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murphy's mum
1st June 2012, 08:31 AM
Over the last two weeks I've not really been happy with how Misty is acting. It started when we had taken both of them out on a walk at Hoddem Castle, which ment they were both on a harness and lead for an hour. Now normally becasue of where we live, neither are on a lead for more than 10 minutes. The harnesses are the same harnesses they use to travel in the car too. They were both super excited as we'd never been there with them before, so both were singing as soon as we stopped the car. The problem was Misty was scratching so much, she could hardly walk. She has never ever done this before, but like I said they are never on the leads for long. It got so bad I actually tried puting the leash on her collar to see if it made any difference at all, but it didn't.

Her scratching continued all that week, I spoke to a Neuro(not our normal one as she is on study leave) and we increased her Pred up to a half everyday. She said to call back in if she wasn't better by the Monday. So I did as I was still seing scratching, especially when excited or if she'd jump up beside me. I got a different Neuro, who just told me that scracthing was the hardest thing to control and that he didn't like the fact Misty was on Pred permenently now. I was told to leave it for a fortnight and reduce the Pred back to half alternating days. I'll be honest I wasn't very happy after the phone call, as I felt he dismissed her scratching as nothing.

I don't think it is "nothing" though. I feel she's in discomfort while she's scratching, and while I do distract her and she stops, she is constantly seeking me out to rub her head for her. She come to me and shoves her head in my hands and I rub all over her head, and she does this little groaning noise. She's also taken to jumping onto my lap and her rolling over onto her back with her head in the crook of my arm. This seems to be her most comfortable position in the evening for her. She still bugs me for head rubs in this position too though. I also feel her back legs aren't as stable as the were, she "leaves" a leg sometimes when stepping over things, and can't always jump up on things first go either.

She's on Gabapenting 100 x 3. Cimetidine x 3 and currently half a Pred a day too. I asked about increasing the Gabapentin, but the male Neuro said it would make her too drowsy. I've to call back in today, but what do I do? What do I say? I really feel she is having headaches or sore sensations around her head, but feel it's all being dismissed.

murphy's mum
1st June 2012, 11:11 AM
What level of head rubbing and/or scratching do you all see with your dogs? Am I over reacting? My gut tells me no. I hate to think she in pain, and just because she's not yelping, doesn't convince my she isn't. I think her face shows it, but I'm not sure. Do you ever worry your looking for symptoms that aren't there?


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MomObvious
1st June 2012, 05:01 PM
As a mother,when my kids where young, I have taken them in to the doctor and just said I don't know he's not acting normal and his eyes look weak. I was right most of the time and the doctor found an ear infection or strep coming on. I think it helped get them better faster. I would go with that Mommy gut feeling, and keep calling maybe she needs to be seen. Too bad your normal Neuro cannot be reached. Personally, I'm a big fan of my kids or dogs seeing the same vets or doctors all the time, that way they are more aware of your dogs or kids issues. I'm telling you the Mommy gut feels are there for a reason......


Good luck I hope you get it sorted out soon so your baby can get back to feeling better.
Melissa

murphy's mum
1st June 2012, 05:56 PM
I spoke to a really nice Nuero today called Maria, I've spoken to her in the past about Misty, and she's always very helpful. She listened to all my concerns, and worries about Misty, and has prescribed Tramadol for her. The leg weakness is a sign that there has been progression, and the increased head rubbing is a definite sign of her added discomfort as far as she is concerned.

My head is buzzing. Maria has advised me that some dogs on Tramadol become very drowsy and listless, to the point where she feels their quality of life is affected. Many can be sick on it, while others are completely fine and it does wonders for them. She feels our other option would be amitriptyline. I hate to think we're at the stage where we're running out of options, and don't really want to dwell on it. I've to call her back on Friday to let her know how she's doing, and discuss our options and Misty's quality of life. That's the hard part for me. How is Misty's quality of life? If Misty has something to do, or there is something going on about the house that she's watching, she's great, you wouldn't think there was anything wrong with her. She eats well, she loves her walks. she doesn't often scratch when out walking, unless I need to pop her on her lead, that walk around Hoddom really opened our eyes to how bad she is when she has to have a lead on though. It's when she's in the house her symptoms are the worst, or if she's over excited about getting ready for a walk.

