Monday, April 1, 2013

New Years Resolutions

Resolutions to make with/for your pets…
1.       Eat Healthy/Get Fit.  It seems to be the most common resolution, to eat better, and exercise more.  Big changes in a short amount of time are not only difficult to maintain, but make us feel like horrible failures as we sit in front of the TV during the cold winter months, watching movie marathons on Lifetime, and eating cold pizza.  Small changes over time will be the easiest to stick to, and garner the biggest rewards in the long run.  Avoid feelings of deprivation; try to add something to your routine rather than take away-vow to drink more water, eat more fruits and vegetables, move a little more, and even sleep a little more.  If nothing else, your dog will thank you for a quick run around the block before dinner!  
2.    Learn Something New.  Some people say that you can’t teach an old dog new tricks, but I’m sure that Fido wouldn’t agree.  Take up a new hobby, or better yet, teach Fido some new tricks!  From basic obedience skills like “sit” and “stay”, to fun party tricks like “roll over”, “play dead”, and “fetch”, your pooch will enjoy the extra time together,  all while making your relationship stronger and healthier.  
3.   Manage Stress/Spend More Time with Family and Friends.  Some would argue that these two just don’t go together, but the whole idea is that sometimes less is more.  We are always on the go, and it can be easy to forget the simple pleasures of slowing down, and spending some quality time with our loved ones.  Statistics show that petting a dog or cat can lower blood pressure and cholesterol.  So why not offer your pet some extra belly rubs, all while reducing your own stress levels.
4.   Volunteer to Help Others.  Lending a helping hand, in whatever way possible, is a benefit to everyone.  The recipient of your good deeds will appreciate your efforts, you will have feel better having helped, and hopefully, others will follow your lead when the opportunity arises.  Find unique ways to share the love you have for your pets with others-go visiting together at nursing homes, find a pet-less neighbor who might enjoy a play date or a walk with your pet.  Even college kids miss the companionship of their pets they left at home-and may enjoy the occasional pet sitting job.  In addition to helping your fellow man, consider volunteering at a local shelter, rescue organization, or local dog park.  Even if you can’t adopt a pet, your help is needed to walk/socialize the animals, clean their environments, or donate food or monies for their care.  So remember to pay it forward!
5.    Have Regular Check-ups.  We have all been accustomed, if not totally obedient, to the required annual check ups.  As we grow older, they seem to be more numerous and frequent, but their intention is to ensure our health and well-being by catching any abnormalities at an early stage, and treating them, as well as continuing any good routines or practices that have allowed us to maintain our health so far. Remember, our pets are aging at an accelerated pace, and need these same considerations, to prolong and improve their health as they age.  Consider a regular exam for your pet as a valuable gift for both of you.

Parasite Control


Heartworm has been diagnosed in dogs in all 50 states. It is very common; it has a virtual 100% prevalence rate in unprotected dogs living in highly endemic areas. Heartworm (Dirofilaria Immitis), is transmitted by mosquitoes. The mosquito injects microscopic larvae, which grows into an adult worm six to eighteen inches long inside the heart of the affected dog.
The worms can cause mild symptoms, such as coughing, but with time, more severe symptoms such as congestive heart failure, weight loss, fluid build up in the abdomen, fainting spells, anemia, collapse, and death usually occur. Luckily, medication can prevent heartworm if given as directed. There are oral medications which need to be given monthly, and which also help protect against some intestinal parasites.
The American Heartworm Society says it is important to check all dogs annually y doing a blood test, even dogs that have been on preventative should be tested. Many people are not totally compliant about giving the medication on time, and no medication is perfect. If a dog has heartworms and it is given a dose of preventative, there can be a reaction that is detrimental to the dog, even deadly. Another important factor is the de-worming of intestinal parasites. At Popish Veterinary clinic we sell and recommend Interceptor. Interceptor, along with being a heartworm preventative, de-worms against the intestinal worms-

