January is, on average, Brownsburg’s coolest month, and February is only slightly warmer. With temperatures dipping into the single digits in the coming days, we encourage you to keep your pets safe by following these tips from the American Veterinary Medical Association.
Our clinic owner, Dr. Timea H. Brady, recently earned certification to perform cardiopulmonary resuscitation (CPR) on dogs and cats.
Dr. Brady’s certification by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) initiative required 8.5 continuing education hours of online coursework in basic and advanced life support followed by four hours of hands-on training using stuffed dog manikins in a live workshop setting. She completed the requirements on September 19 at Purdue University’s Fall Veterinary Conference, becoming one of approximately 1,000 “Certified RECOVER Rescuers” worldwide.
“My staff wanted to learn more about CPR and how to do it, but I realized I had only very basic knowledge—certainly not enough to teach it,” said Dr. Brady. “When I saw Purdue was offering the course at their Fall Conference, I jumped at the chance to learn so I could improve my patients’ chances of survival as well as teach my entire team the evidence-based best practices.”
Dr. Brady set aside two full staff meetings for CPR training. The October 22 meeting focused on the basic and advanced life support coursework. In a follow-up training session on November 12, the staff will practice CPR techniques on a stuffed animal.
Using handouts, demonstrations and hands-on practice, the training covers how to recognize cardiopulmonary arrest, the CPR procedure itself and post-cardiac arrest care. Dr. Brady has ordered copies of the RECOVER guidelines and emergency drug dosage posters for permanent display in the clinic’s surgery and dental suites and treatment area.
“We’ll be practicing on a stuffed animal, but in the workshop at Purdue, we had dog-shaped CPR dummies called simulators that had an open mouth with teeth and a tongue so we could practice intubating them,” said Dr. Brady. “The simulators were also designed to give realistic resistance when we were doing the chest compressions. Our stuffed animal won’t have those features, but I think it will still be helpful in learning the techniques.”
In keeping with RECOVER recommendations, the clinic has ordered additional supplies for the emergency crash cart, fully stocking it with multiple sizes of endotracheal tubes and IV catheters, a manual resuscitator bag, fluids and emergency drugs such as epinephrine, atropine and naloxone.
“Our cart has just about everything paramedics for humans have on their trucks, but in more different sizes to suit the smallest to the largest pets,” said Dr. Brady. “Our staff training will cover what’s in the crash cart and where, so there will be no delays in accessing the tools and supplies we need during an emergency.”
About Veterinary CPR
Veterinary cardiopulmonary resuscitation (CPR) is called for when an animal’s breathing and heartbeat stop. The causes may include heart disease, metabolic diseases, low levels of oxygen in the blood, electrolyte imbalances, dehydration, adverse reactions to a drug, electrical shock or brain trauma.
The mortality rate is extremely high in veterinary cases of cardiopulmonary arrest (CPA). For animals experiencing CPA while hospitalized, only 1.6 to 6 percent of dogs and 2.3 to 9.6 percent of cats survive to be discharged from the hospital. In humans, approximately 24 percent of adults survive an in-hospital CPA.
CPR is the only treatment of cardiopulmonary arrest. In both animals and humans, the odds of survival after CPA improve with the quality of CPR delivery, including early recognition and response to CPA, skillful application of effective basic and advanced life support techniques and post-cardiac arrest care.
Although one person can administer basic veterinary CPR, alternating between timed chest compressions and breaths, having two people handle both simultaneously makes the procedure easier.
“Once you have an unresponsive dog or cat, it works best to begin immediately with chest compressions, with a second person handling respiration,” said Dr. Brady. “These two can swap places every two minutes, because the chest compressions are tiring, but you want to keep it up until you’ve given the heart a chance to start again on its own.
“If you’re in a hospital setting and your team is trained and available, they can provide advanced life support—things like inserting an IV catheter and administering drugs, intubating and getting the patient hooked up to oxygen and an EKG machine. Team members can also look in the patient’s medical history for health problems or adverse reactions to drugs and write down all that’s being done in the moment to revive the pet so we have it for our records.”
As in human medicine, Dr. Brady said CPR alone doesn’t always restart a cat or dog’s heart, and even if it does, long-term survival is far from guaranteed. “With CPR, we’re mainly trying to buy time and keep oxygenated blood flowing to the brain and heart in hopes of a successful resuscitation with minimal tissue damage. Ideally, if CPR works, the heart starts back up and you get them breathing again. If you can do that, you then have a chance to diagnose the problem and try to solve it.
“You have the best chances of a successful result when CPR’s a team effort, and what you’re doing is based on current, evidence-based best practices. That’s why I’m excited to pass on to my entire staff what I learned to get certified.”
About the RECOVER Initiative
The RECOVER initiative is a non-profit, volunteer effort undertaken in 2010 by the American College of Veterinary Emergency and Critical Care and the Veterinary Emergency and Critical Care Society. More than 100 board-certified veterinary medical specialists spent 18 months systematically reviewing the experimental and clinical evidence in CPR research and devised evidence-based, consensus CPR guidelines for dogs and cats. The organization published its first RECOVER guidelines in 2012 and, based on its continuing work, anticipates publishing revised guidelines in 2020.
So far, about 9,000 veterinarians, veterinary technicians, veterinary nurses and students worldwide have completed the RECOVER online course. In addition to about 1,000 certified RECOVER Rescuers, there are about 190 certified RECOVER instructors qualified to lead certification workshops and labs.