As I type she's laying beside me, every now and then she's grinding her teeth a little, or licking her lips, and then she'll get up and move across to the footstool and then back to the sofa. She's wanted her cuddles less over this last week, she seems happier to lie on the floor or the dog bed, although she still seeks me out later in the evening most nights. How do you decide if she's happy when she's can't tell you herself? We know that dogs hide their pain, but to what extent. We've never had a sick or old pet, and had to assess their quality of life. I think she's mainly happy, but is it simply because she's distracted from the chronic pain while she's busy.

Karlin
1st June 2012, 06:05 PM
I would tend to agree that it's better not to be on prednisalone unless absoutely necessary and other things don't work well for her. She is still on a pretty low dose of gabapentin I would sure try raising that, or trying Lyrica instead, before I'd even consider adding tramadol daily. I'd also try trocoxil (given once monthly) before I'd do tramadol daily.

You need to wait a couple of weeks really to see how a medication works. Often a dog (or person for taht matter) will have side effects the first wdays/week or two on a new medication then it will stop.

My Leo would scratch all the time on a harness if he were only on 100mg 3x.

Finding a good mix takes time and you do need to try different things. :thmbsup:

PS To me it makes no sense that they are giving you the sense that you are running out of options -- you are still on a relatively low dose of gabapentin, as I said, and Lyrica often works like a miracle drug when gabapentin isn;t working well, but you could ask to try 150 mg gabapentin 3x for example (Leo was on that level a long time -- now on 200mg 3x and he's a small cavalier). There are a whole range of CSF inhibitors, as well as pain relievers too.

Clare's protocol gives all the options, pretty much.

Some SM/CM dogs really cannot tolerate leads with harnesses or collars and you need to find off-lead safe ways of having those ones get their daily exercise instead and avoid the lead walks. Clare nots some cavaliers are better on collar/lead than harness/lead. Maybe a different style harness would work as well. The excitement probably didn't help as that often triggers Leo too. You could increase meds if you are off for a day and could give a rimadyl or metacam or tramadol an hour before going to boost pain help? I only ever use those painkillers as needed. You sound unsure if you are really seeing any real shifts. Weather changes also trigger difficulties and then I just give something for that period. Could symtpoms be connected to the warm weather? But I'd just try raising the gabapentin level first off rather than add in extra stuff...? Why does the neuro think more gabapentin would make her drowsy? 200mg 3 x has never made Leo sleepy. :)

murphy's mum
1st June 2012, 06:16 PM
I did ask again about increasing the Gabapentin, but Maria said that the 100mg was right for a 10kg dog, and that increasing it wouldn't make a difference. The Pred was only supposed to be a short dose to get her back on track, and then switch back to Rimadyl, but every time we reduced it her symptoms got worse again.

I discussed Trocoxil with our usual Neuro at the start of the year, and she was set against it because if it didn't work, we would need to wait a month for it to come out of Misty's blood.

Karlin
1st June 2012, 06:20 PM
Well, she is wrong :) -- maybe discuss Clare's protocol as those are starting guideline amounts -- those levels are adjustable and that's a low dose for a 10kg dog. Leo only weighs about 7.5kg and is on double Misty's dose -- I have gradually had to increase gabapentin over time (and every time t DOES make a difference! It has stopped/limited scratching) but it manages about 90% of symptoms. Some scratching towards end of an 8 hour period, rarely some occasional body sensitivity.

I'd try trocoxil rather than prednisalone. Clare feels it works better than many other NSAIDS for neuropathic pain.

All doctors are going to have different opinions -- but your neuro is at significant variance from Clare Rusbridge's approach to pain. And the advice she is giving you certainly doesn't match what probably most of us managing SM longer term have found... you might ask Nicki who has managed several dogs now. You could do tramadol but there are other drugs like amantidine etc.

Sydneys Mom
1st June 2012, 06:24 PM
I'm so sorry your little one is in pain and you are so worried about her. I understand how hard it is to figure out just what they are trying to tell you, but I always found my instincts were correct. No one knows your dog better than you.

Sydney took tramadol a few years ago with no ill effects. Of course, his issues were different than Misty's and it was short term use. When Sydney's MVD got worse and his health started to decline, I do believe he told me in little ways that he was tired. I saw it in his eyes and looking back some of the little things I thought to be just quirky behaviour, were really signs from him. In the end though, he did save me from the decision.

Only you can decide what is right and any decision you make will be the right one because you are making it informed and with love. I hope you can find some relief for Misty and that she has more happy years ahead.

