Health Care TEam
- Dr. Brian Martin, Surgeon
- Medical and cancer center for pets.
- 24/7 emergency care.
Mass Ave & Fountain SqUare Animal Clinics
- Dr. Kurt Phillips '92, Veterinarian
- Official veterinarian of Butler Blue since 2000.
- Two central, convenient downtown Indy locations.
- The premium treat for medication...or reward.
- Official treat of Butler Blue III - Trip's only treat!
- Concept originated from Butler MBA program.
Timeline of events
- From onset of injury, veterinarian evaluations, surgery, recovery, rehabilitation, and more, the following is a chronicle of events throughout Trip's cruciate tear experience.
Onset of injury
September 28-30, 2016
- Out of the blue, Trip shows signs of pain and lameness on hind leg.
- Evaluated by Dr. Phillips at Fountain Square Animal Clinic and initially diagnosed with partial cruciate ligament tear in right knee.
- Prognosis: address partial tear with rest (at least two weeks), pain medication (Tramadol), and anti-inflammatory treatments (Rimadyl and Glucosamine).
- Cease of all public appearances.
- Responds positively to treatment within a matter of hours. Comfort restored.
- Medi-Crunch cones help the medicine go down!
Relapse in recovery
October 3-5, 2016
- After comfortable weekend with fairly normal activity, symptoms of significant pain and lameness return.
- Initially, Trip is forced to be carried outside for potty breaks. Appetite and bowel function remained normal.
- Some improvement in comfort and mobility restored over course of next 48 hours.
October 6, 2016
- Return to Fountain Square Animal Clinic for follow-up evaluation. Full cruciate tear suspected.
- Dr. Jen Glore performs radiographs of knees, hips, and spine for a closer look.
- Moderate to significant arthritis and joint disease confirmed in both knees.
- Referred to specialist Dr. Brian Martin of MedVet Indianapolis for further evaluation.
October 13, 2016
- Dr. Brian Martin, surgeon, confirms cruciate tear in right hind leg and recommends TPLO procedure with full regimen of physical therapy.
- While not an emergency, decision is made to schedule the surgery as current medications are only masking the pain and issues of a cruciate tear.
- Full work-up of post-op physical therapy is agreed upon to allow Trip to resume full mascot activity as soon as possible.
TPLO Surgery Day
October 18-19, 2016
- Tuesday, October 18
- 7:45 AM: Trip arrives at MedVet Indianapolis for check-in protocol, procedure review, and prep.
- 12:00PM - 2:30 PM: Dr. Brian Martin and MedVet Indianapolis team perform successful TPLO procedure on Trip. Recovery process begins with Trip being kept overnight for observation.
- 2:45 PM: MedVet Indianapolis staff contacts Kaltenmark family to provide patient status and update on progress. Trip is awake, alert, and resting comfortably.
- 6:45 PM: Fellow MedVet Indianapolis surgeon, Dr. Kate Fitzwater calls to report that Trip is still doing well, sitting up now, and starting to take some steps.
- Wednesday, October 19
- 8:00 AM: Dr. Martin calls to report that Trip had a good night and continues to rest comfortably, although he's up this morning and "talking" to MedVet Indianapolis staff. Trip has successfully gone outside to potty, bearing some weight on his repaired leg with sling assistance. Meanwhile, his incision site looks good/healthy, and intravenous pain medications will be transitioned to oral in advance of late afternoon discharge.
- 4:00 PM: Trip's caretaker, Michael Kaltenmark, makes a quick stop en route to MedVet Indianapolis to pick up rugs to cover slick flooring surfaces at home.
- 5:00 PM: Michael Kaltenmark meets with MedVet Indianapolis surgeons, Dr. Martin and Dr. Fitzwater, to go over discharge instructions and post-surgery directives, precautions, and restrictions.
- 5:30 PM: Trip is discharged from MedVet Indianapolis and allowed to return home.
- 6:10 PM: Trip arrives home in a driving rain and thunderstorm. He's carried inside under shield of a large umbrella and towels so as not to allow the incision site to get wet.
TPLO Procedure Explained
- In the vast majority of dogs, the cranial cruciate ligament (CrCL) ruptures as a result of long-term degeneration, whereby the ligament fibers weaken over time.
- TPLO, or tibial-plateau-leveling osteotomy, is a surgery performed on dogs to stabilize the stifle joint after ruptures of the cranial cruciate ligament (analogous to the anterior cruciate ligament [ACL] in humans, and sometimes colloquially called the same).
- In a TPLO procedure, the tibial plateau, the portion of the tibia adjoining the stifle, is cut and rotated so that its slope changes to approximately 5 degrees from the horizontal plane.
- This prevents the femur from sliding down the slope of the tibial plateau when the dog puts weight on its knee.
- The surgery generally results in faster recovery times compared to other procedures to stabilize the knee.
- Most dogs (over 90%) are expected to regain a very active and athletic lifestyle with no post-operative complications and without the need for any long-term pain relieving medication.
October 19, 2016
- Both participating surgeons, Dr. Brian Martin and Dr. Kate Fitzwater, were both pleased with Trip's post-surgery recovery - bearing weight, clean injection site, normal disposition and bodily function.
- Trip was elated to be back with family.
- Then upon an assisted walk, in typical Butler Blue fashion Trip surprised the staff with a fully engaged leg lift, bearing full weight on his freshly operated leg. As the Butler men's basketball team has been known to say, the game honors toughness (TGHT).
- Resting comfortably at home, Trip resumed his normal diet and made his prescription regimen look easy (and delicious) with Medi-Crunch.
