Ask the French Bulldog Vet - Spaying Gone Tragically Wrong

lorihuntdvm August 14th, 2008

I have just spent one of the worst weekends of my life.  On Friday morning I took my apparently energetic and healthy little 4.5 month old girl to be spayed.  About an hour after I dropped her off I received the call that she was dead.  What I was told is that they didn’t even get her under - that the pre-anethesia medication was all that she had been given.  The pre-anethesia included morphine.  I was told that when they came to get her she was blue.

My questions:
1.  Do most vets monitor small dogs after they have been given meds like morphine to make sure that there is no adverse reaction?

2.  If so - could anything have been done?
3.  Is giving morphine as a pre-anethesia a common practice when spaying?

I dropped off what seemed to be a perfectly healthy little dog for what I understand to be a very routine surgery.  I had planned to pamper her this weekend after the spaying - cleared all activities.  Instead I ended up mourning her death.

When I first found this vet I had talked to three others and discussed their familiarity with the breed.  I went with him because I was assured that he had 4-5 current frenchies and that he was very familiar with the breed.  I live in the Phoenix area and will be getting another frenchie - I really fell in love with the breed.

I didn’t see any recommended vets listed for out here - how do I make sure I am getting quality care for my beautiful little pups?

Dr. Lori writes –

What an absolutely awful thing to have happen.  I am so sorry for you and your little girl and I can only imagine how heart broken you must be.

You mention morphine, but were there other drugs in the pre-anesthetic cocktail?  I do believe if pre-medications are to be used, the dog should be monitored.  We have our surgery recovery area right in the midst of our main room, so the pets are always in our sight.  It is possible if they saw her fading they could have intubated and given her meds to turn her around, but that is hard to say for sure, without knowing exactly what happened.

Many veterinarians do use pre-meds.  I choose not to use them on frenchies since anesthesia can be so hard on them anyway, that I believe the less drugs in their system, the better and easier recovery.  I have an anesthetic protocol on the frenchbulldogZ site, http://www.frenchbulldogz.org/learn/anesthesia.html.

While it isn’t perfect or all inclusive, it is certainly a good start. Please do let me know if you find out any other drugs were used.

I am so very sorry

Editor’s Note: I’m so sorry for the tragic loss of your little girl. You’ve gone through every Frenchie owner’s worst nightmare. You mention that there aren’t any Frenchie vets ‘where you are’ — if you email me and tell me where that is, I’ll be happy to try to find you a good reference in your area. Again, my deepest condolences on your loss.

Ask the Frenchie Vet - Pituitary Cushings Disease Treatment?

admin August 13th, 2008

My 11 yr old French Bulldog Otis was recently diagnosed with Pituitary cushings after showing symptoms for over a year. He has just started taking 10 mg of Trilostane twice a day.

He is showing severe muscle wasting in his hindlegs. His gait reflects this as does his reluctance to walk and jump. I take him to a holistic vet  who does acupuncture to help alleviate this but I am concerned.

Is there anything to help strengthen his legs?

Dr. Lori writes –
I suggest physical therapy.  This can include massage, hydrotherapy, and just plain walking at a nice regulated pace to help him build up his muscle mass.  You may also consider some natural antiinflammatories, such as fish oils and also some antioxidants.  Both can help reduce inflammation.

I am sorry to hear of Otis’ troubles and I wish you luck with keeping him comfortable.

Lori Hunt, DVM
French Bulldogs d’Assisi

Ask the French Bulldog Veterinarian - Spinal Lesions in a Frenchie

admin August 12th, 2008

I had a Frenchie for 4 years, and she was healthy. Then last summer she started to wobble in the back legs, and slowly she lost her ability to walk over the next 9 months.  I took her to a specialist, got an MRI, but there was a lesion in her spine, and they couldn’t figure out what it was.  Also she had 7 generative discs.  It was a difficult experience, and ultimately after all kinds of treatment, like acupuncture, joint support powder, and finally a wheel chair,  I could no longer care for the dog properly, and had to give her to a rescue organization that is seeking a new family for her.

