The Other Side Of Pet Ownership

There's often something that pet owners don't consider when they get a pet, especially if they have multiple pets.  Cleaning!  Pets can be loving, fun, interesting companions, but they can't pick up after themselves.  Which means that we the owners get to do that.  And yes, I had a big day of doing that today, which is why this came to mind.

Today I had to clean a betta tank, remove and replace bedding in a rat tank, clean the cats' litter box, and clean out the bearded dragon tank.  Doing all of that took me the better part of an hour, and wasn't the most pleasant work.  However, in the mini-zoo we have in our house it's a necessity and one you can only put off for so long before conditions get unhealthy.

I'm not sure many people consider this less-than-pleasant aspect of having animals in the home.  You have to clean up waste, keep them clean (I had to give my beardie a bath today), and pick up messes that they may make with chewing and scratching around the house.  Pets are still less maintenance than children, but they aren't completely maintenance-free.  This is especially true with caged pets such as birds, rodents, and reptiles where you have an enclosure that must be cleaned and you can't train them to eliminate in a specific place.

Still, it's an acceptable trade-off as far as I'm concerned, and the price we pay to have the joy of pets around us.

No More Declaws

One of my earliest posts on this blog was on the pros and cons of declawing, posted back in November 2008.  At the time I had a good discussion, partially by email, with one of my UK readers on the good and bad of it.  At that time, I didn't like the procedure but was willing to do it.  Well, I have to say that since then my opinion has changed.

It's interesting how you can think about things differently as you get older and have different experiences.  When I first graduated from vet school I had no problems with declaws, seeing it as a routine procedure and not harmful to cats.  I even had my own cat declawed before I started vet school.  As I practiced and performed this surgery, I started to realize that it was uncomfortable and had a higher risk of complications compared to other surgeries.  However, I continued to do it, though I started to more openly stress the potential problems.  Fast forward a few more years and I had read more articles on how cats don't walk the same afterwards (even though it may not be noticable to the naked eye), pain control was more important, and it was illegal in many countries.  So I started really trying to talk up the bad parts of declaws and convince clients not to do it without just saying "don't do it".  I still saw it as a better option than ending up at a shelter because of destructive clawing.

My first major turning point was just after my blog post in 2008.  In the discussion with the reader, she pointed out that we don't de-bark dogs that are constant barkers because it is unethical.  Clawing is a natural behavior of cats just like barking is a natural behavior of dogs.  If we de-bark dogs, we're treating a behavioral problem with surgery, and the veterinary community as a whole has a consensus that doing that surgery is unethical.  It was a bit of a surprise as I realized the hypocricy of my declaw position...I was okay with doing it, yet I was ethically opposed to a comparable procedure in dogs.  I was using surgery to correct a behavior, and this went against my views as someone with a strong interest in behavior.

Even then I didn't stop doing declaws, though I was increasingly uncomfortable with them.  Over the next couple of years I starting having more post-operative complications in this surgery, mostly with cats getting their bandages off and the paws bleeding.  It was never life-threatening blood loss, but it certainly looks horrible and is a mess to clean up, and I hated thinking how my patients felt that would make them uncomfortable enough to really pull at the bandages.  I modified my technique, trying every method I knew of to remove the claws and seal the incision, short of a laser (which I've never had access to).  Almost 12 years of doing declaws with minimal problems and then it seemed like every second or third surgery had issues.  I began to really, really dread whenever I had to do the surgery.

Finally, about four months ago I decided that I had simply had it.  The more I thought about it the more I had problems with the "necessity" of declawing cats.  Yes, I know they can be destructive.  I have three cats of my own, all with claws, and we have claw marks on furniture to prove it.  However, I would never de-bark a dog because of barking, or declaw a dog, rabbit or other animal because of destructiveness.  I would never do a full-mouth tooth extraction in a pet to prevent damage when biting.  There are serious ethical problems with each of these.  So why would I be comfortable doing a declaw?  I decided that I wasn't.  And I told everyone that I would never do one again.

I'm actually very comfortable with my decision, and haven't seen it affect my practice at all.  It makes me feel more comfortable as a vet in how I care for my patients, and gives me a sense of relief that I never have to deal with the complications in my own patients.  I also have swung to the other side of the debate, and wonder how others can easily do the surgery without consideration for all factors and without considering the stance on similar procedures that we won't do.  I think that declawing in the US has become so commonplace that many vets never really think about the ethics behind it and what we're really doing to the cats.  I'm not going to condemn my colleagues who still do the surgery as I remember what I thought years ago and I want people to come to decisions themselves.  But personally I would have no problem at all with it becoming illegal in the US.