Although the guidelines have been available since 2012, RECOVER Initiative Program Director Kenichiro Yagi said, “RECOVER is at its initial stages of adoption by the veterinary field. Progressive individuals and practices wanting to adopt the best evidence-based practice in veterinary CPR are the ones who find RECOVER.”
“We don’t have data to show whether the guidelines have led to increased survival,” said RECOVER Initiative Co-Chair Daniel J. Fletcher, PhD, DVM and Diplomate of the American College of Veterinary Emergency and Critical Care. “Until we have data to share, what we can say is that folks who complete the RECOVER certification process report feeling much more confident and less stressed when an arrest occurs and feel that they are now more prepared when an arrest happens. So we’re making some progress!”
“Until the RECOVER initiative, there were no published standards or guidelines about veterinary CPR, and that led to a wide range of approaches and I’m sure, a lot of chaos, too,” said Dr. Brady. “What veterinarians and technicians did know was often adapted from human protocols, and it turns out what works for humans doesn’t always work for dogs and cats.
“Fortunately, in general practice, cases of cardiopulmonary arrest are relatively rare. I’ve encountered fewer than a half-dozen or so in my 15 years as a general practitioner. Of course, every one of those cases was pretty stressful.
“Now, as a result of this training, my team and I will be prepared to recognize common cardiopulmonary arrest warnings, we’ll all know the evidence-based treatment strategies and proper drug doses to use and how best to care for surviving patients after CPR. I’m sure we’ll feel calmer and more confident, should we need to resuscitate a patient, and the animal’s chances of survival will improve.
“I feel empowered now! There is no longer any guesswork. I know what to do. No more chaos!”
To maintain certification, Dr. Brady will be required to take a comprehensive online course every two years. RECOVER CPR is the only official veterinary CPR certification recognized by the American College of Veterinary Emergency and Critical Care and the Veterinary Emergency and Critical Care Society.
For information about RECOVER certification programs for veterinary professionals, first responders and pet care professionals, and pet owners, visit the RECOVER Initiative website.
The day is celebrated annually by the World Health Organization to raise awareness about rabies prevention and to highlight progress in defeating this deadly disease.
The Centers for Disease Control and Prevention has an informative page about rabies on their website. We encourage all our clients to visit the page and learn more about how to protect themselves and their families from this deadly, but vaccine-preventable disease.
In Indiana, all dogs, cats, and ferrets three months of age and older must be vaccinated against rabies by a licensed veterinarian. After their initial vaccine, dogs and cats receive boosters according to the vaccine manufacturer’s recommendations. Although there are rabies vaccines for dogs and cats that specify annual boosters, more often only the first booster is due after 12 months, with remaining boosters due every three years after that.
To make sure your pet’s rabies vaccines are up-to-date, call our office. We will be happy to check your pet’s records and let you know when the next vaccine or booster is due.
We require all patients visiting the clinic to have current rabies vaccinations. If you bring in a pet whose vaccine is overdue, we will administer the vaccine if the pet’s health permits. Read about our policy here.
Nearly half the calls to the Pet Poison Hotline involve pets who have ingested over-the-counter or prescription drugs for humans.
In some cases, the pet got into the pill bottle or daily dose holder on its own. In others, a well-meaning owner deliberately gave the drug to the pet to relieve pain, nausea or other symptoms. Owners who store their pets’ prescription medicines next to their human family members’ prescriptions sometimes pick up the wrong bottle and accidentally give the pet a dose of a drug prescribed for a human in the household.
And pet owners sometimes use a drug prescribed for one pet to treat another. This is especially risky when using a drug prescribed for a dog to treat a cat.
Surprisingly dangerous are common over-the-counter pain relievers, including non-sterioidal anti-inflammatories–NSAIDS–such as Aleve, Advil and Motrin, and acetaminophen–the active ingredient in Tylenol. Even one or two pills can be seriously damaging and even deadly for pets.
For a top-ten list of medicines for humans and their damaging effects on pets, visit the Pet Poison Helpline. There’s also a brief video on the page with additional pointers and safeguards you can take to protect your pet.
Although aspirin is not on the Poison Helpline’s top-ten list, treating your pet with aspirin before coming in for an office visit can delay treatment with a more effective drug because we have to wait for the aspirin to clear the pet’s system before starting the appropriate drug. In these cases, using aspirin as a “home remedy” in hopes of avoiding an office visit keeps your pet in pain longer and slows recovery.
Before using a drug intended for humans to treat your pet, call our office to confirm it is safe and effective and to determine the proper dosage.
If you discover your pet has ingested a drug meant for humans on its own, and it’s during our office hours, call us immediately. We need to know the name of the drug, the dosage and how many pills you believe your pet has swallowed. We may have you bring your pet in right away, or we may refer you to an emergency clinic. We may have you call the Pet Poison Helpline, or we may call on your behalf to consult with the toxicologists on the most effective treatment.
After hours, call the Pet Poison Helpline at (855) 764-7661 and be prepared for a trip to the emergency clinic.
The most common New Year’s resolution for humans is to lose weight. With an estimated 58% of cats and 54% of dogs in the United States overweight or obese, according to the Association for Pet Obesity Prevention, the new year could be a great time to resolve to help your pet lose weight.
