Importance of Wellness Care

It seems less and less pet owners are bringing their pets in for wellness/annual exams and we’re hearing more and more of, “nothing is wrong”. The sad truth is that when something is wrong, it’s a little more difficult to treat because that something that is wrong, has grown and progressed since the “nothing is wrong” days.

Pets aren’t getting the regular care they need and that’s a problem because by the time some pets make it to Encina Veterinary Hospital, they have serious illnesses that could have been prevented with regular, routine veterinary care.

Annual exams, routine blood work, vaccines and dental cleanings all keep your beloved pet healthy and happy, longer. We LOVE celebrating normal and healthy and we think you should too! These routine protocols help prevent heart disease among many, which can lead to premature death for your pet. Chronic diseases and illnesses don’t need to evolve, spread and cause your pet harm if we catch it quickly in an annual exam, versus when pets begin showing signs.

Let us help in keeping your furkid healthy and happy by your side for as long as possible with an annual exam and routine blood work. We’re here for you always, open 24 hours, 7 days a week.

Indroducing Monthly Paid Wellness Plans at Encina Veterinary Hospital

        Encina Veterinary Hospital is proud to now offer Monthly Paid Wellness Plans for both cats and dogs. We believe that with a Basic or Deluxe Wellness Plan from Encina Veterinary Hospital and your veterinarians recommendations, we can work together to ensure that your pet enjoys a long and happy life with you.

        Our four keys to a happy and healthy pet:
            Comprehensive physical examination
            Protecting your pet against preventable diseases by measuring their immune status and if needed, administering the appropriate vaccinations
            Regular diagnostic testing to ensure your pet’s body systems are functioning optimally and to compare test results over time
            Internal and external parasite screening and prevention

The Wellness Plans at Encina Veterinary Hospital offer these services in the convenient packages that ensure your pet gets the care they need and you get the peace of mind you deserve.

        Wellness Plans at Encina Veterinary Hospital feature:
            Customized services for both dogs and cats based on their age
            Basic and Deluxe plans are available
            Services can be used throughout the plan year, and fees for services can be paid on a monthly basis instead of one lump sum

Do you have a Trupanion Pet Insurance Policy? If so, you’re half way to our Platinum Paw Club! The Platinum Paw Club is an exclusive club designed to reward pet owners who have chosen to protect their pet’s health with a Basic or Deluxe Wellness Plan at Encina Veterinary Hospital and with a Trupanion Pet Insurance Policy which covers unexpected illnesses or injuries. We at Encina want to reward and celebrate your devotion to your pets!

Our wellness plans start as low as less than $16/month, depending on your pet and their age. If you would like more information on our plans, please give us a call and ask for a Doctor’s Assistant: (925) 937-5000

Tibial Plateau Leveling Osteotomy (TPLO)

“TPLO” stands for tibial plateau leveling osteotomy – one of several techniques available for treating injury to the cranial cruciate ligament in dogs (equivalent to the “anterior cruciate ligament” of humans) which is found in the knee. This ligament is one of 2 cruciate ligaments which lie within the ‘knee’ joint (stifle), attaching the femur (thigh bone) to the tibia (calf bone) providing stabilization. The stifle is a complex joint, relying on a variety of anatomical structures in order to function normally (and pain-free).

Dogs, especially larger breeds, often injure the cranial cruciate ligament (CCL) resulting in an unstable ‘knee’, resulting in pain. You may notice a slight limp which worsens with exercise, reluctance to exercise or jump, or sudden lameness following activity. Your pet may sit with the limb splayed out to the side. Injury to the cranial cruciate ligament can be a slow process, or occur suddenly; even partial tear of this ligament can cause pain and instability but a complete rupture often causes unwillingness to stand on that leg.

Will this happen to my dog? Conformation of canines and the angle of the joint puts excess strain on this ligament, often causing slow degradation over time. Some breeds are more susceptible than others. Although injury to the cranial cruciate ligament can occur in any breed, sex or age of dog, several factors such as obesity significantly increase the risk. There is no way to prevent this injury from occurring; however exercise helps to keep weight down and muscle strength up, possibly decreasing likelihood of injuries, illness and osteoarthritis.

