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  1. #1
    Puppy (New Member) Mybear22's Avatar

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    Default 5 yr old pyr limping, surgery? TPLO TTO

    Hi I'm Debra,new to this site but I joined to learn more about this condition . My pyr Bear started limping a over a week ago so I took him to his vet and they're saying it might be arthritis. It got worse over the next few days so I took him to Vet emergency medical center for X-rays. They wouldn't do the X-ray without scheduling same day surgery for CRANIAL CRUCIATE LIGAMENT. $6000. I'm trying to find out as much as possible about this before jumping into surgery. Has anyone had any experience with this. He's usually a very outgoing happy Great Pyrenees, a little over weight no matter what I try. 160 lbs. He's in pain so I know I'm going to have to start this process asap.

  2. #2
    Old Dawg (Senior Member) SebastiansMom's Avatar

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    Debra, welcome to the forum! I think you made the absolute right decision at the Emergency Vet! I would have been furious! If someone tried to pull that on me, I would consider filing a complaint with the State Licensing Board. For one, it is highly dangerous to subject an extra large or giant breed to general anesthesia unless it is ABSOLUTELY necessary (not sure how they would know he needed surgery without any imaging), and truthfully, if one of my dogs has $6,000 surgery, it is going to be performed by a specialist recommended by my regular vet and thoroughly researched.

    Did your regular vet say why they didnít x-ray him when you took him in? Did they offer him anything for pain? Also, have you felt the affected leg to see if he has any swelling?
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  3. #3
    Old Dawg (Senior Member) Jewel's Avatar

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    Are you saying they made a diagnosis without taking x-ray or after they did a thorough exam of the stifle and after taking x-ray? If it's the former, I'd be seeking a second opinion right away. If it's the latter, I would likely consult a second opinion anyway on pricing.

  4. #4
    Puppy (New Member) Mybear22's Avatar

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    That what was so surprising , this is a recommended specialist and all he did was watch my dog walk down the hallway then feel his leg for 1 minute then started talking about how they're going to have to put him completely under for the X-ray then do the surgery right afterwards . I argued and and wanted to see what the X-ray shows before agreeing to surgery. I asked for a printout estimate and walked out. I'm calling around now for different specialist . They acted as if they are 100% sure that this is the problem .

  5. #5
    Puppy (New Member) Mybear22's Avatar

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    Thanks for the welcome! I'm never going back to my regular vet after this, all they did was give me anti inflammatory pills. I went twice asking for X-rays.

  6. #6
    Old Dawg (Senior Member) SebastiansMom's Avatar

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    Someone would have to give me a very good reason to give general anesthesia for an X-ray. Sebastian has had his GI tract X-rayed twice without so much as a sedative. Maybe itís different for orthopedic issues, but it seems like an honest vet would do the imaging first, then consult you about surgery.

    Also, $6,000 seems a bit steep, even for New York. The going rate in the DFW area for TPLO surgery performed by a Veterinary orthopedist is in the $3,000 - $4,000 range.

    I changed Sebastianís regular vet when he was a little over a year old, and it was one of the best decisions I have made. If I ask them to perform a particular test, they perform it, even if they think Iím crazy for asking. If itís hideously expensive, they consult me about the price and then see if I still want to go ahead with the test.

    Please keep us posted on what you find out!
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  7. #7
    Old Dawg (Senior Member) Christi's Avatar

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    Apollo was Xrayed while he was under sedation for his neuter and cut paw, however he is very aggressive. What we do now is heavily medicate him with Valium 30 minutes before an appointment, kinda hard to bite someone when you can't focus on them. My Vet would never sedate him unless it was absolutely necessary. His paw was bleeding pretty badly and no one had been able to see what was wrong, so we kinda had to and went ahead with the neuter so we didn't have to resort to that a second time.

    I would absolutely look for a new Vet, as has been suggested, and look into other alternatives to surgery with a Vet you are comfortable with. Not always but there are times you can take other actions, rather than a very costly surgery.

    Welcome to the forums

  8. #8
    Puppy (New Member)

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    Hi Debra, I've been down this path also, my Pyr Jake severed his ccl when he was 14 months, I spent 2 days researching what would the best procedure be to go with, decided on the TTA as it was supposed to be the one with the least complications. The surgery went well, we also had his meniscus released during the surgery, he developed an infection as he was able to break his cone and lick the incision, all I can say it that we went through hell for weeks! We spent approx. $5,000 Cdn. for his surgery and follow-up. Not nine months later, Jake tore the ccl in his other leg, was able to contact the surgeon who did the first surgery and get him in right away without going through the regular vet. He is now 4-1/2 year old and doing great, the second surgery was a breeze compared to the first. I wish you all the best and hope Bear gets well soon!

  9. #9
    Road Dawg a601mom's Avatar

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    Just got the CCL tear diagnosis on Ike, age 18 months. The vet went through all the options and for right now, he's on painkillers, joint supplements and extreme resting(no running, jumping playing) after a month she said we will reevaluate First, I don't think either us us will survive 6 weeks if he doesn't get enough exercize. Plus reading through the internet articles it appears that if it is CCLD then for a young, large(130lbs)dog, surgery is inevitable. I have heard that adding tumeric really helps with joints.
    So I am looking for recommendations-has anyone gone through this?

  10. #10
    Old Dawg (Senior Member) Antonia's Avatar

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    Quote Originally Posted by a601mom View Post
    Just got the CCL tear diagnosis on Ike, age 18 months. The vet went through all the options and for right now, he's on painkillers, joint supplements and extreme resting(no running, jumping playing) after a month she said we will reevaluate First, I don't think either us us will survive 6 weeks if he doesn't get enough exercize. Plus reading through the internet articles it appears that if it is CCLD then for a young, large(130lbs)dog, surgery is inevitable. I have heard that adding tumeric really helps with joints.
    So I am looking for recommendations-has anyone gone through this?
    Lily was diagnosed with partial CCL tear about a week ago. Our vet wants us to rest her for 6 weeks and see what healing will occur. She agrees that a full tear in the future is likely given Lily's activity level and rough play with the other dogs but she's hesitant to proceed with the surgery as a first option given her age (8-9 years old). Honestly, you could say what we are having to weigh is whether Lily will outlive the full tear possibility or not. We're trying to play it conservative because she has other pre-exisisting health issues and surgery would be hard on her. If we were dealing with a young and healthy dog, I'm sure we'd be heading into surgery... I wish I had something helpful I could suggest that would make things easier on you and Ike. Lily is on joint supplements but was on them before. Only thing we have added since the tear is Hyaluronic acid. As impossible as it sounds, I've had two young dogs with leg breaks, one with a partial CCL tear and a young dog with severe pain from hip dysplasia. All of them had to have complete rest. You can get through it if you need to. Will just require some creativity on your part and you and Ike getting to understand each other in a different way.

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