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Fox on December 28, 2013 |
Fox is my brother.
Well technically he is since he’s one of Grammy’s four-legged kids. I typically prefer to think of myself as his
Auntie. Fox was adopted by Grammy and
Charlie because he was a handsome guy but mostly because he had spent a year at
the rescue and despite having been heavily marketed both in the newsletter and
to potential adopters, he’d had no takers.
Fox seemed to resign himself to a life as the kennel mascot.
Grammy is a sucker for an underdog. She only had to hear his story and they
adopted him immediately. We didn’t know
it at the time but Fox and Blue share the same dam, Royal Dream. At 11 years old, Fox is
about a year older
than Blue. He will turn the big 12 in
June.
We all love Fox deeply but he is the truest example I have
found that animals can be autistic. He’s
super reserved, uptight, demanding and way down deep, needy and loving. Somewhere a couple of years into life with
Fox, Grammy noted that he was having some medical issues that seemed to involve
pain in his extremities. The first vet
examined him and subjected him to a barrage of tests and x-rays. There was
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Fox on March 8, 2014 |
nothing definitive but Fox was
given a diagnosis of lumbar spine issues with potential stenosis and/or Cauda
Equina Syndrome.
As the years went, Fox’s issues continued. At times his problems flared up and at times
he seemed fine. Fox had further workup
by a second vet during one of his occasional crises. More x-rays and tests. This vet felt that his issue was centered on
his cervical spine.
Each time Fox was seen by a new vet the diagnosis changed
but mostly centered on some part of his spine.
Tests showed nothing conclusive and Fox continued with intermittent pain
in various body parts (neck, front legs, back legs, hips). As a result Fox spends much of his time on
varying combinations of pain meds.
Then a couple years ago Fox had an episode where he
developed bald patches that looked like hot spots. First he got them on his butt cheeks. When those healed up a bit he got one on his
front shoulder. Hair grew back on one
butt cheek but his shoulder and the other butt cheek continue hairless to this
day. The skin in those areas is
alternately clean and dry or red, weepy and scabby. Sometimes Fox chews at them, and other times
he takes no note.
Shortly after this occurrence Fox began to experience
abnormal swelling in his feet. Sometimes
all feet were involved and sometimes varying combinations. Sometimes they would swell enough that the
skin split and he’d bleed. After courses
of steroids the issue would resolve for a few months and then start over
again. The swelling eventually started
creeping up his legs so that now when he swells it’s the whole leg and foot.
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Fox's elbow wound |
At some point the hair on his feet began to fall out. The skin on his feet is frequently hot and
red. We joke that his feet look like the
feet of a naked mole rat (Google that one).
When his feet did swell up they would be so painful that he couldn’t
bear people touching them. After a
number of flare ups Fox was taken to see his current vet for another work up.
Her initial diagnosis was some sort of auto-immune
disease. She wasn’t sure which one but
it made sense given his pattern of flare ups.
Grammy and I suspected Systemic Lupus Erythematosus (SLE) but Dr. Amy
did not feel like Fox’s symptoms really matched that illness.
The problem was that Fox’s symptoms didn’t really fit any
other auto-immune diseases either. Fox
improved after each flare up with steroids, pain meds and sometimes
antibiotics. Then Fox began to have
difficulty standing. Fox had always been
a bit unsteady due to the odd pains that seemed to come and go but now he got
downright wobbly. He was off balance and
frequently caught himself just before he fell over. But Fox always soldiers on and he accepted
this new issue with grace. He continued
using the stairs, going in and out by himself (most of the time) and getting up
and down from his bed.
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Fox's toe wound |
Fox had a serious crisis on Christmas day 2013. We were scared that our time with him had
come to an end. He was given a large
dose of steroids and antibiotics. He
spent 24 hours on IV fluids. When he
came home the steroids he took gave him incontinence and a corresponding
unquenchable thirst.
He began to lose weight.
Fox has always loved his food but now he has begun to spend all his time
desperately hungry and thirsty. The more
he ate and drank, the more he wanted to.
The more he ate and drank, the more weight he lost. When he came home from the vet the day after
Christmas, he had developed a large open weeping sore on his right front
elbow. It was so large and deep that
fascia and bone were visible.
We begged Dr. Amy for an answer. She dug in and after a lot of research she
gave us the diagnosis of Alabama Rot.
Alabama Rot is a disease that most greyhound owners have
probably vaguely heard of but have no idea what it is. That was certainly the case with us. It first appeared at Alabama greyhound
racetracks. Medically very little is
known about the disease. It is thought
to be the equivalent of hemolytic uremic syndrome in humans. It is also called cutaneous and glomerular
vasculopathy. There is no known cure for
it.
Initially there wasn’t much to offer for treatment. Management and monitoring of the symptoms was
PentoxifyLLI (400 mg) but so
far it doesn’t seem to be much help.
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Charlie bandaging Fox's foot |
essentially it. These days they are trying
a drug used to treat humans with the corresponding human version of Alabama
Rot. They are meeting with only small
success in helping to manage the symptoms and extend the lives of dogs
affected. Fox was started on this drug which
is called
No one knows what is causing Alabama Rot. It is called idiopathic for that reason. There appears to be quite a battle between
breeders, track owners, retired greyhound owners and researchers as to whether
or not Alabama Rot is caused by the type and quality of food fed to racing
greyhounds. Currently researchers feel
the disease may be related to food poisoning and nasty cooties such as E. coli. This seems to be how humans get the human
version. There are an equal number of
researchers who don’t believe there is any relation between these bacteria and
Alabama Rot.
About 25-30% of Alabama Rot cases move into the kidneys and
eventually cause kidney failure. Even if
it does not move into the kidneys, it still tends to shorten the life (and
diminish the quality of life) of any dog that contracts it. We are lucky that as of now, Fox’s kidneys
are not affected.
For now, Fox continues on his steroids and pain meds. He has some continued incontinence. Though Grammy feeds Fox constantly and has
more than doubled his food intake he has gone from 75 pounds down to 61
pounds. Since he hasn’t been weighed in
a couple weeks, we can’t swear to it, but it looks like maybe he has reached a
plateau on the weight loss and is currently holding his own.
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Our sweet boy will be 12 in June |
His elbow sore has not healed and recently after a fall on
the ice in the back yard due to his wobbliness, it was exacerbated. He has also developed a terrible open sore on
his right rear foot that may have started out as a corn but which has become a
hot mess. Fox continues to lose hair in
various places. He still swells up
intermittently and sometimes he has some bruising. It has been a very tough winter for Fox.
At the last check up with Dr. Amy, she told Grammy the thing
that no one ever wants to hear…that we may soon be reaching the time where the
kindest thing to do will be to let him join our Girly Girl. It’s very hard to hear since his eyes remain
bright, lively and very engaged in this world.
He wobbles like a Weeble (dating myself, I know-some of you may have to
Google that), but he still walks. He goes
up and down the stairs unaided. He has
never met a morsel of food that he didn’t like and he is still full of love for
his family. There is no indication that
his brain and soul are ready to give up but his poor body is rotting away all
around him.
We’re all holding our breath in hopes we get to celebrate
his 12th birthday with him in June.
We have already decided there will be a party that day to honor a life
well lived. We also hope that by sharing
his story it may help someone else recognize this generally unfamiliar disease
far sooner than we did.