The Science Behind Saying, “No” to a Pet Store Puppy

May 18th, 2013

Approximately one year ago I told you about animal welfare advocate, Dr. Frank McMillan’s study documenting the increased incidence of behavioral abnormalities in adult dogs rescued from puppy mills. This important research provided scientific documentation that these animals come part and parcel with a plethora of negative behaviors.

Dr. McMillan has done it again. This time, his research focuses on puppies purchased from pet stores, the vast majority of which are born in commercial breeding facilities (aka, puppy mills). The most recent edition of the Journal of the American Veterinary Medical Association features Dr. McMillan’s research documenting the behavioral differences between puppies obtained from pet stores and those obtained from noncommercial (non-puppy mill) breeders.

As Dr. McMillan states,

It has long been an article of faith among veterinarians and canine professionals that dogs obtained as puppies from pet stores have a higher prevalence of health and behavioral problems. However there has been a dearth of empirical studies to support this notion.

Research results

Dr. McMillan and his fellow researchers found that pet store dogs received less favorable scores than breeder-obtained dogs for almost every behavior variable measured. In no behavioral category did the pet store group achieve a more desirable score than the breeder group.

Pet store dogs were significantly more likely to exhibit aggression towards human family members, unfamiliar people, and other dogs. They were also more likely to have separation anxiety and touch sensitivity. Additionally, dogs originating from pet stores were more excitable, energetic, and attention seeking and generally less trainable. Lastly, they exhibited higher frequencies of negative behaviors such as escaping from the home, mounting of people and objects, and urinating and defecating in the house.

The authors theorize that stress experienced in a commercial breeding/puppy mill environment during the formative stages of a pet store puppy’s life negatively impacts brain development. There is also evidence that prenatal stress (stress experienced by the pregnant female) can alter normal behavioral development of her offspring. Specifically mentioned stressors include confinement to a small space, extreme temperatures, negative interactions with kennel staff, inability to regulate exposure to negative stimuli, and limited access to positive interactions with humans.

The researchers acknowledged that those who purchase puppies from pet stores might use different methods of training compared to those who purchase from noncommercial breeders. The current study did not investigate this variable.

I wholeheartedly applaud this terrific research. The more scientific substantiation we have to underscore the insanity of purchasing puppies from pet stores the better.

Have you lived with and/or trained a pet store pup? If so, how did it go?

 

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

 

Cancer Therapy: Is it the Right Choice for Your Pet?

May 12th, 2013

Last week, in honor of Pet Cancer Awareness Month, I provided some pointers for constructively dealing with the diagnosis of cancer. This week I will deliver information about the treatment of cancer and tips for determining if a pet is a good candidate for such therapy.

Treatment Options

The three most common treatment methods used to treat animals with cancer are surgery, chemotherapy, and radiation therapy. Often only one type of therapy is needed to effectively treat the cancer. For example, a small solitary mass might be cured with surgery alone. Not uncommonly, a combination of treatments is most beneficial. Chemotherapy or radiation therapy may be recommended as an adjunct to surgery to destroy any cells that may have spread outside of the surgical incision.

Whether or not various complementary/alternative therapies such as Chinese herbs, homeopathy, or acupuncture are capable of chasing away cancer cells is controversial. Most veterinarians agree that what they do best is help support the patient’s overall health and mitigate any side effects of cancer therapy.

How does your veterinarian know which treatment plan is the best choice for your dog or cat? First, she needs to know which type of cancer she is dealing with. This is accomplished by evaluating a sample of the abnormal cells under a microscope. An experienced pathologist at a commercial veterinary laboratory typically performs this testing. Additionally, determining the stage or grade of the disease (how aggressive and widespread the cancer is) via blood and urine testing and imaging studies allows your vet to know which treatment makes the most sense.

Making the Choice for Your Pet

Diagnosing and staging the cancer is typically the straightforward part. Determining whether or not to treat one’s four-legged family member is often the more challenging piece of the puzzle. If ever you find yourself squaring off with this decision, strongly consider consultation with a veterinarian who specializes in cancer therapy (a board certified oncologist or internist). In no way does such a consultation obligate you to proceed with treatment. Rather, it is an opportunity to gather a bunch of useful information that will assist you in your decision-making process.

