Emergency Preparedness for Pets

Medical emergencies can be terrifying, especially when the emergency involves your pet. Being prepared for an emergency ahead of time can not only make the situation less scary but can even improve your pet’s chances for making a full recovery. In some cases, being prepared can save precious time and mean the difference between life and death for your pet.

Every pet is different and you, as the owner, are in the best position to notice when something abnormal is going on with your pet. Signs that something is serious and your pet should be evaluated ASAP can range from vague signs (lethargy, inappetence, panting excessively) to more obvious signs (vomiting, diarrhea, seizures, collapse, trouble breathing, lameness, inability to stand, etc). If your pet is obviously sick, it should be evaluated by a veterinarian as soon as possible. There are some things that you can do to help make the process more efficient and to help your veterinarian provide the best care for your pet as quickly as possible.

When is an emergency really an emergency? When in doubt, call your primary care veterinarian or an emergency clinic if it is after hours. Veterinary clinics receive calls frequently from clients asking about whether the current clinical signs are enough to warrant an emergency trip to the veterinarian. The staff are usually very good at asking the right questions to determine whether your pet should be seen right away.

What can I do to be prepared?

Phone numbers! Keep the number and address for your pet’s primary care veterinarian and the emergency veterinary clinic in your area in an easily accessible place. If you do not know which emergency clinic to take your pet to, ask your veterinarian for a recommendation or go to the Veterinary Emergency and Critical Care Society website (www.veccs.org) and click on the directory link for emergency clinics. If you think your pet is sick, don’t wait to call! Waiting can lead to bigger problems, a more challenging disease or problem to treat and more expensive treatment. You should also keep the number for poison control with your list of emergency numbers. If your pet has ingested a potential toxin, call poison control before or when you arrive at your veterinarian’s office. It is usually less expensive for you to call poison control than if your veterinarian calls. When you call poison control, you will receive a case number. Give this number to the veterinarian seeing your pet. Your veterinarian will then be able to call poison control and discuss the case with a toxicologist without being charged another fee.

Medical record and current medications: Keep a copy of your pet’s medical record (including all bloodwork, test results, CDs with xrays, etc) on hand to bring with you. If your pet is seeing a veterinarian other than your regular veterinarian, it will be very helpful for the veterinarian evaluating your pet and preparing a treatment plan to have access to your pet’s previous medical records. You should also keep a list of all current medications, doses and frequency. This is very important information for your veterinarian to know so that they can make appropriate treatment decisions (some medications can cause serious side effects if used together!).

For further information on being prepared for pet emergencies, visit the following websites:
• American Animal Hospital Association (AAHA)/Healthy Pet: https://www.aaha.org/pet_owner/pet_health_library/general_health_care/default.aspx
• The University of Illinois College of Veterinary Medicine: http://vetmed.illinois.edu/petcolumns/petcols_article_page.php?OLDPETCOLID=530
• American Red Cross: http://www.redcross.org/prepare/disaster/pet-safety
• VeterinaryPartner.com: http://www.veterinarypartner.com/Content.plx?P=SRC&S=1&SourceID=20
• AVMA First Aid Tips for Pet Owners: https://www.avma.org/public/EmergencyCare/Pages/First-Aid-Tips-for-Pet-Owners.aspx

Renee Hartshorn, DVM

Pet Emergency Kit Assembly

As the only 24 hour emergency veterinarian in Walnut Creek, Encina Veterinary Hospital believes that each family should have an emergency plan in place, and that includes for our pets too. With some help from US Disaster Animal Response Team (DART), we’ve put together a list for supplies to be kept in a pet emergency pack.

You can also purchase a pre-assembled kit online as well by doing a simple search in Google. Also, feel free to give your veterinarian a call to see what he or she suggests you keeping in your kit, in addition to what we have listed below. Depending on your area, a heating blanket, tick twister, booties, poncho and more may be some of the things you should keep in your kit for your furry friends.