Why does it matter? As with humans, overweight and obese pets run a greater risk of developing a number of medical problems, including:
Insulin Resistance and Type 2 Diabetes
High Blood Pressure
Heart and Respiratory Disease
Cranial Cruciate Ligament Injury
Many Forms of Cancer
Decreased life expectancy (up to 2.5 years)
We’re here to help!
Before you begin a weight loss program for your pet–particularly if the problem is severe and/or the pet is older or has other health issues–we strongly encourage you to visit our office for a physical exam and consultation with one of our doctors to develop a safe, effective, individualized weight loss plan.
Our first step is to determine if your pet actually is overweight and to set an ideal, healthier weight for your dog or cat.
We’ll talk about what you’re feeding your pet–including treats and table scraps–and calculate how many calories your pet should be consuming each day. Then we do the math to translate calorie requirements into the amount of food you should be feeding each day to achieve a healthier weight at a safe, comfortable pace. And we do include treats in our calculations!
We also discuss opportunities for increasing your pet’s physical activity, taking into consideration your pet’s age, general health and present fitness level as well as your lifestyle, interests and ability to exercise alongside your pet. If you’re able-bodied and interested in getting more exercise yourself, we might recommend a gradually increasing regimen of walking or jogging with your pet. If you are not interested in or able to exercise yourself, we may suggest teaching your dog to play fetch or encouraging your cat to chase a laser (if your cat doesn’t find lasers too frustrating) or a string toy (under human supervision only).
Another option for increasing activity levels for cats is to use a puzzle feeder, which is a food-dispensing toy you can buy or make for your cat. We found a great blog post on puzzle feeders that includes instructions on how to make your own.
With the nutrition needs calculated and the plan for increasing activity levels mapped out, we will most likely send you and your pet home to implement our recommendations. We will schedule an appointment for a recheck to determine how well the weight loss plan is working for your pet.
Happily, for many otherwise healthy pets whose owners stick with our plans, these weight loss recommendations work! As the dog or cat approaches the target healthy weight, we adjust the nutrition and exercise program to maintain success over the long term.
If, at the first follow-up appointment, we find the pet is having difficulty losing weight despite good compliance with the feeding and exercise program, we may test thyroid function–particularly in older animals–to rule out hypothyroidism, which makes weight loss difficult.
Our veterinarians may also recommend a prescription food to promote weight loss, such as Hill’s Prescription Diet Metabolic Advanced Weight Solution–more commonly known as Hill’s Metabolic Diet.
We have recently been trying this food with a number of our overweight patients, and the results have been promising. Before releasing this food several years ago, Hill’s conducted in-home trials with 314 pets. 96% of dogs and 81% of cats lost weight in just two months.
This innovative nutrition formula from Hill’s helps pets lose weight by boosting their metabolic rate, regulating appetite and reprogramming the genes that control metabolism so they behave more like those of lean animals.
For more details about how this product works, we recommend this article on the PetMD web site. Additional information is available in an article by Companion Consultancy, a public relations agency based in the U.K. and run by veterinarians. And here’s a blog post about Hill’s Metabolic Diet by a veterinarian at mypetsdoctor.com.
Hill’s Metabolic Diet is available at Brownsburg Animal Clinic by prescription in dry and canned form and as treats. To use this food to treat overweight or obesity, our registered veterinary technicians take initial measurements and continue treatment with required monthly monitoring.
Ready to make that resolution to help your pet slim down? Call us during office hours to schedule your exam and weight loss consultation for the new year!
One crisp fall day last week, I spotted–and swatted–a mosquito in my kitchen. As much as a I love all creatures great and small, I am first and foremost a doctor dedicated to protecting my loved ones, including family members and patients, from the many diseases mosquitoes carry–not to mention, the discomfort of itchy mosquito bites.
Long before the mosquito-borne Zika virus became such a concern in human medicine, heartworms, which are also carried by mosquitoes, have been a concern for veterinarians.
Fortunately, the proverbial ounce of prevention for dogs and cats is readily available in the form of heartworm preventives, such as the many brands we carry in our online store. We also stock heartworm preventives at the clinic. Our doctors are happy to discuss how these products work and help you choose which one is right for your dog or cat.
All the pets in our household are on heartworm preventive year-round, so even if the mosquito I encountered had managed a bite, the risk of their being infected would have been quite low.
But some clients insist their pets need heartworm preventive only during the summer months because mosquitoes are not a problem at other times of the year. A few insist their pets don’t need heartworm preventive at all because they stay in the house all the time.
The fact is, while there are more mosquitoes during the warmer months, there is no time of year when mosquitoes are not present in our climate.
And mosquitoes can and do come indoors, looking for people and pets to provide the protein and iron found in blood to make their eggs.
To learn more about heartworms, visit The American Heartworm Society’s “Heartworm Basics” page.
Dental health for pets begins at home with regular brushing. Some of our clients or their groomers scale built-up tartar off pets’ teeth, too.
But brushing and scaling are not enough. In fact, scaling without professional polishing creates micro-fissures in the teeth where plaque can adhere, leading to even more tartar build-up.
A professional dental cleaning , done under anesthesia, allows all surfaces of the pet’s teeth to be scaled, polished and examined for defects. We also examine the gums, tongue and the rest of the oral cavity and take full-mouth x-rays to examine teeth below the gum line. The part of the tooth showing above the gums–the crown–can look great, while there can be serious issues going on with the roots.
For more information about your pet’s dental health, including helpful home-care products that really work, we recommend the Veterinary Oral Health Council web site. Products with the VOHC Seal of Approval produce the best results and are safe for your pet. Several of these products are available at our online store.