Now, here are some important thoughts and questions to consider when the diagnosis is cancer:

Is your pet’s personality well suited to the recommended therapy?

If your dog or cat is a pushover for anyone and everyone who provides an ear scratch and a treat, he may relish weekly chemotherapy appointments. On the other hand, if he turns into a quivering quaking emotional wreck as soon as you turn into the vet clinic parking lot, perhaps he’d be better suited to a chemotherapy protocol that involves appointments spaced farther apart. You may not really know how your dog or cat will respond emotionally until you’ve made the first few visits.

Is your own schedule flexible enough?

Many chemotherapy protocols initially involve once-weekly visits. Rarely are evening or weekend appointments available. If radiation therapy has been recommended, you may need to drive a consider-able distance to a treatment facility. Radiation therapy is typically administered daily, Monday through Friday for three or more consecutive weeks. Many radiation facilities offer the option of boarding their patients during the workweek and then sending them home for weekends.

Is it financially feasible to proceed?

Combination chemotherapy protocols, radiation therapy, and many surgical procedures are “big-ticket” items. Remember, some chemotherapy is almost always better than no chemotherapy. Don’t by shy about discussing your budget. Your veterinarian can use this information to create a treatment protocol for your pet that provides “the most bang for the buck.”

Is treating your pet’s cancer reasonable for you from an emotional point of view?

For those who have experienced the ravages of cancer therapy either for themselves or a loved one, it may be impossible to consider such treatment for a family pet, no matter what reassurances are provided. And that’s perfectly okay. Remember, whether or not to treat your pet’s cancer is always a truly personal choice.

You can call it quits at any time!

When you say, “Yes” to chemotherapy or radiation therapy, all you are really committing to is the very next treatment. If ever you don’t like what you see you can call it quits. Sometimes, simply knowing that this “out clause” exists gives people the wherewithal to give cancer therapy a try.

Focus on the quality rather than the quantity of life.

When I counsel people about the potential pros and cons of cancer treatment, I describe the three goals of therapy as, “Quality of life, quality of life, and quality of life.” There’s no doubt in my mind that we fail our patients miserably when we achieve “quantity” (longer life) only.

Enjoy the “honeymoon.” 

Even when a fabulous response to therapy is achieved, it’s difficult for some people to enjoy this time because their minds are so preoccupied with the underlying diagnosis. Keep in mind that those happy, playful, loving pets of ours don’t simply vanish because they have cancer. Even with their disease, they are wonderfully adept at “living in the moment.” When an animal undergoing cancer therapy behaves in a glum fashion, it’s important to consider that they may be responding to the way their favorite human is feeling. If you opt to treat your pet’s cancer, be prepared to enjoy the honeymoon!

Have you ever said, “Yes” to cancer therapy for one of your pets? If so, were you ultimately glad you did so?

 

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

 

 

When the Diagnosis is Cancer

May 5th, 2013

The month of May has been declared Pet Cancer Awareness Month. While I’m not altogether sure who determines such things, in honor of this declaration I present to you a good deal of information that I’m certain will be useful should your four-legged family member develop cancer.

Cancer, neoplasia, growth, tumor, malignancy, the big “C”: no matter which word is used, it is the diagnosis we all dread. It’s not that cancer is always associated with a terrible outcome. What is true, however, is that whenever cancer is diagnosed, it is inevitable that lives are going to change. And change such as this isn’t something we relish when it comes to our pets.

If your veterinarian suspects or knows that your pet has cancer, you will be asked to make a number of significant decisions.  Some of them may have to do with diagnostic testing and others will pertain to treatment options. Such decisions can be tough in the best of times. If you’ve just learned your dog or cat has cancer, these decisions can feel downright overwhelming. What can you do to regain some control over the situation? Here are some suggestions.