First Aid Kit and Emergency Pack for Cats and Dogs:
· conforming bandage (3″ x 5″)
· absorbent gauze pads (4″ x 4″)
· absorbent gauze roll (3″ x 1 yard)
· cotton tipped applicators (1 small box)
· antiseptic wipes (1 package)
· emollient cream (1 container)
· tweezers and scissors
· instant cold pack
· latex disposable gloves (several pairs)
· crates and leashes in an easy to access area
· 2 weeks worth of food and water stored in airtight containers
· 2 weeks worth of any medications your pet may be on
· toys and blanket that smell like home to comfort your pets
· photos of you and your pets together for identification purposes should you become separated
· copy of latest medical records
· hand sanitizer and liquid soap
· collapsible food and water bowls
· cat litter, pooper scooper and dog poop bags
· properly fitted muzzles (a disaster is stressful and a dog may decide to bite for the first time)
· a bag, suitcase or box to store all of the above in for an easy grab-n-go should an emergency arise

ASPCA also offers a free pet safety pack you can order here: Free Pet Safety Pack via ASPCA

As always, we are open 24 hours, 7 days a week for your pet emergency and urgent care needs. Give us a call anytime: (925) 937-5000

Parvovirus in Dogs

Parvovirus is a virus that is found in all environments and all seasons (survives in the environment for more than 7 months) that affects dogs. People and cats are not infected by parvovirus (cats are affected by a similar virus known as distemper). Unvaccinated and partially vaccinated puppies (younger than 8 months old) and unvaccinated adult dogs are most susceptible to the devastating parvovirus infections. A puppy may get infected when his/her mouth comes in contact with the virus in feces, contaminated soil, or other materials that are infected with this virus, which commonly happens on a simple walk.

Most common exposure to parvovirus ocacurs in dog parks, grassy reas, and overcrowded housing situations. Once ingested, the incubation period (time between exposure and clinical signs) is 3-14 days. The factors that determine whether a puppy will get sick from their exposure to parvovirus can vary and may include: the amount of exposure to the virus, the number of vaccines, and the overall health at time of exposure (ex. stressed animals and those housed in crowded areas are more likely to become sick after exposure). Once infected, these animal shed (release) a HUGE amount of the virus in their feces, saliva and vomit, which other dogs may get sick from. Dogs that survive this infection can continue to shed (release) the virus for 2-3 weeks. Since the virus is built to be hardy, it is resistant to many household cleaning agents and can be difficult to eradicate (10% bleach is recommended for cleanup). Any dog can get parvovirus but some breeds are highly susceptible including Doberman pinschers, rottweilers, pit bulls, German shepherds and dachshund breeds.

Vaccination is the single most important preventative effort. Puppies should be vaccinated against parvovirus (with DHPP vaccine) starting at 8 weeks of age and should receive the DHPP vaccine every 3-4 weeks until they are 12 weeks of age to be considered vaccinated. Puppies that have not received the full vaccination series should not be allowed to go to dog parks, play on grass, and frequent areas where unvaccinated dogs may be present (including walks in the neighborhood). Puppy classes pose little risk to other participating puppies as long as they have had at least one vaccine, are healthy and are not showing clinical signs of parvovirus infection. Please be sure to check with the facility your puppy may be attending puppy classes at for more information on how they prevent the spread of parvo. If you suspect that your puppy has symptoms consistent with parvovirus or may have been exposed, you should bring him/her into Encina Veterinary Hospital for testing.

Parvovirus destroys the lining of the small intestine and depletes the body of white blood cells that are needed to fight infection. In very young puppies parvovirus can cause permanent damage to the muscles of the heart. The virus acts on the lining of the small intestine and causes it to be sloughed off, which allows blood and liquids to leave the body and bacteria from the gut to enter the body. For this reason the most common symptom of the parvovirus infection is bloody, foul smelling liquid diarrhea. Other clinical signs include lethargy/decreased activity, loss of appetite, and vomiting. Severely ill animals can develop severe dehydration, sepsis, shock and death. If animals are housed together they can develop these symptoms within a couple days of one another. Once symptoms occur these pets should be separated and presented to a veterinarian for diagnostics and treatment.

A quick fecal test can be performed at the veterinary clinic to confirm this infection. Bloodwork is necessary to determine the white blood cell count and overall health status. These test are very important as they help guide the overall treatment plan. Fecal sample may be sent out to the laboratory for analysis as young puppies can be concurrently infected with parasites such as worms and giardia, which should also be treated.

