Reflections On The International Symposium On Veterinary Hospice CareApril 23, 2012 Reflections on the International Symposium on Veterinary Hospice CareReflections on the International Symposium on Veterinary Hospice CarebondbeyondPosted: April 28, 2008By Alice Villalobos, DVM The first pet hospice conference’s purpose was to merge the medical aspects of end-of-life care with the psychosocial and spiritual aspects. According to Kathryn D. Marocchino, Ph.D., president and founder of the Nikki Hospice Foundation, this collaborative meeting was the first of its kind and brought together a diverse group of health care workers. Marocchino organized the symposium at the University of California, Davis. Hospice professionals like Dr. Marrochino, hospice volunteers, nursing and medical staff, psychologists, grief counselors, social workers, bereavement facilitators, death educators, veterinary chaplains, pastoral counselors, animal-health care workers, shelter and SPCA staff, animal communicators, pet cemetery personnel, pet massage therapists and pet-sitters including interested lay people assembled to discuss the medical and emotional aspects of hospice care. This unusual group of human-animal bond oriented people sat side by side with general practitioners, specialists, holistic veterinarians, registered technicians, animal nurses, students, practice managers and philanthropists who maintain private or non-profit pet hospice facilities. Marrochino’s goal was to develop a comprehensive, broad-based approach to veterinary hospice care. This may not …
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Bonus Content: Let’s Regard End Of Life As A Distinct StageApril 23, 2012 EDITORS' NOTE: This is special bonus content for Dr. Villalobos' article, Let's Regard End of Life as a Distinct Stage. To read the full story, click here. Here are three examples of the End of Life stage: 1) Hemangiosarcoma in dogs is often diagnosed at extremely advanced stages after acute collapse from a hemoabdomen crisis. Those with rampant metastases are advised that surgery is unhelpful. These TIPs are immediately in late EoL phase. Most terminally ill patients would be offered the gift of euthanasia at the emergency clinic. Some might be released with a belly wrap, steroids, Yunnan Paio and pain medication with a signed consent form, to go home for hospice care and farewell with home euthanasia. 2) Hemangiosarcoma dogs with hemoabdomen from ruptured splenic lesions that undergo splenectomy may go from crisis to good health following surgery. Overall survival times are 89 days and not much better with treatment. These TIPs are in the middle EoL phase. We are seeking these dogs for a clinical trial using T-Cyte. Contact me at dralicev@aol.com. 3) …
Unwanted Horses And Hungry HumansMarch 22, 2012 A friend recently wrote: “Horse meat ... why would anyone in their right mind want to eat it??? Very important issue. … Boo on Canada.” Attached was a link to a video. My friend’s attitude and this video made me imagine a possible win-win solution to end some of our world’s misery. I love and respect horses. As former president of the American Association of Human-Animal Bond Veterinarians and the current president of the Society for Veterinary Medical Ethics, I have carefully examined the sad situation that has inadvertently developed for unwanted horses since the ban on slaughter took effect five years ago. My empathy and grief for these horses spurred me to organize a two-hour equine ethics session at the American Veterinary Medical Association last July. My guest speaker, Dr. Robert M. Miller, an equine behaviorist as well as cartoonist and philosopher, spoke of major equine ethics problems from many viewpoints. Dr. Miller discussed horses’ roles as beloved companion animals, private sport horses, race horses, work horses—all the way down the human-animal bond scale to being livestock. Wild horses have it worse, because they forage on …
Is Early Neutering Hurting Pets?January 16, 2012Early neutering has become the norm in the U.S. Some states are asking voters to pass initiatives requiring citizens to sterilize their pets no later than puberty. Overpopulation is the driver. But what if large-scale studies found that early neutering jeopardizes the health of our pets? What if we found enough epidemiological evidence that early neutering of pet dogs may open them to orthopedic, behavioral, immunologic and oncologic issues? A veterinarian who treats canine athletes has raised questions about early neutering. In an opinion article, Christine Zink, DVM, Ph.D., Dipl. ACVP, weighs the advantages and disadvantages of early versus late neutering when considering the performance and health of canine athletes. The article, “Early Spay-Neuter Considerations for the Canine Athlete: One Veterinarian’s Opinion,” appears on Dr. Zink’s website. Click here to review the thought-provoking article and to look at the references. Zink assembled 18 references to support her article. Some show that dogs spayed or neutered early are taller than dogs spayed at an older age. Zink notes that sex hormones have a role in bone density. She concludes that the structural and physiological differences in dogs neutered early may be the reason veterinarians are seeing a …
Let’s Regard End Of Life As A Distinct StageJanuary 4, 2012 While I discussed end of life (EoL) care with Dr. Don DeForge on Connecticut radio, an exciting idea flashed through my mind. We were finishing a 45-minute discussion when I said, “It is time for us to declare, once and for all, that end of life is a distinctly new stage of life. Veterinarians were taught to support four main stages of life. We were not educated to focus our professional attention and develop the skills and expertise for the very important and inevitable ‘End of Life Stage.’ “We need to provide more EoL services because society’s human-animal bond demands more care in this area despite the recession and fewer office visits.” The main life stages we are educated to support are: • Puppy and kitten stage • Adult stage • Senior stage • Geriatric stage I propose a fifth life stage, the End of Life Stage. It is the only life stage that can occur during the other stages. With luck, EoL may not impose itself on the kitten and puppy stage, but sometimes it does. Let’s start thinking about EoL as an inevitable life stage that deserves more focus and expertise in management. …
