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Medicine versus Mom

How Far Would You Go For Your Pet’s Health?

While working at the veterinary hospital, I had the pleasure of meeting many pets and pet parents.
To provide the most appropriate treatments for people and their pets, we needed to have a good idea of how aggressive (or not) they wanted to be with any given treatment or diagnosis. If I had to draw up a scale it would be from 1 to 10:
1- being a “do nothing client”
10 – being a “do everything”
I know this may sound harsh, but I couldn’t think of a better way to describe a 1. “Do nothing clients” were few and far between. However, we did run into a few. These clients typically brought their pet in, but didn’t want to move forward with any treatments or procedures, or have conversations about potential options. Now it may seem easy to quickly judge these people. How can they just do nothing? That’s ridiculous! Why even bring in their pet?
However, in some cases, it was simply a lack of communication. Either they were facing severe constraints, or there was something about the diagnosis and treatment they didn’t understand. Once they started to communicate with us their situation and what they wished they could do for their pet, we were able to make a better treatment plan.
My point is that the question is not simply, “How Far Would You Go For Your Pet’s Health?”, but rather a series of questions that can be addressed separately:

How Far Can You Go For Your Pet’s Health?

To provide people with the right health care for their pet, we had to understand the constraints they faced as pet parents. These were some of the common constraints I saw people face:

  • Finances: More often than not, the ability of a pet parent to give their pet the excellent care that they need is constrained by their financial situation. For this reason, we always provided estimates for clients before we moved forward with procedures. We also broke down the estimates into “must have items” and “ideal items”. For example, there would usually be 2-3 treatments that were absolutely necessary to diagnose and treat a pet. Then there were treatments that would provide the veterinarian with a more comprehensive view of the pet’s health and might contribute to your pet recovering much faster, but could be saved for another time to avoid costs that day.
  • Time: Long-term treatments and surgeries may take a lot of additional time. For example, I had a few patients in the past that benefited from acupuncture. Although acupuncture made a huge difference in the pet’s mobility, the appointments were at least an hour long every 4 weeks. When people are pet parents all by themselves, this may not be a time commitment they are willing, or able, to make. Additionally, there are specialty treatments that often require significant travel, which may not be possible for a client’s schedule.
  • Resources: Sometimes people are the only pet parent. Perhaps they are a single parent raising a family that includes a dog. Other times it’s just them and their pet at home. Often, not only does this play into financial constraints, but their schedule may not have the flexibility to bring their pet in for regular or frequent treatments, which may affect their pet’s health plan.
It’s important to know that as a veterinary staff we were very aware of these constraints and challenges that warrant conservative veterinary care. Not to mention, we often faced them ourselves. Therefore, don’t feel judged.
I have heard from many pet parents on several separate occasions that they felt like they were judged by the veterinary staff for not adding the extra test or taking additional steps. I certainly can’t speak for veterinary staffs around the world, but what I can say is that we often know when you are trying your best.

How Far Do You Think You Can Go For Your Pet’s Health? 

Sometimes pet parents come to conclusions based on lack of information. For example, some pet parent don’t realize that epilepsy is a disease that doesn’t stop pets from living long healthy lives. So they see their pet have a seizure, and they assume it’s the beginning of their pet’s deteriorating health. In a more extreme example, some pet parents might think that a brain tumor isn’t treatable. However, some brain tumors can be treated by a veterinary neurologist (which is a job many people don’t know exists).
My point is that it may seem like people don’t want to go as far as you would for their pet, but sometimes they are unaware of the treatments and specialty care that is available. If they are interested, it’s our job as veterinary professionals (in my case a former professional) to steer them in the right direction.

How Far Do You Want to Go for Your Pet’s Health?