Post-Op Discharge Photos
October 20, 2016
- Butler MBB beat writer, David Woods, publishes a piece for The Indianapolis Star on Trip's status due to the recent knee surgery.
October 20 - November 1, 2016
- Trip makes considerable improvement as swelling dissipates. He continues to bear more weight on his knee and resumes his usual spirited demeanor.
- With direct supervision, Trip is allowed more time outside of his crate, but for the most part, is still confined to his crate by day and night.
- Fortunately for Trip, there's been a lot of quality time had in front of the TV with the family watching the Chicago Cubs post-season play.
Physical Therapy Begins
November 2, 2016
- Just over two weeks post-op, Trip returns to MedVet Indianapolis for his first physical therapy session.
- Trip's first follow-up appoint and physical therapy session included a consultation with Dr. Karen Hull, range of motion measurements, removal of surgical staples, underwater treadmill introduction, and cold laser treatments.
- While Trip loved the water, like a typical English bulldog, his first experience on the underwater treadmill wasn't exactly smooth. Although, he did show improvement during the session and is expected to continue to do so each time.
- The appointment lasted approximately 90-120 minutes due to initial consult, staple removal, ROM measurements, and introduction to therapy treatments.
First PT Session Photos
Physical Therapy: Session II
November 4, 2016
- Trip returned to MedVet Indianapolis for his second round of physical therapy and demonstrates a great deal of improvement during his underwater treadmill session.
- Trip was much more comfortable in the water and did a better job of walking on the belt.
- Cold laser treatments are administered again to conclude the appointment.
- The appointment lasted a total of 45 minutes.
Second PT Session Photos
Physical Therapy: Session III
November 8, 2016
- In Trip's third round of PT, he increased his underwater treadmill time, completing three 3:00 minute rounds with two minutes rest in between.
- Trip was able to complete his underwater treadmill therapy with much less assistance as well as Dr. Hull did not have to use hands to guide him and keep him on the belt.
- Dr. Hull also administered the third of four cold laser treatments.
Third PT Session Photos
PHYSICAL THERAPY: SESSION IV
November 10, 2016
- With Trip's underwater treadmill performance improving, therapist Dr. Karen Hull increased his overall walking time to 10 minutes; completing two 5:00 minute walks with 2:00 rest in between.
- The fourth of four total cold laser treatments was also administered.
Fourth PT Session Photos
Fifth PT Session Photos
Physical Therapy: Session VI
November 17, 2016
- Trip continues to make improvements on the underwater treadmill, this time going for 12.5 minutes, consecutively, and at a slightly faster speed.
- Joining Trip for this session is WISH-TV's Dick Wolfsie, who filmed a package on Trip's post-op rehab, which is set to air on Saturday morning, November 19th.
Sixth PT Session Photos
November 19, 2016
- Local Indianapolis news station, WISH-TV aired a package on Trip's physical therapy regimen at MedVet Indianapolis. WATCH.
- WISH-TV field reporter, Dick Wolfsie, joined Trip for his sixth physical therapy at MedVet Indianapolis to cover the mascot's rehabilitation efforts.
Physical Therapy: Session VII
November 21, 2016
- Trip made his unofficial return to the Butler University Marketing and Communications office. A special gate was put in place to confine him to a small area which included his crate. In addition, Trip is forced to use the building elevator to move between floors.
- During physical therapy, Trip completed 15 minutes on the underwater treadmill at 1.0 MPH, walking .25 miles. Trip was also introduced to cavaletti exercises, completing 50 hurdles.
- Trip has been cleared to begin walks of 5 minutes or less, up to twice a day and is to do five repeated sit-to-stand sequences a day to continue to strengthen his knee.
Seventh PT Session Photos
Physical Therapy Session VIII
November 23, 2016
- On the underwater treadmill, Trip made room for some Thanksgiving turkey, going for 20 consecutive minutes at a speed of 1.0 MPH.
- Trip also completed cleared 50 hurdles in his cavaletti exercises as well.
- The increased exercise left Trip's knee swollen that evening, but he showed no symptoms of pain as a result.
- Trip was also encouraged to continue leash-led walks of five minutes, twice a day.
eighth pt session photos
Physical Therapy Session IX
November 28, 2016
- In his next-to-last physical therapy session, Trip completed 25 full minutes on the underwater treadmill at an increased speed of 1.1 MPH.
- Trip also cleared another 50 cavaletti hurdles during this session as well.
- In addition, therapist Dr. Hull suggested that Trip increase his twice daily walks to 10 minutes in duration.
Ninth PT Session Photos
physical Therapy session X
December 1, 2016
- Trip completed his 10th and final physical therapy session at MedVet Indianapolis. He lasted a total of 22 minutes on the underwater treadmill and completed another five passes through the cavaletti run.
- WTHR-NBC 13 joined Trip for this session to prepare a TV package on Trip's return to active duty.
Tenth pt session photos
December 13, 2016
- Trip returns to MedVet Indianapolis for final x-rays. After being dropped-off in the morning, he's sedated for a full work-up of radiographs and doctor's evaluation.
- Trip's surgeon, Dr. Brian Martin, reports his overall satisfaction of the TPLO surgery site with proper bone healing around the installed bone plate.
- Dr. Martin discharges Trip from MedVet Indianapolis' care, with clearance to resume full activity contingent upon a 2-3 week ramp-up period.
Zach Bolinger - ZJB Photography, MedVet Indianapolis, Butler University, Michael Kaltenmark