Sending hugs to you and Misty.

murphy's mum
1st June 2012, 06:45 PM
Don't get me wrong Karlin, I thought increasing the Gabapentin would have been the first thing to do, but I've had two of them over the last week tell me "no". How do I politely tell them I think they are wrong, and that I think a higher dose of Gabapentin would be better. I don't want to try and tell them what's best by saying the should treat the same way Claire does, yet at the same time I want whats best of my Misty in the long run. I feel caught between a rock and a hard place.

Joyce it's good to hear Sydney had done well on Tramadol. Misty seems ok with her first dose, she's giving me the eye while I'm grating cheese for an omelette here, so hopefully it will agree with her.

Regards
Paula

Margaret C
1st June 2012, 06:50 PM
That's the hard part for me. How is Misty's quality of life? If Misty has something to do, or there is something going on about the house that she's watching, she's great, you wouldn't think there was anything wrong with her. She eats well, she loves her walks. she doesn't often scratch when out walking, unless I need to pop her on her lead, that walk around Hoddom really opened our eyes to how bad she is when she has to have a lead on though. It's when she's in the house her symptoms are the worst, or if she's over excited about getting ready for a walk.

As I type she's laying beside me, every now and then she's grinding her teeth a little, or licking her lips, and then she'll get up and move across to the footstool and then back to the sofa. She's wanted her cuddles less over this last week, she seems happier to lie on the floor or the dog bed, although she still seeks me out later in the evening most nights. How do you decide if she's happy when she's can't tell you herself? We know that dogs hide their pain, but to what extent. We've never had a sick or old pet, and had to assess their quality of life. I think she's mainly happy, but is it simply because she's distracted from the chronic pain while she's busy.

"How do you decide if she's happy when she's can't tell you herself?" This is why SM is such a horrible condition. So much is guess work.

We have to be advocates for our dogs because they have no one else, but it is very difficult when we cannot know for sure just what they are feeling.

I have spent so much time trying to decide whether I am being paranoid and imagining ordinary behaviour is abnormal or whether I am being neglectful for not acting on the vague uneasiness I feel.
I think we know our dogs so well that if we think they are uncomfortable then we are usually right..........as Melissa says that "Mommy gut" feeling.

With Tommy restlessness in the evening and pawing at my legs for attention tells me he is not comfortable. He head rubs a little, seldom scratches. When he lies behind chairs or under tables I suspect he is especially touch sensitive and guarding his body from being jostled by the fluffies.

I believe that I can see in his eyes when he is in pain.

MomObvious
1st June 2012, 08:50 PM
I have no doggie medical advice to get you I just wanted to say I'm sorry you and Misty are going thur this. If you honestly believe a medication increase (on Gabapentin) would help I would find a vet/neuro who was at least willing to let me give it a try. Clare Rusbridge's approach has been medical proven to help. If that is your "Mommy gut" feeling then fight for it. YOU are Misty's best advocate!!!! She cannot speak for herself, if your gut is telling you something follow it. I realize sometime that means swmming upstream but... Also, I think when it comes to the "Mommy gut" feeling manners are out the door. I mean you don't have to be rude just insistent. One of my biggest "Mommy gut" issues was a problem with one of my children, and I did have to get rude to get it done, thankfully it was not a medical issue however had I not advocated for him he would be a different person today and not in a good way.



Sending love and good wishes, please keep us updated.

Melissa

murphy's mum
1st June 2012, 09:02 PM
I have spent so much time trying to decide whether I am being paranoid and imagining ordinary behaviour is abnormal or whether I am being neglectful for not acting on the vague uneasiness I feel.

This is how I feel.

It's funny how these amazing little dogs can remind us just how "normal" they are at heart. We went a walk up the river to try and clear our heads. The start of the walk takes us through a field that has a huge gorse bush thicket, with a very large rabbit warren under it. Misty loves walking here as she goes crazy chasing the rabbits. Due to the time of night it was the rabbits were out in force, the pair of them took off after them, and disappeared around the back of the thicket. Well.... Misty came tearing back with a dead baby bunny in her mouth. For a heart stopping moment I thought she'd actually gone and caught it. On closer inspection it was obvious she hadn't, as something had been snacking on it. After we persuaded her that she wasn't getting it for supper, we continued to the river, where they both spent a good half hour splashing in the shallows.

