Tricky situation

P3LH

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I have never been one to query too much when it comes to the decision to pts - I’ve always always lived by the mantra that I’d rather let them go when tails wagging and still happy if I know the outcome isn’t fixable. For example with one of our old terrier bitches I let her go as soon as she was diagnosed with cancer, whereas I had several vocal relatives saying I should have waited. Horses for courses but that’s just how I’ve always been, primarily due to a childhood dog being allowed to drag on for too long.

I am greeted with an unexpected situation and potentially very difficult decision. My younger rough collie, 8 years 3 months and always fit as a fiddle, has started to seemingly lose the use of his back end. It started with slightly splayed back legs when standing up from sleeping and then vanished, returned in the last ten days & progressed to being generally wobbly in the back end, back end ‘sagging’ a little and now resulting in him coming down on his rear hocks when he moves as opposed to his rear paws, and his back legs severely splayed/bowed at times (sometimes worse than others) with a more notable drop in his back end noted in the last forty eight hours. He is otherwise happy and merry. H is still generally active and mobile his back end is simply not normal for him.

We have seen our vet today, who was wonderful as they always are. He didn’t react to any of the manual checking/manipulation of his rear end. There was a reaction when they had one leg pulled up high and pulled back quite far out whilst manipulating the hip which they felt indicated he was feeling some degree of muscle reaction in his flank from them manipulating the hip. His nails are unevenly worn and some slightly scuffed. They feel probably DM, or another similar degenerative disease of the spine. Possibly ataxia but cause of which would be difficult to track. Ruled out anything like arthritis or injury per say. As soon as I took him in and they looked at how he was stood, I knew it wasn’t great. I had feared the worst yesterday.

He has been prescribed anti inflammatories and pain relief for ten days to see if this makes any difference at all initially. More about management than anything and because they can’t give a concrete ‘it is this’ but can give a ‘he presents as this’ so want to rule things in or out. Vet did say it could help stabilise things and get him back in a healthier position and back on his feet properly snd then we could go from there.

Vet made a point of saying ‘I want you to know there’s not a single vet in my practise that would over rule the decision to PTS should you feel that’s right.’ Also seemed expcetionally sympathetic and kept saying things such as ‘I’m sorry you’re both going through this’ which for a very practical mixed practise vet, who has always given it to me straight - took me by surprise. I have been at the same vets since I was born and trust them. A lot. Other than that, we are on the waiting game to see.

He isn’t in any pain that I can note and they don’t feel he is either. He is settled but is clearly finding getting up more difficult. Upon returning from the vets he lay down and didn’t move until dinner time. So some hours. Usually he follows me around everywhere. The sag in his back end is more noteable, it’s what prompted the vet visit as on Thursdays walk I noticed he looked weirdly short coupled - and then could see his back legs seemed to be coming too far under, then when he ran he was coming down on his hocks.

And here we are. I have never found myself at odds with my thought process (probably not helped by the fact he is my favourite) but genuinely don’t feel I know what to do for the best. I do feel the writing may sadly be on the wall, and that whether it’s six weeks or six months I think he’s going to end up going completely off his back legs. but he’s still so bloody happy, eating normally, toileting normally. And he’s not an ‘old dog’ which somehow makes me unable to think clearly. I am at a bit of a loss as I’m sure you can tell, I wonder if/feel that he’ll make the decision for me at this rate.

My initial plan is to wait it out a few days and then reconvene my thoughts hopefully eith a clearer head. So really I suppose I am just writing this out to read it back and try and think about it more pragmatically as both OH and my dear Mum (who looks after the gang a lot) have all read the room and realise this is going to be a hard one for me, either way.

thankyou to CC and skinnydipper for dealing with my messages during the witching hour the other evening when I began to fear the worst too, this forum is quite good sometimes.

This isn’t a great photo and probably doesn’t show much, but it was how it started and was taken three weeks ago, when he started standing in a stooped and splayed way after lying down. It went away and then returned with a vengeance. It is worse/more pronounced than this now. His legs are more splayed out/bowed and seem more difficult to manoeuvre at times with back end swinging - and his back end has drooped more. He is more notably resting/moving on his hocks and not seeming to notice. When we were in the vets and he wa standing he looked like he was squatting. I will not post a now photo as I don’t think it’s right to, this is much better than what we’re now dealing with but gives an idea of where it began.

