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Celebrating May

Sunday, May 13th, 2012

May receives double billing when it comes to pets and the people who love them. Not only is this Pet Cancer Awareness Month, May also happens to host National Pet Week. In honor of this special month, I have two special offers for you.

Consultations

Over the years, I’ve received many inquiries from readers requesting advice pertaining to their own pet’s health issues. If you are interested in such a consultation, please contact me at Dr.Kay@SpeakingforSpot.com and I will fill you in on the details.

While I am always happy to comply with such requests, it is important for you to know that, without direct hands-on contact with your dog or cat, my consultation must be limited to providing guidance for you. I can help you:

Understand what you have been told by your veterinarian or have learned online
Prioritize your concerns
Figure out what information is needed (help you prepare a list of questions for your veterinarian)
Clarify logical next steps
Work your way through difficult medical decisions while prioritizing what is best for your pet as well as your own peace of mind

I recently received the following feedback from Kim (and Ollie) and am sharing it with you to clarify how a consultation might be helpful:

Dear Dr. Nancy,

It was really nice talking to you. I needed it more than you can imagine. I really felt that you would understand both the anesthesia and knee issues and the shock and emotional reaction I have been feeling. And you did exactly what I needed – validated my concerns, honed right in on important facts even though our history (and no doubt my explanation) has been a long and confusing one, offered clear, direct opinions, and gave me a strategy for my next steps (with extra emphasis on key points so I really understood them). That means so much to me. I really appreciate your guidance in our challenging situation. Ollie is the happiest creature that I have ever known. He is much-loved by family, friends, neighbors… he is really a special boy (and so cute it is ridiculous). I will definitely be in touch and let you know how we are doing and what we learn. Thank you so much again.

Best,

Kim & Ollie

Two-For-One Book Sales

In honor of this special month, between now and the end of May, I invite you to buy two of my books for the price of one. Purchase Speaking for Spot or Your Dog’s Best Health and get a second book (either title) at no extra charge. (If applicable, the price will be based on the more expensive book.) To take advantage of this May special, please use this link for the Two-for-One purchase page. The May special is not available on the regular purchase page.

Will you be doing anything with your pets to honor this special month? If so, I would love to hear about it.

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.

Tags: Dr. Nancy Kay, Nancy Kay DVM, National Pet Week, Pet Cancer Awareness Month, Speaking for Spot, Your Dog's Best Health
Posted in Cancer Diagnosis in Dogs, Canine Cancer, Dog health, Second opinions, Speaking for Spot, Veterinary Office Visits, Your Dog's Best Health | 3 Comments »

Were You Smarter Than A Vet Student?

Tuesday, May 8th, 2012

curiousanimals.net Thank you for playing along with this blogger’s shenanigans! I hope you had fun with it. The first place winner was Cheryl Bryant from Mount Vernon, Iowa, the only respondent (out of more almost 100) who had a perfect score. Many of you would have achieved the same had it not been for that doggone tricky tapeworm question! I chose the other two winners by drawing names out of a hat, and they are (drum roll, please), Shirley Struble from Ann Arbor, Michigan and Shelli Pawlu from Pierz, Minnesota. Cheryl, Shirley, and Shelli will all receive a signed copy of Speaking for Spot or Your Dog’s Best Health.

Now for the answers and explanations you’ve been waiting for. If you happened to miss the questions, check out last week’s blog post before reading the answers below.

The best way to diagnose bladder stones is an ultrasound examination of the abdomen.

The best way to diagnose bladder stones is with ultrasound, a super-safe noninvasive way to view all of the structures within the abdominal cavity. Only really large stones can be found via palpation, and, because of their mineral composition, certain types of stones go undetected by X-rays. Ultrasound is far more reliable. Yes, exploratory surgery is a sure-fire way to diagnose bladder stones, but why perform such an invasive procedure when ultrasound is available?

Once a dog or cat is an adult, core vaccinations (the vaccines recommended for every dog or cat) should be given once every three years.

If you’ve read my books or my blog, this was probably an easy one for you to answer. Disease protection provided by core vaccines (distemper, parvovirus) in adult animals lasts a minimum of three years. It simply does not make sense to administer them more frequently. All vaccines have the potential for adverse reactions. Why on earth expose your dog or cat to such risk when there is no benefit to be gained? The exception here is rabies- your local government gets to dictate the frequency of administration of this vaccine.

An alternative to revaccinating adult dogs for canine distemper and parvovirus is vaccine serology, aka “titer testing.” For more information about this I encourage you to read the chapter called, “The Vaccination Conundrum” in Speaking for Spot.

Unfortunately, not all veterinarians are on the bandwagon when it comes to current vaccination protocols. What should you do if your vet insists on annual vaccinations? Time to find yourself a more progressive veterinarian!

Tapeworms can cause itchiness around the anus.