Watching her playing in the river with Murphy, fetching sticks, it was easy to see how happy she can be. I believe her good moments are still outweighing the bad ones, and I think as long as they do we'll be okay.

Kate H
1st June 2012, 09:21 PM
We do the same - push a nagging headache out of our consciousness because we're absorbed in doing something else. I'm just thankful that there are so many things that Oliver still enjoys that help him to 'switch off' from his headaches. It may simply be that gabapentin isn't the right or best drug for Misty; Oliver has been on it for nearly 5 years, up to the maximum dose of 200mg x 3, but it has never completely dealt with his headaches. For a lot of dogs, Lyrica seems to work better; the present RVC trial that Oliver has been on is testing a possible new drug - recognising that CM/SM is a complex condition with a wide range of symptoms, that dogs differ in their response to drugs, and that we badly need a wider choice of treatments.

Oliver scratches a lot when he goes bananas seeing his harness and knowing he's going for a walk - I think excitement creates tension that affects the pressure in the ventricles and that makes him scratch his head. Like Misty, he has never yelped, but he does whimper gently in his sleep when he's got a headache, and gets restless, moving from place to place trying to get comfortable. If Misty's finding jumping less easy, she might find steps helpful - they aren't expensive and Oliver never even tries to jump now, which is probably best for them.

Kate, Oliver and Aled

murphy's mum
2nd June 2012, 08:56 AM
I was following Oliver's progress in the trial. It's super that the new drug has worked for him.

Maria did say she believes the pain in Misty is down to the CM, causing a constant pain. When Misty gets her read rubs from me it's over the eyes I rub, she will come back time and time again, and keep nudging me when I stop, until she just lies comfortably.

Does Oliver have problems hearing? Misty seems as though her hearing is worse on her "bad" days, but I wasn't sure if it's just her ignoring me, so never gave it too much thought.

Kate H
2nd June 2012, 08:22 PM
Oliver's headaches are definitely from his CM rather than SM, he has seriously enlarged ventricles (x 3). So his headaches seem to be from pressure/tension, rather than nerve damage (which causes much SM pain), which may be why gabapentin hasn't worked terribly well. Yes, Oliver was diagnosed as very deaf in one ear about 3 years ago (when he was 7, though I had been picking up signs for at least a year before that), and when he had his latest BAER test on 1 May, that ear was slightly better but both ears were pretty bad. The lady who did the test was interested in his dilated ventricles and did wonder whether there might be a connection. The first indication was that if he was lying in his bed on his 'good' side, ie with his deaf ear uppermost, he wouldn't hear me coming into the room.

Incidentally, I found with Oliver that lying flat on his tummy with his head pressed to the floor (the Cavalier Prayer Position!) almost always brought on a headache - I think the pressure from the floor goes up through their face and hits the pressure in the skull. I have found that rolling him gently on to his side always helps, as it moves the pressure slightly away from the front of the skull and stops the jaw pushing against the floor. I think the researchers are increasingly recognising that CM is very much a problem in its own right, not just a cause of SM. Makes you wonder how many dogs with CM and dilated ventricles, but not SM, are putting up with unrecognised headaches.

I do hope you can tweak Misty's medication to deal with the headaches.

Kate, Oliver and Aled

Sabby
3rd June 2012, 12:11 AM
My Ebony has symptomatic CM and she is on Gabapentin 100mg x3 and on Zitac and if she needs it I give her Previcox. I have read so many posts and there are so many Cavaliers on higher doses of gabapentin or like Karlin said there is always Lyrica to try. My Harley is on Lyrica. My Ebony was on Trocoxil for a while and she came of it with no problems.
I am normally not a person that speaks up but since my dogs have been ill I have seen a change in me and I tell my vet exactly what I expect and what I want. I am sorry when it comes to my dog’s well being I just see red. I would politely tell your Neuro that you think that it is time and that it wouldn’t hurt to try Clares ideas after all you are the paying customer. You still have so many options left.

pippa
3rd June 2012, 01:41 PM
No advice but thinking of you and Misty and so glad she had a good time with you and 'bunny' ;)

Karlin
3rd June 2012, 04:01 PM
I think you just have to be firm and say you want to try a higher dose. Or try Lyrica (though I'd do higher gabapentin first as it is cheaper). And bring in Clare's protocol and ask why they feel raising the dose won;t work when she is on the *starting* dose and could take double that, and still fit Clare's recommendation:


Start gabapentin at 10-20mg/kg orally 2-3 times daily (typically a 8-12kg CKCS would be started on 100mg capsule twice daily) with or without NSAIDS

So she could easily be taking 200mg three times a day. I'd probably try 150 but that means splitting capsules. I used to get the 600mg tablets instead, and use a pill cutter to divide them into 4 150mg pieces. Easier than capsules. But eventually had to move Leo to 200mg 3x. I used trocoxil too for a bit but eventually didn't see too much difference so just give metacam or tramadol on scratchy days (eg weather change days).