I hope this all makes sense - most of it is probably incoherent ramblings but it does help to write it all down. And helps me avoid pouring a cider or a gin - which I think would be a bad plan, even though such a difficult day probably warrants it. I don’t even think I’m looking for advice per say as nobody can ever really make that decision for someone else - but crikey this one is hard.
 

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AmyMay

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Oh, so tough. A chap I saw regularly with an incredibly fit, athletic BC is going through this (well has been for 18 months actually). It’s pretty awful to see this once vibrant dog reduced to what he now is. Incontinent, and on wheels. The dog was six at diagnosis.

They are desperate to keep him going, had he mine he’d have gone on diagnosis- especially given how quickly the decline has been.

Thinking of you.
 

HoundFan

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It's all about quality of life for me, and I would trust you completely to know when a dog has quality of life - your whole post emphasises painfully that this is your primary thought in the world. God knows I know from personal experience it is incredibly difficult, but far better than letting a dog go on too long whilst you try this intervention and that. At the moment from your description I would say that your dog has quality of life, equally I would totally trust you to know when that is no longer the case. It's so bloody hard :(
 

Sandstone1

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You know your dog, Is he happy, is he content or is he distressed, Its so very hard but it sounds like hes got quality of life at the moment. I would try to spoil him as much as you can now do his favourite things as much as possible. go on his favourite walks while you can, feed him his most favourite things and just enjoy him. Dogs live for now.
 

DiNozzo

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My parents dog is deteriorating very differently to yours; ours is completely blind and not very brave but otherwise physically fit.

They've decided on a maximum 80/20% split of happy to uncomfortable, as long as the discomfort is in specific situations like going on walks and meeting other dogs. Obviously they try to manage those instances to the minimum possibly, but its not possible to walk him and never meet other dogs.

They're keeping a careful eye on him to make sure he isn't concerned about being lost (he isn't, seems to think the house is playing games with him and he's keen to win) because as soon as that happens, its a sign the balance has shifted.

I think you need to set a series of tests that you and your dog are happy with (I know some people would PTS my dog now, but he's still very cheerful), and then be honest about your dog's reaction to those tests.
 

Roxylola

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Sounds like your vet knows what they'd do. Personally unless there were an improvement on medication I'd be looking at pts. It's progressed quickly already, even if it doesn't progress further I'd be worried there is some pain - you know your dog, but if he's reluctant to move as he normally would I'd assume discomfort at least. Additionally I'd be concerned he will deteriorate quickly now, I'd always rather not have to deal with an emergency if I can.
Sorry to be a doom monger, and so sorry you're going through this, it sounds dreadful for you x
 

Errin Paddywack

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I used to see a Labrador that was like this. He was a retired guide dog living with his owner's mum. She only walked him to the nearest patch of grass for a sniff but you could see him sagging when she stopped to talk to anyone. He was also incontinent in the house. He always looked depressed, I wouldn't have kept him going once incontinent.
 

P3LH

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Sounds like your vet knows what they'd do. Personally unless there were an improvement on medication I'd be looking at pts. It's progressed quickly already, even if it doesn't progress further I'd be worried there is some pain - you know your dog, but if he's reluctant to move as he normally would I'd assume discomfort at least. Additionally I'd be concerned he will deteriorate quickly now, I'd always rather not have to deal with an emergency if I can.
Sorry to be a doom monger, and so sorry you're going through this, it sounds dreadful for you x
Please don’t apologise as CC & skinnydipper will verify from our direct messages - this is my school of thought too. I suppose I am battling myself because of how he currently presents. I don’t really want to wait for him to ‘go completely’ - not my style. I have said to OH this morning that it must improve from his current state, and remaining as he currently it is or worsening leaves us with only option as the simple thing is - how he currently is, isn’t normal.
All a bit rubbish really.
 