Roundworms, Hookworms, and Whipworms. These intestinal parasites are zoonotic, meaning they can spread to people as well. We need to keep our pets parasite free, not only for their health, but for ours as well.
Heartworms were once thought to be rare in cats. Now we know the incidence is anywhere from 10% to 50% of the canine rate. Heartworm disease in cats is different than in dogs. Cats usually test negative on the routine blood test done in the hospital, the worms are smaller and usually do not produce microfilaria which are like baby heartworms that circulate in the bloodstream. Veterinarians have to do different tests, sometimes more than one, to diagnose heartworms in cats. The symptoms in cats are different also. Cats usually have asthma signs or cough, even vomit. Cats can die acutely.
The treatment for adult heartworms in dogs is expensive and potentially harmful to the dog. This is why it is much better to prevent them in the first place. There is not a treatment for adult heartworms in cats. Many veterinarians are now recommending monthly heartworm preventative in cats also.

Fleas and Ticks are present in Wyoming but to a lesser degree than other states.  In general, the pet that is inside and goes out to play in the back yard or park tend not to have a flea or tick problem.  If flea and tick presence is in question at places outside the pets normal environment, then use of a flea and tick product may be indicated. 
Whatever the environment, pet owners should be aware and watchful for flea and tick presence.  There are diseases that are spread by fleas (Plague, Tapeworms) and ticks (Lyme disease, Rocky Mountain Spotted Fever).  Fleas and ticks need to bite your pet first for the flea and tick medication to work.  During this time the disease they carry can be transferred. 
Common treatments include "spot ons", sprays, and collars.  We recommend, and have had success with, the topical "spot on" treatment Frontline Plus.  Sprays are short term and the effectiveness of a collar along with it's unpleasant smell are something to consider. 
 

Pain Relief

Multi-Modal Approach
To
Pain Relief
 
Dogs and cats experience pain just like people.  The main cause is aging, but other reasons include trauma, obesity, high activity, and large breed issues.  Whatever the cause, we may see our pet having difficulty getting up, whining, restless, panting with pain, and lameness (difficulty getting around).
 
One single way to treat pain can be quite effective but research and experience has shown that putting other modalities in use can dramatically help in reducing pain.  Using a combination of the below modalities can help your pet live comfortably and be more active.
 
1.     Anti-inflammatory
·         The release of inflammatory mediators, lead to a progressive cycle of cartilage degradation, joint membrane inflammation, and boney remodeling - all causing pain.  NSAIDs (nonsteroidal anti-inflammatory drugs - similar to Ibuprofen) are usually the first choice of pain relief.  They posses pain relief via their anti-inflammatory effects.
 
2.     Glucosamine/Chondroitin Supplement
·         These types of supplements are touted to provide high concentrations of precursors for articular cartilage.  Since articular cartilage is damaged and degraded, having building blocks available is thought to help.  Quality, and true availability in the body are considerations when using this supplement.
 
3.     Herbs
·         Herbs can help in an anti-inflammatory way as well as increase circulation.  By increasing circulation the body can heal better.
 
4.     Fatty-acid supplement
·         Studies have shown blends of omega 3, 6, and 9 fatty acids help suppress the production of inflammatory mediators.  They also help with skin and hair coat, important with those having skin allergies. 
 
5.     Other Pain Relief Medication
·         Tramadol -- a pain relief and cough suppressant that works on the opiate receptors similar to Codeine.  Not addicting.
·         Gabapentin - great pain relief medication used for exaggerated ("nerve root") and chronic pain.
·         Amantadine - This medication helps reduce "wind up" and chronic pain.  Typically used with other medications, it helps the others work better, by lowering the "pain threshold."
 
6.     Adequan
·         The only FDA-approved disease modifying osteoarthritis drug that effectively slows the disease cycle of canine arthritis. It protects cartilage in a dog's hips, knees, elbows, and other joints as well as provides key building blocks for damaged joints to repair themselves.  Another amazing aspect is it's anti-inflammatory effect.
·         It is administered in a series of twice weekly injections for four weeks, then once monthly.  We can do the injections for you at no extra cost or we can train you do it at home.
·         Cost is $17.50 per 50 pounds. 
 
7.     Acupuncture/Chiropractic Treatments
·         Acupuncture  Simply stated acupuncture is the stimulation of specific points on the body that have the ability to alter various biochemical and physiologic conditions to achieve the desired effect. It is a means of helping the body heal itself. Acupuncture has been used successfully for nearly 4000 years on animals, as well as human beings. Great for pain relief.
·         Chiropractic Manipulation of the spine and other body parts to function in a more normal alignment.
 