  • Ask your veterinarian how urgently your decisions must be made. An extra day or two can make a huge difference in terms of settling down emotionally and doing the research needed to deal with the decisions at hand.
  • Do your best to put away preconceived, inaccurate notions of what you imagine your pet’s experience will be like. People often get sick, develop profound fatigue, and lose their hair in response to cancer therapy. It is uncommon for dogs and cats to experience such side effects.
  • Read, “surf,” and ask lots of questions. The more you learn about your pet’s cancer, the more you will feel empowered to make good decisions on their behalf. When researching via the Internet, be sure to surf responsibly.  No sense wasting time on useless information.
  • Take things one step at a time.  Being asked to make decisions for your dog with cancer is akin to climbing a tall mountain. It’s strategically and psychologically important to break your ascent into small manageable increments (and there’s less likelihood of tripping and falling when your eyes are not glued to the summit). Similarly, it is easier when you focus your attention on the medical decisions at hand rather than those that may (or may not) arise later.
  • Follow your own heart. Steer clear of folks intent on convincing you that he is “just a dog” or “just a cat,” and that the appropriate treatment is to “put the poor thing out of his misery.” Likewise, avoid those people who think that all animals must be treated as aggressively as possible for anything and everything. Wear a thick skin around such “influential” people (maybe take a sabbatical from socializing with them). Surround yourself with people who are open-minded and are interested in supporting rather than influencing you. Remember, you know better than anyone else what is right for yourself and your best buddy.

Part two of this blog post (follows in one week) will focus on the treatment of canine and feline cancer and how to decide whether or not therapy makes sense for your pet.

Has one of your four-legged family members ever been diagnosed with cancer? How did you respond?

 

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

 

 

Disowning the Term “Pet Owner”

April 28th, 2013

Photo Credit: © Blair O’Neill

For as long as I can remember, I’ve been squeamish about using the word “owner” to describe my relationship with my pets. Ownership of a living, breathing creature with whom I share a rich and meaningful relationship simply doesn’t jive with my sense of how the English language should be used. Besides, one might argue that we don’t really own our pets, because in reality, our pets own us!

I feel so strongly about this that I have avoided using “owner” when writing about medical advocacy for pets (thusfar, two books and numerous articles). This has caused considerable angst for many an editor and, trust me, coming up with creative solutions has not been easy!

The term “guardian” sounds rather stodgy and I suspect it was created eons ago in order to describe legal responsibilities moreso than emotional attachments. “Pet parent,” “Mom,” and “Dad” are terms commonly used by people who share my distaste for “ownership”. Honestly, I don’t care for this terminology either. I am not the “parent” of my pets (although I have been referred to as a b%!ch a time or two). I certainly don’t fault those who refer to their pets as their children. It just doesn’t happen to work for me.

The problem is, I’ve yet to come up with a replacement word or phrase for “owner” that, for me, truly captures the relationship of a person to the pet he or she loves so dearly. For now, the word I like best is “caregiver” as it implies a commitment to caring for the physical and emotional well being of an animal. The meaning of caregiving is easily understood and harbors no religious, legal, or moral implications, at least none that I am aware of. For me “caregiver” respectfully speaks to the commitment that is part and parcel of the human-animal bond.

Please know that I am simply sharing how I feel. I am definitely not writing this with persuasive intent. As long as there is love, caring, and mutual goodness between humans and their pets, I’m okay with however the relationship is described.

How do you refer to yourself in relationship to your pets?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

Leaky Dogs: A Primer on Urinary Incontinence

April 21st, 2013

Photo Credit: © Susannah Kay

Does your dog awake from her sleep in a puddle of urine? Does she dribble urine when she stands up or is walking about? If so, she has involuntary urine leakage, known as urinary incontinence. Not only can this be bothersome and even embarrassing (dare I anthropomorphize) for the dog, it is truly a huge cleanup nightmare for the humans who live with a leaky dog. Urinary incontinence often results in frustrated attempts to use diapers, many loads of laundry, and irrational reprimands for the poor dog who has no control over the situation. Worst-case scenario, the dog who normally sleeps beside her master’s bed, is banished to the backyard.

The good news is, for most dogs, the leaking can be stopped or markedly diminished with appropriate therapy. The cause of the incontinence must first be established with appropriate diagnostic testing performed by a veterinarian.