How will my veterinarian diagnose this condition? Your veterinarian can make a presumptive diagnosis of a damaged CCL based on palpating (feeling) the knee as well as testing its stability. The tibia and femur which form the “stifle”, or knee, are normally stable, allowing flexion and extension; however when the CCL is damaged, the femur is free to move forward in relationship to the tibia, demonstrating “cranial drawer” motion, a strong indicator of a damaged CCL.

Radiographs (x-rays) are also a valuable diagnostic tool to confirm that there aren’t additional problems present causing your pet’s clinical signs. Although soft tissues such as ligaments are not visible on x-rays, other changes to the joint may be seen following injury to the stifle such as joint effusion, fracture or arthritis.

Does the surgery cure my dog of a ruptured CCL? There is no cure for injury or rupture of the CCL. The goal in treatment of TPLO surgery is stabilization of the stifle and pain control to keep your pet comfortable. There are many surgical options which attempt to stabilize this joint, including the TPLO, TTA (tibial tuberosity advancement), extracapsular and intracapsular techniques – some of which attempt to mimic the action of the no longer functioning CCL. Which technique will work best for you and your pet is determined by your veterinarian based on body weight, breed, activity, and other factors.

Medical treatment involves controlling the pain with anti-inflammatories such as non-steroidal anti-inflammatories (NSAID’s) and opioid-like medications such as tramadol.

What will happen to my dog’s condition should I decide no to surgery? Although the canine stifle is difficult to stabilize by using a cast, splint or bandage, over time the body will attempt to stabilize the injured knee by production of scar tissue in and around the joint. Arthritis will also develop over time. To delay these changes such as degenerative joint disease, the joint should be treated as soon as possible after the injury if determined to be the best course of action by you and your veterinarian.

What happens after surgery? The recovery process following the TPLO is crucial, involving 2-3 months of restricted activity. Physical therapy can be of benefit to maintain strength and expedite recovery during this time. X-rays are taken at the end of the recovery period to ensure adequate bone healing before removing those exercise restrictions. Most dogs return to the same or similar level of activity prior to the injury; however, as with any surgery, there are risks, including infection, implant rejection/failure, bone fracture, etc.

If you think your pet may have an injury or possibly a CCL injury, please give us a call as soon as possible to discuss your and your pet’s options for care at Encina Veterinary Hospital with Board Certified Veterinary Surgeon, Dr. Carl Koehler: (925) 937-5000

Cindi Hillemeyer, DVM

Summer Pet Tips 101

    With summer approaching, we’re more likely to spend time outdoors with our pets. Whether it’s taking our dog with us camping in Tahoe or on a long walk at Newhall Park in Concord or even taking our indoor cats outside on the lawn for a roll in the grass, it’s important we be aware of what may harm our pets.

Dr. Jill Christofferson of Encina Veterinary Hospital recommends that pet owners apply sunblock on the ears, noses, etc of light colored pets (such as white cats/dogs) or pets with less than full fur (certain breeds of cats and dogs have little to no hair). Also, on the belly of dogs if they sunbathe belly-up. Should your pet suffer a sunburn, aloe vera or vitamin E may help to soothe it but a veterinarian will also be able to prescribe a mild pain-reliever to help with your pets’ discomfort.

Heatstroke in pets is all too common sadly. Leaving your pet in the car (even with the windows cracked), being left outside on a hot sunny day while you are away for hours with no water or shade or even just exercising on hot humid days (especially for brachycephalic breeds like Bulldogs, French Bulldogs, Boxers, Pugs, Boston Terrier or Pekingese) can all lead to heat stoke in your pet and even death. Here are some symptoms to keep an eye out for:
                           • Excessive drooling or panting
                           • 104-110 degree body temperature
                           • Twitching muscles
                           • Vomiting and/or bloody diarrhea
                           • Pale dry gums that are gray in color and tacky to the touch
                           • Staggering/stumbling when walking or inability to stand
                           • Wide-eyed look of distress or panic
                           • Difficulty breathing and increased heart rate
    Should your pet experience any of these symptoms, your first and best move is to seek emergency veterinary care. If you are unable to do so, here are some things you can do to help your pet cool off before getting them to the veterinary emergency hospital:
                    • Immerse your pet in cool water for about 2 minutes or hose/pour cool water on your pet.
                    • Wrap your pet in a damp, cool towel while traveling with him/her to the veterinary hospital.
                    • Get your pet to shade or an airconditioned area.
                    • NEVER use ice or freezing temperature water; this may lead to shock and cause further complications.
    Preventing heatstroke is quite easy. NEVER leave your pet locked in the car on a hot or even warm day; your car can and will become a death trap reaching temperatures well above 119 degrees. NEVER leave pets unattended outdoors with no access to shade or water; heatstroke can set in very easy and fast if your pet is already partially dehydrated. When walking your dog or exercising them, do it early in the morning before temperatures reach high levels or in the evening.