For a professional cleaning, contact us now to schedule an appointment. February is Dental Health Month, so we are offering a 10% discount off our regular price plus a free dental goody bag to take home. Spaces are limited, so call today.
We are offering a 10% discount for dental cleanings in February and sending home a free home dental care kit! All clients who schedule dental procedures in February will also be entered in a raffle to win an interactive pet toy.
The 10% discount applies to the dental cleaning and polishing and any needed extractions. The goody bag contains all you need for continuing dental care at home–a toothbrush, specially formulated toothpaste for pets, dental treats and chews and dental rinse.
We have set aside 32 appointments for dental procedures in February. Nearly half have already been booked. To take advantage of the Dental Health Month discount and receive your home care goody bag, call our office today to schedule a dental cleaning.
A recent post on the American Veterinarian web site uses pet insurance claims statistics to document top ten diseases related to obesity.
According to the post, “Of the more than 1.4 million pet insurance claims filed in 2016 through Nationwide, the largest provider of pet health insurance in the nation, 20% were for conditions and diseases related to pet obesity. Unfortunately, this signifies that pet obesity is on the rise for the seventh consecutive year.”
Based on its database of more than 630,000 insured pets, Nationwide determined the top 10 dog and cat obesity-related conditions. Visit the web page to see the top ten list.
If you think your pet could benefit from slimming down, call us during office hours to schedule your exam and weight loss consultation.
If you are like most of our clients–and, according to a recent Nielsen survey, 95% of pet owners–you consider your pet to be part of your family. And if you’re like 90 percent of cat-only owners and 96 percent of dog-only owners surveyed by VetStreet, you buy holiday gifts for your pet.
According to VetStreet, half the owners who buy gifts for their cat spend $10 to $25, 22% spend less than $10, 19% spend $26 to $50, 7% spend $51 to $100 and 2% spend more than $100.
Nearly half of gift-giving dog owners spend in the $10 to $25 range, 26% spend $26 to $50, 15% spend less than $10, 8% spend $51 to $100 and 3% give their dogs gifts costing more than $100.
The most popular gifts for cats were treats and toys, followed by “home items” like scratching posts, cat trees, beds and bowls and holiday-themed toys and clothing.
Treats were the most popular gift for dogs, followed by toys. Owners said they were less than half as likely to buy holiday-themed gifts for their dogs, followed by leashes, collars, harnesses, bowls, feeders and beds.
Of those who own dogs or cats, 66% also buy gifts for other people’s pets.
What’s on your Christmas shopping list for the dogs and cats in your life? We think treats are a wonderful choice, so long as your pet doesn’t overindulge on Christmas morning. Ideally, the gift of treats will last well into the new year!
In choosing toys, we recommend playthings designed specifically for pets. Avoid toys that can be swallowed, either whole or in parts.
Finally, just for the fun of it, here’s our favorite YouTube video of pets opening Christmas presents.
Happy holidays from the Brownsburg Animal Clinic family to yours!
Each year, with the best and most generous of intentions, people give pets as Christmas gifts. But if you search for “pets as Christmas gifts” on Google or Bing, you’ll find more warnings than support of the idea.
At Brownsburg Animal Clinic, we dedicate ourselves to promoting and supporting successful pet ownership. We believe at any time of year, giving a pet as a gift to another person–particularly as a surprise–can potentially turn out to be bad for the people and pets involved. We also believe, with proper consideration and preparation, giving a pet as a gift can result in a happy, mutually-satisfying relationship for the life of the pet.
And research backs us up.
One study published in the journal Animals examined whether receiving an animal as a gift had an impact on the owner’s love for or attachment to the pet and found no significant difference in attachment to pets between gift recipients and people who had acquired their pets themselves. Some owners feel an even greater attachment to the pet received as a gift because a loved one was the giver. Surprise gifts of animals were acceptable to 75% of those who had received them and some said the surprise itself strengthened their attachment.
Other studies have looked at whether cats and dogs received as gifts are more likely to be surrendered to a shelter than those acquired in other ways. Contrary to what you might expect, it turns out animals given as gifts have a significantly lower risk of ending up in a shelter than dogs and cats purchased or acquired by the owners.
In light of these facts, why do so many people warn against pets as Christmas gifts? Here are the major reasons:
Bringing a companion animal into a household creates a major responsibility for the lifetime of the pet, which could be 10 to 15 or more years for a dog or cat. Caring for a pet takes time, money and commitment. Only the primary caregiver can decide if he or she is willing and able to take on the responsibility for a pet.
Matching the right pet to the household and lifestyle of the owner(s) requires thoughtful consideration. Pets vary in their needs for time, space and attention, exercise and training. Making a sound, thoughtful choice is key to the longterm success of the relationship, and only the prospective owner can say what his or her true requirements and preferences are.
Children who receive pets as Christmas gifts may not be ready, willing nor able to take responsibility for the animal’s care. Older children may take on much of the care, but the adults in the household should expect to be the primary caregivers.
Holidays can be hectic, and there are often additional household hazards, such as ornaments, electrical cords, potentially harmful plants and foods, to endanger a pet. Bringing an animal into the household at such a busy time of year places unnecessary stress on the pet and can make the adjustment more difficult than it would be at more “normal” times of the year.