If you want to do everything you can for your pet’s health, but find yourself facing constraints, here are a few things you can do to allow yourself to do more for your pet’s health:
1) Purchase Pet Insurance: I have spoken of pet insurance before, and I will probably continue to speak of it for a long time. We have it for Rooney, and I can’t tell you how much of a difference it has made in our ability to provide him with every necessary treatment. For example, when he slipped a disc in his back in June 2014, we didn’t have any extra money to spend, but we were looking at an overnight stay at the ER and a neurology consult. Thankfully, our Trupanion pet insurance covered 90% above our exam fees and deductible, saving us $1,000 in debt.
2) Be Proactive: While your pet may be diagnosed with a series of things your can’t predict or protect them from, you can take a proactive approach to their health.  Each walk, each day your brush their teeth, and each veterinary visit may seem isolated, but all of these actions are providing your pet with improved health. Not to mention, preventing diseases that will cost you money in the future. Here are just a few examples:
Brushing Teeth on a regular basis can prevent your pet from developing periodontal disease. Treating periodontal disease with dental surgery can cost upwards of $1500, and your pet may need multiple dentals over the course of their life.
Providing your pet with daily exercise can prevent diabetes, which requires years of ongoing treatment and medications.
No matter your situation, it is important that you communicate the answers to the above 3 questions to your veterinarian and their staff. Veterinarians have a wealth of information and a finite amount of time. The sooner you communicate your constraints, abilities, and goals, the more effective their treatment plan will be for your pet. Here is what my veterinarian knows about my family:
1) My family and I have financial constraints, but we have pet insurance for Rooney.
2) We are aware that specialty veterinary care exists and we are willing to pursue it.
3) We are willing to pursue every avenue and travel as far as possible for Rooney’s health. However, we face time constraints due to our full-time jobs and will need to see specialists with flexible hours (i.e. weekends).
Tell me, does your veterinarian know how far you are willing to go for your pet’s health?
medicine versus mom
For a Mom perspective on this topic, please visit my good friend Carol from Fidose of Reality.

How Buying Pet Food is Like Buying a Pair of Shoes

This post was originally published on 8/13/15 but was updated on 1/26/16 to include additional information. 

The second people find out that I am a former a veterinary technician, I start to receive questions about their pet’s health.

I never mind having these conversations. Heck, these conversations are the whole reason I write this blog in the first place.

That being said, the question that is always the hardest for me to answer is;

“What kind of food should I feed my pet?”. To me its the same as asking, “What kind of shoes should I buy?”.

Well, there are millions to choose from, and your have different needs, categories, brands, etc.

Trying to provide an answer and getting it right is very difficult.

As a matter of fact, I have known many veterinarians, and they all have different preferences and opinions on food. I bet you couldn’t get a room full of veterinarians to agree on a single food to fit your pet’s health and nutritional needs. This is why I think buying dog food is like buying a pair of shoes. Let me explain further:

1) It’s all based on the individual.

I don’t wear the same shoes as my friends or family members. Partially because I like to wear heels (I’m only 5’2” so I need some help in the height department), but also because my individual shoe needs and preferences are different than those around me. Just like buying shoes, the right food for your pet is 100% based on the individual needs of that pet. To attest to this, take a look at some multi-pet houses and you will see that even dogs in the same house get different food sometimes, simply because they have different needs.

2) There are so many different categories.

Shoes have lots of different categories.

Heels, Pumps, Wedges, Flats, Sandals, Sneakers, Boots, and the list goes on…

Similarly, there are many different categories, and schools of thought, regarding preferred pet food.

Large established brands, prescription food, grain-free, high protein, raw, and the list goes on…

In a recent interview with Petcurean’s Senior Nutritionist, Dr. Jennifer Adolphe, Ph.D., RD, we discussed some of the recent trends in the pet food industry. For example, I asked Dr. Adolphe to discuss what types of pets can benefit from a grain-free diet. She stated that while many pets can be on a diet that includes grains, if your pet exhibits the following symptoms:

  1. Paw licking
  2. Vomiting
  3. Diarrhea
  4. Itchy skin

…they may benefit from a grain-free diet. Dr. Adolphe went on to emphasize that grains are not bad for pets. However, if your pet exhibits adverse symptoms, then it might be time to consider an alternative diet.