Normal urination

When urine travels from the bladder (its holding reservoir) to the outside world it passes through a rather narrow tubular channel called the urethra. A muscular sphincter is present right at the point where the urethra connects with the bladder. It is this urethral sphincter that prevents urine leakage by remaining tightly closed. When the brain sends a signal that it is time to urinate, the bladder contracts at the same time the sphincter relaxes thus allowing urine to flow.

Hormone responsive urinary incontinence

Far and away the most common cause of canine incontinence is referred to as  “hormone-responsive incontinence” or “acquired urinary incontinence.”   It is a disease of neutered dogs- most commonly middle aged and older females, but occasionally occurs in males and younger females. Various studies report an incontinence incidence rate of 5-20% in spayed female dogs. There is evidence that neutering before three months of age substantially increases the risk of future incontinence.

Other factors that may be associated with increased risk for hormone responsive urinary incontinence include:

Breed: Old English Sheepdogs, Doberman Pinchers, German Shepherds, Boxers, Weimaraners, Rottweilers, and Irish Setters are at increased risk.

Size: Large and giant breeds have increased risk and small breed dogs have decreased risk.

Tail docking: This surgical procedure performed on puppies of certain breeds is suspected to increase the risk of incontinence.

The diagnosis of hormone responsive urinary incontinence is made based on ruling out other potential causes and/or response to medication. Most dogs with this form of incontinence respond favorably to medication. The standard two that are tried alone or in combination are diethylstilbestrol (an estrogen product) and phenylpropanolamine (PPA). For dogs that are nonresponsive to medication, treatment options include collagen injections or placement of a constricting ring at the site of the urethral sphincter.

Incontinence caused by increased thirst

Dogs who drink more water produce more urine. This translates into a bladder that becomes maximally distended, particularly during the night when a dog spends many hours in a state of sound sleep. This bladder distention can override the urethral sphincter, resulting in urine leakage. The key here is to hone in on the cause of the increased thirst. Correct this issue and the urine leakage typically resolves. Common causes of increased thirst include kidney disease, liver disease, urinary tract infection, and hormonal imbalances including diabetes mellitus, diabetes insipidus, Cushing’s disease, and Addison’s disease. Increased thirst can also be caused by some medications (diuretics, corticosteroids, antiseizure medications) and changes in diet.

Urethral sphincter abnormalities

Defects at the level of the urethral sphincter can interfere with its normal function. Such abnormalities can include bladder/urethral stones, prostate gland disease, tumors, and inflammation caused by infection. Resolution of the incontinence is dependent on successful treatment of the underlying disease.

Neurological disease

Normal urine retention and voiding is dependent on a complex set of neurological signals involving the brain, spinal cord, and nerves leading to the bladder and urethral sphincter. Disease within this circuitry can result in urinary incontinence, typically accompanied by other neurological symptoms such as hind leg disuse or weakness and an inability to pass bowel movements normally. Therapy is dependent on the underlying neurological disease.

Plumbing problems

The most common cause of urinary incontinence in puppies is a birth defect called an ectopic ureter. Ureters are the narrow conduits that transport urine from the kidneys to the bladder. The term “ectopic” means in an abnormal place or position. An ectopic ureter transports and empties urine into the urethra rather than the bladder. The diagnosis of this plumbing defect is made visually either by passing an endoscope (a telescope-like device) into the urethra and bladder, or by performing an imaging study (CT scan X-rays) following the administration of contrast material. Incontinence caused by ectopic ureters can often be corrected surgically or with laser therapy.

What your vet will want to know

If you have a leaky dog, be prepared to answer the following questions. Your veterinarian will be able to use this information to help diagnose the cause of your dog’s incontinence.

  • When did the incontinence begin?
  • When is the leakage typically observed- during sleep or with activity, before or after urinating outside?
  • Is your dog drinking more water than normal? Ideally measure how much water she drinks during a 24-hour time period. Normal water intake during 24 hours should be no more than one ounce per pound of body weight per day.
  • Does the act of urination appear normal in terms of time spent squatting, strength of urine stream, and appearance and odor of urine?
  • Are there any other observed symptoms such as difficulty passing a bowel movement or hind end weakness?
  • Has there been a recent change in diet or addition of medications or supplements?

