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I Was Thinking...
Barbara Cox, Gainesville, Florida, created BeaconStreetUSA.com. "I was thinking" is her blog.

Blind Dog–Happy Dog after SARDS

04.30.13

In 2011, my 7-year-old dog Trudy lost her sight from SARDS (sudden acute retinal degeneration syndrome). I took her to veterinary specialists frantically seeking a cure for her blindness but there was none.

At first, Trudy bumped into walls trying to find her way around the house. She got anxious and confused easily. I thought our good life was over. I forgot that dogs don’t feel sorry for themselves. They don’t think about the future. They figure things out the best they can and get on with it.

Online experts agree that blind dogs shouldn’t be treated with pity. This makes them think that something really bad is happening. The experts say, “Don’t rush to help your dog because his blindness makes you sad.”

I followed their advice even though it was hard. When Trudy couldn’t find the door, I’d stand there and say in a cheerful voice, “Over here, Trudy,” until she found her way. If she missed a treat I’d thrown her, I’d let her sniff around until she found it. Like dogs everywhere, she has a great sense of smell.

Over the last two years, Trudy and I have grown closer and happier. Strange as it sounds, Trudy is more full of life than ever. She’s become more obedient, probably because I take more time with her. I never thought I could teach this crazy dog to “sit” and “stay,” but I did.

Since she became blind, Trudy—an escape artist—has found her way out of the yard at least four times. Her sight may be gone, but her love of adventure isn’t. After she ran off six months ago, I decided to paint the words “I am blind” on her harness. Since then, neighbors have either called or brought her home within an hour or two.

If you have a blind dog, here are some suggestions:

• Teach your dog to recognize words and phrases such as “Watch it!” or “Over here!” and important commands such as “Sit” and “Stay.” Trainers say that dogs can understand over 20 words and phrases.  One blind border collie has been reported to understand more than 200 words.

• Spend more time walking your dog, going places, and playing games. Trudy likes to hunt for her supper outdoors. I make a ball of dry and wet dog food and throw it across the backyard. Her tail wags until she’s found the last crumb. Dogs love scent games.

• Buy a Kong and other toys that hold treats. Dogs enjoy working for their food. It keeps them busy and happy for long periods.

• Be sure your dog has plenty of water. Dogs with SARDS-related adrenal problems tend to be abnormally thirsty. They pee often and their urine is dilute.

• Install at least one doggie door in your house. Many dogs get upset when they can’t wait and have an accident in the house.

• If your dog has trouble getting to the doggie door in time, put down carpet runners or other cues that lead to the door.

• If your dog has an accident in the house, don’t scold. Just clean it up.

• Don’t leave your dog in places where it’s too warm. When dogs with adrenal problems get hot, they pant more than healthy dogs and are more prone to heat exhaustion.

• Don’t move furniture around or leave large objects on the floor that might confuse your dog. Blind dogs make mental maps of their environment and depend on them.

• Keep a collar or harness with an ID tag on your dog at all times. A microchip is a good idea, too. Many owners find harnesses more effective than collars, because they offer better support and give the owner more control in tricky situations.

• Label the harness “I am blind.” People will treat your dog with understanding without your having to explain. Also, it almost guarantees that some dog lover will bring your dog back if she wanders off.

• If your dog is older and can’t get around easily, use a sturdy harness with a handle when you’re going someplace he’s not familiar with. You can give him a lift when needed.  These harnesses are made for dogs with arthritis and other mobility problems.

• Keep a short hand leash—12 to18 inches—attached to the dog’s collar to help guide her in confusing or upsetting situations when she’s too anxious to obey commands.

• When walking your dog, look for grates in the pavement or other things that might make him stumble. Get him used to words of warning such as “Watch it.”.

• When you approach a strange dog, take a slight detour. Your dog can’t see the stranger and doesn’t respond like a sighted dog. The other dog doesn’t understand why yours is acting funny. Dogs meeting each other send signals about who’s going to be dominant, and misunderstandings can cause trouble.

• If you have a pool, put a fence around it. Trudy fell in my pool twice until I put a barrier up. Luckily I was there to fish her out.

• Buy a pet gate and/or collapsible exercise pen to keep your dog away from dangerous areas.

• If your dog spends time outside in a fenced yard, be sure it’s escape-proof. Inspect it carefully for loose boards, gaps, and tempting openings between the fence and ground. If your dog likes to dig, install chicken wire from the bottom of the fence into the ground. This requires digging a trench for anchoring the chicken wire.