Treatment for parvovirus infection should be performed as soon as diagnosed and in a veterinary hospital such as Encina Veterinary Hospital. Treatment involves intravenous fluids for rehydration, antibiotics, pain medication, anti-emetic, and correction of electrolyte or blood sugar imbalances. While in the hospital, patients will also be monitored for low blood pressure and low and/or high temperatures.
Severely affected animals such as those in shock or septic will require longer and more involved treatments. Puppies and adult dogs that are treated for parvovirus in a veterinary hospital will be placed in an isolation ward as they are contagious to other unvaccinated dogs. Because parvovirus is such an aggressive virus and highly contagious, dogs who are positive for parvo are often isolated from non-infected dogs.

With the appropriate treatment led by a veterinarian, parvo can be beat and your dog can live a healthy life. However, it’s important to know that the response to treatment plays a huge role in the chances a dog has at beating parvo. Without appropriate treatment as soon as clinical signs are noted, the chances of survival decrease. In untreated animals, severe illness most often results in death.

If you feel your dog may have been exposed to the parvovirus and is now positive, please give us a call immediately: (925) 937-5000

Maryam O’Hara 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.

SUNBLOCK:
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:
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

Meet “Bernie”: 4 Week Old Kitten Survives Fire

   You may have heard that on May 23rd, 2012 there was a devastating fire in Bethel Island (click here for news story) that burned down two homes. What you didn’t hear about were the colonies of feral cats who lost their homes and lives that night.

   The night of the fire, this little 4 week old kitten was brought to us on emergency by a neighbor of the fire struck area. At the time, he was named “Amazing Grace” because of his miraculous survival among the feral cat colonies. The woman who brought us to him told us the story of how he had a sibling a mother that often were found nesting together under a car. The woman believes that once the flames started, the mother kitten could only carry one kitten to safety; sadly it wasn’t this guy. He crawled out from under a car on his own while flames chased him and ended up pinned next to a fence where the kind woman came and rescued him. By then, “Amazing Grace” was in critical condition facing issues such as severely burned paw pads, whiskers burned off, eye irritation, melted fur, small burned patches and smoke in his lungs.


   Our registered veterinary technician, Barbara, was working the night “Amazing Grace” came in. The woman who rescued him from the flames was unable to keep him herself but she wanted to be sure he got the best of care, which is why she drove from Bethel Island all the way to us, in Walnut Creek. Barbara decided right then and there that she would take responsibility of the kitten and find him a furever home as soon as he recovered.

   Due to Barbara’s kindness, “Amazing Grace” (now “Bernie”) will heal and spend the rest of his life in a home where he is loved and will no longer need to sleep under cars and escape roaring flames. We would like to help Barbara and her dedication to saving animals in need, even when she isn’t sure how she is going to do it. Please help us, help Barbara, help Bernie, by making a small contribution towards his ongoing care at Encina Veterinary Hospital:


encinavet.chipin.com

    The best part is that Bernie has nuzzled his way into the heart of one of our other Registered Veterinary Technicians, Nicole, and has found his furever home already!


Bernie as of Tuesday May 29th, 2012
(you may notice that his pupils are large; that is due to the pain medication he is on because his paw pads are burned so badly that they constantly hurt, even with burn cream applied and wrapped)

ARF’s Annual “Animals on Broadway” 2012

This year, we had the amazing opportunity to be apart of ARF’s Annual “Animals on Broadway” 2012. ARF has been rescuing and rehoming animals since 1991 — over 20 years! With them being located less than a mile a way from us, it’s easy for us to see the amazing work they do. We often have clients tell us they rescued their pet from ARF and are SO happy! Their pets have been through extensive training, behavior and socialization to help ensure that the pet will work out great with their new family.

We were lucky enough to be part of the wellness fair portion where we hosted the “Ask the Vet” booth with Dr. Cindi Hillemeyer and Dr. Meredith Stepita.

We had TONS of prizes to raffle off!

The place was packed with people out to enjoy the beautiful weather while helping an amazing cause



ARF volunteers were everywhere and helping with everything!

We saw some interesting pets — here are two dogs owned by a groomer in Orinda who safely paints dogs! Can you see what these two masterpeices are meant to be?

While we had an amazing time and enjoyed meeting everyone, we were exhausted at the end of the day!

Thank you to ARF for allowing us to be such a huge part of Annual “Animals on Broadway” 2012, we had a blast and hope to do it again!

For more information on ARF’s Annual “Animals on Broadway” Fundraising Pet Walk, click here.

