Ida learning to catch a ball again. |
When it was time for Ida to go home, a nurse brought out our
dog, who didn’t know us, could barely walk, didn’t wag her tail, had lost
considerable weight and looked ancient. They gave us a discharge summary along
with a variety of pills for possible pain, heartburn and anti anxiety and off
we went. It was a little bit like, "good luck with your dog."
Fortunately, I’ve worked a lot with head injured adults so
figuring it’s a mammalian brain, I was only too happy to get her in the car and
start rehab. She promptly went to sleep so there was little I could do until we
arrived home.
I took her off all
meds to see just what we were dealing with. Turns out she no longer needed any
of them. Since she would circle, both an issue with blindness and neuro
involvement, I started walking with her on a short lead outside. We walked a
lot figuring it was better to walk her in a straight line instead of letting
her pace in a circle-take advantage of neuroplasticity and re program the
brain.
I decided that
regardless of whether her sight was coming back or not, I would use a
combination of treats and tapping on the steps to teach her how to walk up and
down stairs. A day and a half of training and she was a champ.
Incontinence was a major issue initially so we used modified
toddler diapers and took her outside every hour. Rewarding her with treats
quickly helped to resolve that issue.
Besides food, she loved to play catch, so I let her mouth
some of her favorite toys she liked to catch and her response was immediate. You
could see the synapses firing. Within a matter of a few days she could get
around and seven days after the injury she was playing a very modified version
of fetch, wagging her tail, knew who we were and was on a good path to recovery. As my friend, who had a dog who would have seizures, it's a bit like starting over with a brand new dog.
Sleep was critical for her so she slept as much as she
wanted. We were careful not to wake her as sleep helps to heal the brain. Because
her sleep cycle was erratic, I’d try and nap as well since caring for her was a
24 hour job.
It has been a lot of trial and error, but we are so
fortunate to see so much of Ida’s pre injury behavior return. It consumes a
lot of my time. However, it’s been an incredible learning experience, which you
can see from my observations below:
• Vets are very cost conscious and before they do anything
they go over price breakdowns and possible outcomes. In fact, we had to pay up
front for the vet hospital. Our vet sent records of everything they had done initially
and the hospitals said there was no need to re do, x-rays as they would go with
the referring vet’s results. Doctors and hospitals re do tests all the time
justifying it with different labs and equipment can yield different results.
Because many people can’t afford MRIs for their pets, vets
do a lot of observing and working to understand how an animal’s behavior
relates to what are underlying issues. Sadly, the medical profession has moved
more and more away from basic understanding of patients and relies very heavily
on “what the tests say.”
• When you are talking to a several people about a patient,
address them both. My husband felt left out of the conversations as the entire
team caring for Ida was female. They only looked at him if he asked a question.
• It is very scary being a caregiver when you aren’t sure
what to do. It’s very helpful to give families and caregivers websites and
materials to help them. Found some excellent sites on training a dog that has
suddenly lost their vision. It would have been nice to join a support group
where I could talk to others who were rehabbing pets with traumatic brain
injury.
• One of my friends that runs a farm with lots of
animals, including border collies, said not to baby her. Protect her from
getting injured but don’t over protect her. In short, don’t label her as a
cripple.
• Sleep is critical for both patients and caregivers. Sleep
when they sleep.
• In an effort to find the right items to help your charge
you can spend a lot of money needlessly. Keep receipts and return items when it becomes
obvious they don’t work. On-line research can help make better choices.
• Life definitely changes when you are thrust into a
caregiving role. However, there are opportunities. I’m now taking long walks
first thing in the morning. While I’d rather be sleeping, once
we’re out and moving, I can’t help but enjoy the rising sun, dew on the grass
and other things that I normally don’t see.
• I so appreciate my friends that have sent treats for Ida
and asked about her. It means a lot.
• While Ida is incredible, I find some days I wonder how
she’s going to do in the snow, which hopefully wont be here for another four
months. We had plans to go away but it’s no longer simply leaving her with
friends. What if she develops seizures, a complication of TBI? In short, I can become very overwhelmed by
things that aren’t a problem at the moment. I’m having to remind myself to be
in the present.
• Keeping a journal helped me note progress as well as
reminded me of what I had tried, what worked, what didn’t etc.
• Accepting a lower standard of housekeeping definitely
helped reduce stress in the first two weeks. I reminded myself that Ida was the
priority and it was not a big deal if there were dust bunnies under the couch
or dishes in the sink.
• Taking care of my own needs-like going to the
bathroom before I take Ida for a walk-is very important. Just as she needs
healthy foods to heal, so do I.
No comments:
Post a Comment