WILD AFRICAN DOGS

There are lots of different names for these dogs, and here are some of them:  African Wild Dog,  African Hunting Dog, Cape Hunting Dog, Painted Dog, Painted Wolf, Painted Hunting Dog, Spotted Dog, and Ornate Wolf.  And those are just the names in English!  The scientific name is Lycaon pictus, and it comes from the Greek word for "wolf" and the Latin word for "painted."


The Wild African Dog is a canid, just like wolves and foxes and basenjis and golden retrievers are, but it is the only canid that's still left of the Lycaon genus.  That genus decided to branch off from the doggy family tree about 3 million years ago and do its own thing.  And the result is that now the Wild African Dog has such different genes that it can't even mate with a regular wolf or dog.  It can only mate with its own kind.


Painted Dogs are tall and kind of skinny.  They usually weigh between 40 and 75 pounds, and they are about 30 inches tall at the shoulder.  The dogs in southern Africa are mostly bigger than the ones in eastern or western Africa.  They are the only canids with no dewclaws, and that's not because their breeders cut them off when they are puppies!


Every Wild African Dog has a different pattern of spots, so it is pretty easy to tell them apart.  These dogs like to live in packs because they are very social animals.  And just like in wolf packs, only the alpha male and female make puppies, but the whole rest of the pack helps feed and take care of the pups.  In fact, the whole pack is so nice and thoughtful that everybody shares food with any weak or sick members, and not just with the puppies.


Mating can happen at any time of year, but it's more usual between March and June, which is the last half of the rainy season.  Then after about 70 days, the litter is born, and it can be anywhere between 2 and 19 pups.  When it's time for puppies to be born, the pack finds a den that was dug by some other animal, usually an aardvark.  The pups are weaned when they are about 10 weeks old.  Then when they are 3 months old, they leave the den and start running with the pack.  They learn to kill small animals by the time they are 8-11 months old, and they get really good at hunting by the age of 12-14 months.  The life span for a Wild Dog is about 4-8 years.


The diet of African Wild Dogs is all made up of meat, and their favorite animals to eat are gazelles, springboks, kudu, and wildebeest calves.  When they are hunting animals like this, they work together as a pack, and they communicate by making weird little chirping and squeaking sounds.  They don't try to sneak up on their prey.  They just find a herd of animals and make them start running.  Then they pick one animal to kill that is maybe old or sick, and they just keep on chasing it until it can't run anymore.  After that, they kill it by ripping its gut open, which is kind of bloody, but at least the prey dies quickly.


Wild Dogs are really good runners.  They can go as fast as 35 m.p.h. for 3 miles or maybe more.  Some packs are able to kill bigger, scarier animals such as zebras or warthogs by using a special strategy.  One dog grabs the tail of the prey, and another one bites its nose.  Then they hang on while the rest of the dogs try to rip open the animal's tummy.  This way of hunting may actually be something that the younger dogs are taught by the older ones, and not one that is learned by instinct.  At least that's what the researchers think who have studied this matter.


Anyway, the African Wild Dog pack hunts at least once a day, usually at dawn or dusk, because they hunt by sight.  In the middle of the day, they mostly hang out in the shade and sleep.  African Wild Dogs are probably the best hunters in the whole world because they kill almost 80% of the prey they go after.  Everybody thinks that lions are good hunters, but lions only kill 30% of their prey.


There used to be lots and lots of Painted Dogs in Africa, like about 500,000 in 39 countries.  But now there are only between 3,000 and 5,500 in maybe as few as 14 countries.  This means the species is ENDANGERED.  And there are several reasons for how they got that way.  One reason is that the Wild African Dog needs a really huge hunting range of 150 to 500 square miles.  Well, except for when the pack is busy raising puppies in a den.  And because they need so much territory, they don't fit very well into the African national parks.  So this means that the packs start running through ranches and farmland, which makes people unhappy, and then they want to shoot the dogs.


Game hunters sometimes also kill African Wild Dogs, and so do lions and hyenas.  Also there are diseases that might kill Wild Dogs, such as rabies, distemper, and parvovirus.  People are working to save the Wild African Dogs, which is a good thing.  There is something called the Painted Dog Conservation effort, which is based in Hwange National Park, in western Zimbabwe.  This group is working with local communities to try to keep some nice habitat for the Wild Dogs to live in.


Of course, there are a bunch of Wild African Dogs in zoos, but none of the information I read even mentioned them, so I don't know how many there are.  We have some here in the Kansas City Zoo, like probably 5 or 6.  They are one of Mom's favorite animals to see because she likes their spots and markings and giant ears.  But it's also sad to see them in a little fenced area instead of running around on the plains of Africa.  I wish there didn't have to be so many sad things in life, but there are, and I don't know how to make them be happy!

Career Choices Know No Borders

Let's close out the week with another international reader...

My name is Aina Kamaruzaman and I'm a veterinary student of the newly vet school in Malaysia (the 2nd vet school apparently) and are moving to third year this september. I've been following your blog and I read your post about foreign graduates. I have no intention to work overseas rather than study (because I want to serve Malaysia due to the shortage of vets here) and I have few questions for you since you are the senior vet and probably can understand a typical vet student like me.
 

