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Pyrothechnophobia---------Fear of Fireworks

6/26/2014

 
July 4th is coming. Does your dog have a fear of Thunder or Fireworks? Those are the most commonly diagnosed phobias in our canine patients. The other common fears are Separation, Stairs, Car rides, Men, Children, Objects (i.e. vacuum), Strangers..................and.....................Veterinarians. The fear of Thunder & Lightning has several names......astraphobia, brontophobia, keraunophobia, or tonitrophobia.

We'll focus on the first 2 phobias right now. These signs usually show up between 6 and 18 months, and there are different reasons why a dog might "all of a sudden" become afraid. My Border Collie, Gumby, wasn't afraid of Thunderstorms until we were living in Las Vegas when he was about 3 years old. We had one of those "Doggie Doors" that inserted into the sliding glass door frame. in 1988, in Henderson, NV on the southeast side of Vegas, a rocket fuel plant exploded and blew his door into the living room......and windows out around the city.  I was working at the time. (come to think of it, in Vegas I was always working)    He was afraid of storms since then..........imagine that. It seems like that our dog Cricket ran off during the 4th of July for a few years.

Some of our patients simply pace and pant and whine, but some patients can get very violent and try to escape. They can do damage to floors, doors, sheetrock, themselves, etc. Sometimes a dog is more calm in its crate, but they can sometimes do a lot of self injury if the fear is great enough and they feel trapped. Some of our patients that had to experience Tornadoes in recent years haven't recovered.

Once they have the fear, it can be difficult to make it completely go away. We attempt to do counterconditioning with phobias by starting with very low levels of what the dog is afraid of while giving them something "fun to do" like eat, get petted, play with a toy, etc. We also praise them when they do not act scared. If you are afraid, your pet is more likely to be afraid as well. Try to remain calm and do your normal stuff, while thunder or fireworks are going on. Some experts feel that with thunder, it is more than just the noise that we have to duplicate, if we are going to try to condition them. The dogs probably notice the wind, lightning, rain, drop in barometric pressure, etc. in addition to the thunder.

What else can we do?   DRUGS!   I hate to have to admit it, but since it is hard to control and injuries can be bad, we resort to these more quickly. Because these cases can have bad consequences, we do what we can to keep our patients from this extreme anxiety. The two drugs that we used most frequently in the past were Valium and Ace Promazine, but we feel that Xanax and Prozac are working better. Now that these are generic, the prices are not bad at all, and these are non-sedating and longer lasting.  It is helpful if we can give the medication before the pet gets anxious. This isn't always possible, since dogs usually know the storm is coming before we do. Fireworks might be a little easier to plan for, and if there is a way to insulate or drown out the noises, it might lessen the problem. If they have a "safe haven" like a closet or crate or bed, let them go there.

There are herbal products that I have seen on the market, but I haven't heard wonderful stories about being consistently helpful. One product that does intrigue me is the Thunder Shirt. Since I heard about it and looked into them, we started carrying them at PETcetera. This is a product that helps by putting pressure along the torso, similar to a hug I guess. Babies seem to calm down a bit when Swaddled and Autistic people, who are very anxious by nature, are now being treated with Deep Touch Pressure, often with something called a Hug Machine. I have several clients that tell me how well their dogs do while wearing one. They make them for cats as well, but I don't know if I have a patient that has one.  There are indications that the Pheromones that are used to help pets remain calmer have a place in Phobia control. The more that your pet is socialized and exposed to the "outside world" when it is growing up, the less likely that these phobias will develop.........sorry, I should have started this BLOG years ago.


It is difficult for us to understand phobias that we don't have, whether in people or pets. We know that some people may fabricate or exaggerate their fears, but our pet's phobias are unfortunately real. Never, never, never, never, never, never (says Winston Churchill) punish your pet for their fears. They can't control their fears and that can make the problem worse. Try to be prepared for those periods when they might occur. Summer is a busy time for Thunderstorms and there is a pretty good chance we will be hearing Fireworks the week of the 4th.

Hug your pets for me!!