Pearlsasinger

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I think the vets are giving you a very direct steer, which is quite unusual for vets ime. If he were my dog, I would give the meds time to see if they work and if there isn't a significant improvement prior to the review date, I would pts.
Sadly 8 is no age for a collie but each one is an individual, I have had a Lab live happily and healthily to 15 and yet had one pts at 18 mths. We are currently managing our 8 yr old Rott who has bladder cancer, with a-bs and anti-inflams, as soon as her quality of life deteriorates she will be pts. i simply cannot understand why/how people can put their dogs on trolleys.
I hope the meds work for him/you.
 

P3LH

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I think the vets are giving you a very direct steer, which is quite unusual for vets ime. If he were my dog, I would give the meds time to see if they work and if there isn't a significant improvement prior to the review date, I would pts.
Sadly 8 is no age for a collie but each one is an individual, I have had a Lab live happily and healthily to 15 and yet had one pts at 18 mths. We are currently managing our 8 yr old Rott who has bladder cancer, with a-bs and anti-inflams, as soon as her quality of life deteriorates she will be pts. i simply cannot understand why/how people can put their dogs on trolleys.
I hope the meds work for him/you.
I think when you’ve seen the same vet for as long as we have they tend to get a feel for how candid they can be. I too agree re trolleys and things - can’t fathom it myself. He’s had a tricky morning today, I am trying to reserve judgement until at least half way through the initial prescribed course of drugs - but finding this a challenge too.
 

Pearlsasinger

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I think when you’ve seen the same vet for as long as we have they tend to get a feel for how candid they can be. I too agree re trolleys and things - can’t fathom it myself. He’s had a tricky morning today, I am trying to reserve judgement until at least half way through the initial prescribed course of drugs - but finding this a challenge too.


Do give it time. We were a bit sceptical about the prescribed treatment for the bladder cancer, although we had told the vet that we would not put her through chemo, and when there was some breakthrough bleeding a couple of weeks in, we wondered if we were doing the right thing but we are now 6 weeks on and she seems happy and comfortable on a day-to-day basis, still enjoying playing with 'her' young Labs, although tiring perhaps more quickly than previously. I am sure that your vet will have factored in a 'build-up' time when recommending a review date.
 

splashgirl45

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i have just lost my collie cross , she was almost blind and nearly deaf age 15, back legs not as strong but still happy to potter out for a 20 min walk which i changed to very early morning for 10 mins.once the weather got so hot... on wed morning she was happy to go for her 10 min stroll but when i fed her about half an hour later she ate hardly anything, she was very quiet for the rest of the day and didnt get up when i got the other 2 their food, i had done her a bowl of cooked chicken and she wouldnt even take it from my hand. she struggled to get up and i had to help her into the garden for a wee by using a harness plus towel round her tummy so she could stay up on her back legs..my decision was made and i booked for the vet to come to the house the next day..it got to 9pm and i couldnt make her wait as she seemed very confused that she couldnt control her back end, so i took her to the emergency vet.....i really wish i had realised how bad she was earlier and got my own vet to come out as an emergency..., her refusing the chicken in the morning should have prompted me to PTS as she had never, ever refused to eat so she must have been feeling bad....if yours is still eating and happy its a hard decision but try not to wait until its an emergency and he cant stand, i know this is your thinking ,i am lucky my girl was 15 so i knew i wouldnt even try any treatment even though i would love her to still be here. sorry for the long story, good luck
 
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Bellasophia

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It does sound like DM…if you want to be sure ,there are several animal genetic labs in uk offering a mouth swab test for less than 50 pounds.
I did this for my boy when his litter brother ( a popular uk sire)tested positive as a carrier in uk..
…my dog ( nearly 9 )was also a carrier,but remains symtom free.
I needed to know,since it was in his genetics.

e mail a lab..they send you a swab..you send it back and they e mail the result.
Simple as that and you can either cross it off your list or accept the news and plan your time left…depending on the result.
Its cheaper than a specialist visit and so easy to do.

Keep your chin up Luke..it’s really draining when they start to go downhill…if it’s doable have a plan..if not ,steel yourself and follow the vets council.We are here for you.
 

LadyGascoyne

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Does your collie tend to do that typical collie jump and twist thing?