WARM WEATHER TOXINS: With everyone working hard to perfect their lawn and landscapes, a bottle of pesticides, fertilizer and other garden chemicals may be lurking. Be sure you properly close/seal all of these toxins and keep them away from your pets.

SWIMMING: As with children, never leave a pet unattended in the water; accidents and drownings happen in pets too and they need you to help keep them safe.

PARASITE, FLEA AND TICK PREVENTION: Talk to us about a year around parasite prevention program to help keep your pets, home and you, flea free. Trifexis is also offering up to a $20 rebate through August 31st, 2012 to help you get started.

TRAVEL: Secure your pet using a harness or crate when driving with your pet; though it is not a law in California, it’s better safe than sorry should you get into an accident. But it is against the law to have your pet loose in the bed of your truck; they MUST be restrained!

GROOMING: If your pet is elderly or has a long coat, consider taking him or her in to get shaved down for the summer; this will help them keep cooler as well as reduce the chance of debris (like fox tails) getting stuck in their fur (and eventually burrowing their way into your pet’s skin) since they may be spending more time outdoors.

FOXTAILS: We can never say this enough, fox tails are such a hazard! They’re everywhere and can be anywhere on your pet. Paws, ears, nose, belly and chest are common areas that fox tails get into. Abscesses, surgery, lung collapsing and punctured organs are just a few of the complications we see each year from fox tails penetrating a pet. Once a fox tail gets stuck in your pets fur, it burrows it’s way to the skin and eventually through the skin leading to an abscess which leads to further issues. One way to help protect against this is keep your pet groomed and make it a habit to brush/comb him or her each time they come inside from being outdoors. Another way is by investing in the Out Fox Field Guard (Did you know one of our very own clients designed and this?! We’re so proud!!) to help protect against fox tails in the ears, nose, eyes and face. And be sure to keep your yard trimmed and free of fox tails!

In the end, summer is a great time to enjoy the Bay Area of California outdoors with your family and pets. Keeping an eye out for these hazards will help ensure your family’s summer is full of fun and empty of harm.

Should your pet experience an emergency, don’t hesitate to call us because we are open 24 hours, 7 days a week – holidays and weekends included! (925) 937-5000

“Miracle Maggie”

On February 23rd, the world dimmed a little bit and a new star was created in the sky. Maggie, a long time patient of ours, was returned to heaven. We often find that we get attached to many of our patients because so many of them come in so often for their advanced diseases or health conditions, and Maggie was no different. Maggie burrowed her way into all of our hearts and when she passed, we all felt the loss. While we smile knowing that Maggie is healthy and happy, frolicking in the pastures near Rainbow Bridge, we frown because we no longer have her here with us or expect to see her soon.

Her furparents put together a beautiful video dedicated to the celebration that was Maggie. And even if you never met Maggie, we hope you take a moment to remember the wonderful times you’ve had with your furkids who have crossed the Rainbow Bridge and are now another star in the sky shining over us:

A special heartfelt thanks to the doctors and staff at Encina Veterinary Hospital, most especially, to Dr. Stephen Atwater. It is due to Dr. Atwater’s exceptional skills as an oncology specialist that “Miracle Maggie” became one of the most famous patients in Contra Costa County. An additional thanks to Drs. Peter Nurre and Jenifer Wang for their expertise in internal medicine and for helping greatly enhance Maggie’s quality of life in here final years.

Self Medicating Pets At Home: A Big “No-No!”

As pet owners, we hate seeing our pets in any distress and want to come to their aid right away. Often we have clients ask us if they can give their pet some over-the-counter human medications (such as Tylenol, Ibuprofen, Pepto Bismol, Pepcid etc.) in the event that they cannot come to the veterinarian at that very moment; you know, something to “hold them over” as they say.

