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Senior Dog Blog

Reducing the Risks of Anesthesia in Senior Dogsby Ann-Marie Fleming

21 March, 2017

Reducing the Risks of Anesthesia in Senior Dogs When it comes to senior dogs even the simplest of surgical procedures can strike fear in the hearts of dog parents because of the risks associated with anesthesia. Whether it is for diagnostics, a routine procedure or something more complicated, one thing is certain, the possible impact of anesthesia should not be taken lightly, especially when your dog is a senior. However, a wise veterinarian once said that "age is not a disease", so senior dogs should not be disqualified from treatment options solely because of their age. So how do we as dog parents help to reduce the risk of anesthesia in our senior dogs?


Before putting your senior dog through a procedure that requires anesthesia it is very important that you have some testing done to ensure they can handle such heavy sedation. Don't be afraid to ask for tests if your veterinarian is not suggesting them. In addition to a physical exam, pre-op bloodwork is a key diagnostic tool that all parents need to insist on having done.

According to Dr. Jeffrey Levy, DVM, CVA and owner of House Call Vet NYC, "Pre-op blood tests are used to determine the absence of underlying conditions that would make surgery risky or leave the patient vulnerable to the effects of anesthesia. Most important are kidney and liver values, hematocrit (red blood cell count), white blood cell counts, blood sugar for potential diabetes and a heartworm test."

Each bit of information retrieved from the bloodwork tells a story that can help your veterinarian evaluate the overall health and identify any risk factors they need to address.

"Elevated liver enzymes might indicate the pet has Cushing's Disease, liver disease, or a tumor. High or low blood sugar can indicate diabetes or possibly a pancreatic tumor. Decreased kidney function would alter the type of anesthesia used or make anesthesia too risky to move forward. Low red blood cells or platelets could indicate infection, inflammation, or possibly cancer." explains Dr. Judy Morgan, DVM, CVA, CVCP, CVFT, owner of two award winning practices and the Chief Medical Officer for Monkey's House Senior Dog Hospice and Sanctuary.

Additional tests such as an ECG, urinalysis and chest X-rays may also be wise and for invasive procedures with a high risk of bleeding, Dr. Jennifer Queiroz-Williams, DVM, MS, Associate Professor of Veterinary Anesthesia and Analgesia, LSU School of Veterinary Medicine recommends doing a clotting profile as well.

"Chronic anemia, indication of kidney disease, genitourinary infection or systemic infection, abnormal chest radiographs or ECG and abnormal clotting profile, independent of age, would be red flags to not move forward with anesthesia," states Dr. Queiroz-Williams.

When my senior pug Lily was going through her testing to ensure she could handle anesthesia to undergo an MRI, CT scan and the inevitable surgery, she underwent many of the above mentioned tests as well as an abdominal ultrasound. Having so much information available prior to undergoing the anesthesia gave her doctor and supporting team the necessary details to devise a clear plan and made moving forward possible. It was also incredibly comforting to me to know that all her results came in so positive.

Being Proactive

Ensuring that your dog is at an ideal weight can make a huge difference in how they respond to anesthesia. Overweight dogs have a much more difficult time breathing and this means their hearts have to work that much harder, especially when under anesthesia. Incorporating a healthy, active lifestyle will keep your dog as fit as possible, reducing risks should they one day need to undergo a procedure requiring heavy sedation.

It is also very important that you discuss any medication or supplements your dog may be taking with your veterinarian prior to any procedure since even a natural remedy can put your dog at risk during surgery.

Dr. Morgan explains, "Some supplements can cause prolonged clotting times and increase bleeding, so be sure to discuss any supplements you are giving with your veterinarian prior to the procedure. Also let them know if you are giving any over-the-counter medications, as many can interfere with anesthetic procedures or surgery. It's amazing how many pet owners give aspirin without a thought; this can cause pets to bleed excessively during surgery. Sedative or anti-anxiety medications may interfere with anesthetic drugs that are used."

Your dog will need to fast prior to the procedure and experts also recommend grooming and bathing your dog prior to any surgery. This will help to keep them clean before and after surgery.

During the Procedure

While many procedures are done in your veterinarian's clinic, you can request that an anesthesiologist be present. The more invasive a procedure, the more you need to consider this decision.

According to Dr. Queiroz-Williams, "Best practice is to have an anesthesiologist always present or at least available for consultation. However, specific health conditions (systemic diseases, pre-shock, unstable patients, all very invasive abdominal proceedings, cardiac surgeries, central neurologic patients, and many others) should have an anesthesiologist present. Some breeds can present challenges for anesthesia (e.g., brachycephalic breeds, breeds affected by the MDR1 mutation like Collies and Long-haired Whippets, and many other particularities of specific breeds)."

I have handled things in several different ways for my dogs. My first pug Mackenzie needed dental surgery when he was 15 years of age. Terrified, I made sure we did all the testing that was available and due to the risks, I requested that he have his dental work done by a specialist with an anesthesiologist present. With Milo thanks to his glowing bloodwork and other positive tests I felt that his dental work could be done at my vet's clinic. With Lily, since she was being treated by a specialist, all of her procedures requiring anesthesia had an anesthesiologist involved, especially given the length of time she was under. Now with my Winnie, my 6 year old French Bulldog who has noticeable breathing issues, I am going to ensure she has an anesthesiologist on site for any procedures she may need.

During any procedure requiring anesthesia your dog's vital signs are constantly monitored. I find it comforting to ask exactly what they will be keeping an eye on which typically includes heart rate, blood pressure, body temperature, CO2 and oxygen levels and if necessary, anesthesia may be adjusted throughout.


If you have had a dog undergo a diagnostic or surgical procedure requiring anesthesia then you know how scary it can be waiting for that phone call letting you know how everything went. I remember that feeling of unbelievable relief that consumed me when I received the phone call from Lily's neurologist after her 6 hour back surgery telling me that she woke up like a champ.

