Keep more flea and tick preventive purchases in-clinicMarch 20, 2019When pet owners needed to purchase parasite control products, they traditionally went to their local veterinarian. However, the influx of retail businesses (both online and brick and mortar) competing in this market has created a financial feasting frenzy on clinic profits. "We have moved from having a near monopoly on the sale of flea/tick products to the current situation where less than half of clients are now purchasing their flea/tick products from their veterinarian," says Lowell Ackerman, DVM, DACVD, an independent consultant, author, and lecturer. In most veterinary hospitals, pharmaceuticals represent 25 to 30 percent of revenue, according to Dr. Ackerman. As the bulk of that revenue comes from the sale of parasite control products, this "erosion" of sales is both significant and troubling. Reel 'em back in Reasons as to why pet owners have strayed beyond home base varies. Cost, convenience, and just not knowing the benefits of purchasing from their veterinarian are examples. When it comes to product pricing, veterinarians need to be competitive, but they don't need to be the low-price leader, according to Ackerman. "Clients see most noninjectable parasite control products as commodities, and it is easy for them to compare prices across different sources," …
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DogsLife offers financial aid for canine cancer treatmentsMarch 20, 2019A new nonprofit is helping pet owners pay for canine cancer treatments by any board-certified veterinary oncologists in North Texas. The organization, DogsLife, selects recipients through an application and interview process involving the pet's owner and veterinarian, as well as the treating veterinary oncologist. The private charity is primarily supported by donations and all of the funds go directly to providing treatments to the dogs. Sir Desmond, a retired racing Greyhound, was diagnosed with osteosarcoma. As a result, the dog's veterinary oncologist recommended his leg be amputated. The price of surgery and chemotherapy was not in Sir Desmond's owner, Caitlin Schmidt's budget, so she applied for assistance from DogsLife. The charity covered half of the surgery and all of the chemotherapy costs. "I cannot really put into words what the phone call meant to me when I was told DogsLife was providing a grant to help pay for all the overages for Desmond's treatment that I simply could not afford," Schmidt says. "Desmond had his amputation surgery and is beginning his chemotherapy."
Trust, education can build vaccine complianceMarch 18, 2019Can people control their exposure to whatever virus du jour is making the rounds? No—and that's the point veterinarians should stress among vaccine-wary clients, says Tony Rumschlag, DVM, director of consulting veterinarians, companion animal at Elanco Animal Health. "We cannot in all circumstances control our pets' exposure to disease," he says. "We can help prevent disease in our beloved pets by simply following an appropriate vaccination protocol." As in human medicine, some veterinary clients are expressing concern over the necessity and safety of vaccines for companion animals. "Because some of the diseases we vaccinate against are not as prevalent as in the past, both on the human and animal side, people start to lose sight of the value of vaccines," Dr. Rumschlag explains. "When vaccination rates decrease, these diseases tend to reappear. And I understand how pet owners can forget the extent of parvo and distemper cases we saw in the 1980s and early '90s." Rumschlag says that while there is a lot of science backing the safety and value of vaccines, many of the concerns about them are based more on emotions. "Veterinarians who have treated dogs infected with preventable diseases, such as parvo and distemper, need to …
Salt Lake City, Utah, tops the list of heartworm cities for February in the U.S.March 15, 2019Salt Lake City, Utah, was the number one city for heartworms in February according to Companion Animal Parasite Council's (CAPC's) top 10 list. The monthly report warns pet owners, veterinarians, and pet-related service providers of U.S. metropolitan areas with highest percentage increase in positive heartworm tests. CAPC is devoted to monitoring and reporting emerging threats to pets. "The new CAPC Top 10 Cities Heartworm Report demonstrates heartworm disease—transmitted by mosquitoes—is a national threat to pets who are increasingly vulnerable to this debilitating and potentially fatal illness in most communities across the country," says CAPC board member, Michael Yabsley, MS, PhD, FRES. These are the U.S. cities with the highest percentage increase in positive heartworm tests for February: 1) Salt Lake City, Utah 2) Alexandria, Va. 3) Riverside, Calif. 4) Topeka, Kans. 5) El Paso, Tex. 6) Paterson, N.J. 7) Chesapeake, Va. 8) Reno, Nev. 9) Modesto, Calif. 10) Boise, Idaho "It takes just one heartworm-infected dog in an area to become a reservoir of infection, increasing the number of infected mosquitoes and ultimately spreading the heartworm parasite to unprotected dogs and cats," Yabsley says. "This is why CAPC recommends monthly …
Osteosarcoma: Beyond amputation and euthanasiaMarch 12, 2019When a patient is diagnosed with osteosarcoma, we tend to focus on three options: • the "gold standard," i.e. amputation with or without chemotherapy; • what many call palliative care, meaning pain medication and rest; or • euthanasia. But what if amputation is not an option? What if chemotherapy or radiation is out of the owner's financial capabilities? Or a couple of medications are not enough to numb the pain? What if visible metastasis to the lungs is already present? Bob Stein, DVM, pain management guru and founder of the Veterinary Anesthesia & Analgesia Support Group (www.vasg.org), recently shared another valid option.* "With my suggested approach, we can often provide quality of life to even large-breed dogs for six to 12 months and sometimes more than 20." Let's detail Dr. Stein's protocol. Pamidronate Pamidronate, a bisphosphonate, is an injectable drug that is inexpensive and easy to administer (ref: TM Fan et al. JVIM 2007). It helps to reduce pain (in 30 to 50 percent of patients), inhibit bone osteolysis, and has potential cancer-suppression effects by impeding proliferation and inducing apoptosis. The drug has a wide safety margin and can even be used on patients with renal or …