First and foremost we’d like to state that we do not suggest you give your pet any medication unless under the direct treatment of a veterinarian. Many times you may believe the ailment in your pet is one thing, but the doctor finds it to be another, and the medication you were self medicating with prior to diagnosis ended up being more harmful than helpful.

Here’s what you need to know about human OTC (over the counter) medications and pets:

Acetaminophen (Tylenol®) Acetaminophen is a big-fat NO when it comes to pets. Acetaminophen can destroy red blood cells in pets and cause them to be anemic, as well as severe irreversible liver damage, and may lead to death if untreated. Acetaminophen is also more toxic to dogs and cats than people due to extensive recirculation of the drug within the blood.

Ibuprofen (Advil®, Motrin®) Ibuprofen has been used in dogs as an analgesic or to reduce a fever, only when directly under the care of a veterinarian. Dogs often can be allergic to ibuprofen, so it’s important that you don’t give this drug at home because you risk your dog developing an allergic reaction which may constrict his or her airway and eventually lead to a fatality. In addition, ibuprofen can be more toxic to dogs and cats than people due to extensive recirculation of the drug within the blood. It can also be linked with kidney failure and gastric ulcers. When it comes to dogs, ibuprofen is not used to treat pain or arthritis. When it comes to cats, there’s a big “no-no”; cats are never ever to receive ibuprofen under any conditions.

Bismuth Subsalicylate (Pepto-Bismol®, Kaopectate®) Bismuth Subsalicylate is used to treat mild diarrhea and stomach inflammation in dogs under the care of a veterinarian. It often leaves the stool a very dark color which should not be alarming. There are no serious complications caused by giving Pepto-Bismol to dogs, although there is not complete agreement that it is helpful either. It is important to know that Pepto-Bismol contains aspirin so it should not be used in dogs that are sensitive to aspirin, those with a history of GI ulcers or bleeding disorders; to do so could cause a fatal bleeding episode. When it comes to cats, it’s best to steer clear because they are more susceptible to suffering from a fatal toxicity.

Famotidine (Pepcid®) Famotidine is used in the treatment and prevention of stomach (gastric) and intestinal ulcers. Another use is management of acid reflux disease )a condition similar to “heartburn” in people) and caused by movement of stomach acid into the lower part of the esophagus. Dogs and cats with mast cell tumors may be treated with famotidine or a related drug because these tumors can produce large amounts of histamine. While generally safe and effective when prescribed by a veterinarian, famotidine can cause side effects in some animals, such as an allergic reaction. Medication should never be dispensed without the direct care of a treating veterinarian. This medication should not be used on patients suffering from kidney or liver disease.

Tums® In veterinary medicine, Tums can be used as a calcium supplement for dogs. A blood panel should be done on your pet before giving him or her Tums as it may not be good for them. An overdose on Tums can cause gastrointestinal upset, diarrhea and constipation.

Pseudoephedrine (Sudafed®) Pseudoephedrine causes increased heart rate and blood pressure, and should never be given to dogs.

Diphenhydramine (Benadryl®) Diphenhydramine is often used to treat allergic reactions in humans and pets. Diphenhydramine is a great emergency drug for allergic reactions related to insect bites and stings. Relatively safe, diphenhydramine is administered at the first sign of an allergic reaction in pets, children and adults, when bit by an insect or stung. Although it is relatively safe, diphenhydramine is not for every pet. Patients with glaucoma, prostatic disease, cardiovascular disease, and hyperthyroid, among other conditions, should generally avoid diphenhydramine.

Loperamide (Imodium®) Often used to treat diarrhea but can cause vomiting or abdominal cramping at lower doses, which can lead to dehydration. High doses can cause neurological signs like depression and ataxia in pets. Some dogs have a genetic sensitivity to the drug (same gene as Ivermectin sensitivity), and will show neurological signs even at low doses. It’s best you don’t give this one at home and contact your veterinarian when your pet has an upset stomach instead.

Give us a call at (925) 937-5000 immediately if you suspect that your pet has ate any medication, since some poisonings require antidotes or supportive treatment.

Always discuss with your veterinarian before “self-medicating” your pet for any condition.

Peanut the Miracle Cat!

