Vet Shares His Story Of Putting His Dog To SleepMay 23, 2014 Douglas Palma, DVM, DACVIM (SAIM) spoke in empathetic tones when any of his clients lost a pet. But he couldn't truly feel that empathy. He had never gone through that loss. As a veterinarian, Dr. Palma dealt with the difficulty of euthanasia every day. Part of his job is to help clients come to the best decision regarding their pets, and to help them when that decision involves loss. Chances are the day that decision was made will be stuck in his clients' minds for years to come. Three years ago this August, Palma received a call at work from his wife Eileen. Their beloved yellow Lab-Border Collie mix hadn't eaten that morning. A pet skipping a meal may provoke concern in some pet owners; some may wait to see if their dog eats later on then opt to take them to the vet that evening or perhaps even the next day. But Palma's response was a little more urgent. "Bring him to the hospital," he told Eileen, according to ABC News. It's been said that parents who are also doctors hear their child cough and fear …
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Moist Food, Environmental Enrichment Can Fight FIC In Your Cat PatientsMay 6, 2014 Follow Veterinary Practice News on Twitter at @vetpetnews. For cat-owning clients, caring for a pet with feline idiopathic cystitis (FIC) can be frustrating. As one type of feline lower urinary tract disease, FIC causes a range of aggravating clinical signs in cats, signs that often lead to trips to the veterinary office—or to the local shelter. "FIC is an unfortunate disease," says Kara Burns, MS, MEd, LVT, of Wamego, Kan., president of the Academy of Veterinary Nutrition Technicians. "Owners don't quite understand what's happening when their pets [eliminate] outside the litter box. It ends up being one of the top reasons owners bring their cats to the veterinarian, and then why they relinquish them to shelters." Besides describing signs like urinating outside the litter box, clients with FIC-afflicted pets may also report frequency or straining when their cats urinate, vocalizing or perceived pain when they urinate, or blood in the urine, says Claudia Kirk, DVM, PhD, Dipl. ACVIM, Dipl. ACVN, head of the department of small animal clinical sciences at the University of Tennessee in Knoxville. Veterinarians and their health care teams can help, Burns says. "We in the profession can help …
Interpret The Signs Of FLUTD In Feline PatientsMay 6, 2014 Are your feline patients trying to tell you something? When they visit the clinic with their owners, who bring them in with complaints about their pets' irritable moods and poor litter box habits, the cats may be presenting with a one of several medical conditions associated with feline lower urinary tract disease, or FLUTD, says Jacqueline Neilson, DVM, Dipl. ACVB, of Animal Behavior Clinic LLC in Portland, Ore. "FLUTD is a catch-all term to describe any disorder affecting the urinary bladder or urethra," she explains. "It's quite common. In fact, for years some kind of lower urinary tract disease sign has been the most common medical reason policy holders of pet insurance take their cat to the vet." Dru Forrester, DVM, MS, Dipl. ACVIM, associate director, scientific affairs and technical information services for Hill?s Pet Nutrition in Topeka, Kan., adds that for veterinarians, the signs associated with FLUTD can be linked to a number of underlying issues—and that makes pinpointing the cause and treating it a challenge. "No matter the cause, they often have the same signs, and that's the frustrating part about [FLUTD]," Dr. Forrester says. "Any disease that affects the lower …
Dog And Cat Allergies DemystifiedMarch 19, 2014 Natures Variety - Dog and Cat Allergies Demystified brightcove.createExperiences(); 1/3/2012 12:49 PM
Additive Manufacturing—or 3D Printing—helps Create new Knee Joint for a CatMarch 13, 2014 For quite some time, Mr. Cyrano L. Catte II, an orange and white cat, had the perfect life. He had a nice home in Upperville, Va., more than adequate food and owners who loved him very much. Then, in 2012 at age of 9, he got bone cancer in his left hind leg. Cyrano’s owners spared no expense or effort. They took him to the University of Colorado, where he became the first cat to receive stereotactic radiation (focused beams aimed at the tumor) therapy. Two sets of radiation cured his cancer—full remission—but one of the side effects was bone deterioration of his distal femur and some on the upper end of the tibia, as well. The normal procedure for such a condition would be to amputate the leg. In Cyrano’s case, that was not recommended: He weighed 26 pounds and movement on three legs would be difficult. One potential alternative would be total knee arthroplasty (TKA), complete replacement of the cat’s knee (stifle) with an artificial one. To explore this option—a first in the U.S. for cats—Cyrano’s intrepid owners took him to the veterinary facility at North Carolina State University in Raleigh. Once …