1) We are the smallest vet faculty in Malaysia (established in 2008) and we are the pioneer batch for the faculty. How to get ourself in the same level as other vet students in the more established universities because some people (even in Msia) probably wouldn't notice us as vet students. And how do we can promote ourself being recognize internationally so that people worldwide know our existence?




I'll admit to not having a clue on this part, though perhaps my readers might.  Also, this is more the duty of your school's administrators than it would be for you and your fellow students.  As students, you don't have ways to get connected within the international academia community as easily.  One possibility might be to talk to students in vet schools outside of your country and work out an informal exchange program, spending a week or two with them and then having some of those students come to Malaysia to see your facilities.

2) I am moving into third year but still do not know which field I'm going to be involved with when graduated. I've been exposed to field work, ruminants, non-ruminants, horses, small animals, zoos, clinical and laboratory works but still couldn't make up which to choose. Is it normal for a third year student like me have this problem?



Now this I can answer!  Aina, this is actually a very common situation for many students, regardless of where you're going to school.  When I was a veterinary student I considered cardiology, surgery, exotics, and lab animal medicine as possibilities.  I was even the first president of our school's Student Chapter of the American College of Laboratory Animal Medicine and wrote an article on a career in lab animal medicine.  I ended up going into general small animal practice and developed side-interests in surgery and exotic pet medicine.

It's also not uncommon to change your focus over the years.  I had several professors who started out their careers in one field and ended up doing something completely different.  One of the great things about a veterinary degree is that you have a lot of flexibility in where you work and what you do, and you can change that as you gain experience.

Now you'll need to have a basic idea by the time you graduate so you can figure out where to apply for your first job.  But if your school is a standard four-year program, you still have a couple of years to determine what you want to do.  When you start your clinical rotations, you'll learn what things you really like doing daily, and that should help your decision.

Best of luck!

Hope For The Fainters

Y'know, if I had known that I'd get so many questions from outside of the US this week, I'd have put it up as a theme week!  Here's a question from Lauren in the UK, with a situation that is applicable regardless of your country of origin.

Sir, I am a 16 year old student based in the UK. The thing is, I have a passion to become a vet and have spent 7 months volunteering at a small animal practice. I find the surgery to be extremely interesting, and quite frankly, I love it! Only on one occasion I did actually faint, and I'm now worried that it will be of a regularity. I am just seeking your honesty, and wondering if you have any experience or advice for this? I have a fear of this holding me back from my dream! Kindest regards, Lauren

When I read this I knew that I had to answer as soon as possible because of what happened to me when I was young.  I started working for a veterinarian when I was 14, and my job was to help clean the kennels and take care of the pets in the back.  My parents didn't think I would last long, even though I had wanted to be a vet since I was nine years old.  The problem was that one of my chores at home was to clean the dog poop out of the yard, and every time I went through to do this, I would gag and almost throw up.  Yet here I was with a job that not only had me doing it, but doing it with my hands (gloved, of course)!  I quickly got over the problems I had with the idea of messing with dog and cat waste, and it stopped bothering me.

The first surgery I ever witnessed was a ferret descenting.  I was watching over the doctor's shoulder as she was closing up, and the ferret started to move slightly (different kind of anesthesia back in the early 1980s than we have nowadays).  She asked me to hold the hind legs while she finished a few stitches, and I was glad to do so.  All I could see was a little pink tissue through the open skin near the anus, and I didn't think much about it.  When she was done I walked out of the surgery room and had the most strange experience.  The floor came up to meet me!  Yes, I almost fully passed out.  But the strange thing is that it felt like the floor rose up to me rather than me falling to the floor.  I didn't stay out long, but yes, I did pass out from watching a surgery.

Over the next two years I slowly started getting used to surgeries.  When I was 17 I had my first girlfriend, and she was also interested in veterinary medicine.  I brought her in to watch my own dog being spayed. During the procedure I had to help her out of the surgery room as she was about to pass out.  I had her put her head between her legs to keep from fully collapsing.  As she was doing this, I passed out myself!  I had seen spays before without problems, and yet I passed out watching my own dog.  And in front of my girlfriend!

Over the next few years I continued to have sporadic luck with watching surgeries. I never passed out again, but I came close several other times.  I began to learn how it felt just before I would pass out:  bright lights, tunnel vision, a certain lightheadedness, etc.  As I discovered the signs, I learned how to walk away from the surgery, sit and put my head between my legs, and prevent it from going all the way to unconsciousness.  I was determined to get past this weakness and go on to be a veterinarian.