Here's the full document. As you can see there are all sorts of different things to try and ALL of them are suggested before starting steroids. I don't get why some neuros give prednisalone or prednisone before trying other options -- I'd be saving it for when nothing else is working or if I had a dog that didn't respond to other meds or had difficulty with other meds. Side effects from long term steroids are generally greater and more risky than on anything else. They are great short term and can give relief when nothing else can longterm too -- and are necessary for some conditions. But 'd never want to use them unless necessary.

http://www.veterinary-neurologist.co.uk/syringomyelia/docs/treatalgo.pdf

I do understand of course that different neuros may take different approaches but Clare has likely treated many more cavaliers with SM, over far more years, and is one of the primary researchers on the condition and has tried many combinations of meds for this. :) I've never heard that raising gabapentin levels doesn't work -- and there are loads of us here who know otherwise from practice. That said it doesn;t work well for all dogs and does not stop progression so worsening symptoms may mean some progression too which means meds need adjusting. All part of the challenge of this condition for owners and adds to the worry that we get too used to gradual increases in symptoms to notice them sometimes and then we aren't sure what we are seeing, if anything at all. :( We have all been there. :flwr:

murphy's mum
3rd June 2012, 06:38 PM
I think part of the problem is that our usual Neuro has been out of the country on study leave. She's back on Wednesday, so I'm going to call in then, she's been away for 3 weeks, and this has all been going on for three weeks:rolleyes:

I have to admit Misty has had a good couple of days, but whether that is down to the Tramadol, or just a coincidental two good days, well it's too early to say. It's just nice to see her so relaxed while she's sleeping, and yet she was really on her toes when we went a walk around the forest :)

Karlin
3rd June 2012, 08:31 PM
I think certain places have their own approaches sometimes too -- and it can be useful at times to challenge that and push a little. :) It can be really frustrating. Everyone is mostly experimenting with approaches but most generally base treatment on Clare's protocol and if they aren't, I would want to know the reasoning if it were my dog. Maybe there are good reasons behind the decisions! Or alternatives to consider. But generally the approach seems a bit odd especially if it left you so worried and implied there weren't many things to try. Sometimes it is really finding the correct balance of some of the things a person is already using, or adding in something additional. It isn't as if the choices are really limited as some drugs work better than others for different dogs, and in different combos.

murphy's mum
3rd June 2012, 10:49 PM
especially if it left you so worried and implied there weren't many things to try.

This was the scary thing. I hung up the phone, called my Hubby in tears, and cried on/off for a few hours afterwards. Maybe it was just the shock of thinking that this could be us at the end of the line, and that I was being cruel keeping her around, that numbed me up. Or maybe it was just because I'm so used to dealing with Alison who has treated Misty from the start, that I never questioned and pushed. I'll speak to Alison on Wednesday, and see what her opinion on the drug mix is, it may differ from the others I've spoken to over the last few weeks. I want a clear answer as to why we're starting Tramadol, and not trying to increase the Gabapentin. One of the other Neuro's I'd spoken to about increasing it, about 10 days ago, said Misty would be too drowzy, and the second said it wouldn't work. There was no further explanation as to why, but then I didn't really push it after thinking we only had two drugs left to choose from.

The main thing is Misty seems more settled at the moment, and hopefully she'll continue to be until I some answers on Wednesday.

murphy's mum
4th June 2012, 08:46 PM
What a day! Misty has been so restless. She's been staring at me most of the day. I don't know whats up with her at all. If she's not sitting in front of me staring at me, she's on her bed doing it. When Murphy stares at me I know he either wants out, or he want me to get on the floor and play with him :D

She's been doing more scratching, and head rubbing today as well. I'm not sure if this is something to do with the Tramadol, or if it's her CM/SM.
http://i145.photobucket.com/albums/r215/icklp360/Our%20Life/photo-3.jpg

Sydneys Mom
4th June 2012, 09:12 PM
I'm sorry that you still have issues with Misty. I have no advise to give you, but just wanted you to know that I'm hoping you can get some answers for Misty. Keeping you both in my thoughts. Hugs.