Anesthesia Free Dental Cleanings

    Dental care is extremely important for our pets. As one of the ICU technicians at Encina Veterinary Hospital, I have personally seen the painful aftereffects of non-anesthetic dental cleanings performed by individuals (feed or pet stores, groomers) and I felt compelled to write about it (as well as some pushing and shoving [read: strong encouragement] from our blogger, Christina!) Although I am not one of the dental technicians, my heart breaks when someone brings in their pet with a tooth root abscess, or some other damage inflicted by an individual who “cleaned” their beloved pet’s teeth.

    Here at Encina Veterinary Hospital we recommend dental cleanings to our patients which require full anesthesia so that our Doctors and Technicians can do a safe and thorough job of fully examining, evaluating, cleaning and polishing your pet’s teeth. There are many places out there now that advertise non-anesthetic dental cleanings for very little money, who also convince/put the fear in pet owners that this is a safer technique than general anesthesia cleanings performed by licensed professionals like registered veterinary assistants and veterinarians. The problem lies in the fact that they may not be cleaning and polishing all the teeth properly. If teeth aren’t polished after scaling, bacteria can work its way deeper into the tooth cavity and create abscesses and many more (expensive) problems. It may seem like an easy and inexpensive alternative, but if not done correctly can be both expensive to your wallet, painful to your pet and even deadly.

    I know I have enough trouble trying to brush my dog’s teeth on the outside, never mind getting in all those nooks and crannies on the inside! And she certainly wouldn’t allow me to spend time scraping tartar off any of her back teeth and then polishing out the microscratches that the scraping leaves behind. The California Veterinary Medical Association (CVMA) opposed a bill (AB 2304) recently which would allow unlicensed individuals to scale pet’s teeth as long as it is with an unmotorized instrument without veterinary supervision. There are companies and websites out there touting the benefits of non-anesthetic cleaning, which are ill informed and send the wrong message to owners. They leave owners scared of veterinarians and general anesthesia, while subjecting your pets to harmful and scary improper dental cleanings. While cleanings here Encina Vet Hospital may be more expensive than the “cleanings” at your groomers, we have your pet’s best health and care in mind; we always treat your pets as if they are our own and we don’t lie to our clients to make a buck. Aren’t your pets worth doing what is right for them?

– Meg Davies, RVT


Here is an excerpt from Dr. Jill Christofferson’s advice article in the Contra Costa Times regarding anesthesia free dental cleanings:

When an animal is anesthetized, the area under the gum line can be properly cleaned using ultrasonic or sonic instruments and any pockets can be assessed and treated properly. The teeth are then polished. Dental X-rays and oral surgery can also be performed when needed. Many pet owners are frightened by anesthesia and think that having the teeth cleaned without it will be safer for their pet.

Anesthetic deaths do occur, and almost every veterinarian can tell of a death that occurred under their care. These deaths are rare, however, and the anesthetic agents currently used in veterinary medicine are considered very safe.

Animals who have had their teeth scaled without anesthesia can suffer from cuts to the gums, bruising of the skin due to excessive restraint, neck injuries, and even jaw fractures. I have known a few dogs who have had expensive and even life-threatening illnesses as a result of having their teeth cleaned in this manner.

The law in California states that performing dentistry on an animal constitutes the practice of veterinary medicine and needs to be done under the supervision of a veterinarian. The people performing anesthesia-free dental cleanings are not state-licensed or regulated and rarely work under a veterinarian’s supervision.

– Dr. Jill Christofferson

Pet Insurance 101

As you may know, we’re BIG fans of pet insurance here at Encina, but we’re the biggest fan of Trupanion. We make it a point to talk about pet insurance with every person who comes through the door because we know how hard it can be to come up with a large lump sum of money to treat, care or even save the life of your pet, and we don’t want anyone to not be able to help their beloved furkid.

Here’s why we love Trupanion and what you should know:

Trupanion allows you to choose how much you would like to pay a month and how much of a deductible you would like.
     Example: Sally finds it easier to pay $56/month for her dog Rover, and has a deductible of $250 while John finds it harder for month to month payments so his monthly payment is only $35 with a deductible of $750.