Peanut's Baby Picture

It is said by many that cats have nine lives, as it would appear in the case of Peanut Matthews. Peanut, a very sweet seal point Siamese, has proven herself to be a survivor not once, but twice. Found by her human dad at St. Mary’s College (my alma mater) in August of 2010, she is the only kitten out of her litter of six to survive. Peanut came to us on the brink of death earlier this year, after her brother found her curled up against the back door of their house, crying, barely conscious. Dr. Johnson brought her back using life-saving measures that night, and Dr. Christine Fabregas recalls her story below:

Dr. Fabregas, attempting to get Peanut's blood pressure

“Peanut” Matthews, a 1 year old female-spayed Siamese cat, who was found by her owner at the age of 4 weeks. Peanut’s new family bottle feed her and nursed her to a healthy kitten. She was an indoor/outdoor kitten that loved to adventure through the neighborhood. On October 13, 2011, Peanut was presented to Encina Veterinary Hospital comatose, very low body temperature and blood pressure; neither was able to be registered. At this time the thought was that there was a traumatic event that occurred such as a hit by car. Her skin was bruised on her limbs and abdomen. She did not have any fluid in her chest or abdomen when scanned with the ultrasound. An IV catheter was placed and blood work was ran revealing a very low red blood cell count (8%) and her clotting factor time was out of range. Her limbs became rigid and she began to arrest. Emergency medicine was instituted with epinephrine and atropine injections. Her cardiac electrical conduction revealed ventricular fibrillation on ECG. The doctors defibrillated her chest and brought her back to life. She was given a blood and plasma transfusion, and Vitamin K1 injection for the possibility of a toxicity. She was intubated for oxygen therapy and protection of her airway. Blood was noticed within her airway tube and suctioned out. She began to regain more energy and her airway tube was removed. She was maintained in an oxygen cage, on IV fluid and medications for the next 24 hours. Her pupils were dilated and fixed, unsure if she has vision.

Peanut getting a blood transfusion, with Dr. Johnson & Barb's help

Peanut’s owner called later that evening stating the high likelihood of rat-bait toxicity found in their neighbor’s yard. We continued treatment for D-con poisoning. D-con is an over the counter rat poison, an anticoagulant. The mechanism of action is to cause bleeding, most commonly into the abdomen, chest, or subcutaneous. This also occurs in cats and dogs if they ingest the poison itself or if they ingest a rat that has ingested the poison. If you notice that rat bait has been ingested by your pet, it is recommended to bring them in to the veterinary hospital for assessment. This rat bait ingestion can be fatal if not treated.

Peanut in the Oxygen Cage

Peanut required multiple plasma transfusions to increase the amount of clotting factors in her blood to stop the bleeding. She had a few seizures over her first night in the hospital and the following day, which were treated and subsided. Medication was given to decrease the pressure around her brain. An IV catheter was placed in her jugular vein(neck vein) for ease of blood sampling and fluid administration. Peanut did not seem to be neurologically appropriate, because she was just laying on her side, not responsive to her surroundings. She would vocalize when pet, but was not completely aware. She was not eating or drinking on her own. A feeding tube was placed to increase her nutrition and prevent any potential liver disease. She was fed a/d slurry and administered oral medications through her feeding tube. Chest X-rays were taken and showed an area of a bruised lung. She began to have episodes of agitation to stimuli outside of her cage.

Peanut following the placement of a feeding tube

With time and intensive care, Peanut continued to improve everyday. She was noticed grooming herself, walking around in the cage, vocalizing,and more alert to her surroundings. She was slowly transitioned out of the oxygen cage into a regular cage. Her vision was still questionable, but her touch and light reflexes were present. Her temperature, blood pressure, and blood work were reaching normal values. She began to eat small amounts of food on her own. Her tube feedings were reduced prior to discharge from the hospital. Her bruising on her abdomen and limbs were greatly improved. Peanut was discharged from the hospital with instructions on proper feedings and administration of medication via the tube. She was responsive to her owners.

Peanut eating on her own!

On recheck examination, Peanut was active and alert with partial visual improvement. Her feeding tube was removed since she was eating well on own. She was grooming herself in the examination room in the arms of herloving owner. We wish Peanut and her family the best of luck in the future.”

Peanut feeling much better following a few days of intensive treatment

I spoke with Peanut’s dad recently, and he said that she is up to her old trick of hiding in the hallway and grabbing the legs of unsuspecting passerby.  Her vision has returned completely, all the better to find her targets. Peanut’s  spunky personality is still very much intact, and she has even learned not to use her claws when playing with her human family. We at Encina are very happy have been able to witness Peanut’s miracle recovery, and wish the best of health for her for the rest of her life!

