Friday, December 5, 2008

Dylan is Home!

Yesterday evening we received a call from Dr. Kegge, the Chief Neurologist at the AMC, who had been updating me on Dylan throughout the day. As I mentioned yesterday, at 10 am Dr. Keege and her staff ruled out any neurological concerns. When she called me yesterday evening, she had followed Dylan around all day. She delivered him to the Orthopedic Surgeon and monitored him all day. She called me around 4 pm and told me that he would be able to come home soon. Ahhh, I was just so happy. To bring him back home late last night, was such a joyous experience...because in all honesty, Wednesday night we didn't know that we would be able to do this ever again.

To update you all on Dylan his spirits are GREAT...he's doing very very well. When the discharge attendant gave us his meds and instructions, he followed his last instruction with "Alright, I'll go get you guys your little Dylan." I started tearing up out of excitement to just see him. About a minute later, there he came, being carried by the attending veterinarian with a little green leash around his waist and a bandage on his front arm from where they had pulled out the catheter. I had assumed that Dylan would probably be very groggy and still sedated when we picked him I shouldn't expect his Dilly spirit to be back in full effect. I prepared for a very groggy puppy. But then, here came Dylan, with that little green leash and when he saw us...well, so much for being groggy. The little guy acted like he hadn't seen us in YEARS...he started crying, screaming out of excitement, and wiggling out of control for his Mommy. The vet said I could put him on the floor...and he was able to put weight on all four legs...he was smiling, panting and licking us as if we were the most delicious dog food there is. He was so so so happy. He was very hyper and seemed to be fine, but I'm sure the pain medication was helping him walk. We walked out of that AMC carrying him, he was just too excited to go into that Sherpa bag. We got a cab and headed home. Dylan was like a crazy little man in that cab...he's always been a licker, but he was doing whatever it took to lick my face. He was truly embracing us, and it really seemed like he hadn't seen us in years.

I got home and I made up the kitchen for the little guy. His leg got a little worse as we got home, as I'm assuming the pain medication was wearing off...but his spirits were strong...very strong. I put him in the kitchen and let him have a reunion with his brother...quite amazing to see! Then he walked around the kitchen, looked up at me and just started peeing...all over the kitchen floor. Poor little guy, it was like he hadn't gone at all over the past day. But, I told him it was okay...I could tell he felt so guilty as he looked up at me while letting it all out. I ended up making a bed in there so I could lay with him. My little family is back together again!

Last night I took apart my bed, because for the next 3 weeks Dylan cannot walk up a stair, jump, play with his brother, or run. I had stairs that Dilly used to use to jump up our bed, but the bed had to go. I threw out my box spring, frame, headboard and just put the mattress on the floor as it will stay. I surrounded my mattress with extra quilts...because even though it's only a foot off the bed, I don't want Dylan to have to jump up at all...the blankets provide a little ramp so he can just walk up on the bed.

Now, the not so great news...but not horrible news. Dylan has always had a problem with his back right leg...ever since he was a puppy. I had it looked at numerous times and his vet never found anything and said that it might just be a bit weaker for various reasons but that we should not worry about it, as long as it didn't get worse and he wasn't ever in pain by it. Well, a week or so ago, he slipped on the wood floor and hurt it...although he didn't look in pain...he just walked with a few hops and was then back to normal. On Wednesday, he apparently jumped off the bed, hopped a little, but then just walked over to the couch without showing any sign of pain. Little Dilly is a trooper and must have been in a lot more pain than he was showing that day. When I got home, I'm sure it was at the point where the pain had escalated so much he couldn't even move. He had lost spatial recognition and as Dr. Kegge said, all these things were occurring because of his amount of pain. Yesterday nothing was determined but two diagnoses have been given. Dylan's x-ray shows signs associated with Aseptic Femoral Head Necrosis (AFHN). AFHN is a progressive deterioration and collapse of the femoral head, although the cause is unknown. AFHN causes the bone to die overtime, and the continued use and weight of the pet on the joint causes the area to deteriorate and eventually the femoral head collapses and osteoarthritis ensues. So, that's what it might be...although he doesn't show many of the signs. It also might be just an old fracture that healed incorrectly. Dr.Kegge and the orthopedic surgeons at the AMC think that bedrest will help heal our Dylan, but if it gets worse overtime, he will require surgery. But, you know what...I have time to research this and I still have my Dilly, and that is all that matters. We can get insurance, save for the surgery and make sure we can get him to the best orthopedic surgeon there is in this city. But, he may not even need that and only time will tell. Dylan is on strict bedrest for the next 2 weeks...and then still no jumping on furniture, walking up stairs on anything for the next 2 months. He is also on Rimadyl right now for the pain. After 5 days he will go off of the pain medication and will hopefully have no pain. Everything will be just fine, and I am eternally thankful for our little Dylan and his health. I can't describe what it's like to love someone so much, but the love I have for my dogs is just ridiculous. My family means the world to me, and to have Dylan still here makes me feel like the luckiest person in the world. I went to hell and back over the past two days. The doctor Wednesday night provided me with LITTLE hope...and alluded numerous times that he might not make it, over and over again. I am just so so so thankful.

