THR for Guinness second opinion

I took Guinness to Annapolis for our second opinion for his CHD. I liked this vet . We discussed TPO, FHO, THR, cemented and cement less. My head was spinning He did explain that if a FHO was done and there were problems later too much of the femoral head is gone to do a THR but if you have a THR and there is a problem (most do very well but as with all procedures there are failures and risks UGH!!) that an FHO can be done after the metal is removed. He is swimming now (yes Kristine :) )good supplements and pain relievers when needed This vet explained we could possibly manage him with these things but cost wise in 3 or 4 years money spent would equal the hip surgery. He went over all the risks etc. Cost 4500. Recuperation time 12 weeks or more. I am really quite CRAZY over this so anyone who has gone through this please give me all you got!!! We will wait till spring (may have to miss Sheepiepalooza :cry: )When he went to manipulate my boys r hip Guinness screamed...Oh Boy....One thing this vet is also with an emergency vet center A woman was there and her dog was in the ER she asked if she could pet him He went into therapy dog mode and made her feel better and calmer. She thanked us and said I just needed to hug a dog. and what a dog she hugged. I am sorry this is so long but I am so upset Thanks for listening (well reading)

Hugs to my forum friends

Cindy and Guinness

and bailey,gracie,jack,molly and tuscon
Respond to this topic here on forum.oes.org  
Quote:
He did explain that if a FHO was done and there were problems later too much of the femoral head is gone to do a THR but if you have a THR and there is a problem (most do very well but as with all procedures there are failures and risks UGH!!) that an FHO can be done after the metal is removed.

My vet said the FHO is actually considered a salvage operation...
sounds like it's what this vet is saying too.

I wish I could share some experience here but I have none.
Panda went on Metacam last week...

Hugs to both you and Guinness.
I hope you feel better about it now that you have a second opinion - and he seems to have laid out alternatives. I do wonder about the idea that the pain meds and supplements would offset the cost since you probably need to give the supplements anyway to avoid other ortho issues (elbows etc.). But it seems like you feel better about it now than you did before.

Hugs to Guiness.
Hugs to both Guinness and you, Cindy. :ghug: I'm so glad you like this second doctor - it makes a world of difference when you trust your dr.

When we took Drez in for her initial assessment before her FHO, the vet said we could do a THR - at a cost of $4000 per hip! Still having kids in college, that was just not do-able, so we settled for an FHO on her left hip. But the vet never explained to us that if the FHO didn't work well enough, there would be no further alternatives. Not sure it would have made a difference, but at least we would have been FULLY informed. From then on until she died, we had her on Metacam and Robaxin daily. Don't know how much we spent on the meds and really, I don't want to know. We did it because she needed it.

Good luck!
I think I would focus on the pain of each surgery, the pain of recovery, and the quality of life after recovery for either surgery. I would choose whichever offers the best quality of life (movement and pain free) for the dog.
Cindy I wish I had some words of wisdom for you. I do like a vet who lays out my options clearly for me without too much pressure in any direction. It sounds like that's what this vet is trying to do for you. Giving you as much information as possible so you can make an informed decision. I truly wish it weren't necessary. :( But, clearly it is.

Focus on quality of life and least amount of pain, to me those are key factors.

Hugs to you & Guinness.
:pupeyes: Sorry you have to go thru this. I have no advice. Just wanted to say Hang In There!
:ghug:
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