Have you ever lived with a leaky dog? What was the diagnosis and what was the outcome?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

Dreaming of Dr. Dolittle

April 14th, 2013

Photo Credit: © Steven Turville

The work veterinarians perform is not unlike that of pediatricians. In neither exam room can the patients directly “tell” their stories. They are unable to say, “Doc, it hurts every time my leg bends this way.” or,  “I get a stomach ache every time I eat dairy.”

I think most vets would agree that, in the vast majority of cases, working with nonverbal patients (should I say, those who speak a language we don’t fully understand) does not handicap our ability to hone in on the diagnosis. History provided by our clients along with physical examination findings typically point us in the right direction. In certain cases, however, some Dr. Dolittle skills would come in mighty handy.

Take for example, the dog who appears stiff and sore at home, but happens to be profoundly stoic in the exam room. I push on his back, flex and extend every joint, palpate the abdomen, tug on his tail, and manipulate his neck in a fashion reminiscent of The Exorcist. Heck, I even perform a rectal exam. Yet I get nothing- neither a wince nor a whimper. Which of this poor fella’s body parts is in need of special attention? Dr. Dolittle would know.

Then there is the dog who has developed some strange behavior. From 7:00 to 10:00 every evening, he compulsively paces and whines and cannot be soothed. At all other times this dog seems perfectly normal, with no change in appetite or activity level. And wouldn’t you know it, his physical exam findings and blood and urine test results are normal. Is this dog’s behavior change physical or psychological in nature? Is the house haunted or is this poor pup experiencing an unusual case of indigestion? Dr. Dolittle would know.

If I could be Dr. Dolittle, the perks would extend well beyond simply making a diagnosis. I would learn many things from my patients that would allow me to enhance the quality of their lives. Think what I would do if I heard, “Doc, that cast you just put on my leg is pinching the heck out of my elbow.” or, “Please convince my mom to quit taking me to the dog park. I just hate it there!”

Most importantly, if I could “talk to the animals” I could know with certainty which of my very sick patients still held the desire to “fight the good fight,” and which ones were wishing for a peaceful and humane end to their suffering. Wouldn’t that be an incredible gift!

Professional animal communicators, also know as pet psychics, are the closest thing to modern day Dr. Dolittles. I’ve worked with many clients who have sought second opinions from animal communicators, and some have provided truly insightful and helpful information. I’ve learned that, just as with any other profession, there are animal communicators who are charlatans and those who are the “real deal”.  I believe that consultation with a capable pet psychic can be an invaluable adjunct to medical care, but should not substitute for consultation with a veterinarian.

Have you ever wished you had access to Dr. Dolittle for one of your pets? Have you ever worked with an animal communicator? If so, please share your experience.

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

Questioning Traditional Neutering Recommendations for Dogs

April 7th, 2013

Until a few years ago, I’d always nodded in agreement with the recommendation to neuter dogs (particularly females) not intended for breeding purposes between six months and one year of age. Spaying and castrating within this age window reduces the risk of accidental pregnancies, behavioral issues (primarily in male dogs), and breast cancer later in life. While I don’t dispute the validity of these cause and effect assessments, a growing body of evidence has caused me (and plenty of other veterinarians) to seriously rethink neutering recommendations.

Evidence in Rottweilers

A 2002 study in Cancer Epidemiology, Biomarkers & Prevention   documented that Rottweilers neutered before one year of age were far more likely to develop osteosarcoma (a life ending form of bone cancer) than Rotties who remained sexually intact.

A 2009 study in Aging Cell  found that female Rottweilers neutered after the age of six were 4.6 times as likely to live to age 13 compared to those spayed at a younger age.

