Loki had his third visit to the vet yesterday. More on that below, but let me first catch you up on the past week or so.
The last major event in Loki's medical care was his ear cleaning. We were able to super-sedate him to the point that he allowed (with some resistence) a liquid to be poured into his ear canals. We then wiped up the accumulated wax and debris with a cotton ball. Having completed that task, we decided to stop torturing him until we could get him to the vet nine days later. She would apply a "longer lasting" treatment for his ear infection.
In the mean time he showed a few unusual behaviors. He twice refused to climb into our car. The first time was when we were taking him home from his Saturday obedience training. Eventually, I had to pick him up and put him in the back seat. I thought he would struggle during the process, but he didn't. He was completely compliant. A few days later we wanted to drive him to a local park so that he had some good experiences following a car ride, but again, he refused to get in the car. We abandoned the effort. There are only so many stressful things one should do to anyone, and Loki was having more than his share.
One night, Loki decided to sleep downstairs. Normally, he sleeps in our bedroom; however, an hour after the lights went out, we were awakend by his very loud, agressive barking. Loki very, very seldom barks, so something quite unique set him off. He might have been awakened by someone dumping recycling in a bin outside our open kitchen window. He might have awakend simply to an unfamiliar place or he might have been having a bad dream. He barked in the middle of the night once before, shortly after he came to live with us, and I have seen him barking softly in his sleep. So any of the three explanations for his barking fit are plausible. Hopefully, whatever sets him off will no longer be an issue as he settles in with us.
Anyway, on to the big news: Loki had his third visit to the vet yesterday. The whole process started with us beginning his sedation at 1:00. We gave him 1,800 mg of gabapentin and 300 mg of trazodone. At first, he refused to swallow them, spitting them out from the "pill pockets" in which we hid them. Later he swallowed them eagerly when we smeared them with a pepperoni flavored cream. Two hours later we dosed him with 0.7 ml of dexmedetomidine which we applied to his gums. He was more compliant with this than he had been when we cleaned his ears nine days earlier. Once that was done, it was time to drive him to the vet.
When we took him to the car, he was barely able to stand. That he could was critical as otherwise I wouldn't be able to lift him from the floor. He's a pretty big dog. But I did manage to load him into the car. Once inside the vet's clinic, it was as if he had been given a general anasthetic. He posed no resistence to anything done to him. The vet applied the "longer lasting" medication into his ears and took his sedated state as an opportunity to draw blood for further tests and to trim his nails. Throughout all the procedures, he didn't flinch. Finally, the vet gave him a medication designed to help him recover from the dexmedetomidine. We managed to get him into a position that allowed me to pick him up and carry him to the car. It was 5:30. He had been with the vet since 4:00.
Once home, it was a bit of a struggle to unload him out of the car, but we managed. He was finally, safely home. We were extremely pleased that we were able to pull all this off and get so much done for him, but as the evening wore on, he showed no signs of recovery. We began to worry. He was able to raise his head around 10:00 PM when we could feed him, but that was about it for any sign of voluntary movement. We went bed at 11:00 with him inert on the floor downstairs, but at midnight, I heard him come into our bedroom. It was a reassuring sign that all would be well.
The next day, he was still pretty lethargic on his morning walk, but perked up just fine by afternoon. His hotspot is healed, so we've taken his collar cone off which means he's now able to "investigate" more of our unit than before. We'll need to monitor him as he might try to get into things he shouldn't. Of coure, we are putting the cone back on over night when we can't watch him, but he hasn't shown any signs of wanting to scratch or bite at his skin enough to worry about.
Having dealt with his most pressing medical issue, the vet has now pointed out that he has some inflamed spots on his elbows. They need to be treated with the same topical antibiotic that we used on his hotspot. The inflamed elbows aren't severe problems. I expect they'll clear up quickly.
All in all, Loki is doing fine. He's even become playful at times, though he remains pretty skittish on his walks.