And I did.  I developed a strong interest in surgery, and am now asked for surgical advice by other vets in my multi-location practice due to my expertese.  I have seen every part of a dog or cat during surgery or during a necropsy.  Just about every day I have blood on my gloves.  And I never come close to passing out anymore.

So, Lauren, you see that I can completely relate to your situation!  And there is indeed hope for you.  It is possible to get past any queasiness and pursue your dream.  If I did it, so can you.  Best of luck!

OFFICIAL STATE DOGS AND CATS

You probably know that states have a lot of official stuff, such as state flowers and state birds and state mottos.  But did you know that some states have official animals and fish and insects?  There are a few that even have state dogs and state cats, but not enough of them do, if you want my opinion.

For example, I'm sad to say that the state of Missouri, where I live, does not have an official dog or cat, but it does have a state animal, which is the Missouri mule.  And Kansas, which is right next door to us, has the American bison, but it doesn't have a state dog or cat either.

Texas, which is where I was born, has a state dog that is called the Blue Lacy.  I have to admit that even though I am a Texas girl at heart, I had never heard of this breed of dog.  But it turns out that some brothers, Frank, George, Erwin, and Harry Lacy, invented this breed back in the 1860s.  They bred English Shepherds, greyhounds, and wolves together with maybe a little coyote thrown in.  The blue lacy dogs were meant to be herding dogs that could work the family's wild hogs, just like in the book Old Yeller.  So anyway, this is the only type of dog that started out in Texas, so that's why it's the state dog.






Maryland has both a state dog and a state cat, and so does Massachusetts.  The state dog of Maryland is the Chesapeake Bay Retriever, which is a type of hunting dog that was bred to help duck hunters in the cold water and marshes around Chesapeake Bay.  Maryland has an official state sport, but it is not duck hunting, it is jousting.  So their choice of dog has nothing to do with their choice of state sport.

The state cat of Maryland is the calico, which is not a breed, it's a color pattern.  But I guess it was nice of them to choose a state cat, even if it's not a particular breed.  And anyway, calico cats are pretty, plus they have the same three colors as the Baltimore Oriole, which is the state bird of Maryland, so that's why calicos got to be the state cat.

In Massachusetts, you can find the Boston Terrier as the official state dog.  This makes sense because Boston is an important city in Massachusetts, and it's where the Boston terrier got its start, which I told you about in a previous blog entry.  

The official state cat of Massachusetts is the tabby cat, which is a color pattern and not a real breed, the same as the calico cat.  I'm not sure why the people of Massachusetts chose the tabby cat to be their state feline, but I guess they had their reasons.

And while I'm talking about state cats, I will go ahead and tell you that the only other state that has one is Maine, and it's the Maine Coon Cat, which really is a breed, as my kitty brother, Charlie will tell you because he is supposedly a Maine Coon Cat, even though he has never been anywhere close to Maine.

Well, okay, now it's time to talk about more state dogs.  In Alaska, you've got the Alaskan Malamute, which is a good choice, since that breed got its start in Alaska, and it also takes part in the state sport, which is mushing.

The Catahoula Leopard Dog is the official dog of Louisiana.  I already wrote a whole entry about this breed, and it is my second all-time most popular blog entry.  But what I didn't tell you then, because I didn't know this, is that the state sport of Louisiana is boar hunting.  And the Catahoula Leopard Dogs are used to control the hogs by barking right in their faces.  Since hogs don't like this and since they also have sharp tusks, the dogs wear Kevlar vests, chest armor, and wide collars to keep from getting hurt.





New Hampshire has the Chinook as its state dog.  This is another breed I had not heard about, but it turns out that a man named Arthur Treadwell Walden, who lived in New Hampshire, developed the breed, and he did it all from one dog named "Chinook" who was born in 1917.  Chinook was Mr. Walden's lead dog when he went on the Byrd Antarctic expedition in 1929.  So he bred Chinook with huskies used in Peary's North Pole expedition.  What he ended up with was a sled dog that helped make the sport of mushing popular in New Hampshire, but the official state sport is not mushing, it's skiing.  




In North Carolina, people like to go coon hunting, so they chose the Plott Hound as their state dog because it is used in this sport.  Plott hounds came from Germany originally, and they were mostly used to hunt boars there, but in 1750 a man named Johannes Plott came to North Carolina from Germany and brought some hounds with him, and he got the breed started in this country.

South Carolina also chose a hunting breed as its state dog, the Boykin Spaniel.  A man named L. Whitaker Boykin did a lot of breeding to get a little spaniel for hunting and retrieving that could ride in the small boats that hunters used in the swamps. 

The Great Dane is the official state dog of Pennsylvania, but I don't know why.  Maybe the people in that state just wanted a really big dog to be their official canine.  Or maybe all the people who came over from Germany and settled in Pennsylvania happened to like Great Danes a lot.

Virginia picked the American Foxhound as their state dog, and this is because George Washington, who lived in that state, pretty much developed that breed.  But I already told you about that in my blog before.