We agree these are all critically important considerations. But we believe, with some creativity and common sense, the gift of a pet can work. Here’s how:
As appealing as the image of a kitten or puppy under a Christmas tree can be, we strongly prefer the idea of representing the pet with a stuffed animal.
New pets need lots of gear–food, food bowls, collars and leashes, beds, carriers, crates and healthful, safe treats. All these can be waiting under the tree in anticipation of the new pet.
Matching the pet to the household and owner requires some thoughtful consideration and can benefit from research. Another great holiday gift, instead of the pet itself, is a book about choosing a pet.
Finally, once the new owner has considered and clarified the type of pet he or she will most enjoy and appreciate, we strongly encourage giving the pet the gift of a great new home by acquiring it from a shelter or rescue organization.
At Brownsburg Animal Clinic, every one of us is dedicated to enriching and supporting our clients’ relationships with their pets. We consider all our animal companions to be gifts, providing us unconditional love and enriching our lives with their playfulness and winning ways. If you are the giver or a receiver of a pet this Christmas, we will be happy to support you in making the relationship a success.
The field of sports medicine for people has grown a lot in the past few years, and within veterinary medicine, sports medicine for dogs isn’t far behind. Of course, it makes sense. As people adopt more active lifestyles, they enjoy involving their dogs in activities, too.
Most dogs are more than willing to run and play until they drop. A lot of times, their owners don’t realize inactive or out-of-shape dogs can over-train or hurt themselves just as human “weekend athletes” do.
Major differences in canine and human physiology make dogs more vulnerable to overheating than humans. Dogs don’t tolerate heat as well as people. Instead of sweating, they pant. When the air outside is hot, the panting doesn’t help them cool down as much, so they may be at risk for a heat stroke in situations that wouldn’t normally cause a person to overheat. Most people think if they’re OK in the heat, the dog is OK, too. But that’s not always the case.
Of course, we want our clients to have fun with their dogs. Walking or running and playing together are great for the dog and the owner. We just want people to ask themselves a few key questions before they get into any heavy exercise program with their dog—particularly in hot weather.
Is your dog in condition? Like people, dogs need conditioning to build muscles and cardiovascular fitness before walking or running long distances. If you want your dog to go with you on long-distance walks or runs, start with short distances and increase distance gradually.
Is your dog old enough for running? It takes 12 to 24 months, depending on the breed, for a young dog’s skeletal system to mature. Your veterinarian can advise you about your breed. Until then, limit running, jumping and other strenuous exercise.
Does your dog have hip dysplasia? Hip dysplasia is a common orthopedic problem in dogs, especially in the larger breeds. If you have a breed that’s prone to hip dysplasia, or if your dog seems to have trouble getting up and moving around, you need to avoid strenuous exercise until your veterinarian X-rays your dog’s hips.
How’s your dog’s cardiovascular system? Any kind of aerobic exercise works the cardiovascular system. Before you get into a strenuous exercise program with your dog-especially if it’s an older dog-you should have a veterinarian check for heart defects or disease.
Is your dog obese? It’s a great idea for overweight dogs to get exercise, but you should start slowly and build up levels of exertion gradually. To tell if your dog is overweight, you should be able to feel, but not see your dog’s ribs.
Does your dog have access to fresh water? Water is necessary for proper muscle function and flushes out waste products without damaging the kidneys. Water helps keep a dog cool, too. We suggest taking along a water bottle or canteen when exercising with your pet.
Do you know the symptoms of heat stroke? Dogs do not tolerate heat as well as humans. Hot weather can be deadly to dogs if they overheat enough to have a heat stroke. If your dog pants incessantly, feels hot to the touch and has pale or blue gums, you must cool him down immediately. Douse him with cool water and get him to a veterinarian at once. Some breeds are more vulnerable to heat stroke than others. Any dog with a pushed-in face, like a Boston terrier, a bulldog, a pug or a Pekinese, is usually more likely to have serious problems with heat than a breed with a longer muzzle.
The veterinarians at Brownsburg Animal Clinic agree the benefits of exercise for dogs far outweigh the risks, provided owners take the recommended precautions. “We don’t want to scare anybody, and we certainly don’t want to discourage people from exercising and playing with their dogs. We just want to be sure dog owners are aware of possible problems before they happen.
Last Saturday, my son Rhys and I took a bike ride. Before we left the house, I applied sunscreen to protect his fair skin.
When we returned home about an hour later, I found a large pile of strange-looking thick, white vomit in front of the couch. As I prepared to clean it up, I discovered more vomit on the stairs and in the hall. Then I discovered a chewed-up sunscreen bottle.
Most clients in my situation would have immediately called the clinic for help and guidance. But as general practice veterinarians, we doctors at Brownsburg Animal Clinic are like family doctors for our patients. We know a lot about your pet’s overall health and many common conditions they may have, but we can’t possibly know everything on every subject. That is why we often enlist the help of veterinary specialists, ranging from surgeons to dentists to dermatologists and yes, even toxicologists.
If I had received a call last Saturday morning about a patient who ingested sunscreen, I would not have been certain of the best course of treatment to take. There are so many new drugs and chemical compounds available, it is impossible for a general practitioner to keep up with which ones cause toxicities in pets and how to treat these toxicities if a pet is exposed. That’s why, when we receive such calls, if we’re not absolutely sure of what to do, we make an immediate referral to the Pet Poison Helpline.