Finding out what category best fits your pet requires research and conversations with your veterinarian.

How Buying Pet Food Is Like Buying a Pair of Shoes

3) There are different brands within each pet food category that are associated with quality.

When I buy shoes, the brand matters.

Why? Because I have had my feet torn apart by cheap flats, sandals and heels all too many times to not put some money and effort into finding the right shoe from the right brand.

The same can be said for pet food. Once you find the right category of food that works best for your pet. What brand do you buy? Similar to shoes, you get what you pay for.

Premium pet food is often more expensive because its better quality. If your pet has sensitivities, it will be worth the extra money to provide them with a high-quality food.

What if there are several types of premium brands? How do I choose which food is best in that situation?

I highly recommend researching all potential pet food brands. Specifically, look for protocols within the company that help to protect your pet. Ask yourself the following questions;

  1. Does the company take additional steps to ensure quality?
  2. What regulatory organizations are affiliated with the brand?
  3. What protocols are in place at the facilities to avoid contamination and recalls?
  4. Does the company hold themselves to particular standards?
  5. Where do they source their ingredients?

I feed Rooney Petcurean NOW Fresh Grain Free Adult Dog Food. Before switching to this food, I did some research. I know that Petcurean sources their ingredients from local farmers, and they have Dr. Adolphe there to research and maintain products. Additionally, Petcurean is a family owned business that focuses on quality over quantity, they are independently owned, so investors and shareholders don’t get a say in how the food is made, and they hold themselves to very strict standards.

While seeking out the best pet food is challenging, it will be worth it when you see your very happy and healthy dog living a full life!

So there is my analogy; Buying Pet Food is Like Buying a Pair of Shoes. Do you agree with me?

For Carol’s Mom perspective on how to determine the best food for your dog, please visit her at Fidose of Reality

medicine versus mom

FULL DISCLOSURE: My name is Rachel Sheppard, and I am addicted to buying shoes. I am also a Petcurean Blogger Advocate. I have been compensated in exchange for providing my opinion. However, My Kid Has Paws only discusses products I truly believe in. In fact, I feed Petcurean to Rooney every day. 

Veterinary Homeopathy: Does it really work?

What exactly is veterinary homeopathy? Well, it’s a type of veterinary medicine that stimulates the immune system and provides natural resistance to disease.

According to the FreeDictionary, Veterinary Homeopathy is defined as “A system for treating disease based on the administration of minute doses of a drug that in massive amounts produces symptoms in healthy individuals similar to those of the disease itself.”

Homeopathic remedies are diluted to produce different strengths and benefits. Specifically, the goal is to restore balance in the body by removing the energies that are blocking the body’s pathways and causing illness (Gerwitz). Veterinary homeopathy is often used to treat chronic diseases in pets. For example, according to the Academy of Veterinary Homeopathy, the following chronic diseases have been treated using homeopathic medicine and have produced successful results:

Skin Allergies, Ear Infections, Thyroid Disease, Epilepsy, Asthma, Diabetes, and Inflammatory Bowel Disease

However, homeopathy isn’t widely accepted in the veterinary community (MercolaPets). Some veterinarians feel that it is a complete waste of time while others become interested and pursue veterinary homeopathy fully. Because veterinary homeopathy isn’t mainstream, I have very little experience with the topic. Regarding the general concept of Eastern Medicine, I have been exposed to acupuncture, Chinese herbs, and the concept of energies. However, homeopathy never made it to the clinics or hospitals where I worked. My lack of personal experience doesn’t mean I am opposed or closed off to the idea. However, below are a few things to consider if you want to pursue homeopathic treatment options.