Peanut's Unbreakable Spirit is Evident in Her Beautiful Eyes

Also, as a fun bonus, please check out Peanut taking her medication right out of her owner’s hand! Dr. Johnson and I have never seen a cat take medication so easily!  Peanut Taking Pills


Procedure Day Play-By-Play

I recently had the unique experience of bringing one of my furry babies in for a COHAT (Comprehensive Oral Health Assessment and Treatment…a.k.a. dental cleaning), and I gained perspective on what you encounter as clients on the day your pet undergoes a procedure. Please read on for what happens before, during, and after a procedure.

Meet Seal, my gregarious black lab. I rescued him from the pound two years ago, and let me tell you, he has come a long way since our first night together. We don’t know his age for certain, but we are guessing he is somewhere in the neighborhood of five to six years old. Prior to my adopting him, it would appear that he had no dental care. Though I brushed his teeth every night, fighting against the amount of tartar and plaque that had built up was impossible, he needed a thorough cleaning to get his mouth in order.

The night before the procedure: Seal was fed a normal-sized dinner and was given access to water until we left home in the morning. My parents wanted to feed him an extra-large feast since he was going to miss breakfast the next morning, but I reassured them that this was not necessary, as he would be anesthetized and given fluids early on in the day (large meals also = large bowel movements during the surgery).

Dropping off for the procedure: I brought Seal into Encina at 7:15a sharp on procedure day. When you drop your pet off, you can expect to sign an estimate, and leave the low end of the estimate as a deposit. The COHAT estimate has a very important portion for you to initial, regarding whether or not you authorize the veterinarian to extract teeth in the event that you cannot be reached, among other particulars. A client services representative will then take your pet to be weighed, and back into our surgical pre-op area.

Pre-procedure: Technicians will get vital signs, and place an intravenous catheter. If your pet has not had blood work processed within the last month or so, they will also draw blood and run an in-house blood panel to ensure your pet’s safety during anesthesia. The veterinarian performing the procedure will then perform a physical exam on your pet, again to make certain that your pet is healthy enough for the procedure to be performed. The patient is then administered intravenous fluids until anesthesia is given. Seal was very brave during the poking and prodding, and thankfully his lab results were all within normal range.

Going under: Pets are given a cocktail of what we refer to as “pre-medication,” which basically means that a technician administers a sedative prior to inducing anesthesia to reduce the stress level of our patients, and also to decrease the amount of anesthetic needed as well. Once the pre-medication has taken effect, an induction agent is administered, and technicians place an endotracheal tube when the jaw has relaxed completely. The tube allows doctors to use gas anesthesia, and gives them more control over the pet’s breathing during the procedure. After the endotracheal tube is placed, sevoflourane is used to keep the patient in a peaceful state of slumber.

Part one of the COHAT: One technician is posted at the side of the anesthetized patient at all times. Her sole purpose is to monitor and log vital signs (blood pressure, blood oxygen concentration, temperature, etc.) every five minutes, while keeping watch over the animal. A warming blanket is placed over your pet to combat the lowering of body temperature that can occur under anesthesia. A second technician then cleans and scales the teeth using the same type of sterile tools that your dental hygienist uses when you get your teeth cleaned. Gum pockets are measured and the teeth are deep-cleaned and polished in a process that can take up to an hour. As you can see below, Seal had a very dirty mouth!

Part two of the COHAT: After the teeth are shined up, the technicians then take radiographs of the entire mouth. These x-rays are used to measure the health of the roots and teeth, and help the veterinarian to determine whether or not extractions are necessary. This part of the procedure takes thirty to sixty minutes. The veterinarian reviews the radiographs and if needed, may ask the advice of one of our specialists. At this point, a doctor’s assistant will contact you if extractions are recommended, and provide you with an updated estimate of any additional cost. Seal only needed one extraction, the tooth pointed out in the picture below (the picture was taken post-cleaning/radiographs).

Extractions: If extractions are required, a technician will administer a “nerve block,” which is a local anesthetic that reduces the amount of pain your pet endures resultant of the procedure. The veterinarian will then surgically remove the teeth, and repair the area with dis-solvable suture material (stitches). Once this is complete, the mouth is rinsed, inspected, and fluoride foam is applied to the teeth. After the teeth are taken care of, the technicians trim the nails and express the anal glands, and administer both an antibiotic and anti-inflammatory injection, both of which last until the next day.

