The ups and downs of DM

We've been doing swimming this summer, but less so then last year. She needs help to keep swimming with her hind legs this summer. Underwater treadmill would probably be more helpful at this point as it would require more hind leg use. She seems to enjoy the swimming and seeing her doggie friend Milkway while she is there.


She has both good days and days that are more difficult. I judge many of her days by how well she is able to get up/down the steps, whether or not she plays in the yard and how much trouble she has getting up from laying down. The DM journey is full of ups and downs.

Back to swimming

Sierra is back swimming again and has been very perky since her swim yesterday. We just did 5 minutes in the pool as I didn't want to push her too hard the first day. She swam the five minutes with ease and wasn't too tired the rest of the day. I am going to try for 7-10minutes tomorrow or Thursday (depending on the weather).

I am also going to work with the families dog that has been kind enough to share their pool with me as their dog is having some hind end weakness. Hopefully, I will have a video to follow in the upcoming weeks.


I only wish the water was this nice:

The pool water was a chilly 70degrees this week.

Waiting for aquatics

Sierra is having more mobility problems and has lost some muscle mass since she last hurt her foot/nail. I know pool season is just around the corner and I am hoping that will make a difference again in her mobility. Her biggest problem is the back three steps. There are too few for her to walk down carefully, so she tries to jump down her back legs and often looses her balance and falls. I try to cue her to go slowly, but she isn't always careful enough.

We also had some issues with the fabric from the CoolAroo bed. It's a stiff canvas and when Sierra sleeps her legs kick while she dreams. Since she has poor sensation she doesn't wake up while kicking her legs. This was causing rubbing and then bleeding on her legs. It required wrapping and protecting her legs. I am now using pipe insulation on the edges of the beds to protect her legs- it's been working great.

Finally, Sierra cut her leg while getting into the self service tub at the groomer. There was a lot of bleeding, but it healed pretty quickly and didn't have much of an impact on her overall. We are hoping to keep what skills she has until she is able to get back to swimming, then we might get some mobility and endurance back.

Progress

Sierra went swimming again on Monday. She was a little reluctant to get into the pool, but swam pretty good in the pool. She still gravitates towards the steps. I am teaching her to wait while standing on the steps. This will allow her a break as she is able to swim longer- take a break then do "more". I use a lot of the same cues with Sierra that I use with the developmentally delayed children that I work with. Short phrases or one word cues help her understand what is expected, "go swimming", "car ride", "up", "step", "wait", "more" and "all done" are her swimming words. I figure in 6-8 swims I will know if she is happy swimming or it she doesn't like it. If I say, "go swimming" and her ears perk up- then all is good, if I say it and she goes and hides or starts shaking then no more swimming for us.

I FINALLY got that last Eddies' Wheels measurement and called it in this week. The lady was very nice in taking the measurement and told me they just had a call about a great dane cart that was being returned. It was for a dog that almost matches Sierra's size perfectly, there are two measurements that are different by 1/2 inch. The dog in CA was an amputee, but got strong enough to not need her cart anymore. I don't know what the cost will be yet, but it's worth a try and it will be less then ordering a brand new cart. I think that the cart will allow her to walk further.

I have been slacking off on her exercises since starting swimming. As a caregiver I find that I can devote "X" amount of energy to her DM. I am 100% more careful and compassionate to Sierra since finding out about her DM. Shortly before her diagnosis I was getting pretty annoyed at her stepping on me and walking into me, she wouldn't "back up" or "move" when asked. This meant there was 115lbs of dog in my way and it seemed as though she was ignoring me. Now I understand that she is unable to "get out of the way" quickly and when she steps or falls on me it's because of the DM, not clumsiness. However, I have added the swimming, but lost some of the exercises. She is still on the nutritional diet, but I ran out of carrots last week and haven't replaced them. It's like a gain ground in one area only to lose some in another area. I have been working on tips for owner of dogs with DM and have a section about coping/caregiving. It brings the skills and emotions involved to the forefront. Caregiver is an emotionally and psychologically complicated job.

Swimming

Sierra went swimming on Thursday and the family seemed to love her. She wanted to play with their dog, but I was worried about the exertion of playing and swimming. Wise, as she was very fatigued after swimming. She swam about three circles in each direction around me before we got out of the pool. I was very thankful to have her lifevest on as it helped me direct her. Her plan as to swim in and back to the steps to get out. I am working on teaching her some words to association with swimming, so she will understand the process and feel less stressed. She was pretty tired after her short swim. She will go back on Monday (tomorrow). After swimming she had some trouble getting up/down the outside steps. She also threw up her dinner at 11pm that night. I am not sure if the vomiting was from drinking some pool water or from being fatigued. Luckily, she'll now swim in the morning and get fed in the evening, so hopefully no more vomiting. I need to get a battery for my stopwatch so I can measure her initial endurance and build her up from there. We're just going to do two days per week to start.

Pool

I have a lead on a local neighbor that may allow me to use their pool. We are going to meet them on Thursday. I bought Sierra a new doggie lifejacket as she has not been swimming in awhile and she is pretty deconditioned. I wanted to give her some extra buoyancy to start with. If we get the "all clear" from the neighbor then I will work out a program to built strength and endurance throughout the summer. I think that walking her in the fall and winter will work out okay, since it's cooler, but the hot weather is killing her. I really need someone to remind me to take the last measurement and send it to Eddie's Wheels to see if they have anything refurbished for her. Wish us luck for Thursday.