Helping our dogs recover begins before the procedure is even completed. From a technical perspective Dr. Queiroz-Williams describes the impact that the proper administration of anesthetics and pain killers during the procedure can have on recovery. "Performing multimodal anesthesia and analgesia, while performing high quality anesthesia will overall improve the quality of recovery. Intense monitoring especially for the first three hours post anesthesia are vital to a safe anesthetic event."

Post-op there are also many things that we can do to help ensure a fast, healthy recovery. Dr. Levy reminds us to use our common sense, "provide a quiet, stress-free recovery area. Make sure the space is well ventilated and the temperature is comfortable. Handle her gently and protect your dog from being annoyed by children or other pets."

Block access to stairs and do not leave your dog unattended anywhere that they could fall or trip. In Lily's case I also needed to restrict her movement so I set up a comfy section in my room on the floor where she would be safe and where she could not move around very much until she was stronger. Some procedures require crate rest so that's something you will need to plan ahead for.

Adjusting their diet can also help with their recovery. "Many pets will be nauseous for a few days post-op. Have a bland diet prepared ahead of time. (I like 3/4 boiled lean ground turkey mixed with 1/4 canned organic pumpkin puree.) Extra fluid intake will help the body flush the anesthetic agents out of the body. Water flavored with a little no salt chicken or beef broth may encourage them to drink more," states Dr. Morgan.

It is important that we keep an eye on any incisions to make sure there are no signs of infection, but we also need to keep an eye on our dog's behavior and report back any signs that your dog is not getting back to their old self. Follow the post-op instructions provided by your vet and ask any questions you may have. Sometimes we are so caught up with the whole process that we cannot think clearly enough to ask all the questions we need to until we have returned home and can catch our breath. Don't be afraid to call your vet whenever you are unsure about anything with your dog's recovery. When it comes to our dogs it is always better to be safe than sorry.

Surgery is never something we wish upon our dogs, but there are steps we can take to reduce the risks as much as possible. Speak with your veterinarian and if needed a specialist, and together you will be able to do what is best for you and your senior dog.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.



Help Your Dog Age Like Betty Whiteby Ann-Marie Fleming

10 March, 2017

Betty WhiteI look at aging in a pretty simple way, having the same view for humans and dogs, that it's all a matter of perspective. I know people who age with the expectation for terrible things and low and behold terrible things would happen. Why can't we all be more like Betty White? Always smiling, always showcasing a positive attitude towards life and emitting incredible energy and spirit, Betty White is a perfect example of how we should approach the golden years for ourselves and our dogs.

Not only is Betty still acting, but she spends a good portion of her time helping animals, something she has been heavily involved in for more than 40 years, contributing both her time and money to many worthy causes, organizations as well as research. Never idle, Betty is not only constantly doing, but she is doing everything with enthusiasm even at 95 years of age. I wholeheartedly believe her energy and attitude is directly responsible for how well she defies age. By finding humor in everything, she never takes life too seriously and her healthy, happy life is a testament to how well this philosophy works.

Step 1 - It Starts with Us

"It's your outlook on life that counts. If you take yourself lightly and don't take yourself too seriously, pretty soon you can find the humor in our everyday lives. And sometimes it can be a lifesaver." Betty White

I believe that having the right mindset can help not just us personally, but also those around us including our dogs, so in order to help our dogs age like Betty White, we need to be like Betty White ourselves. We need to look at life through a similar lens and find humor, fun and happiness is everything around us. We need to expect the best case scenario and not the worst.

Having devoted my life to dogs, in particular seniors, I have learned a great deal about how our dogs react to the energy we emit. If we are angry, sad, frustrated or stressed they feel this negative energy and it impacts them in a negative way. If we are happy, positive and relaxed they feel that as well and you will see how they feed off of this. I can't think of a more important time to adopt a positive energy-filled lifestyle than when we are taking care of senior dogs.

A big reason people look at getting older in a negative way is because there is an expectation of poor health and overall decline. And while age will inevitably take its toll, I do wish people would recognize the power we hold inside us to slow down the decline, so we can live life to its fullest like Betty White. By learning to maintain a positive perspective as we age then we can in turn help our senior dogs embrace a similar outlook as they move through their golden years.

Step 2 - Embrace Change

"I'm a big cockeyed optimist. I try to accentuate the positive as opposed to the negative." Betty White

It is up to us as pet parents to see this stage of our dog's life as a very special time. Instead of seeing all the things your dog can no longer do, start noticing all the ways your dog does things differently. You will be amazed at how your dog adapts and if he/she sees that you react with joy and happiness, this will continue to motivate them to keep trying. If we give up or start feeling sorry for our dogs, how do you think they will respond? If we stop being active because we assume our dog can no longer be active, what do you think that will do to both their mental and physical state?

I personally find my dog's golden years to be a fascinating and entertaining time. I love seeing how they change and finding new ways for us to enjoy our time together. The adventures can still continue, we just need to change how we pursue them and you will see how much fun still remains.

For example your dog may not be able to walk long distances any more but may thrive on getting out of the house, so why not try a dog stroller? Give them a chance to still enjoy the sights, smells and sounds of the outdoors. They can walk for as long as they can and then ride when they need a break, but in the end you have injected fun and adventure into their life. You may even find that you are getting more exercise as a result and this in turn helps you to live a healthier lifestyle as well.

Step 3 - Have Some Fun

"Love your pet every day throughout your life." Betty White (@BettyMWhite)

Start sharing photos and videos of your senior dog on social media such as Facebook and Instagram. If you already do then start sharing even more! Get creative. You'd be amazed at how fun this can be for you and your dog. As you are thinking of cute and humorous ways to capture your senior dog's behavior for others to enjoy, you will find yourself having a blast with your dog in the process. It changes your mindset so instead of being sad and inactive, you may find yourself doing more with your dog than ever before.