What’s Beyond For Baby Boomers And The HAB?November 3, 2011 As a baby boomer, I officially enter my senior years when I turn 65 on Nov. 5. My husband, Ira Lifland, who is two months younger than I, follows in January. We are glad to be eligible for Medicare and thankful to be able to save a lot of money on our health insurance premiums, which were more than $30,000 last year. Even though we are healthy, our premiums have been upped annually, paralleling the profits of our carrier. Going on Medicare will be a raise for us. Our strategy is to forgo Social Security payments until we turn 70 so we receive more in the long run if we survive past 80. Ira always envied me for loving what I do. This profession is wonderful, and I enjoy working our concierge referral practices. Animal Oncology Consultation Service and Pawspice is one. Carreen Lynch, RVT, is my Pawspice partner. Pawspice offers palliative care and gentler standard care for cancer patients. It transitions into hospice as the patient’s quality of life declines or if death is expected soon. Carreen has worked with me for most of the past 25 or so years. She has read my …
Recapping A Bit Of AVMA St. LouisSeptember 28, 2011 The American Veterinary Medical Association Convention in St. Louis provided a forum for numerous aspects of our profession. Philippe Cousteau presented a vital keynote address with awe-inspiring videos advocating global clean water and a sustainable earth. AVMA marked World Veterinary Year with a display created by Dr. Fred Born of the American Veterinary Medical History Society honoring the 250th anniversary of the first veterinary school in Lyon, France. Dr. J.F. Chary, the president of Vet2011, opened a full day symposium with Drs. Pappaioanou, Gorczyca, B.A. Miller, Vallat, Deem, Jessup, Vroegindewey, and Mazet, covering history, public health, wildlife and disaster response for improving global One Health. The Leo Bustad Companion Animal Award went to Dr. Nancy Kay, Dipl. ACVIM, for her book, “Speaking for Spot,” and her devotion to helping pet owners learn more about the health, care and well-being of their companion animals. The prestigious award is sponsored by The Delta Society, AVMA and Hill’s Pet Nutrition. At next year’s AVMA convention in San Diego, Dr. Kay will present the Bustad Memorial Keynote Lecture to kick off the human-animal bond sessions organized by Dr. Robin Downing, president of the American Association of …
Has ‘Realty Reality’ Created More Pet Rest Homes?June 22, 2011 Most of us have been able to help clients who loved adopting one or two older pets. Many of these older pets were left behind due to the “no pets allowed” policy of rest homes that their owners moved into. Some were left behind when their owners died. It surprised me that the bond between the adopting person or family and the older pet was so strong. The bond was filled with as much love as if the pet was theirs since it was young. It surprised me how much love and money was poured into the older adopted pet to battle cancer or organ failure. There is a special compassion and kindness in these caregivers who rescue older animals. Veterinarians are seeing more pet lovers adopting older pets. Most of these kind-hearted caregivers feel that they are helping to save lives of wonderful, unfortunate animals. They are dutiful and care for their charges with love and attention. They seek professional medical care for their animals’ age-related conditions and ailments. Most good Samaritans who rescue older animals are able to keep a balanced life and maintain their jobs and personal affairs while providing proper care …
Viewing Forms Of RegretApril 18, 2011 It is amazing to work in a profession that allows us to help people and pets every day. A number of clients have expressed an emerging type of wistful regret about their pets recently. I believe it’s because the recession has deepened for so many people, but there may be more to it. Money-Related Regret? Marisol Ramirez truly loves her 14-year-old shepherd-chow mix, Murda, who is being successfully treated for splenic lymphoma. Murda presented with two significant co-morbid conditions, severe osteoarthritis and degenerative myelopathy with mild posterior ataxia, but remains in an extended stable remission. On a recent recheck, Marisol said Murda indicates that she wants to go outside, but once out, immediately wants to come back in. We explained this most likely stems from a common condition in geriatric dogs. Murda was probably exhibiting signs of canine cognitive dysfunction syndrome, which might respond to medication and/or a diet change to Hill’s b/d. This odd behavior has frustrated Marisol and she feels guilty about reacting sternly on a few occasions. She also feels compelled to stay at home with Murda so she can watch her closely. When I asked her why she feels so strongly …
What Will We Say To The Children?February 14, 2011 It was back to business as usual at January’s North American Veterinary Conference (NAVC). Attendees considered the future of veterinary medicine in a recession-battered economy. Attendees and lecturers toiled over questions such as: What will high tuition and student debt do to our profession? What can we do for our clients who love their pets but can’t afford cost of standard care recommendations for ill and injured pets? What can we do when faced with sick pets of homeless, underprivileged and jobless people? We did not find easy answers to these tough questions at the abundant business, medical management or behavior and shelter medicine classes. We encountered some colleagues with set philosophies who solved the problem in their own minds by saying that pets are going to have to be reclassified as “elective” or strictly considered luxuries. The AAHA statement on responsible pet ownership, which suggests that pet owners prepare for medical emergencies with savings accounts or get pet health insurance or make arrangements with third-party payment programs, isn’t much help. Pet Companionship 101 Since before my days in veterinary school (1968-72), I have advocated that being close to animals and keeping pets is a …