  1. Is Your Homeopathic Veterinarian Fully Invested?: If you are thinking about pursuing veterinary homeopathy as a treatment alternative, I highly recommend consulting with a veterinarian who has a strong background and belief in veterinary homeopathy. Because the concept is complex and based on the natural healing abilities of the body, I believe it’s important that any homeopathic veterinarian fully buys into the concept.
  2. Get Second Opinions: Because this style of treatment is new and controversial, feel free to get other opinions. While medicine and textbooks can provide us with tons of information, experience can provide us with other valuable lessons. For example, the question, “can veterinary homeopathy help my dog’s arthritis?”, is not specific enough. How old is your pet? Where is the arthritis? How long have they had it? Canine and feline anatomy are too complex to say that there is a one-size-fits-all solution to every ailment. Every veterinarian may approach your pet’s illness differently so feel free to ask lots of questions and benefit from each veterinarian’s personal experience.
  3. Don’t Branch Off On Your Own: While I am all for an empowered pet parent, I don’t think it’s wise to decide to treat your pet on your own. Despite my experience in the field, I wouldn’t do that, so I don’t encourage others to either. Veterinarians are highly educated and knowledgeable. If you haven’t found a veterinarian you can trust, I suggest looking for a new one. It is imperative that you trust your veterinarian enough not to branch out on your own when it comes to treatment. If you really want to pursue veterinary homeopathy and your current veterinarian doesn’t have the credentials, ask them for a referral to a homeopathic vet. Also, be sure that the lines of communication are open between your primary veterinarian and your homeopathic veterinarian to ensure your pet’s medical record is up to date at both practices.
  4. Keep Researching: Homeopathy is an evolving topic. As time goes on, there will be more research and more information. If this is something you want to pursue for your pets eventually, but today is not the day, keep researching! However, be wary of where you get your information. I highly recommend reading from peer-reviewed journals.

 

9 Things to Look for in a New Veterinarian


 

Homeopathy does provide some benefits versus other medicines. For example, the treatment is considered noninvasive, and each treatment is individualized (Gerwitz). If you are truly interested in consulting with a homeopathic veterinarian, I highly recommend you watch this video interview with Dr. Karen Becker and Dr. Richard Pitcairn to learn more:

My answer to the question, “Will this work for my pet?” is “it depends”. However, if your pet suffers from a chronic disease or condition and you feel that this is the next step to take for your pet, please read Carol from Fidose of Reality’s Mom Perspective to learn what you should do as a pet parent.

medicine versus mom

What Should You Do When You See a Stray Dog?

What should you do when you see a stray dog?

Stop, drop, and roll.

Just kidding, that’s for fires of course. However, like emergency or unexpected situations, spotting a stray dog can make many people freeze and panic. So, we need to establish a plan that is clear and easy to remember.

I have encountered this situation many times. Some of these instances have occurred while Rooney was with me, and others occurred while I was by myself. Some have occurred while I was driving, and other times I have been out for a run and vulnerable to the situation. In an effort to be helpful, I am going to describe my “tips & tricks” for several different types of situations you might encounter with a stray dog.

If you are driving:

I would love to say that I have never seen a dog on the road, but I have. In fact, a few months ago I saw a cow getting on the freeway. In an area where we have a high volume of cars, animals on the road could spell disaster. So these are the steps I recommend for handling this particular situation.

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What is Preventive Medicine and is it Appropriate for Your Pet?

Firstly, let’s define preventive veterinary medicine.

According to the Medical Dictionary, preventive medicine is the branch of medical study and practice aimed at preventing disease and promoting health.

I am a fan of preventive medicine in regards to both my health and the health of my dog. I believe that a combination of proactive and preventive efforts can add years to our lives. However, there are times where I draw the line for both of us, and I support other pet parents doing the same.

It is important to understand that you can be proactive as a pet parent without actual using medicine. For example, taking the time to brush your pet’s teeth will prevent dental disease in the future, but does not include the use of medicine. However, having an early dental procedure to keep your pet’s teeth healthy and prevent extractions is the use of preventive medicine.