To everyone that helped us pay for these bills, I can't even explain how thankful I am. We will be paying off all of the x-rays, bloodwork, ICU care, MRIs and monitoring for a long time, but you have all helped. All of the people who have emailed me, sent kind and inspiring words, left comments on the previous entry and have called or really made this so much easier. I don't know what I would have done without this blog as an outlet. When I felt completely hopeless and helpless Wednesday night, I found help by writing in my pug blog...the blog I've post all of the pictures of Riley and Dylan...the blog where I've communicated with so many other caring pug and dog owners over the past year and a half. Also, Dr. Kegge at the AMC was just wonderful and if you are ever in our situation in NYC, I strongly recommend her. She even wrote a note on the discharge instructions saying "Thank you for trusting us to take care of Dylan! He is a very sweet boy and I wish him a speedy and complete recovery!"

If anyone has any names of great orthopedic surgeons in the NYC or greater NY area...we will greatly accept them. We will be looking into getting a second opinion after Dylan starts feeling better at which point we will decide if he needs the surgery or not. Also, we will be looking into seeing another neurologist, just to confirm that neurologically, he is perfect.

I can't thank you all enough...for everything. My friends who reposted this story, the pug bloggers and dog bloggers who contributed their inspiring stories and love, the friends of friends, everyone. Especially my mom. Wednesday night was probably really tough for her...but she was strong and just kept on telling me to remain positive and not think about it being PDE...because we just didn't know yet. She stayed on the phone with me throughout the night, even jumping out of the shower to just calm me down after one of the many sporadic breakdowns I had that night. It really touched me how many people helped out. I hope that I can all help you when you need it. So thank you SO MUCH for everything...I got so emotional with every single note we received wishing us good luck. I will never forget the kindness that everyone provided us with.

And now, I'm ending this really long (sorry) update with a picture of me and my little man, taken very late last can clearly see how exhausted we both are.

Oh wait, someone's not too exhausted...


Too Cute Pugs said...

Yay! I'm so glad to hear your news. My gosh, I can't even imagine what you have all been through. I love my puggies crazy like you and I just know how horrible the last few days must have been.

We will keep hoping Dilly improves - maybe he won't even need the surgery..? But even if he does, it sounds like he's going to be okay and that's great!

Pug love from,
Sue, Pearl & Daisy

alanajonesmann said...

Thanks so much Sue! We'll keep everyone updated over the next few days, weeks and months...much love to you and your family! thank you for all your positive thoughts!

Harry Pugalicious said...

I'm so happy to hear that Dylan is home and that things look more optimistic.

Isn't this pug blog world great? There are so many kind people. I am happy we've been able to help you through this - even if just a little.

Give Dylan hugs and kisses from me and Harry!

Clover said...

Horray! I am so glad Dylan is home and that there has been some improvement. I hope he doesn't have too much more trouble with any of this. Sending big hugs to all of you, from me and my parents!
Love Clover xo

Brutus and Miley said...