Post-Procedure: The sevofluorane is turned off, which enables the patient to wake. Technicians continue to monitor the pet, and once it is clear that the pet is awake enough to breath reliably on his own (indicated by an attempt to cough around the tube), the endotracheal tube is removed. Intravenous fluids are continued as the pet is placed in a cage to recover, and technicians carefully monitor the temperature and appearance of the patient until he is fully awake. We wait until this point to call you to set up a pick-up time. Your pet is administered fluids until the IV bag is empty. Technicians take your pet outside to use the bathroom as needed.

Pick-up: Several hours after the procedure (typically between 3-6 p.m.), we have you come in to meet with a doctor’s assistant and pick up your little friend. The assistant will have typed discharge instructions prepared for you, in addition to any medications that will be sent home. If no extractions were required, no medications are necessary unless the gums became overly inflamed during the cleaning. With extractions, patients are usually sent home with an antibiotic, an anti-inflammatory, and depending on the severity of the extraction(s), a pain medication. Seal was sent home with clindamycin (an antibiotic commonly used to fend off infections in the mouth), and Rimadyl (the veterinary version of Ibuprofen). The assistant will go over what to expect when you go home, as well as any questions you may have.

The night after the procedure: Seal went home a bit more tired than usual, but not overly drunk. At around 7pm I offered him water, and when he kept that down, I fed him half of his normal amount of kibble, which was soaked in warm water for ten minutes. He ate eagerly (he is a lab, after all), and then retired to his bed for the evening.

The next day: I fed Seal his normal amount of food, again soaked in warm water. I began his medications, which he took with a bit of cheese. He was as good as new, though I caught my parents feeding him scrambled eggs because they felt he looked extra hungry. Encina called to check on him in the afternoon, as they do with all patients. I nearly forgot to clear the house of any hard toys. The rule of thumb (pun intended) with post-extraction patients is that if your fingernail can leave an indent on a toy, it is soft enough for them to chew.

The following two weeks: Seal’s food had to be soaked in warm water for the two weeks following his procedure. He was given antibiotics for the first week, and the anti-inflammatory for the first five days. You would never know anything had happened to him, as he was back to doing his kibble ballet during meal times. No tug-of-war was played, and we were instructed not to brush his teeth.

The dental recheck: Two weeks after the procedure, if extractions were needed, we ask that you bring your pet in for a complimentary dental recheck with the veterinarian. The appointment takes roughly fifteen minutes, and during that time the doctor looks to see that everything is healing properly. After the recheck, you may commence brushing, feeding un-soaked kibble, and games of tug-of-war.

For a video of how to properly brush your pet’s teeth, please visit our YouTube channel at

EVH’s 2011 Halloween Costume Contest Winners!!!

Announcing the Winners of our Staff Pet Halloween Costume Contest, 2011!!!

The competition was fierce for this year’s annual Encina Staff Pet Costume Contest, and though it was hard to choose, both employees and clients voted and winners have been chosen!

FACEBOOK FAN FAVORITE “Stupid” of Barbie (Doctor’s Assistant), Jedi

CLIENT FAVORITE “Loki” of Sarah S. (Patient Care), Cowboy

FUNNIEST (and MOST TORTURED PET)“Chloe” of Shannon P. (Client Services), Mermaid

MOST CREATIVE “Larry” of Ashley (Doctor’s Assistant, Blogger), as Prince Larry

CUTEST “Willow” of Meg and Lisa (both Patient Care), Butterfly

OVERALL FAVORITE “Banana” of Giselle (Client Services), as a Banana

HONORABLE MENTION “Leila” of Rebecca S. (Patient Care), Boxer

“Toby” of Angela (Administrator), Pirate

Congratulations to this year’s winners! I know that Larry will enjoy his gourmet canned crickets! To see all of our contestants, please visit our Facebook page at!

Don't Let the Rain Get You Down

A little bit of cuteness to brighten up a dreary day. The photo above was taken by our technician Julia, who moonlights as our hospital photographer. Julia has a passion for taking pictures of animals, and as you can see, is very skilled at doing so. To see more of Julia’s work, please see our Facebook page at, she took all of the picture for our Staff Halloween Costume Contest!