Swelling and loss of function of front right paw after vehicular trauma

My miniature cockapoo was involved in a car accident 6 days ago. He lived but sustained many injuries that required surgery to close a tear on his bladder. He needed blood infusions, and is now still on an IV drip because he is still having trouble digesting food and is having the liquids drained. Vet says he’s regurgitating a lot and can’t eat and pass food on his own. They are going to do an ultrasound to check his pancreas, his kidneys and bladder today. He also has been limping on his front right paw that had an IV in it for 3 days before they noticed a lot of inflammation and took it out. There was a lot of swelling and bruising and a lot scabs but today he was able to walk in and put some pressure on that foot. Without doing any MRIs or ultrasounds, I don’t want to amputate his foot although that’s what the vet keeps mentioning. I’ve read about paralysis and nerve damage, and soft tissue injury’s on dogs that did recover after a lot of intense physiotherapy. Can I please get some secondary opinions and advice on his prognosis.

Hello - and I'm sorry to hear about the problems that your poor cockapoo has been experiencing.  First, I think it's important to be clear what is causing the problem with his foot; was this the result of the accident, or a complication of the drip-line?  Why specifically is your vet reccommending amputation (and is this a current reccommendation or a concern or the future)?   Is the problem that the area is not getting an adequate blood supply, for example?  Does your vet have all the information that they need - both from looking at your dog, and from a knoweldge-of-the-rare-condition-point-of-view, to determine this, or would they prefer to refer?  Sometimes, I think it's important to ask questions like this specifically and directly in order to get an overall picture, and also to ask for the answers to be documented in the notes.  If the answer to the question is not clear to you, always return to them.  We, Vet Help Direct, do not give second opinions or referrals; the vet who is dealing with this case is in a much better position to understand this case than I am.  However, it is always reasonable to ask, 'do you feel happy with this case, or would it be better for my dog to refer elsewhere?'  I hope that something here will help.

Hello - and I'm sorry to hear about the problems that your poor cockapoo has been experiencing.  First, I think it's important to be clear what is causing the problem with his foot; was this the result of the accident, or a complication of the drip-line?  Why specifically is your vet reccommending amputation (and is this a current reccommendation or a concern or the future)?   Is the problem that the area is not getting an adequate blood supply, for example?  Does your vet have all the information that they need - both from looking at your dog, and from a knoweldge-of-the-rare-condition-point-of-view, to determine this, or would they prefer to refer?  Sometimes, I think it's important to ask questions like this specifically and directly in order to get an overall picture, and also to ask for the answers to be documented in the notes.  If the answer to the question is not clear to you, always return to them.  We, Vet Help Direct, do not give second opinions or referrals; the vet who is dealing with this case is in a much better position to understand this case than I am.  However, it is always reasonable to ask, 'do you feel happy with this case, or would it be better for my dog to refer elsewhere?'  I hope that something here will help.

The second answer here is perhaps the more helpful - with apologies for submitting early

The second answer here is perhaps the more helpful - with apologies for submitting early