And the last state I'm going to tell you about is Wisconsin, where the official dog is the American Water Spaniel.  This breed got started in the middle of the 19th century, and nobody knows where, exactly, but the best guess is that it was probably developed in the Fox River and Wolf River valleys of Wisconsin.

So that is the whole story of official state dogs and cats.  Maybe more of them will get to be officially chosen by states pretty soon.  I think I'm going to lobby the Missouri legislature to make the basenji the state dog of Missouri.  And the reason why basenjis should be chosen is because I live here!  Then maybe, while I'm at it, I can get them to make the Missouri state cat be the dilute tortoiseshell, like Chloe, or else the tuxedo cat, like Charlie.

Getting A Start...Foreign Graduates

For some reason I keep getting questions from vets outside of the US about getting licensed or work in the US.  I answer them as best as I can, but I'm not a policy or licensing expert.  Still, here's a question from Mehmet that I actually know!

I am a foreign veterinary graduate who is dreaming about being a licensed veterinary medicine in US. I will follow the steps of ECFVG but i am curious about if i can work as a veterinary technician before taking the practice exam or is there any way to improve my clinical skills in US before taking the practice exam.

It's actually very common for foreign (non-US to me) veterinarians to work as technicians prior to licensing. In fact, I've known a few vets who practiced outside of America, moved here and stayed working as techs because of the cost and hassle of getting their license. While working as an assistant or tech doesn't give you a big advantage in going through the ECFVG program, it does keep many of your skills honed and gets you experience with the common American practices of medicine.

There are a few things to keep in mind, though.  Even if you're a vet in another country, you don't get the designation of being a licensed technician or are even able to sit for that exam.  In some states you are very limited in what you can do unless you are licensed.  For a skilled veterinarian, this can be frustrating.  Also, without your veterinary license you can't make diagnoses or prescribe treatment, no matter how certain you are of what you're doing.  It can sometimes be difficult to sit back and let someone else do the work you know you can do.  Still, it's better than working a desk job if you like veterinary medicine.

Good luck with your dream, Mehmet!

Outnumbered...A Vet's Home

A few days ago my wife came to a rather interesting revelation about our household and family.  The pets outnumber the people by a ratio of almost 3-to-1. Here's how it breaks down:

4 People
3 Goldfish
1 Betta fish
1 Bearded Dragon
1 Rat (new addition, more on this soon)
3 Cats
2 Dogs

That makes 11 pets total if you count the fish individually.  A lot of pets for two kids and two adults!  Yet that's par for the course for a veterinarian.  We work with pets who are often orphaned, abandoned, or sick, and most of us like a wide range of pet species.  Most vets have hard-luck cases that they've taken into their own homes.  One of my own cats was found in a dumpster behind a pet store.  Vets also can care for difficult medical situations or simply afford more pets than your average owner.  So with all of these factors, it's not surprising that most vets have multiple-pet households.

For most of my career I've been able to avoid most of the pity adoptions we are presented with.  I've never taken home a parvo case like many of my colleagues that I know.  I've been willing and able to pass on most abandoned dogs and cats I've seen.  But somehow of the last few years we've slowly accumulated more pets than I realized, and now have 11.  And my kids want more!  They keep trying to talk us into another dog, with the logic that we have three cats, so we need three dogs to make it even.  So far my wife and I have adamantly resisted.

If you don't see any blog posts for a few weeks and I haven't announced a vacation, it means that the pets got together and staged a coup!

Sometimes It IS Just A Coincidence

My associate recently had a sudden and tragic thing happen with one of her patients.  The dog was a geriatric basset hound that I had also seen previously, and had even done surgery to remove several large skin tumors.  This time she was seen for a routine checkup and vaccines.  I briefly looked at her because the owner wanted some smaller skin masses removed and wanted me to do it in the near future.  My associate is a very good, experienced doctor who has been practicing a few years longer than I have and has done a good bit of emergency work.  The dog appeared in good condition with no obvious serious problems, and walked out of the clinic with her tail wagging and in good spirits.

About eight hours later the owner rushed her to the emergency clinic, where she presented deceased on arrival.  The emergency doctor noted a lot of free blood in her abdomen and a softball-sized mass palpable.  The owner declined a necropsy, so nothing definitive could be determined about the cause of death.

The owner is concerned that my associate missed something on the exam.  However, as I said, she is a very good, experienced doctor, and would be unlikely to miss something as large as the other doctor noted.  Also, there was nothing done to her that would have caused sudden internal bleeding, even a vaccine reaction (which doesn't cause spontaneous hemorrhage).  I can see some of the owner's concern, as she brought in an old but healthy dog, we did some services, and several hours later her dog suddenly bled to death.  I would be asking questions myself, and wondering what had happened.