Non-Healing Facial Wounds: A Tale of Two TerriersMarch 13, 2014Endodontic disease has long been known as a common cause of a non-healing facial wound.1 The most common manifestation of this is the slab fracture of the maxillary fourth premolar tooth, which often results in pulp exposure, endodontic infection and a draining cutaneous tract below the medial canthus of the ipsilateral eye. This column compares two persistent cases I’ve seen recently that presented with similar problems but different etiologies. Jasper the Westie Case No. 1: Jasper, a 5-year-old male neutered West Highland white terrier, was presented to me with a three-month history of a non-healing wound beneath his left eye. The wound resolved when the primary care veterinarian placed Jasper on antibiotics, but recurred once antibiotics were discontinued. One year earlier, Jasper had received a dental cleaning and extraction of the left maxillary first molar due to severe periodontal disease. Jasper was presented to me for evaluation of any other dental issues that might be causing the non-healing sinus tract and scabbing beneath the left ventral eyelid. On conscious examination, Jasper was reluctant to allow for a good evaluation of the left maxillary quadrant, but I determined that the left maxillary fourth premolar (tooth 208) was present and did …
A Disaster Turns Into A Happy StoryMarch 13, 2014 Daisy, a 9-year-old diabetic miniature Schnauzer was diagnosed with a mucocele. Four months prior, Daisy had been seen for a splenic mass. We performed a c. Sadly, the biopsy revealed malignant histiocytosis. She recovered well from this procedure, but never 100 percent, according to the owner. She returned for an abdominal ultrasound after the referring veterinarian noticed an enlarged liver on palpation. In addition, the owner complained of Daisy's abdominal discomfort, decreased appetite and abnormal demeanor. Ultrasound confirmed hepatomegaly. The gallbladder was mildly distended and a small amount of free fluid was noticed around the liver. Blood work was supportive of liver disease with gallbladder involvement. Among others, she had an elevated bilirubin and high liver enzymes: alkaline phosphatase (alk. phos.), gamma-glutamyltransferase (GGT), alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Exploratory surgery was recommended for what was considered by the ultrasonographer to be an early mucocele. A standard laparotomy and cholecystectomy were performed. Patency of the common bile duct was reestablished through a duodenotomy. All other abdominal organs appeared within normal limits. After lavage of the abdomen, closure was standard. Daisy recovered uneventfully and went home the next day. It was that simple. Overall …
Certain Cats, Dogs Deemed Best Pets for Allergy SufferersFebruary 13, 2014 Sneezing, runny noses and itchy eyes are the bane of people allergic to their pets. Now, an air purifier manufacturer and an environmental consulting firm have released their list of the top allergen-friendly pets. Making the cut this week for the Allergen All-Star Pet Awards was: • Bedlington terrier • Javanese cat • Schnauzer • Devon Rex cat • Labradoodle • Yorkshire terrier • Irish water spaniel • Labrador retriever • Maltese • Italian greyhound • Iguana The effort was sponsored by Kaz Inc. of Southborough, Mass., which makes the Doctor’s Choice True HEPA Air Purifier under the Honeywell trademark. The Asthma and Allergy Foundation of America found that 15 to 30 percent of Americans are allergic to cats or dogs, said Ted Myatt, a senior scientist at Environmental Health …
Nine Steps For Pain-Free Nine LivesJanuary 30, 2014 Do you think cats feel pain? Does everyone on your team think that? What do your clients think about pain in cats, and what do you say to them to make them think that? Because owned cats outnumber dogs in the U.S. and Canada, that makes them the most popular pet in North America. Still, they receive far less veterinary care than their canine "cousins”–according to recent studies, about 50 percent less. In recent years, a lot of good things have happened to improve cat health–research, guidelines, continuing education, feline practice board certification, feline health initiatives, new medications and products, and even a collaborative feline health and welfare organization, CATalyst Council. So what advances have you made in your practice to identify and treat cats in pain? If you think you can do better, here are nine steps to take to show that you are committed to caring for cats. With compassion, collaboration and consideration of creature comfort, you’ll be seeing them throughout their nine lives. 1. Team agreement: Cats DO experience pain, just like dogs and people. This can start as a simple written, electronic …
Chronic Vomiting in Cats isn’t Normal After AllJanuary 22, 2014 A study of 100 cats with a history of chronic vomiting, weight loss, chronic diarrhea or a combination was recently accepted for publication by the Journal of the American Veterinary Medical Association.1 The authors, whom I led, concluded that chronic small bowel disease likely is the cause of these clinical signs in hundreds of thousands of cats. Chronic vomiting, present in 73 percent of the cases, is so common that many veterinarians and cat owners have made excuses for it. The top four reported to me over the years are: * He eats too fast; * She has a sensitive stomach; * It’s just hairballs; and * “He’s just a puker,” to quote one of my clients. Consequently, the typical approach has been the use of diets for “sensitive stomachs,” diets for hairballs, hypoallergenic diets, medications for hairballs and antiemetics (metoclopramide, ondansetron, maropitant, famotidine, etc.). Often there is improvement in clinical signs, but rarely are they completely relieved. In addition, the improvement often diminishes over time. My two clinical associates and two pathologists teamed with me to better understand the cause of chronic small bowel disease in cats. One …