The Helpline serves as 24-7-365 poison control for your pet. For a per-incident fee of $59, they will help you and your veterinarian (if needed) work through exposure to medications and chemicals that may be harmful to your pet. You will be assigned a case number and you and your veterinarian can call as many times as needed to seek advice on how to proceed with care.
At the clinic, we have referred clients to the specialists at Pet Poison Helpline several times. In some cases, we found the pet’s exposure to a potential toxin did not need follow-up care because the helpline staff determined the dose was not large enough to be toxic. In other cases, our clients were instructed to bring their pets to our office so we could induce vomiting and give activated charcoal and IV fluids. We also have had clients referred to a 24-hour veterinary care facility for several days of decontamination.
With that chewed-up sunscreen bottle in my hand, I thought about all the different chemicals Sully had swallowed, and while I know just what to do in cases of chocolate exposure or exposure to anti-freeze, I had no idea about these chemicals.
So I essentially referred myself to the Pet Poison Helpline, and one of their veterinarians helped me assess the situation.
I was able to provide her the name and brand and some of the ingredients still legible on the chewed-up label. We were able to determine the missing ingredients and estimate how much he was exposed to. Luckily, the level was not fatal and not enough to cause kidney damage. But it was enough to potentially cause stomach ulceration, so I started him on a stomach protectant.
The doctor also recommended doing some blood work the following day, just to make sure the exposure wasn’t higher than we suspected. I found Sully’s liver values were slightly elevated, so I checked back in with the doctor at Pet Poison Helpline, and we discussed adding a liver supplement and rechecking blood work in a few weeks.
This experience with Sully taught me a lot.
Keep sunscreen out of my dogs’ (and son’s) reach.
Zinc oxide is a good emetic (vomiting agent) that stains carpet white.
The Pet Poison Helpline is a great, potentially life-saving resource for pet owners–including general-practice veterinarians like me–who need fast, accurate advice from a specialist in toxicology.
Many clients have been asking us about some recent news stories about leptospirosis–a deadly bacteria primarily affecting dogs but also, rarely, in cats.
Leptospirosis is nothing new and in fact, has been in Indiana for many years. The recent increase in diagnosed cases could be due to improved diagnostic tests for the disease, improved tracking, as well as increased contact between pets and the environment where leptospirosis can be found.
Fortunately, there is a leptospirosis vaccine available for dogs, which we recommend for all dogs that have any potential for exposure. If there is wildlife in your neighborhood, your pets are at risk. Another risk factor is exposure to or drinking from rivers, lakes or streams.
This disease can be fatal to our canine friends and is zoonotic, meaning humans can contract it. These are two reasons we highly recommend this vaccine for most dogs.
In some patients, the leptospirosis vaccine can cause a vaccine reaction. In most cases, the reactions we see are mild, with some facial swelling and hives. If your pet has a history of reactions to vaccines, please speak with your veterinarian to discuss the pros and cons of administering this vaccine.
Here we are, nearly all the way through National Pet Dental Health Month, and all our available dental appointments are filled. We’ve even extended the discount through the first couple of weeks of March to meet the demand!
Thanks so much to our clients who care enough about their pets’ health to schedule a dental cleaning! They will receive a 10% discount and, while supplies last, a “dental goodie bag.”
We also offer a 10% discount off dental cleanings year-round if, during an annual wellness exam, we recommend a dental cleaning and you schedule an appointment for your pet within 30 days. The goodie bags are available only in February (and until we run out in March), but we offer the discount to encourage excellent dental health care every month of the year.
The benefits of the dental procedure in our office can be supplemented by home-care. To give you an idea of what’s involved, here’s a short video about dental home-care for dogs from the College of Veterinary Medicine at Auburn University.
Here’s one about how to brush your cat’s teeth.
For your convenience, we carry the dental health care products shown in both videos in our online store.
With all of February dedicated to dental health care for pets, I want to give you a behind-the-scenes look at my own boxer–General Stubs Calhoun–and his recent visit to the clinic for a dental cleaning and exam. I hope this post will not only answer any questions you may have about what goes on during a dental procedure, but also show you that I personally consider dental health care essential for all pets, including my own.
Cal turned seven this past July. It had been two years since his last dental cleaning.
As a boxer, Cal is at higher-than-average risk for a condition called gingival hyperplasia, causing his gums to proliferate and grow so extensively as to cover his teeth. Cal has this condition, so in addition to cleaning his teeth two years ago, we did a gingival resection, in which we removed the excess gum tissue in several areas of his mouth. He recovered very nicely and had been doing just fine.
But several months ago, we noticed Cal was not chewing his rawhides the way he used to, and he had a slightly pungent odor to his breath. I did a physical exam, finding a little tartar and a few areas of gingival hyperplasia. I didn’t see any obvious signs of abscessed teeth. Still, I knew something was wrong, so I decided to bring him in for a complete dental exam, including full-mouth dental radiographs (x-rays).
The procedure started with the necessary preanesthetic blood work to make sure Cal had no underlying health issues that might make anesthesia too risky. Once we had Cal under anesthesia, we did our radiographs and found several fractured teeth. The fractures were below the gum line, so there was no way to see them–even with a regular dental cleaning and probing–without the x-rays.
We extracted the cracked teeth and resected the overgrown gums. We scaled and polished the remaining teeth.
Cal has recovered very well. He did need to eat a soft diet for about 10 days, but after that, resumed eating his usual dry kibbles. And he’s back to enjoying his rawhides!