Evidence in Golden Retrievers

And now we have a Golden Retriever study that demonstrates a higher incidence of the following maladies amongst neutered dogs compared to those left sexually intact:

  1. Hip dysplasia: Instability and subsequent development of arthritis within the hip joints
  2. Cruciate ligament disease: Tearing of the major ligament that provides stability to the knee joint
  3. Lymphosarcoma: A cancerous disease arising from a type of white blood cell called lymphocytes (lymphosarcoma has a particularly high occurrence rate in Golden Retrievers)
  4. Hemangiosarcoma: A cancerous disease arising from cells that line blood vessels
  5. Mast cell tumors: A cancerous disease arising from mast cells which are a normal component of a healthy immune system and are responsible for allergic reactions in the body

The rates of occurrence for all of these diseases were significantly higher in both males and females who were neutered either early on or later in life, compared to dogs remaining sexually intact. Neutering before one year of age was associated with increased risk for hip dysplasia, cruciate ligament tear, and lymphosarcoma in male dogs, and increased risk for cruciate ligament tear in female dogs. Neutering after one year of age was associated with increased occurrence of mast cell tumors and hemangiosarcoma in female Goldens.

This Golden Retriever study was conducted at the University of California, Davis. Researchers focused on this breed because of their popularity (both in private homes and as service dogs) as well as the breed’s clear vulnerability to joint maladies and cancer.

Neutering recommendations for your dog

The obvious question now arises- when should you have your dog neutered, if at all? My response for the time being remains rather murky. Based on the known body of evidence for and against neutering, I cannot give a set recommendation that applies to all dogs in all environments. What I do recommend is that you engage your veterinarian in conversation about the risks and benefits as they pertain to your individual dog. Factors to consider should include your dog’s size and breed, behavior, and your ability to prevent unwanted pregnancies.

It is clear is that a great deal more research is needed pertaining tot the timing and consequences of neutering our canine companions. The health implications may play out differently in virtually every dog breed. I will continue to provide updates as more information becomes available.

Have your thoughts changed about neutering your dog?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

 

A Primer on Vomiting

March 31st, 2013

Gross title, I know, particularly for those of you not in a medical profession. It takes a strong stomach to read about vomit (and poop, for that matter), but I hope you will take a few minutes to ponder the following information. It just may prove beneficial in caring for your pet’s health.

“Normal” Versus “Abnormal” Vomiting

It’s normal for most dogs and cats to vomit once or twice a year. The cause may be a passing virus or ingestion of something that the gut deems “unagreeable”. Unexplained vomiting that occurs more than a few times a year, however, I consider to be abnormal and deserving of medical attention.

One would think that stepping out of bed barefoot into a puddle of yuck, or new white carpeting decorated with bile stains would initiate a veterinary visit. Yet many people, vets included, make the mistake of ignoring upchucking as long as the animal appears normal otherwise. They justify the vomiting with excuses such as:

  • He eats too fast. Baloney! The normal stomach expands just fine whether dinner is consumed over seconds or hours.
  • She has hairballs. Clogging of the pipes with feline fur is commonly blamed for vomiting, a fact that causes much rejoicing amongst hairball remedy manufacturers. All cats groom themselves and swallow hair in the process. So it only makes sense that hair is often present in feline vomit. This does not make the fur the bad guy- it’s really nothing more than an innocent bystander. Do hairballs ever cause vomiting? Yes, but rarely, and I’m only willing to buy into this diagnosis when the upchuck contains nothing much more than a big ole’ wad of consolidated cat hair.
  • He vomits because he eats grass. This is a classic “chicken versus egg” conundrum. Do animals vomit because they eat grass or do they eat grass because they feel the need to vomit? Some dogs and cats are grazers. They enjoy munching on greenery and do so without vomiting. This I consider normal. What is abnormal are those dogs and cats who, in response to their nausea or gut discomfort, develop a yen for eating grass, leaves, twigs, dirt, and whatever else Mother Nature is serving. Young veterinarians are sometimes fooled by this. They perform surgery to remove a bunch of foliage from an animal’s stomach, but fail to examine the entirety of the bowel looking for the reason the dog felt the need to eat the stuff in the first place.
  • Vomiting is normal in cats. No, it is not!