The more you share about your older dog, the more you see a million ways that they are so special. The thought that goes into picture taking helps you appreciate your dog on so many levels that you may have once never considered. I find myself noticing such small and wonderful details about my dogs which I try to capture and share. From how adorable their little gray faces become, to how they light up when they go for a ride in their Dogger or the car. The way they savor their food and drinks of water, the way they intensely stare at me watching my every move and the endless trust they place in me as I care for them.

I cannot express to you how special every moment becomes when you see them through the right lens. And like Betty White has taught us, it's good to laugh and our senior dogs do some hilarious things, so enjoy this time together with a smile not a frown. Stay active so they will stay active, stay positive so they will stay positive and be happy so you can all experience wonderful times together regardless of age.

Thank you Betty White, you are an inspiration to us all.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Pet Insurance for Your Senior Dog - Is it Worth it?by Ann-Marie Fleming

15 February, 2017

The question of whether or not to get insurance for my dogs was something I personally pondered for many years. Is it worth it? Putting money out every month, especially when your dog is healthy, is a difficult thing to get your head around, but it's interesting how quickly your perspective changes when you go through a serious health issue with your dog.

Pet Insurance for Your Senior Dog - Is it Worth It?

When my Paige suddenly became severely sick and her vet was unable to help her, I took her to Canada West, a specialist clinic. She was diagnosed with a rare form of lymphoma and was fighting for her life. She ended up staying in ICU for a week and her vet bills quickly reached the $11k mark. I would have given my last penny to try and save her and I came very close to doing just that since I had to use every bit of money I had to cover the bill. While Paige rebounded and was able to come home for a few weeks this horrible disease eventually took her from me. I don't regret any of what happened because at the very least it gave me more time with my girl, but what it did make me realize was how fragile their lives can be and that I never want to be in a position where I may not be able to do everything possible to save my dogs because of financial challenges. It was time to take another look at pet insurance.

I began researching the different pet insurance companies, their rates and their policies for my three dogs Lily, Milo and Winnie. At the time Lily was 10 yrs, Milo was 12 yrs and Winnie was 5 yrs so I needed to be sure age was not going to be a factor. I found a clear winner in Trupanion and here's why:

  • They will insure senior dogs as long as you enroll them before their 14th birthday.
  • They cover 90% of your costs once the deductible is paid and not including some charges like exam fees. Most companies only cover 80%.
  • There is no annual limit so you do not need to compromise on your treatment options. I found quite a few other companies that did impose limits which was an instant deal breaker.
  • You can pay extra to ensure alternative treatment methods like acupuncture are included.
  • Your claim is cumulative so even if you do not reach your deductible initially they will continue to process your claims for that condition and will start covering costs once your deductible is met. Once the deductible has been met, it is met for the life of your dog's policy for the same condition.
  • You can take your dogs to any vet or specialist within Canada or the US. 
  • Aids such as dog wheelchairs and prosthetics are also covered along with diagnostics and treatment. They also cover hereditary and congenital conditions which some companies do not.
  • You can obtain pre-approvals so you only have to come up with your portion when covering the bill. This is huge if your dog undergoes an expensive procedure. In this case Trupanion pays the clinic directly.
  • Your premium does not go up because of claims.
  • Their customer service is outstanding. When you speak with them you know you are talking to dog people. Many of the people I spoke with shared stories of their own dog's conditions.

I decided to enrol my 3 dogs and I currently pay $326 per month in total which works out to just over $100 per dog, per month. This may seem expensive, but when you consider how quickly your vet bills can escalate, you soon see how reasonable it is. The counter argument to paying this monthly premium is to deposit these funds into a savings account, but let's do the math. Paige's treatment cost roughly $11k which at a rate of $326 a month would have taken me roughly 2.8 years to accumulate and would have been spent on helping one dog in the span of one week. What would happen if one of my other dogs needed treatment around the same time? I would have just depleted nearly three years worth of savings and it would take me many years to rebuild that balance. And this also assumes that I would be able to consistently make those deposits. Good in theory, but not a replacement for insurance.

I was enrolled for just over a year without any real need to use their insurance, but then Lily started to show some serious mobility issues followed by incontinence and then muscle spasms. She was diagnosed with Caudal Articular Process Dysplasia which caused instability in her vertebrae leading to a herniated disc. This herniation in turn was putting pressure on her spinal cord causing her growing list of mobility, stability and incontinence issues. She needed to see a neurologist at a specialist clinic (Canada West) who used x rays, an MRI and CT scan to diagnose and then surgery to correct. I was able to get a pre-approval from Trupanion based on the estimate I was provided by Canada West, which meant I was only responsible for paying the 10% plus any of the fees not covered, such as the initial consult less any remaining deductible. I purposely chose a lower deductible which does increase the monthly premiums, but allows the coverage to kick in sooner so I feel it's worth it. With Lily having gone through the diagnostics and now the surgery I cannot express in words how grateful I am that I had insurance. Simply put I would not have had the money for either if it was not for Trupanion.

There are some downsides to pet insurance which does impact senior dogs more specifically than younger dogs in that they will not cover any pre-existing conditions. Trupanion defines a pre-existing condition as a condition that first occurred or showed symptoms during the 18-month period prior to enrollment. In fact it is more affordable to insure a senior dog, which I presume is because the insurer knows that some conditions will be ineligible for coverage. Not covering pre-existing conditions is common among all insurance for both pets and humans alike, but where it really stings with our senior dogs is when it comes to dental. I have not had any success in getting dental covered because if there is anything in your dog's medical file 18 months before enrollment that even hints at dental disease, like the presence of tartar, then even if you put your dog through dental surgery to remedy the issue they will not cover any future dental requirements. Given that many dogs, especially seniors, often need repeated dental procedures this was disappointing. However if you go into insurance with the understanding that dental is a tricky area and use insurance as a means of protecting your dog against the thousands of other potential health challenges they could face, then you will quickly see that what they do cover far outweighs what they will not cover.

