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My 4yo is fighting DCM please help

sahilm

New Member
I post this with tears in my eyes, but our 4yo boy doberman is in emergency.

He has never had any health issues, has had good quality organic diet all his life. About 2.5 weeks ago, he started coughing. We took him to the vet, who did check his heart (stethoscope, not EKG), and the vet did not comment on his heart rate. He was prescribed doxycycline, and we also did a PCR test on him. The PCR test came back negative for everything, the doxycycline course over 10 days almost eliminated his cough. Our other dog (lab) never caught the cough, both are vaccinated, but still, the fact that it never transferred, makes me suspect it wasn't bacterial or viral.

Then, 2 days after the doxycycline course ended, he developed a cough again at night, which became worse very quickly next day. We took the first vet appt which was 530pm next day. Again, so far, we have noticed ZERO health issues with him (although we did not do a yearly EKG test, I didn't know about all this).

Next morning, he was coughing, but ate slowly but he ate.
Through the day his breathing became more labored, and he became more lethargic. Would keep coming to me for pets, didn't want to sit or lie down, just stand put his head on my chest and wanted to be petted. He didn't want to eat in the evening either, first time ever he has refused food. During his first cough bought (2.5 weeks ago), he was not lethargic, never turned down food, cough was WORSE, yet he was in better spirits.

530PM at the vet - doc checked his EKG and heart rate. His EKG showed issues "ventricular tachycardia", and his heart rate was going between 250-350. We immediately drove him to emergency.

630pm emergency, they immediately put him on IVs and oxygen.
After emergency,
- Immediately, they put him on IV, 3 doses later the heart rate did not come down (they administered this within 30 mins, first dose literally minutes after we parked). Then they had to give some other drug (I don't know what) and his heart rate came down to 200ish, but not below 200.
- At the 12 hour mark, his heart rate was 180-200, and he was on oxygen. The vets then gave him furosemide to clear his lungs, and decided to gradually wean him off oxygen. He is eating now.
- At the 24 hour mark, his heart rate was more like 200, and they decided to not wean him off oxygen yet.

I know the prognosis is not good.
But we are hoping to bring him back home, in an environment he is familiar with, with our other dog (lab), and treat him infinite love for his last few days with us.
We want him to pass away in our lap at home, and not on a cold hospital table. We obviously don't want him to suffer.

My questions,
- Those of you who have gone through this heart wrenching ordeal with your pup with congestive heart failure, DCM, how was your recovery experience while the dog was in emergency. Were there ups and downs, how long before your doberman came back to somewhat normal so he/she could go home?
- The vets we are dealing with are pretty good and professional. But any additional questions we can ask them?
- When your dog did come home, what steps did you take besides medication to prolong their healthy non-suffering life? My dobe is especially high wired to anyone ringing the doorbell (will disconnect) or fox or squirrels in the yard (not sure how to block all that out).

I'll end with this. DCM is awful. Doberman's are not like your average dog, their intelligence and ability to bond with the owner is unlike any other breed. It is a sad cruel joke that such a wonderful dog is afflicted by such an awful problem. We thought we got our dog from the best breeder in the US, we have all the paperwork, bloodlines tracing back to generations, yet here we are at 4 years (he turned 4, 1 month ago). I love dogs very much, and the doberman has both spoilt me (hard to like any breed as much anymore), yet losing your baby at 4 so suddenly, is a gut wrenching experience.

I am so sad and heart broken. But any constructive feedback to my questions would be greatly appreciated.
Thank you all.
 
So very sorry to hear your very sad news, DCM is horrible 😢 having lost my last dobie to it last year I know how you must be feeling, many members here have been through this and it doesn't always show or have the same effects everyone has had to deal with the different ways it developed, with mine it came on suddenly and he was given under three months we ended up having him with us for just over a year, he didn't start coughing until right near the end and unfortunately that was the final straw his heart couldn't cope with that stress anymore, when he was first diagnosed he was on vetmedin and cardalis medication and these are the standard medication in the UK, I had so much help from people on this forum and one thing we did was change his diet and add lots vitamins and minerals to help with the side effects and off the medications, @Srykerdobe gave us lists off these and was extremely helpful with advice to help, will keep you in our thoughts and prayers 🙏 you will be able get him home with you.
 