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HAPPY 4th of JULY!!!
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They really are afraid........Really!
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Rocket Fuel plant in Henderson, NV. This explosion is what gave Gumby his Thunderstorm Phobia.
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One version of a "Hug Machine" for Autistic children.
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ThunderShirt

End of Life Decisions

6/24/2014

 

As Pet owners, we are responsible for a lot of decisions affecting our pets. Those decisions come to a head when their life ends or is coming to an end. It only comes once in the life of that particular pet and we want to "get it right." One of my jobs is to help our clients and our patients through this most difficult time. We deal with this a lot more often than you do..... but that doesn't make it any easier for us.

If you don't care enough to really think these things through, odds are you aren't a client at Animal Care Hospital and you are definitely not reading this BLOG. Of course we have a wide variety of clients, and no client and no patient is the same. Assembly line care doesn't work for us. Everyone wants and needs something different during these times and we try to accommodate. 

Euthanasia from Greek language means "Good Death". Others define it as "Easy" or "Gentle" death. Our goal is to make the process as easy and pain free as possible, and that goes for both the patient and their owners. We use a solution of Pentobarbital that we feel is the best out there. The process is actually an overdose of an anesthetic, so all the patient feels is the needle stick. The brain is anesthetized immediately and the heart & lungs stop quickly, usually within 5 seconds. The more dehydrated the patient and the poorer the perfusion by the heart the longer it will take. Sometimes we will sedate the patient to make it even easier. We base this decision on how calm the patient is and what we feel is best for them and the owner. Some owners want to be present and some can't be. There are often times when one spouse will want to be present and the other not. It doesn't seem to make a difference if they are male or female, its just different for each person, and both ways are fine. We have a room where our clients can stay and visit before and after if they desire, for as long as they need. We have numerous clients that want and need the euthanasia to be done at home, and we do this quite often.

The decision about the remains is also very personal, so we again offer options. Some people don't want anything to do with the remains and that is fine. We take care of the bodies in our Crematorium. Very often our clients will want the ashes back, and we can certainly do that with our individual cremations. Some will order special urns or make their own to keep the ashes. For years, many people have buried their pets at home or in a special place. We certainly return remains to a lot of our clients. Many of my family pets are buried at our farm. I'm not sure where Cricket was buried, but I know exactly where Gumby is, and its where the cows walk by. I got Sydney's ashes back and they are buried under the concrete slab right where our new reception desk is, since she spent most of her time at the desk in our old hospital. Tucker loved my truck more than anything, so I let a lot of his ashes blow out of the back as I was driving around town and at the farm. There are a few Pet Cemeteries around that a few of our clients have utilized. Some of you may have driven past the Coon Dog Cemetery in Alabama. If you visit the Courtyard at our hospital you will see many memorial bricks that our clients have purchased. The proceeds go toward the Humane Society.

This is not an easy time and is often very emotional. The decision to euthanize is very difficult, but the decision to go forward with a treatment can be difficult as well. I understand how difficult it can be since I have been through it more than once. We all want what is best for our pets. We try to avoid, "I should have done this a week ago" syndrome. We try to make the best decision based on what we know at that time. There are times when I am certain that it is time, but to get more information for the owner, we will do some lab work or take some X-rays to confirm and make the decision, not easier, but more straight forward. Numerous times, I have talked to owners about a "Defining Moment". This is when we have been considering it for a while, but one more thing occurs and it helps us to make the decision that we have been contemplating and putting off. We can help you understand what is going on medically, but the final decision is by the one who knows the pet the best..... and that is you.

I just got through leading a Sunday School class on Human Euthanasia (or Mercy Killing or Death with Dignity). Its a controversial subject that I'm not sure about, but I have never been put in that very personal situation. I can imagine that people go through the same decision making process as my clients do. We try to do what we think the pet would want. Its my job to help the client understand what the pet may be experiencing and feeling and what the short term and long term effects will be. We discuss with the clients to try to remove our personal connection with the pet and focus on what is best for the pet alone. Then I tell them that its not possible to avoid those emotions. That bond between our clients and their pets is an Amazing thing that I am fortunate to experience every day.


Whenever I am helping a client decide on a treatment or surgery or euthanasia, I try to put myself in their place.................. What would I do? These are not my pets, but I do feel very responsible for each and every one.