I look at what Paige went through - all of that would have been covered and any ongoing treatment of her Cancer for as long as necessary would have been covered. With Lily, anything related to her spinal condition will be covered for life and since all 3 of my dogs have been very healthy, the list of what I know I can use insurance for is almost endless. So to answer the question I posed at the beginning of this post, yes, in my opinion pet insurance is completely and absolutely worth it. I no longer worry about being able to provide my dogs with the best care, I know I can thanks to insurance and that is a huge relief. I never want to let my dogs down and armed with insurance, I know I never will.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Managing Your Senior Dog's Incontinenceby Ann-Marie Fleming

07 February, 2017

Dog Incontinence Can Be ManagedBefore I had senior dogs the thought of dealing with incontinence never crossed my mind, but when my first dogs started to face challenges in their golden years it quickly became front and center in my life. Sadly, incontinence (both bladder and bowel) is one of the main reasons people put their dogs down. And while sometimes the cause of the incontinence can be something more serious, more often than not it is just a leaky bladder and in the case of fecal incontinence, many times it is related to a spinal issue and not life threatening. It's like we forget that humans go through this very same thing as we get older. In fact a multi-billion dollar market has been created around products to support incontinence in humans, yet we give up on our dogs when they have these very same issues? I will never understand a decision to euthanize a dog for something so manageable.

In fact managing incontinence in my dogs is a big reason I started Dog Quality. Churchill, my first French Bulldog (and love of my life) was struggling with mobility issues and incontinence and I remember when I first tried a disposable diaper on him. Both of us were mortified. Churchill clearly did not like the crinkly material and I clearly did not like the fact that it would not stay on. I also missed trying to stick the tabs onto their correct positions tearing the diaper in the process. I knew this was never going to work for my dogs. I also knew that I could not be the only dog parent looking for a better solution; something that worked and was comfortable for our dogs so we could ensure that they maintained dignity regardless of their challenges.

Our dogs go most of their lives being trained to go outside for potty breaks. They know this pleases us and when they start to lose control and have accidents often times they are more upset than we are about the mess. A simple thing like a dog diaper or a dog belly band can do wonders, not only for your carpets and your peace of mind, but also for your dog's emotional state.

When we first introduced our Washable Wonders line of dog diapers and belly bands Churchill had already passed away so I was never able to help him with these products, but I have depended on them for all of my seniors that came after him. My Paige, who was the most intense cuddler you'll ever meet, became incontinent and our diapers allowed her to continue to sleep in my bed, under the crook of my arm where she always preferred to lay. Side note: Sleeping has never been the same without you :( 

My Milo, who is about to turn 14 yrs, is a mix between a marker and a leaker so he wears our belly bands with our pads 24/7 and Lily (11 yrs) relies on our female dog diapers to help manage her incontinence (both bladder and bowel) caused by a spinal condition. All of my dogs sleep with me in my bed, lay with me on my couch, ride with me in my car and come to work everyday and I would never want this to change so I am eternally grateful for our diapers and belly bands as well as our blanket pads for allowing me to combine quality time with maximum protection.

Dog Diaper & Belly Band Stretchable StrapsI feel completely immersed in our products not just as a business owner but more because they have and continue to improve the quality of life for my older dogs. So please, if your senior dog is experiencing any form of incontinence whether it be urinary or fecal please know that it can be managed. Depending on volume and their condition sometimes we need to get creative and that's ok. For example, with Paige I used 2 diapers, one on top of each other, to manage her volume. With Milo I use the bands with 2 of our washable pads and with Lily I use a diaper along with a pad as well as our blanket pads. Lily is also the inspiration for our new stretchable straps which help to keep our diapers and bands in place better. What happened with Lily is due to her spinal problems I was not able to tighten the diaper enough to keep it from falling off. She was just too sensitive in certain areas for the diaper to be made snug enough. I was desperate since her incontinence was quite severe and unpredictable. I started to play around with various ideas and then when I learned about stretch Velcro I knew we could create something very special. We created a Y shaped strap that combines the stretch characteristic of elastic, with the staying power of Velcro and they work so well that you can keep a diaper or a belly band in place even overnight, which is a monumental task given how much dogs roll, move, burrow etc.

With Lily these straps have been incredible. In fact I don't know what I would do without them. And after the success I had using them on Lily with her diapers, I now depend on them to keep Milo's belly band from sliding around. Big relief knowing the band stays exactly where it needs to stay! Some of the best ideas come from personal experiences and I can honestly say that each and every one of our products reflect challenges I have faced with my own senior dogs and the solutions that have changed our lives. 

Managing Dog IncontinenceOver the past few months, as I have been helping Lily with her condition and at the same time managing Milo's urinary habits, I have found a great rhythm. We have our routine down pat. I even made a special lift out of a Dogger basket and a duffle bag to help get Lily up and down stairs and we use it each and every day. My point being that with the right products and more importantly with an open mind, you too will find a rhythm. I speak to customers every day that show me what is possible with love, patience, creativity and persistence and the rewards are well worth any effort you put out. I look at Lily in her diaper playing with her stuffies or MIlo stretched out comfortable in his belly band and I know we are making the most out of life and making the most out of our time together. Life is good!

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Caudal Articular Process Dysplasia - Lily's Journey (Part 2 - Surgery)by Ann-Marie Fleming

22 January, 2017

This is a continuation of Lily's journey as we work towards treating her ongoing mobility issues. Lily is my senior pug (11 yrs) who was diagnosed with Caudal Articular Process Dysplasia which is the root of her mobility problems. I describe this in greater detail in Part 1 - Symptoms & Diagnosis The article below recaps all that happened with her surgery.

It felt like Lily's surgery would never come. We were originally scheduled for the procedure in mid-December. We drove the 6 hours to reach the vet hospital (Canada West Veterinarian Specialists in Burnaby, British Columbia). We went down one day early to have a urinalysis done since Lily started to have difficulty urinating and her neurologist Dr. Sharp was worried that she may have an infection and if so we would need to postpone surgery. So we did the test Wednesday evening and I brought Lily back Thursday morning. The results from the urinalysis showed no bacteria so the surgery was a go. 