Really, this appears to be a case of bad timing and coincidence.  Yes, coincidences do happen, and an event like this doesn't mean that a doctor was negligent or caused the problem.  A previously unknown splenic tumor may have ruptured, filling part of the spleen in the bargain, or the spleen may have suddenly twisted.  Conditions like this can happen and are generally unpredictable.  Often the only sign of such a disorder is sudden death, as tragic as that may be.  I know it's easy to blame the last person to see the pet, and most certainly that should be investigated, but that isn't the only answer.  Unfortunately in this case we have only speculation as to what happened, as the owner declined the necropsy.  But I'm convinced that my associate didn't miss or cause this problem.



If something like this ever happens to you, talk to the doctor about it and listen to what they have to say.  Also, feel free to ask opinions of other vets, making sure the first vet isn't covering something up.  But be willing to accept that such events can happen through nobody's fault, and it likely would have happened without any visit or services.  It was just bad luck and happenstance that it happened on the same day.

It Happens To Us Too

One of the goals I had when I started this blog almost three years ago was to show the human side of a veterinarian's life.  I'm happy to discuss pet-related medical issues, but I also want to show what it's like to be an average veterinarian.  Today is one of those days.  Problems that happen to other people happen to us too, because we're also "other people" to someone. 

My wife had picked up our kids, some nieces and nephews, and a neighborhood girl from vacation Bible school.  She was dropping one of them off, backed out of the driveway, and suddenly the minivan wouldn't go into reverse.  That was worrisome, but she tried to turn around and get to the street through the yard in forward.  She managed to go a few dozen feet when it wouldn't move anymore.  The engine was fine but something had disconnected from the gears and it wouldn't engage with the drive train.  After fiddling around we realized it wasn't going to be an easy fix and we called a tow truck to take it to a local mechanic. 

But it got worse.

I drove my car over to the mechanic to be there with the minivan and talk to them about the problem.  As I was driving over I started having some weird electrical problems with the car, losing power in acceleration.  By the time I pulled into the mechanic's parking lot the car was having some serious problems.  I turned it off and then couldn't get it started again.  That was two cars dying in less than two hours!  Our ONLY two vehicles!!!

They looked over my car and managed to get it started again.  However, they couldn't figure out why it had died.  There was something with the electrical system or the battery where it wasn't charging.  However, my alternator was replaced about eight months ago and shouldn't be bad.  The battery checked out fine, as did all of the other systems they looked at.  I finally drove away with the car acting fine, but without an idea of what had happened or whether it would happen again.  For a while things seemed okay, but less than an hour of driving later and I started having more issues.  I was able to make it home, but I'm not sure if it's drivable anymore.

Another thing with my car...It's a 1995 Chevy Lumina that has a very long list of problems.  The cost of even a single repair on it will likely be more than the car is worth, so we had previously determined that we wouldn't fix it when it finally ran out of steam.  However, we have been hoping that it would last several more months until we could afford a new car payment.

So let's recap.  Vehicle #1 is currently at the mechanic with an unknown problem related to the gears or transmission.  Vehicle #2 is having an unknown electrical problem and may not start in the morning; if it does, I don't know how far it will go.  And I'm scheduled to work tomorrow!  Saturdays are very busy for us, so it would be bad if I can't make it in.  Thankfully, my father-in-law may let me borrow his car tomorrow so I can make it to work.

So does this sound familiar to anyone?  Few veterinarians are wealthy, and things like this hit us just as hard as they do anyone else.  The next time you see your vet, remember that they have problems and challenges just like you do.

Egg-citing Cases

Much of the workload for a veterinarian is pretty routine.  We see numerous cases of vaccines each day, do spays, neuters, and dental cleanings almost daily, and even see the same kinds of medical cases over and over.  I can't tell you how many skin problems and ear infections I see every single day this time of year!  To the clients it's a big issue, but to us it's just another day at the office.  Even the species and breeds can become routine and rather boring.

But every once in a while you get something different.  And because I'm willing to see most species of pets, I tend to get some more exciting cases.  It's especially fun for my staff, as they get to see things with me that they haven't seen with most of the other vets around them.  For example, I neutered a rabbit last week.  To me this was mildly exciting, as I only get to do a few of these per year (as opposed to the hundreds per year of dog and cat neuters).  But most of my staff had never seen surgery of any sort on a rabbit, so it was fun for them.

Today was another case.  I saw a sun conure for sudden lethargy.  Anyone who knows birds quickly learns that a sick bird is REALLY sick because early symptoms are often difficult for the owner to notice.  It didn't take me long to feel this bird's abdomen and realize that she was "egg bound".  She had laid several other eggs recently, and apparently one had become stuck inside her.  This can happen in birds who have a calcium deficiency in their diet, or are laying too many eggs in a short period of time.  The oviducts loose their ability to contract and the egg becomes stuck.  This is a very serious and life-threatening situation.