I understand it can be a little scary to consider putting an older pet like Cal under anesthesia for a dental cleaning. That’s why we take measures to minimize the risks.
We require blood work within the past six months to be sure all organs are functioning well and able to handle the medications we use.
We use the safest anesthesia available.
All pets have intravenous catheters and receive fluids throughout the procedure.
While one technician cleans the teeth and makes the x-rays, another focuses throughout the procedure on monitoring the patient’s oxygen and carbon dioxide levels, electrocardiogram, heart rate, blood pressure and temperature using monitoring equipment very similar to what you would find in a human hospital.
Still on the fence about scheduling your pet’s dental appointment? Here are some additional resources from the American Veterinary Medical Association, including links to a dental health quiz, videos to help you teach your pet to accept home tooth-brushing and even more information about the “whys” of dental health care for your companion animal.
If you are ready to schedule a professional cleaning, contact us now to schedule an appointment. Remember, February is Dental Health Month, so we are offering a 10% discount off our regular price plus a free dental goody bag to take home to all who schedule dental procedures in February. Spaces are limited, so call today.
Have you ever brought your pet here or to some other general veterinary practice and been referred to a specialist or advised to head over to the local emergency clinic?
There was a time, 30 or 40 years ago, when small animal general practitioners did, or at least tried to do, everything. We still do a lot. Most of us do some dentistry and many are comfortable and capable handling some orthopedic procedures.
But with the recent advances in veterinary medicine, specialization has flourished. The American Veterinary Medical Association currently recognizes 22 veterinary specialty organizations. These range from veterinary dermatology to surgery to ophthalmology to dentistry to critical care.
If you bring your pet in, and one of our doctors refers you to a specialist, or an emergency clinic or a 24-hour veterinary care facility, chances are it’s because we believe your pet would benefit from specialized and/or round-the-clock care.
So, you ask, what do we “regular vets” learn in vet school then?
We learn a little bit of everything! In many areas of veterinary medicine, we actually learn a lot, and we keep on learning through continuing education! Our veterinarians are all very knowledgeable and comfortable diagnosing and treating many common ailments. But from time to time, we recommend a specialist as the best person to diagnose and treat rare, complicated, chronic or severe cases.
For example, if your pet has been hit by a car and has multiple fractures, like most regular clinics, we do not have bone plating materials that may be indicated for the types of injury your pet has. So we send you to an orthopedist who has what’s needed to care for your pet.
Or if your pet has severe allergies, and we’ve tried dozens of diets and medications, and your pet is still itchy, we may send you to a dermatologist for allergy testing.
If you come in at 5:45 p.m. and the clinic closes at 6:00, and your pet has been vomiting non-stop for 24 hours, we may send you to an ER as they offer 24-hour care plus a critical care specialist who can take the time and apply the specialized expertise to be sure your pet has the best possible chance of recovery.
So if you come to the clinic and one of our doctors recommends a specialist or sends you to the ER, rest assured it is because in our best judgment, we believe your pet will experience the best outcomes being cared for by someone with more experience and more sophisticated, specialized equipment for diagnosing and treating the particular illness or condition. And that means your pet has the best chances of healing in the shortest amount of time.
The research involved analysis of photographs posted on the Internet. More than 80% of dogs being hugged showed signs of discomfort, stress or anxiety.
We encourage all our dog-owning clients–especially those with children in the household–to read the article. If your dog shows any signs of discomfort when being hugged, it’s a good idea to find other ways to show your affection.
We came across this very insightful TED* talk by Ian Dunbar, a veterinarian, dog trainer, animal behaviorist and author. Over the past several decades, Dr. Dunbar has written many books and DVDs about puppy and dog behavior and training, including AFTER You Get Your Puppy, How To Teach A New Dog Old Tricks and the SIRIUS® Puppy Training video.
For much more information and free resources by Dr. Dunbar, including a comprehensive online dog training textbook, visit Dog Star Daily.
*TED is a nonprofit organization devoted to spreading ideas, usually in the form of short, powerful talks (18 minutes or less). TED began in 1984 as a conference where Technology, Entertainment and Design converged.
We all know human friends and family members who suffer from diabetes, but many people don’t realize pets can develop diabetes, too.
The key symptoms are lethargy, excessive thirst and frequent urination.
We can’t yet cure diabetes, but we can help you manage the disease in your dog or cat.
The people at Merck Animal Health have declared November “Pet Diabetes Month.” If you are currently living with a dog or cat who has diabetes, we encourage you to visit Merck’s informative Pet Diabetes Month web site to learn more. If your pet is displaying symptoms, please call us to schedule an appointment.
One of our favorite sources of information for clients is the American Veterinary Medical Association YouTube channel.
Today’s topic is ear care for dogs and cats.
First, here’s a brief overview on ear care for dogs. Please note at about a minute and a half in, there’s a recommendation NOT to use cotton swabs. We agree! Cotton swabs can push debris further into the ear canal and possibly injure the ear.
As cool days begin to outnumber warm ones, it’s tempting to consider skipping a few months of heart worm preventive or flea and tick control. After all, come winter, there won’t be a mosquito in sight!
Our advice is to resist the temptation and keep up the good work of heart worm, flea and tick prevention year-round. In our climate, mosquitoes, fleas and ticks can’t be counted on ever to disappear completely. Even during the coldest months, the risks remain.