My border collie started to struggle with his back legs 2/3 years ago. He was a bit ‘off’ for a little while and then became much worse quite quickly. He also didn’t appear to be “in pain” but rather ataxic. I thought we were going to have to put him down, and had the whole family in tears when we took him to the vet.

Vet felt it was damage to discs from jumping and twisting for so many years, and suggested anti-inflammatories and painkillers, and to start him on yumove.

He has come back completely. We have strict instructions to work in straight lines and not to let him chase balls, frisbees etc.

He goes running, hacking with the horses and does plenty of long walks. He’s still on yumove and we keep him as light as we can but he’s not on any pain medication and he’s doing very well.

Can you do a pain meds trial? It could just rule out pain as a cause.
 

P3LH

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Does your collie tend to do that typical collie jump and twist thing?

My border collie started to struggle with his back legs 2/3 years ago. He was a bit ‘off’ for a little while and then became much worse quite quickly. He also didn’t appear to be “in pain” but rather ataxic. I thought we were going to have to put him down, and had the whole family in tears when we took him to the vet.

Vet felt it was damage to discs from jumping and twisting for so many years, and suggested anti-inflammatories and painkillers, and to start him on yumove.

He has come back completely. We have strict instructions to work in straight lines and not to let him chase balls, frisbees etc.

He goes running, hacking with the horses and does plenty of long walks. He’s still on yumove and we keep him as light as we can but he’s not on any pain medication and he’s doing very well.

Can you do a pain meds trial? It could just rule out pain as a cause.

This is encouraging. He’s not really one for doing the classic border collie stuff as rough collies are generally more sedate, prior to this he moved really soundly and people always compared him to a race horse. It is the ataxic nature of his gait and the stoop which seems to come as a result of that, that’s very alarming and the speed of it all.

he’s on anti inflammatories and pain relief at the moment as a trial to see what this may or may not do. The goal is to get him back on his feet properly snd moving a little more soundly. It’s very possible that the stoop may be as a result of pain in the spine or his hips and is resulting in him moving in this hobbled fashion due to pain or difficulty, which would rule out the DM route all together. As you can tell, I’m clinging on to this. I am finding i can think a bit clearer today.

He had a very tricky start to the morning but I feel has picked up as the day has gone on, he’s being a bit lazy today compared to usual but when he is up and about he does seem steadier than a few days ago. There’s still periods of the splayed legs and sagging back though and he hasn’t wanted to go outside - but that could also be the rain as he’s a right tart!

I trimmed his paw pads today and he did react when I applied pressure, which has made me happy. I know that doesn’t conclusively say anything as if it is the start of DM then it would be early days.

watching him more today I am wondering if there are hip issues too. I’m not necessarily saying it’s the sole issue and that it’s not the onset of DM, but just watching him move today again has made me wonder.

He seems fine in himself and he’s certainly less bothered taking the pills than to start with which again makes life easier.

It’s the uncertainty and lack of knowing of what’s the underpinning cause that’s so very difficult. Even the vets seem stumped, they’re leaning towards what I’ve outlined above but they were clear they do want to rule other things in or out before saying ‘here we are’

Even if it is the worse case scenario, I am really hoping I can get him back on his feet properly and a bit more content so we can have more time and try out other options that are supportive methods. It really is the not knowing that’s hard - if it were a cancerous mass, heart failure etc as with some of our other dogs I could comprehend but to deal with it could b X, equally there are characteristics of Y, etc is a bit much to try get a mere mortals brain around. And makes it too hard to make a definitive decision when he’s happy and ok in himself at the moment.
we shall see.
 

blackcob

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Another differential if DM doesn't fit - cervical spondylopathy (wobblers) - a splayed, wide rear leg stance is typical. One of mine has it albeit in a relatively mild, chronic form but if you Google you'll tend to see pictures of dobermans with the more dramatic wide leg stance and stoop.
 