Trupanion pays up to 90% of the bill back to you
     Here is a real claim from Trupanion:

Harmony the 5-year-old mixed-breed dog recently experienced some serious health complications. She was rushed to the emergency vet for lymphocytic/plasmacytic gastroenteritis, which is a form of inflammatory bowel disease (IBD). Secondary issues with this condition were septicemia and bacterimia which are conditions in which the bloodstream becomes infected by bacteria and can be life-threatening.

Harmony was at the clinic for 6 days receiving surgery, medications, fluids, and regular monitoring. Harmony was released and we are wishing her a quick recovery.

Costs can quickly add up in an emergency situation as you will see below. It’s fortunate that Harmony’s owner had her insured so that she could take care of all the necessary veterinary treatment without cost concerns.

     Total claim amount: $12,216.99
     Deductible applied: $500.00
     Exam fees: -$149.00
     10% co-insurance: -$1159.80
     Trupanion repaid: $10,411.19

Trupanion allows you to add on extra services
     Reward for a lost pet, boarding for your pet should you be hospitalized, acupuncture, physical therapy, feline kidney transplants and more are available through Trupanion

NO LIMITS!!!
     Other pet insurances may give you a yearly or lifetime limit of how much they will pay out, but Trupanion doesn’t! If you’re unlucky enough to have a dog who eats everything or a cat with a chronic illness, you may find that other pet insurances will say, “ok we’ll cover you but only up until we have spent $5000; after that, you’re on your own!” but that is not the case with Trupanion.

In the end, we feel that Trupanion is a simple plan that gives you the ability to customize it to your financial needs and your pet’s medical needs as well. We like the flexibility they give customers and we love that 90% coverage! If you’re interested in more information, be sure to let us know next time you are in.

CClick the image to see the larger version!
Pet Insurance 101
Pet Insurance 101 graphic created by Trupanion.

A Thousand Thanks from New Mexico

Back in July of 2011, we received a phone call from a gentleman named Kyle who was looking to schedule an appointment for a rhinoscopy for his pooch. Everything seemed fine until he explained to us he is currently in New Mexico and lives there as well. Kyle was doing some online research on what could have been causing his pooch, Oakum, to sneeze excessively, when he came across a previous blog entry of ours on a patient named Ice Bear who had a foxtail or two lodged in his lungs. This story prompted Kyle to give us a call and schedule an appointment with our Board Certified Veterinary Surgeon Specialist, Dr. Carl Koehler to help figure out what was going on with his beloved dog, Oakum.

Below you will find the detailed recount of events that Kyle went through as a pet owner with a pet in distress; the moment of panic, the numerous veterinarians and the lengths we as pet owners go to for our pets.

    As we all know, our lives change day-to-day, and often are not even remotely predictable. Events occur in an instant that can completely alter the course and thrust the most well meaning and responsible travelers on that familiar road into a fork, and an unmarked one at that. Life doesn’t come with an ‘‘instruction manual’’, and choices have to be made daily, hourly, minutely, and even second by second. Any one choice can be the wrong choice, and the devil of it is, you almost never find out until it’s too late to select ‘‘reverse’’.

    Living with an animal companion can be a very worthwhile and rewarding experience. Unfortunately, every reward carries it’s own distinct and definite risk. Illness is a very powerful force against those of us who have the fortune to be alive, and just because we love someone or something very much, doesn’t always protect the subject of our respect and our well-wishes. Love can help a great deal, but modern medicine is the only real foe for illness. The claws of medicine are instruments, it’s gaze is one of knowledge. The skill and strategy of medicine lies in the learned, and articulation and agility is empowered and enforced by scholars. To have all four in one place is certainly remarkable, and that is exactly what I found at Encina Veterinary Hospital. I traveled over a thousand miles to challenge my expectations, and when I arrived, I found them distinctly defined, and most certainly exceeded. Quantity is almost never an acceptable substitute for quality, whether it is in a book or a play, in a relationship, or even with veterinarians, quality pays for itself.

    My limits of attention were tested one evening, as I went into the backyard to work on one of my many projects. My dog followed me outside into the yard with which I share with a neighbor, and although I had asked her to keep the gate latched and shut, one way or the other it was left open by mistake, and my dog quickly exited to her delight, as to prowl and ponder the neighbors bushes and lawn. It couldn’t have been more then a minute from when I walked outside and from when I decided that it would be a good idea to check that the yard was secure and everything was OK before I set to continue construction on my home air purifier project. I let the dog out several times a day, and I try to always check that the yard is secure, but it is easier said then done, because the yard is long and the gate is around a blind corner. The dog has gotten out before, for this very same reason, so I was well aware of the danger of the risk of my neighbor leaving the gate unlatched. I had drawn up plans for a supplementary positive latch for the gate, but soon became conditioned after finding the gate closed several hundred times in a row.

