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 …
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U.S. congressmen introduce bill to end deadly experiments on kittensMarch 11, 2019A new bill has been introduced to get the U.S. Department of Agriculture (USDA) to stop performing harmful experiments on felines. U.S. congressmen Brian Mast and Jimmy Panetta have introduced the Kittens in Traumatic Testing Ends Now Act of 2019. "The fact we need a piece of legislation to tell the federal government to stop killing kittens is ridiculous on its face, but what's even worse is when you hear the government is actually breeding hundreds of these cats just to intentionally feed them parasite-ridden raw meat and then kill them even though they're perfectly healthy," Mast says. "These tests are awful, abusive, and unnecessary, not to mention a serious misuse of millions of taxpayer dollars. This needs to stop now." "This common sense, bipartisan bill will require the USDA to adhere to the same animal welfare standards the department is charged to uphold," Panetta says. "While I strongly support scientific research, taxpayer money and federal resources should be spent on advancing scientific research in an ethical manner, not on inflicting pain on innocent kittens in outdated experiments. I hope this bill helps us get closer to ending this cruel practice.
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 …
Trupanion donates $12,000 following veterinary conferencesFebruary 28, 2019Trupanion has donated $12,000 to three animal charities in lieu of handing out booth trinkets at recent industry events. Over the last two months, the pet insurer has donated $5 to the following nonprofits on behalf of every person that visited its booth: Greyhound Pets of America received $4,715 after the VMX conference; The Farley Foundation—which assists those struggling financially to pay for veterinary care for their pets—was given a donation of $1,505 at the end of the Ontario Veterinary Medical Association's (OVMA's) conference in Toronto, Canada; and Nevada's SPCA received $5,860 at the close of WVC.
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.
Cat declawing may soon be a thing of the past in CaliforniaFebruary 27, 2019Assemblyman Bill Quirk has introduced a bill that would ban the declawing of cats in California. "Declawed cats can suffer long-term physical complications as a result of declawing—it's not just a fancy manicure," Quirk said upon introducing AB 1230. "It's painful, unnecessary, and needs to stop… When this bill becomes law, only licensed veterinarians performing the procedure for specific therapeutic purposes will legally be able to declaw a cat, saving them from a lifetime of pain and possible lameness." The practice is already illegal in San Francisco, Los Angeles, and six other California cities. Further, in several other parts of the world, declawing has been banned. "Declawing is one of the most painful and unnecessary surgeries in all of veterinary medicine," said Jennifer Conrad, DVM, CVA, founder of the veterinarian-run nonprofit Paw Project. "We've seen what these cats go through. We are veterinarians who are standing up against the status quo because it is the right thing to do. We want veterinary medicine to be about helping animals, not helping couches." Studies have found declawed cats are more liable to bite or have other behavioral issues and often end up in animal shelters as a result.
SAGE partners with San Francisco ophthalmology clinicsFebruary 26, 2019SAGE Veterinary Centers, a specialty and emergency veterinary organization, has added two new partner locations to expand its services and provide patients with better specialty care. The organization has partnered with Veterinary Vision, a provider of ophthalmology treatment in the San Francisco Bay area. Its clinics in San Carlos and San Francisco treat more than 3,100 patients and perform over 12,000 examinations annually. According to Veterinary Vision's Cynthia Cook, DVM, PhD, incorporating ophthalmology into the specialty services provided at SAGE Centers will allow optimized outcomes for ophthalmic emergencies, coordinate care for patients presenting with ocular manifestations of diseases affecting other organs, and coordinate complicated patient management with anesthesia and surgery departments when needed. "SAGE and Veterinary Vision are uniquely aligned in cultural values," said Gina Del Vecchio, SAGE chief executive officer. "People are our most important asset, and we are both delighted and honored to welcome the doctors and staff of Veterinary Vision into the SAGE family."