8.     Weight Loss
·         Almost half the dog's seen by a veterinarian are overweight or obese, and those extra pounds may have more of an impact on your dog's health than you realize.  Excess weight can hurt your dog or cat in various ways.  Examples are skin and hair coat problems, breathing difficulty, high blood pressure, reduced activity, and arthritis.
·         Weight loss can be accomplished simply increasing activity, feeding a light diet, feeding a prescription weight loss diet, as well as weight loss medications such as Slentrol (for dogs). Increasing metabolism is tricky, so decreasing the amount of food may not always work.

Obesity

Veterinarians see many reasons for obesity.  Your veterinarian can help rule out disease, such as Hypothyroidism, as the cause through physical exam, history, and bloodwork.  Outside of disease there are typically three reasons for obesity.

1.  Table Food:  Certainly in small, infrequent amounts, table food should not have a major impact on our pet's diet-but in most cases, once table food is introduced it becomes more and more difficult to track the amount they are getting, and can quickly get out of hand.  By feeding table food we change our pet's eating behavior.  The stereotype here is the older gentleman feeding table food at every meal time thinking, "what's good for me is good for them".  Things become habit-and table food takes over as the main diet.  Another factor is putting people food on top of the full bowl of dog food.  The table food gets mixed in with the dog food and the pet eats it all, which ends up being way more than they usually would.  Obesity as a result of a table food diet can lead to serious illness.  Smoldering pancreatitis, poor nutrient absorption, diarrhea, vomiting, weight gain and arthritis (from carrying around the extra weight), can all add up to big problems for your pet.  Problems that could simply be avoided by not feeding table food. 

2.  Free Choice Feeding:  Free choice feeding is keeping the dish full at all times, allowing your pets to eat when/how much they want to.  This practice is typically ok-but should be monitored to ensure our pets are not getting too much/little to eat.  One example is if we restrict food to a qrowing pet, they may get overly hungry and a little obsessive about seeking food, causing them to eat too much, or to eat the wrong things-like your shoes, or cell phone!  If you have more than one pet, one may try to demonstrate their dominance by controlling the food dish, thus eating more than they normally would. 
Monitor your pet's body condition in connection with your veterinarian.  Work together to develop a plan that may involve scheduled feeding times, separate feeding times/area for multiple pets, or altering the amount of food given.  When making such changes it is important to consider the amount of food each pet needs for healthy balance, keeping in mind that feeding too little can slow metabolism and result in additional weight gain.

3.  Poor Quality Diets:  Some pet foods out there can be compared to human fast food diets-too much fat, sodium, and too processed-leaving very little of the nutritional values that our pets need for healthy growth and maintenance.  At Altitude Veterinary Hospital we sell and recommend Hill's Science Diet, a proven diet for many years.  In general, the higher quality diet a pet eats, the less medical problems that tend to develop-sound like anything you have heard before? 
Just as in our own diet/health, it is never too late to make better choices, and there are several ways to optimize your pet's body condition.  Work with your veterinarian to develop a dietary plan that works for you and your pet.  Avoiding the pitfalls of overfeeding and poor feeding, combined with exercise, will get you off to a great start.  In addition to our regular Hill's Science Diet formulas, there are a wide variety of prescription diet plans that will fit your needs.  Another option is Slentrol, from Pfizer.  It is not a stimulant, but helps dogs lose weight by reducing their appetite.  Make the choice today to pursue health and wellness for you and your pets-leading to a longer, leaner, and healthier life.      

