.
Comment by Karen, Jasper and Jackdoodle on May 21, 2011 at 6:31pm

I'm so glad Remington is home! I hope his recovery goes well and he's soon feeling much better.

Thank you for documenting all of this, Kendra. I know it will be so helpful for others whose dogs have this problem in the future.

Hugs to you, Dan and Remington!

 

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