Now onto the less fun events that have taken place. It starts a month and a half ago when Rex somehow got ahold of some socks and had his second bowel obstruction surgery. His surgery went well and everything had been going fine.
Last week Tuesday before we left, we took him to the vet because it looked like a hernia was appearing along his incision, and we wanted to have it looked at before we left for our trip. Fortunately, it wasn’t a hernia, but unfortunately it was an infection under the incision so he needed to be placed on antibiotics. Things were going fairly well before we left. Wednesday he was a tad clumsy, but with the anticonvulsants he’s on, that happens from time to time so we didn’t think much of it. Friday evening, our dog sitter reached out because Rex wasn’t interested in eating dinner which is HIGHLY abnormal for Rex and historically has only happened when he has bowel obstructions. She’s super paranoid like we are about him getting into something so she was certain he didn’t eat something he shouldn’t, and he also hadn’t had any vomiting like he does when he’s had his obstructions in the past. He eventually ate his food and was acting normal otherwise, so we all just thought maybe the antibiotic was giving him a tummy ache and he wasn’t feeling great. It happens to people with antibiotics so again, we weren’t concerned. Saturday he was good and normal.
Then Sunday evening he became very clumsy and was stumbling around and falling over. We decided he could wait overnight and we called the vet first thing Monday morning. Our angel of a dog sitter brought him to the vet to have him checked out. They drew full lab panels and unfortunately didn’t get too many answers. At this point he was hardly lifting his head he was so lethargic, and the vet there recommended we transfer him to our Neurology office to be evaluated for Potassium Bromide (KBr) toxicity. Unfortunately, because of where we live that’s a 3 hour drive. Commence panic since we are across the ocean and who the heck are we going to ask to do that for us. Our dog sitter is worth her weight in gold and didn’t even hesitate. She found somewhere for Nora to go, got her settled, and jumped in the car to make the drive across the state with Rex.
I will never be able to repay her for how absolutely incredible she has been during this absolute nightmare situation. She arrived with Rex around 7pm which because of the time difference was 3am Ireland time. I had gone to bed around 1am after she was on the road with Rex, and then was up from 3 until 6 bouncing between vet calls. By the time they arrived, Rex was still only lifting his head, and they weren’t really sure what was going on. Kevin and I had to go out to the car for a phone call with them around 5am Ireland time, and because he was being admitted for intensive care, they had to ask us the question about code status. Working in healthcare its a question I hear so often, but it hits so hard when their asking about what lifesaving measures we’d want them to take for our sweet angel of a dog.
After the phone call ended we were both so incredibly upset. I can’t speak for Kevin, but the absolute guilt I feel not being there for my boy is gut wrenching. I want so badly to jump on a plane and come home, but thats not practical or rational. After getting a couple more very restless hours of sleep before checkout, we got a call late in the morning Ireland time from the emergency vet giving us an update. They got our hopes up by telling us about an hour prior he had gotten up and walked a bit. Immediately our hopes were crushed as they told us he had taken a turn again and was at that time practically comatose. They were concerned about cerebral edema because his sodium levels had also had quite a drop due to the fluids they were giving him. Again, I can’t speak for Kevin but it felt like the breath had been absolutely knocked out of me. The vet asked that we call the ASPCA poison control line and open a case with them for treating his potential (at this time we still aren’t sure if this is the cause) KBr toxicity. After calling them we called the vet back and then it was two hours of a waiting game.
We continued our drive towards the Cliffs of Moher because there was nothing else we could do, but the entire drive was not enough breathing and constantly fighting back tears. We got a call back a couple hours later and the medication they had given him had brought him out of his comatose state. He still wasn’t walking around, but he was lifting his head again and looking around and at the vets working with him. Nowhere near out of the woods but knowing he was conscious was enough to let us feel like we could breathe again. The plan was to restart slow fluids and continue trying to flush the KBr out of his system. They said they would call back with another update later in the day after the neurologist and intensivist arrived in the morning to see him. They said we can call back at any time for an update but no news is good news and they would call us back if anything changed. We carried on our day the best we could, and tried our best not to be too worried and stay hopeful.
After dinner we got another call letting us know that he had had another comatose episode, but they gave the med and brought him out of it again. Its incredibly upsetting that he keeps having these waxing and waning processes, but we are grateful the Manitol is working to reduce the edema and bring him back to a responsive state. As of now the plan is to keep on track trying to reverse what could be a KBr toxicity episode. I guess theres no way to really know at this time except for doing what we are doing and hope he starts to show improvement as the medication leaves his system. If they arent seeing the improvement they want by morning, more imaging may need to be done tomorrow but all we can do now is wait. It has been an incredibly difficult 48 hours, but Rexy boy is in the best place he can be right now, and our sitter is staying in a hotel near the hospital so she can be close if he needs someone. We are not even close to out of the woods yet, but we have to stay hopeful that tomorrow will be a better day.
For all who read this far in this blog post that has gone on for far too long, please keep Rex in your thoughts and prayers and send him all of the good, healing, positive energy. I have questioned a million times today if I should book a ticket home, but I know there is nothing else that we would be able to do, so we are just trying to make the most out of an absolute nightmare situation. I will post updates as we have more to update with.