    I found the dog right outside, about 20 feet from the gate, and I was quite relieved that I had found her quickly. As I got closer however, something was immediately apparent. My dog was sneezing quite violently, which is something I wasn’t accustomed to. My dog Oak was standing smack in the center of a Foxtail weed thicket, and as I looked closely, I could see that one of the crisp, lightly colored seeds had entered her little black nose. I told her to stop sneezing (a lot of good that did…) and attempted to prise the seed free with one of my fingernails. I have plenty of tools, and I even carry a select general few with me (knife, disposable lighter, ball point pen), but in the short seconds I had to attempt to fasten onto the seed and recover it, my attempts proved vain, and quite hampered by the fact that the animal was having a sneezing fit, and with each sneeze, the seed traveled further and further into the nose. A few sneezes later, it was too late, the seed had entirely disappeared into her nose, and I had to make a decision about what to do next. With my dog continuing to sneeze, I became on the verge of a panic. I figured that the seed could most certainly lodge in the throat of my dog and prevent breathing, (something that may have been entirely incorrect), and feeling totally helpless, I decided to seek assistance at the local emergency clinic. I called on the way to the clinic and was greeted coolly and not-quite-so cordially. Upon arrival, I found only that my helplessness was furthered, after waiting 8 hours for my dog to be sedated and examined with only the short stub of an otoscope, which I could have likely produced myself in that amount of time, and with a far lesser charge. The clinic was dirty, it smelled bad, and the nurses assistant acted like she had gotten in to the medicine cabinet and gave herself a little ‘‘treatment’’. I didn’t have a good feeling, but I couldn’t just change the plan now and give up! Not surprisingly, no seed was located or recovered, and I found myself wondering what to do with the rest of my weekend. Over the course of the weekend my dog continued to sneeze, and so I brought her to my usual general veterinary practitioner. This time, we held Oak to a metal table and again the vet used an otoscope to observe the immediate area local to the opening of the nostril. With the same result of no seed being observed, I again began to wonder about what to do next, as the vet had instructed me to ‘‘wait and see what happens’’. Several days passed, and my dog continued to sneeze and choke, and she became more and more out of character, as she layed around and seemed to be in somewhat of an agony. In my spare time, I researched foxtail seeds and the prognosis. I found that generally, acute foxtail inhalation usually was treated as an emergency, and that it wasn’t so unusual for the seed to enter one of the lungs and cause pneumonia, or pass through the lungs into a blood vessel and end up in the heart or brain and cause death that way. The seed could of course just remain local, and cause infection to the sinus cavity, or it could be expelled or swallowed.

    I’m not the kind of person who just sits by idly, likes to be told what to do, or even does what other people think I should be doing! I just feel better making proactive decisions that change the course of my life the way I feel it should be going. I decided that I again would seek professional assistance to fight illness, and this time I would take the most decidedly extreme approach I could afford or even design. I find that usually if you throw everything you’ve got at a problem and give it your full attention, it has a tendency to wither and disappear, and quickly. I called Denver, Phoenix, Ft Collins, and Santa Fe. In addition, I called every clinic that anybody that had a recommendation had, and still I found that I was either treated queerly and coldly, I was never given a return call, or most importantly, the equipment to look inside of the nasal cavity was not available. I must have called over ten DVMs in all. The stand-out was Dr. Köhler at Encina. I found the clinic while researching. Not only did he actually call me back and took the time out of his busy schedule to answer every question I had (I had plenty), he recommended that I see somebody closer to New Mexico. That was the silver bullet. I knew that someone who would recommend another’s services instead of himself had indeed the character of true responsibility. I again called around Denver and was told that ‘‘no information can be given without an examination of the animal.’’ That’s a nice rule to follow, but rules aren’t always the most practical items.