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Sydney's Pawprint
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Tucker's Pawprint
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Cricket's Memorial Brick
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Memorial Bricks from the Glover family
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Heartworms

6/16/2014

 
Worms in the Heart? You’ve got to be kidding! If you think they are gross to think about, you should see them. They clog up the lung’s arteries that leave the heart and can get way out into the circulation. They are spread from dog to dog by the mosquito. When a mosquito takes a blood meal from an infected dog they can take in the microscopic babies (larvae) that are circulating in the blood stream. The larvae must go through a change in the salivary glands of the bug, then when the mosquito bites another dog (or even the same dog) these larvae continue to mature. The process after the larvae are “injected” into the dog until they are adults in the Heart takes about 6 months. It only takes one mosquito. I live inside and I still get bitten.

When the adults are in the heart they start to cause lots of signs. We see inflammation, increased heart size, fluid accumulation in the abdomen, lethargy, exercise intolerance, coughing, as well as death. Once the adults set up in the heart the damage to the heart valves, heart muscles and lungs begins. You’ve heard the old adage, that an Ounce of Prevention is Worth a Pound of Cure.” This is definitely the case with Heartworms (Dirofilaria Immitis). Our prevention first came out as a once daily pill that improved into a once daily chewable tablet. (Does anybody out there remember Filaribits?) It was wonderful when the first monthly pill came out and even better when it became chewable. Most all of the products now control more parasites than just heartworms.

Most of the preventions control the maturation of the heartworm by preventing the progression from the 4th larval stage to the 5th. It is important to remember that the medication does not stop the Heartworms when the mosquito bites the dog, but probably 2-3 months later. When someone tells us that we had a hard freeze and don’t have any mosquitoes around, they don’t realize that it’s the bite they got 3 months ago that is the problem. This is also the reason why we give the Heartworm Prevention all year long, especially in our area.

Is there actually resistance going on? Yes, the experts finally agreed. Some of the drug manufacturers initially tried to convince us that it was because our clients weren’t giving the medication properly. My argument was, why did my clients do it well for a decade then all of a sudden stop being able? Another problem I had with their hypothesis was that it was only happening from Dyersburg down through the Delta and into Louisiana. Sort of hurt my feelings that they blamed us dumb southerners for the problem. When the resistance started, my Associate Stephanie Wardlaw was taking care of all of the dogs' Heartworm Prevention in her husband's Training Kennel. She was in charge of giving the medication every month, so when some of the dogs came down with Heartworms and the company said that it was probably due to insufficient dosing, Dr. Wardlaw was NONE TOO HAPPY with the blame placed on her by the manufacturer. Plus, she isn't a dumb Southerner, she went to Vet School up north in Minnesota. She practices in Paris now................ Paris, TN.

It was very frustrating for us, as veterinarians, to go into an exam room with someone, who had depended on us and purchased medication from us, to tell them their dog was Heartworm Positive because the medicine failed to work. All of the monthly oral products have had failures. Some of the Drug Companies backed up their guarantee, but some were hard to deal with. We no longer carry their product. The percentages of product failures weren’t high, but percentages don’t matter when it’s your dog……. Or MY patient!

What do we do now? We still carry a monthly oral product that is backed up by its manufacturer, but we actually recommend 2 other products that have not had problems. Advantage Multi is a monthly topical medication that controls intestinal worms and fleas in addition to Heartworms. We have had great success with this product in a lot of different ways. ProHeart is an injectable that is given every 6 months that also controls Hookworms. I have been pleased with how well this works and clients love the convenience of just coming in every 6 months to get a quick injection. These 2 products have a different active ingredient than the other oral products, but more importantly the drug stays in the system a lot longer than the others.

I had a client that had several dogs that she had acquired a prevention from the internet. She gave it religiously, but over half of her dogs ended up being positive. She decided to have them tested since one of her dogs actually died from Heartworm Disease that had been on continual treatment every month.

The treatment of dogs with adult heartworms is variable. I tell my staff that every patient is different from many standpoints, and treatment decisions are based on many different variables. Some are treated with a series of injections while some are treated with a specific Prevention. There is a relatively new addition to the treatment regimen that the experts feel helps out. The patients are put on a particular antibiotic that attacks a bacteria (Wolbachia) that lives in the adult heartworm. Since that bacteria is beneficial to the heartworm, when it is killed the adult heartworm is weakened. This is given during the treatment and studies show, that improves efficacy and reduces reactions.