Nutrition

Nutrition is an important and often overlooked area of pet care.  In general, the better we eat, the healthier we are - and the same is true for our pets.  If your pet is in overall good health, or is over/underweight, has poor skin and hair coat, or suffers from allergies, you may want to consider changing diets to a higher quality one.  Ask any veterinarian - do they see less medical problems with pets being fed a high quality, premium diet?  No doubt illness is avoided!  Weight control, skin, hair coat, and allergies are often expensive to diagnose and by their very nature can be difficult to treat.  Proper diet can make all the difference, so whether you are starting off with a new pet, or transitioning an existing one, make the switch to a premium diet - it's never too late!
Picking a diet can be difficult.  There are many to choose from, many with catchy labels and claims of great nutritional content.  Websites, salespeople, friends and family all give their suggestions.  They share facts, information, and experiences - all with the best intentions for your pet.  Honestly, many statements they say are true - but some are not, or are only partly true.  In this world of instant information and sensational advertising, how do we choose what is best for our pets?  Continue to be educated and informed about pet food, and proper nutrition.  Consider your pet's individual needs, and always, always, always, consult with your veterinarian-they can offer a wealth of information, and their primary concern is your pet's health. 
 
When researching pet food, there are so many variables to consider, choosing the one that is right for your pet can be a difficult decision.  Some specific things to consider will make your choice much easier, including the background of the manufacturer, the balance of ingredients, and the quality of the processing.  First, consider the maker of the diet.  There are many reputable producers, so choose one that is well proven.  We sell and recommend Hill's Science Diet and Prescription Diet.  They are an excellent example of long standing, well proven, producers of pet food.  There are other reputable diets out there, so choose wisely and seek the advice of your veterinarian.  Secondly, think about the many different approaches to diet-carbs vs. no carbs, low-fat, high-protein, sugar-free, gluten-free, the possibilities can set your mind spinning!  Most nutritionists would agree that in most cases, where there are no specific health restrictions, a healthy balanced diet, combined with exercise and proper rest, is the best medicine.  If your pet is in overall good health, try to avoid the gimmicks and myths associated with diet and focus on a nutritionally balanced diet, in its least processed form.  Corn or by-products are infamous examples of ingredients that have gotten a bad rap (they are a good source of nutrition and not the main cause of food allergies).  Unfortunately people take these myths to heart.  Ingredients and their balance and processing of them are also important.  Some pet food companies can make ingredient claims, but questions that an informed consumer should ask are - are the ingredients a high quality, are they in good balance with your pet's individual needs, and is the method of processing a good one? 
Another exciting move in pet food is adding certain modalities to enhance the diet.  An example is Prescription Diet from Hill's; they offer prescription diets that can help your pet with certain diseases, from urinary, skin and hair coat, liver, teeth, joint and kidneys.  Now a combination of these diets are placed together in one diet for optimum health called Healthy Advantage.  This new trend is a great way to help and prevent disease.  Ask your veterinarian what they think of this new trend, and if one of these foods could benefit your pet.  Remember - listen to your veterinarian and become an informed consumer and pet owner - choose wisely - your pet's health depends on it!

HEALTH FAIR BLOOD TESTING

 
WHERE:   Altitude Veterinary Hospital
 
WHEN:      Our Health Fair Blood Draw is done Monday-Friday from
                        7:30 a.m. - 12:00 p.m.
 
WHAT:      The following are tested:
                                    *Serum chemistries (27 values)
                                    *Complete blood cell count (CBC)
                                    *Electrolytes (Na+, Cl-, K+)
                                    *T4 (thyroid)
                                    *Heartworm test (canine only)
                                    *Feline Leukemia test (FeLV)
                                    *Feline Immunodeficiency Virus (FIV)
 
WHY:    Dogs and cats age much faster than humans, and the organ systems can deteriorate at a much faster rate. Therefore, we will recommend appropriate testing for your pet at certain ages. There are many benefits to wellness blood testing such as:
 
1.)    Establish healthy baseline values.
*Many patients show subtle changes in their blood values over time. The changes cannot be identified without the normal level for the individual patient.
2.)    Identify unseen disease processes at an early stage.
*If we are able to identify an ongoing disease process before symptoms are evident, the likelihood of a successful outcome is greater.
3.)    Serves as a pre-anesthetic health screen for any surgical or dental
procedure.
4.)    A blood profile may help us avoid using medications that may be
unsafe for a pet's medical condition or health status.
 
If abnormalities are found, we may recommend additional tests. If your pet has a new or previously diagnosed condition, the veterinarian will discuss the need for specific tests

Ten Tips on Coping with Pet Loss

Ten Tips on Coping with Pet Loss

by Moira Anderson Allen, M.Ed.