Getting to the bottom of root canal therapyMarch 8, 2019Anyone who has tried to extract a firmly rooted mandibular canine tooth in a dog or cat has likely muttered the phrase, "There's got to be a better way," (amongst other muttered phrases!) while performing the frustrating procedure. In some cases, there is indeed a better way. Although root canal therapy is not an option for every diseased tooth, it is an elegant way to treat dead teeth and teeth with pulp exposure. Terminology, development, and anatomy Endodontics refers to the study and treatment of the inside of the tooth (pulp) and periapical tissues, the latter of which are located around the tip (apex) of the tooth root. The pulp consists of nerves, blood vessels, lymphatics, and connective tissue. Pulp tissue is found in the pulp chamber of the crown and the root canal of the root. The pulp communicates with the periapical tissues through numerous small openings in the apex of the tooth root called the apical delta. Dental pulp is important for the development of the tooth in a young animal. Cells called odontoblasts continually produce dentin internally throughout the tooth's life. This makes the walls of the root and crown thicker. Recently erupted teeth have walls that …
Banfield Foundation commits $1 million to keep pets and domestic abuse victims togetherMarch 7, 2019The Banfield Foundation says it is investing $1 million in its Safer Together initiative to help victims of domestic violence and their pets find pet-friendly shelters. According to a recent study, up to 89 percent of pet-owning domestic violence victims report their abuser has threatened, injured, or killed the family pet. Further, about six to 10 percent of domestic violence shelters allow animals onsite. The Safe Together grant would allow qualifying nonprofit organizations to apply for funding as they increase their capacity to help people and pets escape domestic violence. "Through our work and the work of other outstanding organizations, we hope to create a world where victims never have to choose between their own safety and the safety of their loved ones, including their pets," says Banfield Foundation executive director, Kim Van Syoc. "Victims often remain in a dangerous environment because they do not have access to a pet-friendly shelter or program, and we believe saving the life of a pet can save the life of a human. Pets play an essential role in families, particularly during crises like domestic violence. Keeping pets safe and healthy helps ensure they remain a vital part of their …
AAHA releases 2019 Dental Care Guidelines for Dogs and CatsMarch 7, 2019The American Animal Hospital Association (AAHA) has updated its dental care guidelines with the goal of decreasing oral pain and improving the quality of life for dogs and cats. While not always apparent to pet owners, by the age of three, dogs and cats have some level of periodontal disease. Updated from the 2013 edition, the 2019 AAHA Dental Care Guidelines for Dogs and Cats are designed to help veterinary professionals expand their current client education efforts, so pet owners understand periodontal disease can be avoided through regular dental checkups and proper home care. The new guidelines also help veterinary practitioners address the fear of anesthesia among pet owners, as it is the most common reason for declining dental procedures. "Regular dental care is one of the most powerful ways we can improve the quality of life of our patients," said AAHA chief executive officer, Michael Cavanaugh, DVM, DABVP (emeritus). "AAHA continues to support the use of general anesthesia in dental procedures to promote appropriate diagnostic capabilities and decrease patient stress, injury, and risk of aspiration. Because home care is crucial in the support of a healthy, pain-free mouth, client communication and education remain central to these guidelines." Detailed …
Is banning "artificial" ingredients based on fear or science?March 1, 2019Since the late 1980s, individuals and organizations have been trying to warn the public about a deadly chemical known as dihydrogen monoxide (DHMO). Though widely used in the home and in commercial settings, including the health-care industry, this substance has been shown to cause severe lung damage and even death when inhaled in small quantities. Hundreds of thousands of people die annually from this cause.1 DHMO also can produce electrolyte disturbances and potentially fatal neurologic symptoms when taken orally, and it can cause severe burns and even explosions when heated.2 A number of surveys have found high levels of support for banning DHMO, and elected officials in several countries have explored taking such action, although DHMO remains ubiquitous.3,4 Given the obvious dangers of this chemical, why do public health agencies not take action to restrict it? It is possible that funding and political influence from industry impede regulatory action. However, it is more likely that governments have chosen not to ban DHMO because it is essential for life. Most people are surprised to learn this until they recognize the nontechnical name for this chemical—water. Is "chemical" a dirty word? The campaign against DHMO has been used as a humorous …
ISU to begin canine anticancer immunotherapeutic agent clinical trialsFebruary 28, 2019Iowa State University (ISU) College of Veterinary Medicine is starting a clinical study for a new canine anticancer immunotherapeutic. Produced by NovaVive, the anticancer treatment, Immunocidin, has received regulatory approval in the U.S. and Canada to treat mammary tumors. The study will observe dogs with stage I or stage II splenic hemangiosarcoma (HSA) who have undergone a splenectomy to determine the effectiveness of Immunocidin in combination with doxorubicin chemotherapy. Sixty-six dogs will participate in the trial and survival times will be monitored. "Treatment options and survival outcomes for canine HSA have remained essentially stagnant for the past two decades," said Chad Johannes, DVM, DACVIM (SAIM, oncology). "Additional therapeutic options for HSA are needed and we look forward to learning more about how immune stimulation via Immunocidin may play a role in improving outcomes for dogs." Ten oncology clinics will participate in the trial. To find one, visit bit.ly/2D56wBv and enter AAHSD004874 in the keyword search.