I checked Lily in, paid and even had my panic attack over Lily going through such a long and invasive procedure only to be told an hour later by Dr. Sharp that he had a family situation happen and that he could not do the surgery because he could not focus enough. Given how challenging the surgery would be, while shocked at this turn of events, I appreciated his honesty since I wanted him on his 'A' game. 

3D Model of Lily's Vertebrae

The silver lining in all of this is that it gave Dr. Sharp time to use the very cool 3D model of Lily's spine to give me a visual of what the surgery would entail. I have to say the model looks way bigger in the photo than in real life. In fact it's quite tiny which made the procedure even scarier since there really isn't much bone to work with. The surgery itself would involve the securing of two metal plates into her T11 and T12 vertebrae using four very tiny screws. She also needed to have her herniated disc that was compressing her spinal cord repaired. This herniation is the result of having too much movement in her vertebrae for so many years, something the plates are going to prevent moving forward. 

He showed me where the plates would be placed and he even showed me his practice holes for the screws. This 3D model is amazing because it gives him so much more visibility into Lily's vertebrae than he could ever have during surgery and a chance to practice so he gets the placement of the screws and plates exactly right. I love technology! He explained that he was going to sterilize it so he could bring it into surgery with him and use it as a guide. The biggest risk of this surgery surrounds the placement of the screws. If they are not precisely placed then the plates would not be as stable and we may not have the long term benefits we are looking for.

The surgery was then rescheduled for January 12th. Everything about this day felt better than the last attempt. Lily ate much better this trip, the weather was nicer, the hospital seemed more organized, there were no worries about infection and I felt much more confident - this was the day. I dropped her off at 8:30am and then had to wait for a call to let me know when they would be starting the surgery. The procedure itself would take about 6 hours which is terrifying. Of the 6 hours roughly 4-5 would be on the plates itself and then the disc repair was something that would go very quickly since Dr. Sharp has done this many many times. Lily is only the third dog that has had this plate surgery done by Dr. Sharp at Canada West since it is such a new procedure. 

I received the call at about 10:30am from Dr. Sharp telling me they were about to begin. I felt instantly nauseous. I knew in my heart that this was the right thing to do for the long term health and quality of life of Lily, but all I kept thinking about was how Lily would feel when she woke up confused about what just happened. Anyways it was happening and now I had the excruciating task of waiting 6 hours to find out 1) if Lily was ok and 2) if the procedure was a success. The one thing that had me very hopeful was that Lily had been under anesthesia twice in the last 12 months, including about 3 hours for all the diagnostics done for this condition and both times woke up like a champ, so of all my dogs I knew she would do well even with being under for so long.

Caudal Articular Process Dysplasis - Plate placement CT scanThursday truly felt like the longest day of my life. As each hour passed I kept trying to picture what they were doing to her. And then finally I received the call from Dr. Sharp. My heart sank as I answered the phone. Within seconds of saying hello he explained that the surgery went extremely well and that it's the best he's done this surgery to-date. I could hear the smile on his face and I felt like the luckiest mom alive. He said the screws were placed in an excellent position, right down the ideal bone corridor. This was later confirmed through a CT scan shown here. He then asked me if I wanted to hear something funny - I said ok. Well apparently Lily's 3D model melted when they tried to sterilize it so he didn't end up having that as a tool. So glad he told me this afterwards! 

He was also successful in removing the disc material that was compressing her spinal cord by performing small corpectomy/mini-hemilaminectomies on both sides just over the T11/12 interspace. The CT image here shows her spinal cord uncompressed as a result of this disc repair.CT Scan of Lily's T11 corridor - uncompressed

I then received another call a few minutes later that Lily once again woke up like a champ and was doing well. That's my girl!

I was not able to see her that night, but was able to visit her the next day. Apparently Lily would not stop barking in her kennel until someone sat with her so they made a bed for her under their desks so she would not feel alone. This blew me away and when I visited her I could see how much everyone cared. They were so sweet to her and everyone took a moment to tell me how great she's doing. Canada West is a very special place!

Lily Right After Surgery for Caudal Articular Process DysplasiaRight after the surgery Lily was still feisty, but was unable to walk on her own so they needed to use a rear sling to support her rear legs. She still managed to motor down the hallway to see me though and the tech had a hard time keeping up! She was moving her legs well, but was severely knuckling which is why she needed the extra support. This was a little shocking to see since she was now worse than when she went in, but because of the inflammation from the surgery and the shock to the system from having such a major procedure performed, the body needs time to adjust. Lily stayed in the hospital for 3 nights to give her enough time to regain some of her strength and to ensure that there were no complications and I was able to pick her up Sunday morning. When I picked her up she still needed the support of the rear sling, but by the next morning had improved so much that she was walking on her own again.

I brought my girl home and for the first two weeks she is on restricted exercise so I have her spending most of her time in my bedroom. We were given a set of range-of-motion exercises to do 3 times a day plus pain medication taken every 8 hours. I am also doing cold compression several times a day to help with her healing. We are one week into her recovery and she is making me so proud. She is still not back to her old self, but is sure on the road to recovery. Dr. Sharp told me that it would realistically take 6-12 weeks for her to show improvement from the surgery, so we have a long way to go.

I will write another update on Lily's recovery as we work through the next several months, but overall Dr. Sharp has done everything possible to give Lily the best chance of improving or at the very least at preventing further decline and I will be forever grateful. It is now up to Lily to take it from here and me to help her gain back as much strength as possible so we can take full advantage of this impressive procedure. I am hoping that Lily will be a posterchild for this procedure and given how strong her spirit is, I am extremely optimistic that she will exceed all expectations! There is no keeping this little pug down :)

 Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.