• Keep an eye on your cat, if you have one. Some cats take advantage of a blind dog and swat its face with sharp claws, causing painful damage to the cornea.  (My cat has tried.)

• When your dog has to stay at a kennel or with a friend for a few days, leave her bed or blanket and perhaps an unwashed personal garment for comfort.

Two excellent internet forums for owners of blind dogs are http://www.blinddog.info and http://www.blinddogs.net. The highly rated book Living with Blind Dogs by Caryn Levin RN gives owners detailed practical advice about helping blind dogs adjust (2004, 188 pages).

BeaconStreetUSA.com blogs from 2011 describing Trudy’s and my early experience with SARDS appear at http://beaconstreetusa.com/wp/?s=sards&submit=Go.

If your dog has lost his or her vision from SARDS, you might be as heartbroken as I was. Hang in there. You and your dog can have a happy life together again. It will just be a little different. Blind dogs take advantage of their sharp senses and smell and hearing to make up for their lost sight. You’ll be amazed.

More on Blind Dogs

09.07.11

A few weeks ago, my 9-year-old beagle-chihuahua mix, Trudy, went blind from sudden acquired retinal degeneration syndrome (SARDS)—(see my earlier blogs). Since then, I’ve spent a lot of time on internet message boards such as blinddogs.net and blinddog.info.

Recently, a woman posted a message about her 5-year-old pug with SARDS.  She wrote: “He went from being extremely active and playful to very lethargic, frightened and since it has been about 3 months, some days navigates (slowly) his way around with caution and others, is completely discombobulated and will stay in a corner someplace. Sometimes when I carry him and put him down every so gently, he seems unfrightened and other times he stiffens up and is terrified. I did buy endless black rounded foam rubber that is put on pipes for insulation, and covered every single leg of all furniture, including outdoors. This has helped his poor little head a great deal…I can’t stop crying for my little guy.”

When Trudy lost her sight, I did endless research online about about the causes, symptoms and treatment of SARDS. I took her to the Dept of Ophthalmology, University of Florida vet school, for confirmation of my primary veterinarian’s findings, and then to the Internal Medicine Department for endocrine testing. I learned that most dogs afflicted with SARDS also have the symptoms of Cushing’s syndrome (excessive thirst, lots of peeing and accidents in the house, bloated abdomen, panting, etc.)

When I’d found all I could about the disease and had taken Trudy on the rounds of veterinary experts, I still had a lot to learn about adjustment to Trudy’s vision loss.  I learned to avoid being solicitous and pitying. I didn’t jump to do the things she was having trouble with. If she couldn’t find the door, I’d say, “Over here, Trudy,” and let her follow the sound of my voice.  I didn’t point out a food scrap that had just fallen on the floor. I let her nose do its work.  The amazing thing is that Trudy is more energetic than I’ve seen her for years, and we’re a stronger team. Here are a few of the simple things I’ve done.

1) I take her outside out to pee every couple of hours so she doesn’t have to slink off in the house to do it in secret. I praise her lavishly when she “goes.” She looks quite pleased with herself.

2) Every morning I continue taking her on our usual run—me on my electric bike and her running alongside. We’ve traveled the same route for years–a stretch of 1/3 mile in my neighborhood where there’s almost no traffic. Now she seems to sense the distance between us by the sound of the bike motor.  If I see something on the road, I yell, “Watch it, Trudy!”—always using the same words and tone of voice. For a short video, go to Trudy’s morning run.

3) I play with her more often, my object being to get her to wag her tail.

4) When she sneaks up on the dining room table and I hear dishes clattering, I no longer yell, “Get off of there, Trudy!” at the top of my lungs. I think, but don’t say, “Well, yay for you, Trudy. You’ve still got the old spunk.” Then I clean up the mess, saying quietly, “No, Trudy.” Which, of course, she ignores.

5) Rather than feed her in the house from a bowl, I wrap a ball of canned dog food in chopped dry food. I call her, making a big deal of it, and say, “Hey Trude! “Meal-time, kiddo!” I roll the ball across the big wooden deck outside. Her nose finds its way to the food, her tail wags the whole time, and she eats it with relish. She loves this. What dog wouldn’t? Their DNA tells them that this is how REAL dogs find their food.

Trudy is a happy dog again. My advice to the owners of newly blind dogs is this–don’t show your sadness to your dog. If you have to cry, go off by yourself. Don’t let pity creep into your voice when you talk to the dog. Praise every little new accomplishment. Blind dogs can be exposed to interesting new experiences in a gentle way, without frightening them. Laugh and play. Dogs making the difficult passage into blindness need an upbeat view of life.