Dylan, we are so glad you are home. Being without the humans can suck especially when you don't feel good.
Hopes for a speedy recovery,

Brutus and Stacy

alanajonesmann said...

Heather and Harry - thank you so much! I'm so glad for our little pug dog really gave me so much hope and inspiration! I've met so many kind people over the past couple of days and have learned of many similar really has opened my heart and has made me want to help so many others too.

clover- you are simply the best. your blog brought so many amazing people to us...huge thanks and tons of love to you and your family

brutus and stacy - thank you! we look forward to keeping in touch and sharing many more positive stories in our future!

Unknown said...

Oh, I'm so glad to hear this!! I've been praying non stop for Dylan since I read the last entry. I'm really overjoyed for the good news. We are still praying that it will not require surgery and that he'll feel perfectly better soon.

It's funny you mentioned how Dylan is a "trooper" and didn't show his pain until he was overwhelmed by it. When we first started researching the pug breed that was one of the big things mentioned - a few books I read said that it can be really hard to diagnose pugs because they are so "stoic" and very often don't show the pain they are experiencing. I think it's more than being stoic and shows how much concern and care they have for their humans - they don't want to bother them with their issues. They are such good dogs - why would you have any other kind, right???

Have a great weekend with your reunited family :) We'll continue praying and will keep checking back for updates.

Kristen said...

I just wanted to let you know I'm thinking about your and your family! Your story brought tears to my eyes and makes me want to run right home and hug my own pug!!

Ultragrrrl said...

I'm so happy that little Dilly is better. I am so so so sorry you had to go through this. I know how hard it can be.

Punchbugpug said...

Wonderful news! You can call Cornell University. A local friend had her dogs extensive surgery done there and it was MUCH less expensive.

Amber-Mae said...

Oh my! I am so sorry to hear what happened to dear Dylan. But I am glad he's making a good recovery. I think he'll be back to himself very soon! Just keep your spirit high!

Butt wiggles,
Solid Gold Dancer

Paula said...

Oh thank goodness Dylan is home with your tlc making everything alright. I will continue to keep his recovery in my well puggy thoughts and prayers. Yes our furkids do cause us to where are hearts on our sleeves, we will move mountains for them if necessary. Been there with Bandit!

{{{{Pug Hugs}}}}


alanajonesmann said...

thank you to EVERYONE for all of the puggy love! you are all the very best!

Unknown said...

Wow, Dylan is so cute.

Glad to hear he is home.

Just make sure you watch for the side effects of Rimadyl.

Side effect of Rimadyl

Better to be save than sorry.

My dog, NOT a pug, passed away.

Geng Daddi

martha said...

Bennie and I are so very glad to hear that Dilly is home and we hope he keeps improving. He's a wonderful little guy and a great trooper. Give him some pets and hugs from us!
Martha and Bennie

I Love Lucy said...

I am so incredibly happy that your baby Dylan is home and recovering. I can imagine what you must have gone through. My Lucy had surgery to repair a broken patella, and I was horrifed thinking about her being under anethesia. Unfortunately, she had 2 surgeries because the first one failed. But, you know pugs, nothing keeps them down and she is recovering well. Of course, keeping her from running and jumping is a full time task.
I am thrilled that Dylan is okay, and I am keeping you all in my prayers. My best wishes to your beautiful family.
Big pug hugs from Lucy and Connie in California.

Anonymous said...

Hi! I´ve been following your story and I´m so glad your puppy is better and at home! I felt like crying just imagening that something like that could happen to my precious pug.... Again, I´m so glad he´s all better... I wish you all the best and good luck with everything... Stay strong!and MERRY MERRY CHRISTMAS to all of your family.

Archie and Melissa said...

i am so glad dilly is home and doing so well. your update just made my whole day!
m & e

Odysseus said...

Hi, I hope that You are still checking your blog.

My little pug Ody was just diagnosed of the same disease, although he doesn't know what's going on and still uses his left back leg.

I totally understand your feeling and you have been through. I found your blog when I was doing online research for Ody.

Is there any update on Dylan?