Causes of Vomiting

Vomiting is a super non-specific symptom- I could list more than 100 diseases/abnormalities capable of causing dogs and cats to vomit. While it is always tempting to think something must be awry within the gastrointestinal tract (stomach and intestines) when vomiting occurs, one will frequently miss the diagnosis wearing such blinders. Abnormalities within the liver, gall bladder, kidneys, and pancreas commonly cause vomiting as a primary symptom. Vomiting can also also be associated with some hormonal imbalances and in cats, it can be a symptom of heart disease.

These days, one of the most common causes of vomiting in dogs and cats is inflammatory bowel disease (IBD) in which the lining of the stomach and/or intestines becomes infiltrated with inflammatory cells. Although the exact cause of IBD is uncertain, it is thought to represent an allergic reaction within the bowel. Left untreated in cats, IBD can morph over time into a cancerous condition called lymphoma (one good reason to address vomiting sooner rather than later).

Diagnosis and Treatment of Vomiting

The diagnosis of vomiting begins with you providing a thorough history for your veterinarian. Include details such as frequency, time of day, material found in the vomit, anything unusual that might have been ingested, normal diet, and all other symptoms observed. Next comes a thorough physical examination. This may be followed by blood and urine testing (to evaluate liver, kidneys, pancreas, etc.) and/or imaging studies such as X-rays and ultrasound. In some cases, biopsies from the gastrointestinal tract are needed to confirm a diagnosis. Biopsies can be obtained surgically or via endoscopy- a long telescope device that is nonsurgically passed into the bowel. (Those of you over the age of 50 know exactly what I’m talkin’ about!)

If such testing is not feasible, empirical therapy (treatment without a clearcut diagnosis) such as changes in diet and/or medications will be an option. Compared to 20 years ago, vets today have quite the arsenal of safe and effective antiemetics (drugs that prevent nausea and vomiting) at their fingertips. Medications to reduce stomach acid production are also commonly used when trying to resolve vomiting in dogs and cats. All such therapies should be administered only under a veterinarian’s supervision.

If your dog or cat is vomiting more than a few times a year, pick up the phone and schedule a veterinary visit to figure out the cause. As with any medical malady, the sooner the problem is addressed, the better the outcome is likely to be.

Does your dog or cat vomit more than a few times a year?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

The Lowdown on Bully Sticks

March 24th, 2013

Do you give your dog bully sticks as treats? If so, you may be surprised by some information recently released by researchers from Tufts University and the University of Guelph. They have discovered that people who feed bully sticks are unknowingly providing extra calories and potentially harmful bacteria to their dogs.

Here is what the bully stick researchers discovered:

  • Only 62 percent of veterinarians and 44 percent of dog owners know that these “treats” are, in fact, uncooked, dried penises harvested from slaughtered bulls and steers. If you were not in the know, no worries. Clearly you have plenty of company!
  • The bully sticks studied (made by 26 different manufacturers in the United States and Canada) contained from nine to 22 calories per inch. On average, a six-inch stick contained 88 calories. Keep in mind that 88 calories equals approximately 30 percent of the recommended daily caloric intake for a 10 pound dog and nine percent of the daily recommended calories for a 50 pound dog. Also keep in mind that many bully sticks are considerably longer than six inches. (A great opportunity for a joke here, but I digress!)
  • Of the 26 bully sticks tested, eight contained bacterial contamination: one contained Clostridium difficile, one contained methicillin-resistant Staphylococcus aureus (MRSA), and seven contained Escherichia coli. Yuck! All of these bacteria have the potential to cause disease in the humans handling the bully sticks as well as the dogs eating them.

What does this research mean for you and your dog? If you regularly give bully sticks to your best buddy, it’s a darned good idea to proportionately reduce the portions provided at mealtime. Thoroughly wash your hands after handling bully sticks. Additionally, be on the lookout for symptoms such as vomiting, diarrhea, lethargy, or loss of appetite which could be caused by bully stick bacterial contamination. Perhaps better yet, consider discontinuing feeding bully sticks altogether. If I were a bully stick feeder (never have been because I am in the know about the body part from which they arise), this is certainly what I would do.