Thank you for your reply @PhilT .. I am in the US, lets see what med they give us. So far they are putting him on diltiazem. I was not able to find the list from @Srykerdobe (no such user?). Wondering if you have a link you can share? Thanks!
 
I don't have answers, but sincerely hope your boy can come home to you and live in comfort. This is terribly painful and all of us Doberman lovers are anxious for a better future with our dogs. My heart is with you.

it's @strykerdobe (one missing letter and it won't tag)

There is a website called Doberbase.ru where you can enter Dobermans names and they list longevity and COD (cause of death). It it mainly made up of European dogs, but lots of others are there as well. If your dog has any Euro in his pedigree you can start there to see if DCM or shorter lifespans are in his lines.
 
Heartbroken for you sahilm. I lost my last Dobe just before her 7th birthday. An initial cough disappeared & a trip to
what turned out to be a clueless vet didn’t alert us to anything major. Six weeks later the intermittent cough returned but Lola was still active & apparently normal in every other way, in fact we’d gone away on a short vacation where she was her usual active self. However, within hours of returning home she became seriously disoriented & alarm bells sounded. The diagnosis was DCM & she was admitted to a veterinary hospital in a very poor state. After 2 days with no progress & no likelihood of any improvement or recovery we decided to put her out of her misery in the hospital.
Im sorry not to be able to give any encouragement but all the research I’ve done since suggests that once they start coughing the game is nearly up. :cry:
 
Thank you for your reply @PhilT .. I am in the US, lets see what med they give us. So far they are putting him on diltiazem. I was not able to find the list from @Srykerdobe (no such user?). Wondering if you have a link you can share? Thanks!
Sorry for making an incorrect spelling for @strykerdobe i don't have the list to hand at present but i did do a post for King called DCM progression an I think all the medication supplements and minerals are there, I will try to find the list meanwhile.
 
I found this thread from @strykerdobe that I found helpful, posting it here so others can discover.
 
Morning 930AM, roughly 36 hours after taking him to emergency, vet called, his heart rate has stabilized below 200.
He is still on oxygen and they will try to gradually wean him off oxygen and monitor him. He will be home either tonight or tomorrow morning if things go as planned.

So now my attention is around, "What comes after".
We have blocked all windows etc, so he doesn't see a squirrel or fox and get agitated, disconnected door bell.
 
It will always be difficult to know what's best to do, he may be feeling worn out after the last 36hrs and may just want to rest and cuddles, I don't think there can be to many hard and fast rules we had times when I had stayed up all night with King dreading it was the end only to go and have a shower and come back to a bouncing dobie full off life wanting breakfast and his morning walk, in the end we just let him guide us to what he felt he wanted to do or in other words let him be a dog 🐕.
 
So now my attention is around, "What comes after".
We have blocked all windows etc, so he doesn't see a squirrel or fox and get agitated, disconnected door bell.
That sounds like a plan to start with, but as @PhilT said, be prepared to let him guide you to what he needs. Once he comes home if you have questions about his behaviors I'm sure you will get answers, especially from the member here who have done this kind of care-taking. Our hearts are with you.
 
I'm so sorry. Our boy passed on Christmas morning last year from DCM and it was so hard.

He was on a combo of Vetmedin, Cardalis and one other med I can't remember and the combo really helped when they're given in conjunction with each other. Cardalis was just approved here in the US a few years ago after good success in the UK and other European countries.
 
A short update from me as I am paying most attention to my lovely child.

Brought him home last night, he had shaved patches on his front two paws where he got IV and shaved sides where they put EKG. He was a bit dazed and confused as he got into the car. But completely lit up when he got home. Totally recognized and kissed us, we kept our other dog away, and have been with him 24x7.