    My friend helped me drive to make the appointment at 9:15 am in California. We left Albuquerque. at around 2pm and drove through the night to arrive at Encina Veterinary Hospital at 9:10 am. Driving is not the safest of tasks, and my friend and I took quite the risk doing it. If you have one problem, you will be stuck on the side of the road with a sick animal, possibly in severe desert heat. We had no major problems getting to the clinic, but that could have certainly been different. I did have mechanical trouble (wheel alignment) that prevented me from leaving San Fransisco immediately. So take this medicine with a pinched nose, and be sure to explore all the information you have before making a decision.

    Using fiber-optics, there was a determination made that irritation was most certainly present in the side of the nostril that I saw the seed enter. No seed was found however, which indicates that it had become mobile and exited the body or located itself in another part of the body. It could most definitely have been swallowed, and since the chest radiograms were clear, and Oak is no longer sneezing or showing any symptoms, I may never find the seed, and I hope I never do 🙂

A thousand thanks from New Mexico,
Kyle C.

Kyle has sent us an updated picture of Oakum and has shared with us that he has trained her to now respond to a hand-bell so she comes inside to a pleasant sound!

Pascal’s Thankful Thanksgiving

    Pascal is a very sweet Bedlington Terrier that has been a patient of mine since 2003. We diagnosed him with copper storage liver disease in 2003 and have treated him with medications and a prescription diet. Copper storage disease is when the liver begins to accumulate an abnormal amount of copper, which in the long run can cause liver cirrhosis and is actually common in Bedlington Terriers, Doberman Pinschers and Labrador Retrievers. Since his diagnosis, Pascal has done well and there has been no evidence that his copper storage liver disease has progressed.

    In late November, just before Thanksgiving, Pascal was rushed to us on an emergency. He was reported to have become acutely very sick and was vomiting, lethargic, and not wanting to eat. On physical examination, he appeared very depressed, dehydrated, had abdominal pain on palpation, and a fever. We hospitalized him and started intravenous fluids, pain medications, gastric protectants, and broad spectrum antibiotics, and of course took a blood sample to analyze to see what exactly was going on inside of Pascal.

    Once his blood work came back, it showed us an elevation of liver enzymes and an elevated white blood cell count. We then preformed an abdominal ultrasound on Pascal which showed one abnormal liver lobe and free fluid in the abdomen. A sample of fluid was taken from his abdomen and after looking at it under the microscope; we saw that it showed evidence of a bacterial infection. Based on these findings, our primary differential was a liver abscess.

    Liver abscesses are rare in dogs. Some potential causes are sepsis (bacterial infection in the blood), trauma to the liver, and diabetes mellitus. Pascal did not appear to have any of these underlying causes. It is possible that his copper storage liver disease predisposed him to a liver abscess but this has never been reported.

    I discussed with Pascal’s owner that this is a very serious condition and without surgical removal of the abscessed portion of his liver, Pascal might die. Pascal’s owners elected to pursue surgery and we were able to isolate the section of the liver that was abscessed (the left medial liver lobe) and remove it successfully. We flushed his abdomen cavity with warm saline (salt water) to remove residual infection that had spread throughout his abdomen.

    Pascal has recovered well from surgery and it is great to see him back to his normal activities. You would never know that just a few months ago Pascal was deathly ill and had major surgery!

                                      Written by Dr. Peter Nurre, DVM, Dipl. ACVIM

Pascal’s owner Judy had some beautiful words for Dr. Nurre that we would like to share with you:

Dear Dr. Nurre,

   I sat down to write you a “thank you” note and I’m finding it very difficult to say what I feel. I don’t have the words to express how much Pascal means to me and then I realized that it’s okay because I think you know.

   Thinking and thinking and thinking – how can I possibly convey the flood of gratitude I feel for your incredibly generous offer to save Pascal’s life. You are in every way extraordinary special; both as a person and as a doctor!

   I normally don’t consider myself to be a lucky person but whenever I think about November of 2011, that’s the word that comes to me – lucky! I’m the luckiest person in the world to have miraculously had the good fortune to have Pascal in your care. This was a thanksgiving I will always remember. We will forever be thankful to you!

   I very best thing I could ever wish for you is that should you ever find yourself in the worst of situations, as I was, one that seems hopeless – the best thing that could happen to you is for there to be someone just like yourself, right there for you, like you were for us!

   The words “thank you” don’t even begin to come close to how grateful we are, but please except them and know that they mean infinitely, so much more.

               Wishing you the very best!
                      Judy and Pascal