Luka's Gabapentin has been increased to 4 times a day and he gets codeine 3 times a day. He also has Rimadyl which is supposed to be delicious but he won't eat it unless it is in a pill pocket. He gets that twice a day, air scratching is minimal.
We will be trying acupuncture next. Over all Luka is looking better. He has a healthy heart and is over all doing much better. SM is not the end all, I think as owner's most of us that get the diagnosis with the first dog, panic.
Dr. Kline said that this is no different than living with a disability. She seems very pro medication, and not so keen on surgery because of the extensive damage to his spinal cord already. If there is a sign of progression she is for surgery but seems to be more oriented with treatment.
Thanks for all your support and input.