Looking Forward to 2017 with My Dogsby Ann-Marie Fleming

04 January, 2017

There is something refreshing about beginning a new year. I find hope in putting the old year behind so I can begin a new journey and since at Dog Quality so much seems to happen, starting a new year is very exciting. Even more importantly, I look forward to becoming a better pet parent. As I reflect on 2016 I find myself conducting a self-assessment in how I spent my time with my dogs Lily, Milo and Winnie. Did I do enough? Did we have fun? Are they happy? And then I start thinking about what we could do differently this year.My New Year Promises to My Dogs

We will be starting this year off with a major event. Lily (my pug) is having back surgery later this month. For those of you who may not be aware, last year Lily started to struggle with mobility issues that gradually became worse leading to rear weakness, loss of balance and eventually muscle spasms and incontinence.

After being evaluated by a neurologist using a variety of diagnostic tools including X-rays, MRI and a CT scan it was determined that she has Caudal Articular Process Dysplasia which is a malformation of one of her vertebrae, most likely since birth, that allows for too much movement. This movement over her 11 years has now caused a herniated disc which is putting pressure on her spinal cord. There is a new surgical procedure that will stabilize this section of her spine to prevent future problems and at the same time they will repair the disc to take the pressure off her spinal cord. Other dogs like Lily that have had this surgery have done extremely well so we are all optimistic that she will be much better off having this surgery than she would be without it. So a major part of my plans for 2017 is to see Lily through this procedure and to help with her recovery so she can get back to enjoying life the way it was meant to be enjoyed.

Once Lily is fully recovered one of my other goals for 2017 is to take some trips with my dogs. Dog Quality had a very hectic year in 2016 and I did not have much time to go anywhere with my dogs and there is so much to explore that I simply must get us out on some road trips. This will be one of my priorities this year and I'll be sure to share our adventures through this blog!

Last year I made focusing on natural ways to treat my dogs a big priority and this will continue in 2017 especially throughout LIly's recovery. In 2016 I started an aromatherapy course and created some blends that turned into lotions, balms, muscle rubs, skin remedies and even a solution to use with wipes in-between diaper changes for Lily and Milo. I will continue to explore more in these areas and expand my knowledge to embrace new methods of natural healing.

This year will also be a big year for Dog Quality. Last spring we moved to a new, bigger location so we could expand our operations as we continue to bring more production in-house. Ths was incredibly challenging, but now with this in place we plan on introducing some new products for 2017 including our Big Dogger stroller for large breeds (or for those who wish to use it for several small dogs), stretchy straps to better hold our diapers and belly bands in place and our super-sized Blanket Pads to help protect larger areas from unwanted urinary accidents. My own dogs help to test everything, from prototype to final product, to make sure they truly make a difference in the quality of life for older dogs, so they will be busy working hard throughout 2017. 

 And as always I will continue to remind myself to embrace every moment with my four-legged family because it should always be quality time wherever we go and with whatever we do. Life is too short and no matter how stressful things can get I should never forget to take those special moments to hug, kiss, laugh and cuddle with my dogs. To appreciate every second of every day I have with them and to be grateful for all that they teach me about life, love and family.

I wish each and every one of you a fantastic 2017! May it bring you everything you hope for and more.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Caudal Articular Process Dysplasia - Lily's Journey (Part 1 - Symptoms & Diagnosis)by Ann-Marie Fleming

26 November, 2016

Over the past year my senior pug Lily ( 11 yrs) has been facing some challenges. At first she was walking with her right leg showing signs of stiffness and she was starting to scuff the toes on her right paw. I thought it was arthritis. She had a previous knee injury and I was told by her vet that she would most likely develop arthritis in this joint as she aged. In addition she began to lose control over her bowels. In fact her poop would just pop out and surprise her as much as me, but I knew from my previous pug and from many customers that this is not uncommon in senior dogs so I was not too concerned. 

Caudal Articular Process Dysplasia - Pug

However things continued to get progressively worse. Her left leg started to show similar issues so now both legs seemed stiff, both back paws were scuffing and over time her rear legs have become very unsteady and weak. She falls very easily and can no longer go up or down steps. And perhaps the most telling sign was the fact that her tail, once curled like a typical pug, was now limp. She was not exhibiting classic signs of pain, which was comforting, but I also feel that this could be my desire to stay optimistic or Lily's desire to be heroic. Looking at all her symptoms I suspected that she had Degenerative Myelopathy (DM) which I knew had no cure.

Things started to change when over the past 6 weeks her condition worsened and new symptoms appeared. She started to have muscle spasms when she would get very excited. For example if the door bell would ring or if she fought with her sister Winnie over a carrot, she would go into a muscle spasm that would shoot her rear legs forward and she would urinate uncontrollably several times and in some cases would also poop. Her tail would curl up and wag at a rapid pace clearly not being controlled by Lily.

In fact during these episodes I often can only stop her spasms by placing a warm compress onto her muscles to relax them. Eventually I would see her tail stop wagging and fall limp once again letting me know the episode had passed. I now knew that this was more than simply getting older and I no longer thought she had DM, but I did know that she needed to see a neurologist so we could find out what was going on.

That week I took her into to see her vet. I knew from past experiences that there is not much a veterinarian can tell you when it comes to spinal issues. Even with x rays they may not be able to diagnose so my main goal was to get Lily a referral to a specialist. Her visit went as expected in that he really couldn't say what it was only that a spinal tumor was a possibility. I was disappointed though because even with me asking for the referral and explaining that Lily has insurance, her vet tried to discourage me from spending the money to see a specialist since he did not feel they would be able to do much for Lily. I explained that the reason I wanted to find out what is causing her problems is not only to see if we can fix it, but to also understand even if we can't fix it, what I can do to help keep her comfortable. Some spinal conditions do well with exercise, some do not. Some conditions have pain and she'd need pain management, but others like DM do not - how would I know how to take care of her to the best of my ability if I do not find out what is wrong?