Anyone who considers a pet a beloved friend, companion, or family member knows the intense pain that accompanies the loss of that friend. Following are some tips on coping with that grief, and with the difficult decisions one faces upon the loss of a pet.

1. Am I crazy to hurt so much?

Intense grief over the loss of a pet is normal and natural. Don't let anyone tell you that it's silly, crazy, or overly sentimental to grieve!
During the years you spent with your pet (even if they were few), it became a significant and constant part of your life. It was a source of comfort and companionship, of unconditional love and acceptance, of fun and joy. So don't be surprised if you feel devastated by the loss of such a relationship.
People who don't understand the pet/owner bond may not understand your pain. All that matters, however, is how you feel. Don't let others dictate your feelings: They are valid, and may be extremely painful. But remember, you are not alone: Thousands of pet owners have gone through the same feelings.

2. What Can I Expect to Feel?

Different people experience grief in different ways. Besides your sorrow and loss, you may also experience the following emotions:
  • Guilt may occur if you feel responsible for your pet's death-the "if only I had been more careful" syndrome. It is pointless and often erroneous to burden yourself with guilt for the accident or illness that claimed your pet's life, and only makes it more difficult to resolve your grief.
  • Denial makes it difficult to accept that your pet is really gone. It's hard to imagine that your pet won't greet you when you come home, or that it doesn't need its evening meal. Some pet owners carry this to extremes, and fear their pet is still alive and suffering somewhere. Others find it hard to get a new pet for fear of being "disloyal" to the old.
  • Anger may be directed at the illness that killed your pet, the driver of the speeding car, the veterinarian who "failed" to save its life. Sometimes it is justified, but when carried to extremes, it distracts you from the important task of resolving your grief.
  • Depression is a natural consequence of grief, but can leave you powerless to cope with your feelings. Extreme depression robs you of motivation and energy, causing you to dwell upon your sorrow.

3. What can I do about my feelings?

The most important step you can take is to be honest about your feelings. Don't deny your pain, or your feelings of anger and guilt. Only by examining and coming to terms with your feelings can you begin to work through them.
You have a right to feel pain and grief! Someone you loved has died, and you feel alone and bereaved. You have a right to feel anger and guilt, as well. Acknowledge your feelings first, then ask yourself whether the circumstances actually justify them.
Locking away grief doesn't make it go away. Express it. Cry, scream, pound the floor, talk it out. Do what helps you the most. Don't try to avoid grief by not thinking about your pet; instead, reminisce about the good times. This will help you understand what your pet's loss actually means to you.
Some find it helpful to express their feelings and memories in poems, stories, or letters to the pet. Other strategies including rearranging your schedule to fill in the times you would have spent with your pet; preparing a memorial such as a photo collage; and talking to others about your loss.

4. Who can I talk to?

If your family or friends love pets, they'll understand what you're going through. Don't hide your feelings in a misguided effort to appear strong and calm! Working through your feelings with another person is one of the best ways to put them in perspective and find ways to handle them. Find someone you can talk to about how much the pet meant to you and how much you miss it-someone you feel comfortable crying and grieving with.
If you don't have family or friends who understand, or if you need more help, ask your veterinarian or humane association to recommend a pet loss counselor or support group. Check with your church or hospital for grief counseling. Remember, your grief is genuine and deserving of support.

5. When is the right time to euthanize a pet?

Your veterinarian is the best judge of your pet's physical condition; however, you are the best judge of the quality of your pet's daily life. If a pet has a good appetite, responds to attention, seeks its owner's company, and participates in play or family life, many owners feel that this is not the time. However, if a pet is in constant pain, undergoing difficult and stressful treatments that aren't helping greatly, unresponsive to affection, unaware of its surroundings, and uninterested in life, a caring pet owner will probably choose to end the beloved companion's suffering.
Evaluate your pet's health honestly and unselfishly with your veterinarian. Prolonging a pet's suffering in order to prevent your own ultimately helps neither of you. Nothing can make this decision an easy or painless one, but it is truly the final act of love that you can make for your pet.