Take Home message:

Start your puppies early, use a prevention that you can remember to administer, make sure that your dog is tested to catch the infection early and give all year long.





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A dog's heart that is FULL of adult Heartworms.
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This dog is NOT pregnant. The abdomen is full of fluid because the heart isn't functioning properly. This is all secondary to Heartworm Disease.

A Typical Sunday morning at the White house

6/2/2014

 
Sunday morning started not much differently than most mornings. I did sleep a little later than normal after Caroline crawled into bed with us about 4:15. I stayed in until almost 5. As I looked out back I noticed that things were going to get a little busier... I trapped that Raccoon! It had been eating our Cat food for a while, but it had started to get greedy.  It had begun pulling the Rubbermaid container full of food off the table and Friday night was finally able to manipulate the Locking handle and get the lid off. That was the last straw, because we all know how expensive cat food is. I loaded up the trapped varmint and headed to the farm. I really needed to get back home quickly to work a little more on my lesson for that morning.

A TRAIN!!! A very long, very slow train was crossing Sorrell's Chapel. I did take the opportunity to let the Coon out of the trap at the crossing while I was waiting. It never looked back once he regained his freedom and headed down a tree line next to a cotton field. After the train had FINALLY passed, I continued to the farm. There was a calf that we couldn't find Saturday and we were guessing that it was in the Hay field. I found the mother, but she didn't seem too worried. It didn't look like she had been nursed. I didn't have enough time to look, plus driving thru the hay field gives a great possibility to run over a newborn nestled in the deep grass. These are the times that I miss having a ridable horse and a dog to help. You can see much better on top of a horse and a horse won't step on a calf. If the mother cow sees a dog, she is more likely to let us know where she bedded down her calf.  Ava isn't up to the task yet.

The calf would have to wait. Too much to do back at the house.

Have you ever seen the mess that a trapped coon makes? Its horrible. Plus the racoon carries a type of roundworm that can cause serious illness in humans. Its called Baylisascaris... that's why we just call it the Racoon Roundworm instead.  I had to clean up the mess before Ava beat me to it.  The kids didn't get a very fancy breakfast, but they were happy since they got to watch cartoons while they ate. Unfortunately all 5 of my kids have what Amy calls the "Stare Gene". They get really focused on something; such as the TV or any person that happens to be eating at the same restaurant, and can't hear or see anything else. By the way, I have the same affliction. Amy & I took turns getting them ready and things were on schedule until we had a minor malfunction with Ellen's dress. I dealt with the dress issue while Amy curled Caroline's hair.... Done!! We should make it on time. Whoops, we had taken the car seats out the night before to haul adult  people to Jackson...its always something.

We had to drive separately, since I had to stay after to rehearse for a Vacation Bible School Skit. As I was approaching the bottom of Lake Road I noticed that Amy had pulled over into a convenient store parking lot. I figured it was a seatbelt issue and I saw her pulling out. Then she pulled into the Catholic Church?? She hadn't informed me that we had converted, but I followed her into the alley anyway. She said, "Its a little Agnes!" Then I saw a little Calico kitten running out from under a truck with the Mockingbirds chasing after her. She ran into the hedge alongside the church and I couldn't find her. She looked to be about 8-10 weeks old and had that "wild" look.

Well we made it to church, a bit late. Caroline was very sad.... She wanted that Kitten.... and so did Amy. We made the loop again before going to Mother's house to see if we could locate her and then again after lunch on the way back home. Up & down Charles and Egbert Streets. I bet you didn't know Dyersburg had an Egbert Street... Its actually an alley, or The Alley, as we called it growing up in that neighborhood. No luck seeing the kitten.

Another busy morning able to relocate a pesky coon, looking for a calf that Bobby found later that morning and hunting for a little kitten. If anyone around the Catholic church area sees a little stray calico, let us know. Hopefully she belongs to someone and made it back home, safe from the Mockingbirds and Chevrolets. As most of you know; Coons, Cows, Cats & Kids will sometimes alter you schedule.
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All 3 are focused on the TV.... It really doesn't matter what is on. The family member that you can't see is Ava who is strategically located under Ellen's chair.

    Author

    Pierce White is a Veterinarian at the Animal Care Hospital in Dyersburg, TN. 1986 University of Tennessee Graduate.

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