There are many ways that you as a pet parent can be proactive without the use of medicine. Examples include:

  1. Maintain a Healthy Weight: Obesity can make your pet susceptible to so many other diseases and health complications. Maintaining a healthy weight and Body Condition Score can make the world of difference for your pet’s health long term.
  2. Brush Your Pet’s Teeth: As mentioned above, regular brushing of your pet’s teeth can prevent the progression of dental disease. Preventing the severity of dental disease can be integral to your pet’s overall health. Additionally, dental disease can be very expensive to treat, so regular brushing can also provide benefits to you financially.
  3. Feed High-Quality Food: Purchasing the right food for your pet can be challenging with so many options on the market. I highly recommend working with your veterinarian to determine the best high-quality food for your pet. Providing the right mix of nutrients for your pet can add quality years to their life.
  4. Keep Your Dog Groomed: Grooming isn’t always considered a part of your pet’s health, but it is important. Specifically, long unattended nails can cause dogs and cats to sustain injuries due to irregular gaits and posture.
  5. Don’t Skip Out on Annual Exams: My experience in veterinary medicine made it clear that annual exams were crucial to the health of pets. During these exams, we were able to answer pet parent questions and concerns in addition to thoroughly evaluating their pet’s health. I have said this before and will say it again, I have seen annual exams save lives, and they are important.
  6. Add Supplements: There are some excellent supplements available for pets these days. The most common in my experience include joint and digestive support, both of which are very important to your pet’s longevity. Work closely with your veterinarian, or ask about supplements at your next annual exam (see what I did there?).

I would define the above list as proactive medicine (if I was allowed to make up my own definitions). Pet parents can be very proactive by making sure their pet receives the care and guardianship provided above. However, preventive medicine includes some additional treatments in my opinion, and they are as follows:

  1. Flea & Tick Prevention: Not only are fleas annoying and gross, but your pet can also suffer from flea bite anemia and flea allergy due to a severe infestation. I once rescued a kitten who weighed only 2 pounds at 5 months of age and suffered greatly from flea bite anemia. To give you an idea; after 2 days of feeding and treatment, he was so weak from anemia that even a bath was exhausting for him. Ticks put your pets at risk for lyme disease, which can be lethal, so it is important to know if your pet’s activity exposes them to ticks. Working with your veterinarian to select the correct flea & tick prevention is important. I have seen animals have reactions to certain flea & tick products, so research and carefully watch your pet after application.
  2. Vaccination: It is so important that you keep your pets up to date on their vaccines. However, vaccine protocols can vary significantly from region to region, so I encourage you to research the norm for your area. You can even call local hospitals to research the different protocols. I strongly believe that vaccines are important, but I also believe that there are instances of over vaccination happening around the United States. Therefore, I suggest doing your research and making the right decision for you and your pet.
  3. Heartworm Prevention: Heartworm disease can be a huge threat to your pet’s health and longevity. Of course, the southeast region of the U.S. has a higher density of cases than many other areas, so prevention is more important there. The good news is that there are products on the market that combine flea and heartworm medication. One of these products is called Revolution, and it is my prevention of choice for Rooney.
  4. Bloodwork: At a certain age, bloodwork should be a standard part of your pet’s annual exam. Bloodwork gives your veterinarian a very detailed look at the quality and functionality of your pet’s internal health. Bloodwork is especially important if your pet is on long-term medications. I have Rooney’s bloodwork drawn every other year since he is still young. If we don’t see anything to be concerned about, at least his veterinarian has a baseline for all of his values.
  5. Urinalysis: This is especially important for cats. So many cats are prone to renal disease, and it’s important to catch the signs early. Additionally, certain long-term medications can affect kidney function. A preventive urinalysis can avoid long-term damage and add time and quality to your pet’s life.

In my opinion, preventive and proactive medicine is always appropriate for pets. However, certain aspects may be better suited. or more important, for your individual pet. The point in preventive medicine is to provide your pet with the best health outcome possible.

To read Carol’s Mom perspective, please visit her at Fidose of Reality.

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