Thankfully, most of the time it can be treated, at least in the short term.  I anesthetized the bird and tried to milk the egg out of the cloaca (the shared urogenital opening that birds and reptiles have).  Unfortunately, it wasn't budging.  So I stuck a needle into the egg and extracted most of the contents.  This allowed me to compress the egg to make its diameter smaller, allowing me to gently pull it out.  The bird recovered well, and will hopefully be doing much better over the next couple of days. 

I've done this procedure before, but not often and not in a few years, so it was interesting to me.  But my staff were really egg-cited about it!  (Yeah, sorry, couldn't resist the pun).  In fact, my staff was so engrossed in watching me that I had to remind my techs that there was a room ready for them to start on.

It's always nice when something different comes through the doors.  So much of what we do is SSDD (Same Stuff, Different Day) that some variety helps to keep us interested.

Getting Rid Of Ticks

It's warm weather, and so we're seeing an upswing in parasites.  Most of the ones we see are fleas and ticks.  I've talked many times about flea control but haven't really discussed ticks.  So let's do so!

Honestly, they freak me out a bit.  Yes, that's strange coming from a vet, but they really do creep me out!  I can't bring myself to touch them and always have to use instruments to remove them.  Put me with a hissing cat or snapping dog and I'm okay, but don't make me touch a tick.

But in all seriousness ticks are pretty nasty critters and can carry some bad diseases.  The most common ones I worry about are Lyme disease, ehrlichiosis, and Rocky Mountain spotted fever.  Each of these can cause serious illness and even long-term effects and have relatively vague symptoms so often are overlooked initially.  Thankfully, most of these diseases can be effectively treated if caught early enough and don't have to be fatal.  Also, studies have shown that ticks normally have to be attached for at least 18 hours before transmitting disease, so early removal is important.

So how to you prevent removal?  There are many good tick preventions on the market, including Preventic collars, K9 Advantix, Vectra, and others.  The best ingredients against ticks are permethrin and amitraz, so these are the ones I would look for.  However, keep in mind that a single exposure to a tick-infested field or area can result in 600-800 ticks trying to attach!  If a product is 99% protective, that means that you can still have almost 10 ticks attaching.  So just because you still see a few, just realize how many you prevented.

What about if a tick does attach?  Here are some hints on removing them.

*  Grab the tick with tweezers or hemostats as close to the skin as possible.  Fine-tipped tweezers work much better than blunt-tipped ones
*  Pull it straight up with steady, even pressure
*  Clean and disinfect the site after removal
*  Don't twist, jerk, or crush the tick as you remove it
*  Whatever you do, do NOT use a hot match or grease to remove it!  Also avoid petroleum jelly, nail polish, or other substances.  None of these work well and all can potentially cause harm.

DOKTER HEWAN FLU BURUNG TIDAK DIPERHATIKAN KESELAMATAN HIDUPNYA

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DOKTER HEWAN FLU BURUNG TIDAK DIPERHATIKAN KESELAMATAN HIDUPNYA


Pelaksanaan pemusnahan unggas di DKI Jakarta melibatkan banyak masyarakat tak terkecuali dokter hewan. Bahkan dokter hewan adalah pelaksana penentu karena merekalah yang dulu pada pemeriksaan titer antibodi virus Avian Influenza pada unggas, sebelum diputuskan untuk dimusnahkan.

Masih jelas dalam ingatan pemeriksaan dan pemusnahan ayam dan burung tahun 2005. Tahun 2007 ini, mereka pun dilibatkan lagi. Namun keikutsertaan dokter hewan menjadi terhambat karena pengalaman buruk di lapangan mereka tidak dibekali peralatan, peralatan kesehatan, obat-obatan makanan yang cukup untuk keselamatan kerja sekaligus kesehatan saat masuk kampung penduduk dan kandang ternak ayam di sektor 4 (pemeliharaan ayam di pemukiman)!

Peralatan, sarung tangan hanya satu, kantung bangkai membawa sendiri, tas kresek bawa sendiri, bahkan jarum suntik untuk menyedot darah hanya satu per orang! Obat-obatan tidak tersedia, suplemen untuk mempertahankan daya tahan tubuh sama sekali tidak diberikan. Bahkan selama tiga hari di lapangan setiap hari hanya mendapat makanan satu kali itu pun hanya nasi bungkus.

Padahal pekerjaan yang dilakukan untuk pemeriksaan darah adalah pekerjaan yang sangat riskan bisa menularkan virus infeksius Flu Burung! Padahal pula, para dokter hewan ini ikut berperan lantaran anjuran pemerintah (lingkup Departemen Pertanian) dan organisasi profesi dokter hewan (PDHI-Perhimpunan Dokter hewan Indonesia)!