Caudal Articular Process Dysplasia - PugRegardless of his hesitancy I did get the referral and took Lily to Canada West Veterinary Specialists in Vancouver, British Columbia for a series of tests which included x rays, an MRI and CT scan. When the results came in there was clear information explaining her condition. Lily has a congenital malformation referred to as caudal vertebral articular process dysplasia. With this condition Lily was basically born with a malformed bone in her vertebrae that would normally be responsible for stabilizing that vertebrae. Without it there is too much movement in that area and over her 11 years this movement has caused constrictive myelopathy in the form of a herniated disc which is putting pressure on her spinal cord.

The good news is that this is a condition which can be addressed with surgery. In discussions with the 2 neurologists involved in Lily's case I have learned that in the past surgery was not effective because the focus was on correcting the damage rather than addressing the cause. Over the past couple of years the surgical procedure now focuses on stabilizing the vertebrae with the malformation by inserting a plate. The dogs that have undergone this new procedure have shown remarkable results. In Lily's case not only would they put in a plate, but they would also remove the herniated disc. As scary as this sounds, she should have almost immediate relief.

The risks of this procedure center around the placement of the screws used to secure this plate. However thanks to technology they are going to be printing a 3D model of her vertebrae so they can plan the exact placement of each screw prior to the surgery. This will be key in ensuring a successful procedure since every dog is slightly different even when of the same breed, so knowing how much bone he has to work with ahead of time, as well as the shape and positioning, will allow the surgeon to be incredibly prepared.

I was also relieved to learn that Lily will be able to walk right after the surgery. While she will need to stay in the hospital for at least 2 days, she will not need crate rest and will be encouraged to walk, but of course no jumping or running until she is fully recovered. I will also be able to do most of her rehab at home.

Right now we are waiting on the 3D model to be completed so the surgery can be planned and scheduled. I will discuss more details about her surgery and her recovery as we go through this journey. To be honest I am terrified, but I know this is her best chance to have a higher quality of life and to be as pain free as possible. I look into Lily's eyes and I ask her to trust me. I ask her not to be mad at me and that we will get through this together! I hope she understands because she means the world to me and all I want to do is take care of her and give her the best life possible.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Stem Cell Therapy for Senior Dogsby Ann-Marie Fleming

27 April, 2016

I am always fascinated by medical research, especially in areas that can aid our senior dogs. One of the most exciting and promising fields of study involves stem cells because it provides a way for the body to heal itself. 

What are stem cells?

Stem cells occur naturally in the body and are very special because they have the ability to develop into many different types of cells including muscle, nerve, cartilage, bone, fat, liver and more. They are drawn to damaged tissues and cells in the body and then work to repair those areas. It has been discovered recently that dormant stem cells can be found in large quantities within a dog's own body fat which can be harvested, activated and then used in the treatment of various conditions often within the same day.Stem Cell Therapy for Dogs

In the dog world, the greatest success within stem cell therapy has been found in the treatment of arthritis, fractures and soft tissue damage to joints, ligaments, cartilage and tendons. I found several vets around the globe currently offering this treatment and most boast between an 80-85% success rate, with success being based on an improvement in the dog's quality of life; better range of motion, more energy, less signs of pain and stiffness and less need or no need for anti-inflammatories.

An example of a veterinarian actively involved in stem cell therapy is Dr. Jeff Mayo of Mayo Veterinary Services based in Washington State. I had an opportunity to speak with Dr. Mayo and his passion for his work and genuine excitement over stem cell research and therapy was undeniable. His website ( is filled with great info on stem cells and worth checking out. The procedure his clinic uses is called the Ingeneron ARC™ which allows them to complete the treatment affordably, on-site and within one day. 

In the future we are going to see stem cells used to treat a much wider range of conditions. Two areas that would directly benefit senior dogs include the use of stem cells to treat urinary incontinence (something Dr. Mayo treats on a limited basis with his procedure) and also Canine Cognitive Dysfunction, more commonly known as dog dementia, which is being explored with noticeable success in Australia.

Canine Cognitive Dysfunction (CCD) affects one in seven dogs aged ten and above and has similarities to Alzheimer's dementia in humans including memory loss, night time agitation and incontinence. Because the degeneration is linked to the death of brain cells, the use of stem cells to replenish these cells is a very exciting research avenue.

In a recent study being conducted by the University of Sydney’s Brain and Mind Centre called the Dogs = Cells Trial, scientists are going to test whether Canine Cognitive Dysfunction in older dogs can be reversed by brain transplantation of Neural Stem Cells generated from a small sample of the dog’s own skin.

DOGS+CELLS Trial - Stem Cells to Treat Dog Dementia

Within this study they have already achieved what seems to be a miracle with one of the participating dogs, Timmy, a 13 year old Cocker Spaniel who was suffering from CCD. As part of the procedure they put Timmy under anesthetic to perform an MRI  and to remove a small piece of skin from Timmy's abdomen. They then used this skin sample to harvest and grow Neural Stem Cells which were later injected into his brain. After the procedure there were follow up tests to evaluate his progress.

 According to a December 2015 news release: World first: University of Sydney scientists reverse dog dementia with stem cell therapy: "Timmy’s owners reported a significant improvement in Timmy’s night-time sleeping patterns such that he was getting up only once during the night, orientating himself through the doggie door to relieve himself, then coming back on his own to his sleeping area. He was also spontaneously more affectionate with the owners and getting along better with the other dogs in the household." All things he was having difficulty doing prior to the treatment. 

Excitement around this approach is also growing because a dog's brain is structurally similar to that of a human which means that any breakthroughs on the canine side could transfer over to the human world and perhaps one day help cure the growing number of seniors suffering from Alzheimer's.

While stem cells are not the cure-all for everything our dogs face as they age, it is showing more and more applications every year as research into new areas continues. The thought of helping our bodies and the bodies of our dogs rebuild themselves sounds too good to be true, but with stories like Timmy's and the success we are seeing in the treatment of arthritis, it is quickly becoming a reality and I am overwhelmed with excitement to see what lays ahead.

 Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.


Dogs - The Ultimate Equalizerby Ann-Marie Fleming

20 April, 2016

Over the years with Dog Quality I have had the privilege of speaking with so many people from all walks of life and it has made me realize that dogs are the ultimate equalizer. It doesn't matter who you are or what you do for a living, it makes no difference if you are "cool" or "nerdy" (thankfully since I pride myself on being a big nerd) because when it comes to our dogs we are all the same. Of course not everyone with a dog is what I would call a dog person so when I describe the unification that happens with dogs, I am reserving this for dog people. Those people that consider dogs as part of their family and would do anything to ensure their safety, health and happiness. Senior Dogs

You could be a CEO of a blue chip company or a university student just starting out, but we are all just dog people and somehow, because of our love for our four-legged family members, all that other stuff just disappears.

I came from the corporate world so I especially love seeing people letting their executive guards down when the conversation centers around their dog. You truly get to see the real person, someone who is putting their dog's needs first and it is very touching and reflects a softer side not necessarily shown in the workplace. Of course this refreshing display of genuine love for someone other than themselves is not reserved only for corporate america, but for all walks of life. We become better people overall because of our dogs and when that shines through, my hope in humanity is restored.

As our dogs reach their senior years, I'm not sure that everyone could foresee having a conversation about urinary or bowel incontinence or mobility challenges, but dog people never flinch because if a diaper or socks or a stroller will improve the quality of life for their dog, then that is what they will make sure they have. 

When helping our customers find the right product or size we hear the cutest things and some things stay with you always and when they are said they are often said without thought because they come from the heart. Just simple things that put a smile on my face.

Cute things like letting us know that their dog is sleeping and they will need to wait until he/she wakes up before measuring. Or that their dog was just carried upstairs to bed, but they will take a photo tomorrow. Or that you and your dog have grown old together. These sweet comments make my day because it shows me that the people saying them truly know their dog(s) and that they deeply care. I think back to these comments often and I love feeling that I am surrounded by like-minded people who care as much as I do about the well-being of our dogs.

So the next time you are out and about and come across people with dogs, remember that regardless of what they are wearing, driving, saying or doing that we are all fundamentally the same thanks to our shared love of dogs.

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

Our Journey Towards In-House Productionby Ann-Marie Fleming

23 March, 2016

Last July I wrote an update article on some big changes within Dog Quality which involved bringing the assembly of our Dogger stroller and some of the sewing for our Washable Wonders dog incontinence products in-house. The purpose was to give us more control over the manufacturing of our products, to improve quality and to try and better meet the growing demand. So much has happened over the past 8 months that I wanted to share where we are now and how things have changed even more.

Dogger stroller production

Dogger stroller productionBringing 100% of the assembly of our Dogger strollers in-house has not been without its challenges. Now that we are working with parts and components on a granular level we have been able to identify improvements along the way and modifications to parts that have significantly improved the overall quality of the product. The downside is that because of all the extra time we are putting into the parts themselves, we are unable to produce our strollers fast enough to meet the growing demand. The good news is we are well on our way. Many of the modifications we have identified are being made to the parts in a permanent way and in some cases, completely new types of parts/components are being used which will make the process much more efficient moving forward. There is an enormous amount of pride that goes into each and every stroller and hearing the difference the Dogger is making in the lives of senior dogs is what keeps us going! It may not be easy, but it is certainly worth it!

Dog diaper production

This year some of our biggest changes center around the production of our Washable Wonders dog diapers, pads and belly bands. Last year we made the decision to bring some of the sewing in-house because we were finding that our larger productions, which were outsourced, were taking too long. However what we quickly realized was that as the demand for our incontinence products continued to increase, even with daily sewing efforts ,we could not keep up while we awaited the larger productions to arrive. In fact by the time we would receive our shipments, we had so many people waiting that we would sell out within a few weeks and would then be back in the same situation all over again. and it was far more than our modest sewing efforts could offset. And knowing how urgently dog parents need our diapers, belly bands and pads, running out of product becomes deeply painful because I know we are letting people and dogs down.

In January of this year I made the decision to bring all of the sewing in-house. Rather than investing more money into these larger productions that take up to 4 months to be completed I instead decided to put the money into equipment, people and fabric. Dog diaper sewing - made in CanadaIt has taken us some time to find the right people, machines and fabric but we have made great progress. We have a small but amazing sewing team who puts their heart and soul into making these products. They continue to find better and more efficient ways to make our diapers which is really starting to payoff. We have also been working with a new fabric supplier out of the United States who I am very excited about. They have been busy matching our fabrics and colors and we will begin moving over to their fabrics over the next few months.

Dog diaper production

We still have a lot of work ahead of us for both product lines; the Dogger and our Washable Wonders, since we need to expand both departments even more, but for now we are restricted by space and need to relocate to a bigger facility to accommodate more equipment and team members. We are actively looking and I hope to have some good news in this area very soon.

I love sharing our milestones and updates with all of you because while it is difficult to endure all the growing pains that come with change, the results are amazing. I am overwhelmed with pride to take something we made and pack it up for a customer to use on or with their dog. Washable Wonders diaper productionIt is a dream come true to see these very special products being made here by us. It is hard not to be super excited about the future. In addition to resolving our supply issues and improving quality, having the ability to make our own products means we will be able to introduce new products more easily such as the Big Dogger and amputee diapers.

I have had to learn a great deal about patience and perseverance throughout, but I know in my heart these changes are essential for the continued success of Dog Quality and they are the best way I know how to ensure that we get every dog that needs us, the products that can make a real difference in their lives.

We hope that you will share in our excitement and our vision and I thank you from the bottom of my heart for believing in us, supporting us and being patient with us. We won't let you down!

Ann-Marie Fleming is the Founder & CEO of Dog Quality, a provider of products focused on improving the quality of life for older dogs.

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