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When Dogs Go Blind

08.13.11

The good life isn’t over for dogs who go blind.  If they don’t have eye pain—which most don’t—and the disease that caused the blindness is treatable, they can lead happy lives.  For example, my blind dog Trudy has underlying Cushing’s disease, which can be controlled with drugs, although she’ll never get her sight back.  She lost her vision over a period of weeks from SARDS (sudden acquired retinal degeneration syndrome). Like most owners, I suffered from her rapid loss of eyesight more than she did.

Dogs don’t rely on their vision as much as we do. Even healthy dogs’ eyes don’t focus well on close objects. They’re color-blind compared with humans.  They don’t see details as well.  The one thing they do better is detect moving objects in dim light.  Nature gave them this ability to help them hunt at night.

The people who think it’s humane to put a blind dog to sleep don’t know much about dogs.  If you watch sightless dogs who have gotten used to their loss, you see happy, functional pets. They still have their wonderful noses and ears, which become their main sense organs. However, the adjustment may take a little while. Some dogs get depressed when they first lose their vision, acting listless and droopy.  They carry their heads low and seldom wag their tails. If this is true of your pet, resist sharing your sadness. Indulge in it  only when your dog’s not around.  When you’re together, stay upbeat. Find things to do that you both enjoy.

Other dogs get irritable.  They growl easily and may snap.  While you should discourage this behavior, stay calm when you correct the dog.  There’s no point in getting everyone more upset. Approach the dog gently and stroke his or her neck and back. You’ll both feel better when you enjoy close, loving contact.

Above all, don’t overdo the help you give. Avoid taking over your dog’s life. People with blind dogs agree that coddling is the worst thing an owner can do.  Instead of carrying a dog upstairs, for example, help the dog learn to do it alone.  He or she will take pride in the new skill.

When my dog Trudy recently lost her vision, I was devastated.  I worried that she’d no longer enjoy life.  Little did I know. Trudy still barks at the UPS man and tries to chase his truck down the street, her hackles raised.  She gets around the house without trouble as long as furniture hasn’t been moved or large objects aren’t left in her path.  She still delights in jumping up on kitchen counters when I’m not around and and running off with any tasty items she finds.  How she does it, I don’t know. Recently she started playing with her toys again, grabbing her hemp rope in her mouth and thrashing it around—going for the kill.

A friend has a blind dog named Radar—a Chinese crested.  Radar is a good name for him.  He’s so talented that, even without eyesight, he can jump up and catch a fly in his mouth.  Like Trudy, Radar is a happy camper.

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Dogs with SARDS & Cushing’s Disease

08.04.11

Sudden acquired retinal degeneration syndrome (SARDS) is a disease that causes rapid blindness in dogs–usually, within a few days to a couple of months. For some unexplained reason, the cells in the dog’s retina start breaking down.

The disease can be diagnosed with electroretinography—a test similar to an EKG. While the dog is under anesthesia, electrodes are placed on the cornea to detect activity in the retina.  A normal eye produces tracings with peaks and valleys. In dogs with SARDS, the tracings are flat.

Adding to the mystery is the fact that about 75% of the dogs with SARDS also have Cushing’s disease.  The symptoms include increased thirst, accidents in the house, an unusually big appetite, pot-bellied appearance, and excess panting. The condition is due to excess production of the hormone cortisol by the dog’s adrenal glands, two small organs that sit on top of the kidneys. While brain or adrenal gland tumors are the most common cause of canine Cushing’s disease, dogs with SARDS don’t have them.

Veterinarians use blood tests to diagnose Cushing’s disease.  The most common, the dexamethasone suppression test, takes a full day.  First, a blood sample as taken as a baseline measure.  Then a synthetic cortisone drug—dexamethasone–is injected and follow-up samples are taken throughout the day.  If the dog has normal adrenal function, cortisol production drops.  A dog with Cushing’s disease continues to make high levels of the hormone.

Drug treatment can regulate a dog’s cortisol production, keeping the hormone at normal levels. However, it’s important that a veterinarian follow the dog closely because it’s easy to over- or underdose an animal, causing added health problems.  Serious side effects are possible, too, and require careful monitoring. The drugs must be given daily and can be costly.

The good news for owners of dogs with SARDS and Cushing’s disease is that treatment of the adrenal problem can offer a dog a longer life of higher quality.

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