Kondisi mengenaskan dokter hewan itu sangat berbeda dengan tim kesehatan manusia di bawah Departemen Kesehatan yang menyediakan obat, peralatan dan suplemen serta konsumsi untuk kesehatan. Bahkan tim dokter umum ini ada dana operasional.

Sungguh prinsip dari kerja profesi dokter hewan dan dokter manusia adalah sama, yaitu: melayani masyarakat, bukan untuk bisnis atau profit ekonomi! Karena jiwa sosial mereka maka seolah-olah tim dokter hewan ini tidak diperhatikan keselamatan kerja dan kesehatannya!

Tidak hanya dokter hewan di lapangan, tapi juga dokter hewan peneliti di lembaga penelitian veteriner yang ada, yang setiap hari memeriksa darah dari ternak dan juga manusia yang terkait dengan penyakit flu burung. Mereka tidak diperhatikan keselamatan, kesehatan dan kesejahteraan dalam menjalankan tugas, yang dilakukan bahkan sampai pada malam hari.

Seorang dokter hewan peneliti bahkan sampai positif mengidap virus H5N1 dalam tubuhnya, sampai demam-demam. Pertolongan obat-obatan dan vitamin suplemen tidak diberikan oleh instansinya. Obat Tamiflu bahkan harus diberikan oleh kolega dokter hewan yang datang dari Surabaya. Padahal dokter hewan peneliti yang bersangkutan bertempat di Bogor.

Dokter hewan peneliti itu harus memeriksa titer dan menguji darahnya sendiri dengan keahlian yang dimiliki. Mereka pun tidak mendapat dana untuk kesejahteraan, kesehatan dan keselamatan kerja untuk pekerjaan yang mempertaruhkan nyawa itu.

Dokter hewan lapangan dan dokter hewan peneliti itu adalah korban dari perhatian birokrasi yang tidak siap dalam menjalankan penanggulangan flu burung sampai akar-akarnya. Tak mengherankan pada program pemusnahan kali ini banyak dokter hewan yang urung diri terlibat. Bukankah dana untuk penanggulangan flu burung ini begitu berlimpah? Mengapa pemerintah tidak sanggup memperhatikan kepentingan vital ini?

Cepat perbaiki dan perhatikan, jangan sampai jatuh korban dari kalangan yang masuk sangat riskan dengan penularan ini, juga demi suksesnya program pemberantasan flu burung! (YR)

Talking About Allergies

Very rarely will I ever rant about my colleagues, but I feel that I have to get on a little soapbox today.  Bear with me as I get it out of my system.

Today I saw a 9 year-old Weimaraner with chronic skin and ear infections.  This dog had been affected most of its life, and the owner had always taken it to the vet.  The vets had treated the problems with appropriate medications, but then the problem would return.  Now to me this is a prime suspicion for allergy problems.  But apparently in all these years no doctor had ever even mentioned the possibility of allergies to the client.  Just an hour or two later I saw a golden retriever with chronic foot irritation.  This dog's previous vets had done various alllergy treatment, but apparently had never talked about food allergies.

I hate to say it but these aren't the first times I've run into situations like this.  Several times per year I'll see a pet for the first time and learn that they have had chronic or recurrent problems with skin and/or ear.  The dog will have had treatments at vets, but those vets have never discussed allergies.

Why is this a concern?  Because ear and skin disorders, especially infections, don't "just happen".  When they occur several times per year there is an underlying cause that must be determined.  Yes, the infection/irritation needs to be treated, but doing that and nothing else is like putting out a house fire but never figuring out what started the fire.  When problems are recurrent, the infection is only a symptom and is not the main problem.

Allergies are the most common reasons for these disorders, and can include seasonal allergies (pollens, grasses, etc.), flea allergies, dust mite allergies, and food allergies.  Unfortunately most allergies in pets affect the skin in similar ways, regardless of the root cause or allergen.  So several causes can have the same appearance and it can be difficult to quickly figure out which is the culprit.  If we can determine the allergen we can often prevent the infections from happening in the first place.

None of this is new information, and veterinarians have known about allergies for decades.  I was taught all of this back in the mid-90s, and frequently see it brought up in journal articles and continuing education meetings.  No vet should be surprised at allergies as a cause of skin or ear infections, and every vet should be considering this as a possible diagnosis when they are recurrent.  This is why I'm surprised when owners come in and say that their vets have never talked about this.

I know that clients don't always pay attention to what we say or remember it well, so there may be some cases where the vet did mention it, but the client didn't pick it up.  I also have seen plenty of clients where the previous vet DID do a thorough work-up and treatment, considering all aspects of allergies.  But this situation happens too frequently for me to believe that it's always the client not listening to the vet.

Here's the bottom lines....Vets, make sure you are talking to clients about allergies with recurrent dermatitis and otitis.  Clients, if your pet has ongoing skin and ear problems, ask about environmental and food allergies.

 
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