Kate H
4th June 2012, 11:01 PM
I checked the BBC weather site for Dumfries, and like us in Coventry the air pressure is falling rapidly, and moves up or down can cause a lot of discomfort for dogs with CM/SM. Oliver has been groaning a lot this evening, in spite of his new medication, and this could well be why Misty has been so restless. Even if Alison increases Misty's gabapentin, it's worth asking her if you can give another one when Misty is particularly uncomfortable - which may well happen if the air pressure moves up or down quite rapidly - it really can help to make them more comfortable. It's worth keeping an eye on the air pressure, because then you can anticipate difficult days.

I was stuck tonight, because the RVC researcher is away for two weeks and I didn't know whether I could give Oliver any extra medication, so of course didn't. But it's something I will check out when he's back. Oddly, Oliver's never been particularly affected by pressure before, so perhaps tonight was related to his new drug - and of course it may not be the pressure at all.

Kate, Oliver and Aled

Sabby
5th June 2012, 11:07 PM
Just to say that my Ebony was on Tramadol when she had her leg operation and that really spaced her out and she slept all day , but she is fine with Gabapentin.

Every dog is different.

murphy's mum
6th June 2012, 06:18 PM
Just to say that my Ebony was on Tramadol when she had her leg operation and that really spaced her out and she slept all day , but she is fine with Gabapentin.

Every dog is different.

Luckily she's not been adversely affected by Tramadol at all. She's been on it since Friday, and the only day she's been strange was Monday, when she seemed to want something, and kept staring at me. It's good to see her doing so well. She's relaxed while she's sleeping, she's not fidgeting or constantly moving position. She's eager to go on walks, and has hardly been scratching at all.

I called Glasgow today to try and speak to Alison, but she's not back on clinic duty yet, so I got them to email her, asking to contact me when she's back on clinic duty. I'm so happy Misty's doing well on the Tramadol, but still want to speak to her about how her treatments going.

murphy's mum
7th June 2012, 11:35 AM
Okay, spoken to Alison, and cleared things up. Alison would prefer to treat this as a flare up, rather than assuming its progression at this stage. So we've to stay on the Tramadol and the half a Pred each day until next Friday. I've to call in and let her know how Mistys doing, and if all is still well, we'll drop the Pred back to half every other day. With a view to stop the Tramadol, but keep some in the house for use if needed.

The reason Misty has to stay on the Pred is down to the Metacam not helping her. And the fact she was so up and down, symptom wise on Rimodyl. With it being such a low dose of Pred, Alison thinks its best to keep her on it as she is normally very stable on it.

As for the Gabapentin, we just need to see whether this is a flare up, or progression. If its the latter, then we'll need to go up to 150mgs. Her only warning was some dogs show signs of sedation on it, while others are fine.

This was a much happier conversation compared to the one I had with the other Neuro on Friday. Alison was updating her notes as we were speaking, as they hadn't been updated.


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Kate H
7th June 2012, 11:38 AM
So glad that Misty is getting sorted - dealing with CM/SM really keeps you on your toes!

Kate, Oliver and Aled

Sabby
7th June 2012, 12:13 PM
It seems you are also happier now you have talked to Alison. It's nothing worse then just waiting if your dog seems not right. Hope Misty just had a flare up, the weather doesnt help either.

murphy's mum
7th June 2012, 04:37 PM
Thanks Kate :)

Your right about the weather Sabby. The pressure has been falling over Dumfries according to my Barometer, and I've seen a bit more scratching today, but overall she's still doing really well. It's only very short bouts of scratching, a few times before her walks, and once about half an hour before her afternoon pill :D

Sabby
7th June 2012, 10:55 PM
Thanks Kate :)

Your right about the weather Sabby. The pressure has been falling over Dumfries according to my Barometer, and I've seen a bit more scratching today, but overall she's still doing really well. It's only very short bouts of scratching, a few times before her walks, and once about half an hour before her afternoon pill :D

Yes my Ebony has been scratching a lot today, and that normally doesn't happen on normal days. I can allways tell when it is weather related.