She had lots of UTI’s and I couldn’t get her out of my apartment building in time for her to do her business, because she lost sensation.  My wife and I are expecting a child and we both work.  I wanted the dog to be with someone who has easy access to a backyard and a little more time to attend to her special needs.   I feel a lot of guilt about giving her up, but I want her to get the best care.

I just wish I knew what caused her to go lame in the back legs at such a young age.  She is the best dog I have ever had, and seems otherwise happy, she just drags herself around. I would have paid whatever to cure her, but the vet said it was the lesion not her vertebrae that were causing the problem, and an operation would not have helped.

I am afraid to get another dog, because giving up the dog was so difficult for my family.

Is there anything to look for in a perspective dog to show warning signs of this kind of problem?

Missing my Frenchie

Dr. Lori writes –
It sounds like we know exactly why she became paralyzed and that is due to the spinal lesion.  It doesn’t say whether her vet believed it was inherited or from injury, but given she is a frenchie, it’s more than likely congenital and as she aged, the lesion in her spine worsened.   I am guessing here, as I don’t know the specifics, but my supposition is that she had a curve in her spine that caused the spinal cord to “kink”, thus causing the lesion and her clinical signs…

I am sorry that you went through such heartbreak.  There really are often no warning signs, until it is too late to fix it.  My suggestion to you would be to find a breeder who thoroughly health screens at an early age as well as adults…  it might not prevent an issue, but it might help you be more knowledgeable about what you are getting in to.

Again, I am sorry and I hope your girl finds a home that can care for her

Lori Hunt, DVM
French Bulldogs d’Assisi

Ask the French Bulldog Veterinarian - Muscle Wasting and Spinal Issues?

admin August 12th, 2008

Hi Lori, I know you from some of the lists. I have a back question for you. My Charlotte, who up until recently, was an excellent agility dog, has been having problems.

A couple of months ago I noticed her left leg was smaller in diameter than the right leg(up in the thigh area).  I took her to a vet who is also a chiropractor, and an acupuncturist, she specializes in rehab for agility dogs. She did some adjustments, and gave me some exercises to do with Char to strengthen her core and her back legs.

The next time we went to her Char had a delay in righting her hind legs when placed in a knuckled over position. I was freaked out by this…her left leg remained slightly smaller then the right leg but had increased in size from what it was originally. The vet made some more adjustments and did acupuncture…with in a couple days of the acupuncture Char no longer had a delay in righting either hind leg…she also started playing with her ball again.

I had attributed the stopping of the ball playing with the addition of a puppy…must have been pain. She is retired from agility. We had X-rays done…her thoracic spine is a mess…and she has an area of spondylosis in the lumbar region..the vet said to keep up the core exercises, no agility…lots of long walks, and watch her closely…she said perhaps continuing adjustments and acupuncture on a monthly/bimonthly schedule.

Just wondered if you had anything to add as a frenchie vet.

Thanks and sorry so long…we also added fish oil and Dasuquin to her raw diet.

Dr. Lori writes –

Sounds like you have most things covered.  One thing I can think of is hydrotherapy, perhaps swimming or an underwater treadmill as it may help her build her muscles without bearing much, if any, weight, thus reducing stress on her bones.  You also may want to consider using a short term steroid taper dose during flare ups to decrease the inflammation around her spinal cord.

Lastly, I might suggest muscle relaxers during flare ups, as often times back spasms are muscular in nature.  How are her hips and knees?  The unilateral decrease in muscle mass could be due to these as well.

Hugs to Char and sorry to hear she has retired!

Lori Hunt, DVM
French Bulldogs d’Assisi

Ask the French Bulldog Vet - Cleaning Bat Ears?

admin August 10th, 2008

Hello!
I am a brand new Mom of a little 10 weeks old Frenchie - Maya.
We have quite simple question to ask: How and how often should we clean famous bat ears?
Thanks a lot in advance!

Dr. Lori writes –

I would suggest weekly cleaning with a clean cloth and maybe some Q-tips in all the folds and crevices.  This should suffice so long as she doesn’t have an issue.  It will help prevent infections as well as alert you early if one is starting.  Enjoy your new baby!

Lori Hunt, DVM
French Bulldogs d’Assisi

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