We have many options for heart worm prevention and flea and tick control, both topical and oral. Feel free to call the clinic with any questions regarding which product will work best for your pet, and be sure to ask about the rebates that come with many of them when you stock up.
September 28 is World Rabies Day, officially launched in 2007 to raise awareness about the public health impact of human and animal rabies. Rabies is a devastating disease that can be deadly, but one that is 100% preventable by vaccines.
In Indiana, all dogs, cats, and ferrets three months of age and older must be vaccinated against rabies by a licensed veterinarian. After their initial vaccine, dogs and cats receive boosters according to the vaccine manufacturer’s recommendations. Although there are rabies vaccines for dogs and cats that specify annual boosters, more often only the first booster is due after 12 months, with remaining boosters due every three years after that.
We especially like the AKC’s Pet Promise document that outlines just what it means to be a responsible dog owner. We challenge all our dog-owning clients to review the list and commit to meeting all the criteria.
We’ve talked about the dangers of hot weather for dogs before. We encourage all our dog-owning clients to read this article in today’s New York Times. It has some good advice, including the warning signs of heat stroke: excessive panting, lethargy and a deep red tongue.
If you think your dog is having a heat stroke, get it into cool water immediately. If the symptoms persist, treat it as a medical emergency. If it’s during our office hours, Monday through Friday, 8 a.m. to 6 p.m., Saturdays 8 a.m. to noon, call us immediately at (317) 852-3323 so our staff can prepare for your arrival and offer you advice for administering first aid.
If it’s after-hours, on weekends or a holiday, please call the Airport Animal Emergi-Center at (317) 248-0832. The emergency center is at 5235 West Washington Street in Indianapolis. Maps, directions and more information are available on the Emergi-Center web site.
While we haven’t reviewed every single veterinary health-related article on the site, the information we have seen appears to be accurate. And some of the topics on the site and in the emailed newsletters look interesting and fun.
As with your human family’s health care, however, we encourage you always to look to your own doctor as the primary source of definitive information about preventive care, diagnosis and treatment.
The doctors and staff at Brownsburg Animal Clinic are here to answer your questions about the specifics of your pet’s health. We hope you’ll use the information you find online at WebMD and other pet health sites to start a conversation with us.
The American Veterinary Medical Association has declared August 15 “Check the Chip” day. As you’ll see if you visit the AVMA’s page, the goal is to remind owners of pets with microchip implants to confirm that their registration information is up to date.
For pets without microchips, our strong recommendation is to make an appointment with us to microchip your pet. It’s the best way to increase your chances of recovering your pet, should he or she get lost or be stolen.
For more information about the microchipping procedure itself, here’s a brief video from the AVMA.
At Brownsburg, we use HomeAgain brand microchips. The HomeAgain web site has even more information about the benefits of microchipping, and we are happy to answer any questions you may have about the procedure.
With all the rain we’ve had recently, we are sure to have lots of standing water and standing water is the perfect breeding ground for mosquitoes. Mosquitoes are the little creatures that transmit heartworms from animal to animal.
If you do not already have your pet on heartworm preventive, we highly recommend getting him or her covered! If your pet has never been on any kind of prevention, a simple blood draw is all it takes to set the process in motion. We have several options on prevention and some really great rebates!
We never want to see any of our beloved patients come up positive for heartworms. Its very taxing on an animal’s overall wellbeing, and treatment for the parasite can be quite expensive.
Here is a great article from the ASPCA all about heartworms, the signs and symptoms, how its treated and lots of other good info. If you have questions, please call the clinic at (317) 852-3323 and we will be happy to help you keep your pet happy and heartworm-free!
We found an AVMA video that gives a great overview of how to keep your pet safe during the summer months. Even if you don’t have time to watch the whole thing, we encourage you to watch the first two and a half minutes for a good overview of heat stress, including emergency measures you can take.
Sponsored by the American Veterinary Medical Association, National Dog Bite Prevention Week® takes place during the third full week of May each year. The goal is to teach people about preventing dog bites.
The AVMA’s web site has a page dedicated to dog bite prevention. We encourage you to visit the page and learn more about how you can lower the risk that your dog will bite. There are also tips on how to avoid having a dog bite you or someone you love.
Also from the AVMA is this video about preventing dog bites. This is video has dog bite statistics as well as specific tips for avoiding being bitten. We hope you’ll watch it with your kids.
We have had many questions about the series of articles written by the Indy Star on Trifexis and other veterinary drugs. We would like to address the concern of Trifexis safety that was the focus of the first article.
We have been prescribing Trifexis since it has been on the market and have found it be very safe and effective. The only side effects we have noted are vomiting, occasional diarrhea and, in rare cases, itching. Any medication taken orally can cause vomiting. For our patients that have experienced these side effects, they have been short-lived (24 hours or less) and, based on experience, we typically then decide to use a different heartworm preventive that may be better suited for these particular pets’ stomachs.
Meanwhile, I have continued to use Trifexis with my own pets because of its ease of administration, effectiveness and safety.
What we do know is heartworm disease kills. Period. Our greatest fear is that these articles will incite panic and cause people to stop giving preventives altogether. If you have questions about your pet’s heartworm medication or heartworm disease, please do not hesitate to ask your veterinarian or check out the American Heartworm Society’s website.
We doctors at Brownsburg Animal Clinic always welcome an open dialogue about your pet’s health, medications and any potential side effects. Your pet’s health and well being are always our top priorities. We thank you for your continued trust in allowing us to care for your furry family members.