Now, what have you to say about them bully sticks?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

Veterinarians and Vaccines: A Slow Learning Curve

March 17th, 2013

Am I feeling frustrated and disappointed? You bet I am after reading an article titled, “Vets Slowly Move to 3-Year Vaccine Protocols” in the most recent edition of Veterinary Practice News. According to the article, approximately 60 percent of veterinarians continue to over-vaccinate their adult canine and feline patients by administering “core” vaccinations annually. This in spite of the fact that, for a decade now, it has been public knowledge that these vaccines provide a minimum of three year’s worth of protection.

Current canine and feline guidelines recommend that adult dogs be vaccinated against distemper, parvovirus and adenovirus, and adult cats against panleukopenia virus, herpesvirus and calicivirus no more than once every three years. Bear in mind, these are not rules or regulations (although I wish they were) they are simply guidelines. With the exception of rabies (mandated by state governments) veterinarians can vaccinate as often as they please.

The risks of over-vaccinating

What’s the downside to your pets receiving three-year vaccines once every year? My concerns extend far beyond wasting your money. (Please pause for a moment while I step up on my soapbox!) Vaccinations are so much more than simple shots. They truly qualify as medical procedures because each and every inoculation is associated with potential risks and benefits. While adverse vaccine reactions are infrequent and most are mild, every once in awhile a vaccine reaction becomes life threatening. As with any medical procedure, it is only logical to administer a vaccination if the potential benefits outweigh the risks. Giving a three-year vaccine once a year defies this logic in that the patient is exposed to all the risk of the procedure with absolutely no potential benefit. How in the world does this make sense?!

Why some vets continue to over-vaccinate

According to the Veterinary Practice News article, there are two reasons why approximately half of veterinarians continue to over-vaccinate. First, they believe as I do in the importance of annual health visits for dogs and cats. They also believe that the lure of a vaccine is the only way to convince their clients of the need for a yearly exam, and for good reason. In 2011, the “Bayer Veterinary Care Usage Study” documented that many people continue to believe that vaccinations are the only reason to bring their overtly healthy pet in for a veterinary visit.

The second explanation provided for over-vaccinating is that veterinarians don’t want to interrupt the revenue stream derived from annual inoculations. Despicable, in my book!

A possible third explanation is that some veterinarians remain unaware of current vaccination guidelines. If so, they must be living under a rock and begs the question, why would you want such an “outdated” individual caring for your pet’s health?

What you can do

Okay, now that I’ve ranted and raved a wee bit, I invite you to join me on my soapbox! Here are some things you can do to prevent over-vaccination.

  • Stand your ground! If your vet insists on administrating core vaccinations to your adult pets every year, share a copy of current canine and feline guidelines. You may need to agree to disagree and/or find yourself a more progressive veterinarian. Remember, you are your pet’s medical advocate and you have the final say so!
  • Bring your pets in for a yearly checkup, whether or not vaccinations are due. I cannot overstate the importance of an annual physical examination for pets of all ages. It’s a no brainer that the earlier diseases are detected, the better the outcome. The annual visit also provides a time to talk with your vet about nutrition, behavioral issues, parasite control, and anything else that warrants veterinary advice. Enough people bringing their pets in for annual wellness exams may convince more veterinarians to revise their vaccine protocols in accordance with current guidelines.
  • Spread the word by sharing the information in this blog post with your pet loving friends and family members.

To learn more about vaccinations, I encourage you to read “The Vaccination Conundrum” in Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life.

How frequently are your adult pets receiving their core vaccinations?

Best wishes,

Nancy Kay, DVM

Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Recipient, Leo K. Bustad Companion Animal Veterinarian of the Year Award
Recipient, American Animal Hospital Association Animal Welfare and Humane Ethics Award
Recipient, Dog Writers Association of America Award for Best Blog
Recipient, Eukanuba Canine Health Award
Recipient, AKC Club Publication Excellence Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot and Your Dog’s Best Health.   There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot and Your Dog’s Best Health are available at www.speakingforspot.com, Amazon.com, local bookstores, and your favorite online book seller.

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