6. Should I stay during euthanasia?

Many feel this is the ultimate gesture of love and comfort you can offer your pet. Some feel relief and comfort themselves by staying: They were able to see that their pet passed peacefully and without pain, and that it was truly gone. For many, not witnessing the death (and not seeing the body) makes it more difficult to accept that the pet is really gone. However, this can be traumatic, and you must ask yourself honestly whether you will be able to handle it. Uncontrolled emotions and tears-though natural-are likely to upset your pet.
Some clinics are more open than others to allowing the owner to stay during euthanasia. Some veterinarians are also willing to euthanize a pet at home. Others have come to an owner's car to administer the injection. Again, consider what will be least traumatic for you and your pet, and discuss your desires and concerns with your veterinarian. If your clinic is not able to accommodate your wishes, request a referral.

7. What do I do next?

When a pet dies, you must choose how to handle its remains. Sometimes, in the midst of grief, it may seem easiest to leave the pet at the clinic for disposal. Check with your clinic to find out whether there is a fee for such disposal. Some shelters also accept such remains, though many charge a fee for disposal.
If you prefer a more formal option, several are available. Home burial is a popular choice, if you have sufficient property for it. It is economical and enables you to design your own funeral ceremony at little cost. However, city regulations usually prohibit pet burials, and this is not a good choice for renters or people who move frequently.
To many, a pet cemetery provides a sense of dignity, security, and permanence. Owners appreciate the serene surroundings and care of the gravesite. Cemetery costs vary depending on the services you select, as well as upon the type of pet you have. Cremation is a less expensive option that allows you to handle your pet's remains in a variety of ways: bury them (even in the city), scatter them in a favorite location, place them in a columbarium, or even keep them with you in a decorative urn (of which a wide variety are available).
Check with your veterinarian, pet shop, or phone directory for options available in your area. Consider your living situation, personal and religious values, finances, and future plans when making your decision. It's also wise to make such plans in advance, rather than hurriedly in the midst of grief.

8. What should I tell my children?

You are the best judge of how much information your children can handle about death and the loss of their pet. Don't underestimate them, however. You may find that, by being honest with them about your pet's loss, you may be able to address some fears and misperceptions they have about death.
Honesty is important. If you say the pet was "put to sleep," make sure your children understand the difference between death and ordinary sleep. Never say the pet "went away," or your child may wonder what he or she did to make it leave, and wait in anguish for its return. That also makes it harder for a child to accept a new pet. Make it clear that the pet will not come back, but that it is happy and free of pain.
Never assume a child is too young or too old to grieve. Never criticize a child for tears, or tell them to "be strong" or not to feel sad. Be honest about your own sorrow; don't try to hide it, or children may feel required to hide their grief as well. Discuss the issue with the entire family, and give everyone a chance to work through their grief at their own pace.

9. Will my other pets grieve?

Pets observe every change in a household, and are bound to notice the absence of a companion. Pets often form strong attachments to one another, and the survivor of such a pair may seem to grieve for its companion. Cats grieve for dogs, and dogs for cats.
You may need to give your surviving pets a lot of extra attention and love to help them through this period. Remember that, if you are going to introduce a new pet, your surviving pets may not accept the newcomer right away, but new bonds will grow in time. Meanwhile, the love of your surviving pets can be wonderfully healing for your own grief.

10. Should I get a new pet right away?

Generally, the answer is no. One needs time to work through grief and loss before attempting to build a relationship with a new pet. If your emotions are still in turmoil, you may resent a new pet for trying to "take the place" of the old-for what you really want is your old pet back. Children in particular may feel that loving a new pet is "disloyal" to the previous pet.
When you do get a new pet, avoid getting a "lookalike" pet, which makes comparisons all the more likely. Don't expect your new pet to be "just like" the one you lost, but allow it to develop its own personality. Never give a new pet the same name or nickname as the old. Avoid the temptation to compare the new pet to the old one: It can be hard to remember that your beloved companion also caused a few problems when it was young!
A new pet should be acquired because you are ready to move forward and build a new relationship-rather than looking backward and mourning your loss. When you are ready, select an animal with whom you can build another long, loving relationship-because this is what having a pet is all about!