P3LH

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Another differential if DM doesn't fit - cervical spondylopathy (wobblers) - a splayed, wide rear leg stance is typical. One of mine has it albeit in a relatively mild, chronic form but if you Google you'll tend to see pictures of dobermans with the more dramatic wide leg stance and stoop.
Interesting you mention this as my mother (former dobe lover) mentioned this as soon as she saw him as lost several of hers years ago to it. She was non committal as wasn’t sure it was breed specific, having googled quite a bit since reading your post this does look a lot like how he has been lately.

think I will chat through again with vet tomorrow.
 

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rara007

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I assume you wouldn’t be interested in going down the diagnosis and imaging/nerve testing route? He shouldn’t be aging that fast at his size and age.
 

MurphysMinder

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This doesn’t sound like typical DM to me ,but one pointer is that if it is , pain killers will make no difference. I think you are right to give him a few days , and I’m sure you’ll make the right decision for him . My old Gsd Evie suddenly started showing neck and back pain last December , she had scans and x rays and her spine was a mess ?. We tried a few days of various medications but when nothing changed she was pts .
 

Cinnamontoast

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Quality of life is key. I’d give it a few days/weeks and see how he goes. We had ours pts the day after a spinal cancer diagnosis, but he suddenly couldn’t walk, so it wasn’t much of a dilemma.Yours is tricky. I feel for you.
 

P3LH

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Will now seek a second opinion elsewhere after seeing a different vet than my usual this morning (someone just covering), who was as helpful as using a sieve to eat soup with. We are now on a mix of new drugs amounting in total to 13 different tablets spread throughout the day all used for managing chronic pain. They’ve identified potential prostate issues now too. He is not happy at all but this most recent vet (as mine is now away) didn’t particularly seemed that bothered and had looked into what was on his record from previous visit and looked into ‘DMS which is very common in blue Merle’. DMS is a skin condition in rough collies.

Not exactly reassuring. Wish me luck.
 
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Moobli

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Wishing you lots of luck. An unenviable position to be in. I really hope you can get a firm diagnosis and something can be done to help.
 

P3LH

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Well we can thankfully probably rule out DM nearly a week on it seems. Well the vets feel anyway. At this stage that’s all we have achieved.

Today wasn’t a good day and I fully expected our daily vets trip would end in me coming away alone. Thankfully he has perked up and was much better this afternoon. They were going to admit him, and I wish they had - but in the end they feel he’s better at home. Drug change again.

Now all seems to be centred around the inside causing problems on the outside eg with the legs and mobility issue. Tracking down what the problems inside are, and how serious they may or may not be - is proving very hard. Although costing me a small fortune, and despite my earlier cynicism, they are certainly working hard for their money.

On we plod. I am hoping for a more settled evening than last night. I wish I had a bit more definitive to say - but he’s still with us, settled and having at least periods where he’s his happy self.
 
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Moobli

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It must be an emotional rollercoaster :( It is especially difficult when there is clearly a problem but you don't have a definite diagnosis to make a decision from. My heartfelt thoughts go out to you and your lovely lad. I hope he is his happy self for as long as possible.
 

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Just out of curiosity, and I certainly don't want to be insensitive at such a difficult time so feel free to ignore me, but how did they rule out DM? As far as I am aware, it can only actually be firmly diagnosed on death, by necropsy, so presumably it was ruled out because of some other factors. I hope you get some answers soon.
 

P3LH

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Just out of curiosity, and I certainly don't want to be insensitive at such a difficult time so feel free to ignore me, but how did they rule out DM? As far as I am aware, it can only actually be firmly diagnosed on death, by necropsy, so presumably it was ruled out because of some other factors. I hope you get some answers soon.
Thankfully because of his positive reaction to some of the drugs and the slight increase in mobility and now reacting to manual manipulation of hind limbs and feet which he wasn’t doing Saturday. There has been a positive correlation, albeit small, in their opinion and it is now presenting much more as. A potential secondary, albeit serious secondary, issue to what’s going on down below and inside. Now the difficult bit is, there’s that many pills he’s given up and I can’t get anything into him again this evening.
Thankfully between work being understanding, and mum being happy to deal with a lot of unpleasantness in our absence - we are juggling things but, it’s really hard. Tonight I think I’ve earned a pint as it’s by far been the hardest day.
 
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