He was extremely tired, took a nap with me. Went out to pee, felt cold, blanket helped.
Slept well through the night.
This morning, took him to pee/poo, came back, felt really dizzy, didn't want to sit down, almost fell standing up, so I had to grab him quickly.
We had to force feed him his next batch of medicines, and gave him a puff of oxygen. He is sleeping peacfully now.
Heart rate is 180ish, breathing is 30ish.

It breaks my heart, but I am calling euthanasia services around me. None of them are available at a short notice, all of them are "Hey you are not our patient so bye", or "2-3 days" to "2 weeks out".

I don't know, he just might be back to fine today afternoon. or how do I make an appointment 2-3 days out knowing he is suffering.

The hardest decision, at what point did you decide to schedule an appointment? I know he isn't going to be fine again. But wow, he was just prancing around few days ago. I love him so much. Because he is just 4yo, and so pure hearted, this is worse than losing a child. Even at the emergency hospital, everyone was in love with him.
 
You can do nothing but be there for them, I know how heart breaking it is, I suppose we are lucky where we live once we had King diagnosed we didn't have to worry about vet visits because they just listed him as urgent so we didn't have to wait to have him seen, we were also able to have them come to us on his final day so he could be at home with all the family when he was finally put to sleep (still the most difficult thing to do), they also take care off all the arrangements we decided on for him and arranged casket and ashes collection along with paw print since we were still in covid-19 restrictions, just carry on as you are he will know how much he is loved.
 
Thanks @PhilT for being around in such a hard time.

So he slept off, and woke up - feeling better. Ate his usual amount, felt hungry. We walked him around the main level of the house, he met our other dog through a glass door, went outside to the yard, peed around. Even wanted to look outside. Now he is resting again, as I'm calling for options on euthanasia and cremation. Cremation I think I have someone located, Euthanasia, it is amazing what a heartless pain vets can be (at least in my area). You'd think for something like this you'd make an exception and come at 2AM if necessary.

230pm - he gets his next dose of meds. It's either the pills or his heart, don't know what gets to him first.
 
We did find the heart medication took a few days to really have any effect, did the vet's prescribe vetmedin, cardalis and something to help with fluid retention like furosemide, it's good he wants to go out and have you been told about checking his heart rate and femoral pulse regularly it gives you an idea how his heart is working, it's also a good idea to check his breathing rate so you know if he is getting distressed.
 
Well at the emergency he was being pumped through two IV lines with diltaizem and furosemide anti nausea stuff anti anxiety stuff, god knows what else.

They sent us home with this,
- Pimobendan 5mg tablets, 2 tablets every 12 hours.
- Diltiazem - 30mg tablets, 2 tablets every 8 hours
- Furosemide (Lasix) - 50mg tablets - 1.5 tablet every 12 hours.
- Digoxin 0.125mg tablet - 1 tablet every 12 hours

Then in 3 days we are supposed to give him,
Benazepril 5mg, 2 tabs every 12 hours for 3 days, and see if he tolerates it, if he does then increase to 3.
Spironolactone 50mg - 1 tab once a day, if he tolerates it, increase to 12 hours.

I am checking his breathing and heart rate constantly. He has afib, and 180/160 is a good level for him (per the vet). But even that amounts to counting 3 beats a second, so it's hard to count accurately that fast.

Are there any devices I can buy that can allow me to measure his heart rate more accurately?
 
Also they told us, 7-10 days of total rest, the only physical activity being on leash walk to the yard to pee/poo. So we are doing that.
I am hoping in 7-10 days, he can be _somewhat_ normal for the rest of his days, like sit on the couch, by the breakfast table, sit with our other dog, heck maybe even climb stairs once a day so he can sleep in the bedroom like he usually does. This joker is so used to his habits, that is the ONLY place he likes to sleep, but since he has been sick, he has not even asked for that.

You know he is actually a very easy to take care of dog. We open the door, he goes pees poos comes back. When it's time to sleep, he goes up sharp military time and straight to his bed. He obeys every command in 1 go. Always brings back the ball and always drops it. He is very clean, avoids stepping in mud. His #1 favorite thing to do is run after a ball. Every evening after dinner, and all through the day was his time to play PLAY AND PLAY. I have never met, or seen, or heard of a dog as awesome as he is.
 

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