Photos by Agold Betta Bay

When Maya was a puppy she was stationed with the Army in Honduras. Maya’s purpose was to lift the spirits of the other soldiers. Maya’s Mom, retired Army veteran, Sherri, was her handler at the time. Maya was no longer able to be at the base and Sherri’s commander agreed to allow her to keep Maya and take her home to America. From then on Maya lived all over the United States and lived a very active doggy lifestyle. Sherri and Maya share such a rare and special bond.

Sherri noticed quickly that something was off with Maya and scheduled an appointment with Fetch in January. Maya’s surgery was done shortly after her initial consult with Dr. Enderlee. Maya recovered great from surgery and started walking right after her procedure. Maya’s post opt went so well, we had no doubt, she was in the best hands at home with her owner. Sherri worked tirelessly with our doctors and nurses to make sure that Maya was quickly on the mend.

Maya was 12 weeks post-surgery when she came in for the recheck of her other leg as she started noticing similar signs. After TPLO surgeries, patients end up using the other leg so much more, that injury to the other side is common. We found that Maya tore her other cruciate and it needed repair. Maya’s mom elected to have the surgery done on her other leg. While she was in hospital we found that Maya’s appetite had decreased and she was vomiting. Maya’s surgeon, Dr. Enderlee, decided it was best to transfer her to our Internal Medicine Specialist, Dr. Hogan, to further assess the other symptoms Maya was displaying. Bloodwork and an ultrasound were performed that later indicated that sweet Maya also had diabetes. Maya and her mom had a full plate with post opt care of Maya’s leg and a new diabetes diagnosis. Maya’s mom was diligent and determined to get Maya healthy and do whatever she needed to, to make sure her girl was OK. It took a solid 6 months of recheck appointments, getting medications and bloodwork regulated, questions, long days and nights but Maya is finally doing well! Her last recheck appointment went great and the Fetch team is elated that we were apart of her team.

More information on CCL Tears & Diabetes:

CCL Tears and Symptoms
The most common cause of rear limb lameness in the dog is rupture of the cranial cruciate ligament (CCLR). This injury leads to instability of the knee joint and arthritic (degenerative changes) including cartilage damage, meniscal injury, and osteophyte production.

Cranial cruciate ligament insufficiency can develop as a result of several different processes. In general, insufficiency develops as a result of progressive degeneration that happens over time. The ligament may appear to rupture suddenly; however, the ligament has likely been getting weaker over time. There may be a single incident that causes a sudden complete rupture of the ligament with severe pain and non-weight-bearing lameness. Ligament failure often develops in small increments over a sustained time period. Once the cranial cruciate ligament ruptures, the tibia can slide forward and the femur is free to ride down the slope of the tibial plateau. When the ligament tears, pain, swelling, and marked lameness will occur. If not stabilized, the joint will become dramatically arthritic over time.

Diabetes Mellitus
Diabetes mellitus (DM) is a disease of the endocrine pancreas. In dogs, DM is caused by dysfunction of the cells of the pancreas leading to a deficiency of insulin the body (similar to Type 1 diabetes in humans). In cats, DM may often start out secondary to insulin resistance (similar to Type 2 diabetes in humans). Insulin is needed to help glucose (sugar) from the bloodstream enter cells. Glucose is the main energy source for cells, so without insulin, the cells are unable to obtain needed energy. Since the body’s cells aren’t getting enough energy without insulin, the body feels like it is starving, leading to the clinical signs of increased appetite and weight loss. Increased glucose in the blood also leads to a draw of water out of the cells and into the bloodstream. This leads to dehydration and an increased amount of drinking. In addition, the glucose spills over into the urine and draws water with it. This leads to increased urination and can predispose to urinary tract infections.