As a child I remember hearing that tapeworms could rob the body of nutrition. In veterinary school I learned that this is simply old wives’ tales. The two major issues caused by tapeworms are an itchy anus for the animal (worm segments exit the animal’s body by migrating through the anus) and a major “gross out” experience for the unlucky individual who happens to observe this trans-anal migration. Worst-case scenario, a super large volume of tapeworms within an animal’s gut can cause gastrointestinal symptoms, but this is the exception rather than the rule.

Food allergies can cause itchy skin, diarrhea, and ear infections.

Yup, food allergies can cause all kinds of symptoms for dogs and cats- from itchy skin to ear infections to vomiting and diarrhea. The best way to know if this is the cause of your pet’s problems is to talk with your veterinarian about a hypoallergenic food trial. Your dog or cat will be restricted to a limited-ingredient diet for 6-8 weeks while you and your vet observe whether or not the symptoms improve.

Hip dysplasia is something a dog is born with.

The normal hip joint consists of a ball (the head of the femur) that is deeply seated within a round socket (the acetabulum). Hip dysplasia refers to a defectively developed hip joint- something that the pup is born with- in which the head of the femur is not deeply seated within the acetabulum. The result is instability of the hip joint. Over time, the body reacts to this instability by remodeling the joint, the end result of which is arthritis. Hip dysplasia is the underlying abnormality, and arthritis is the secondary consequence.

Kennel cough is caused by bacterial organisms and viruses, and is the common name for infectious tracheobronchitis.

Kennel cough is an umbrella term used to describe inflammation of the respiratory tract caused by a variety of airborne, contagious, infectious microorganisms. Keep in mind that the Bordetella vaccination protects against only one microorganism capable of causing kennel cough.

A veterinary specialist is an individual who has completed advanced training and has become certified in a particular area of veterinary medicine.

From a legal point of view, the term “specialist” is reserved only for those docs who have completed advanced residency training (beyond veterinary school) in a particular field of veterinary medicine. In addition, the specialist must have authored publications and passed some insanely rigorous exams, the culmination of which is referred to as “board certification.” Many specialists do indeed have “special” personalities, but this is not a requirement.

Did you learn something new? Would you welcome more “Are You Smarter Than a Vet Student” in the future?

Lastly, I would like to send out greetings to all of you mamas out there. I hope you have a wonderful Mother’s Day!

Nancy Kay, DVM

Tags: Are you smarter than a vet student?, Bladder stones, board certification, Bordetella, diarrhea, Distemper, Dr. Nancy Kay, ear infection, food allergies, food trial, hip dysplasia, hypoallergenic food, Kennel cough, Nancy Kay DVM, Parvovirus, Speaking for Spot, tapeworms, ultrasound, Vaccinations, veterinary IQ, veterinary specialist, vomiting, X-ray, Your Dog's Best Health
Posted in Canine Diseases, Dog health, dog health care, Dr. Nancy Kay, Speaking for Spot, Veterinary Medicine, Veterinary Office Visits | 1 Comment »

Are You Smarter Than a Vet Student?

Sunday, April 29th, 2012

Quinn and Nellie - Photo Credit: Susannah Kay

This week, I’m asking you to put your veterinary knowledge to the test. I hope you have fun participating and will learn something in the process. As always, my goal is to help you become a savvy medical advocate for those animals you love so dearly.

So, here’s how it works. Take a look at the following questions and choose the response you believe makes the most sense. I invite you to post your responses publicly from which I will choose two “winners” who will receive a signed copy of Speaking for Spot or Your Dog’s Best Health. I will provide the answers to all of the questions within my next blog post. Enjoy!

A. The best way to diagnose bladder stones is:

An x-ray (radiograph) of the abdomen
An ultrasound examination of the abdomen
Palpation of the abdomen in order to feel the stones within the bladder
Via surgery

B. Once a dog or cat is an adult, core vaccinations (the vaccines every dog or cat should receive) should be given:

Once a year
Once every two years
Once every three years
Never again once the adult has been vaccinated

C. Tapeworms can cause:

Increased appetite
Weight loss
Itchiness around the anus
All of the above

D. Food allergies can cause:

Itchy skin
Diarrhea
Ear infections
All of the above

E. Hip dysplasia is:

Something a dog is born with
Something a dog develops over time
The same thing as arthritis in the hips
Always a preventable disease

F. Kennel cough is:

Caused by bacteria
Caused by viruses
Is the common name for infectious tracheobronchitis
All of the above

G. A veterinary specialist is:

An individual who has a special interest in a particular area of veterinary medicine
An individual who has completed advanced training in a particular area of veterinary medicine
An individual who has completed advanced training and has become certified in a particular area of veterinary medicine
An individual with a special personality

Now, don’t forget to post your responses.

Best wishes,

Nancy Kay, DVM

Tags: Bladder stones, Core vaccinations, Dr. Nancy Kay, ear infection, food allergy, hip dysplasia, Kennel cough, Nancy Kay DVM, radiograph, snap test, Speaking for Spot, tapeworms, ultrasound, Vaccinations, veterinary specialist, X-ray, Your Dog's Best Health
Posted in Canine Diseases, Dog health, dog health care, Speaking for Spot, Veterinary Medicine, Veterinary Office Visits | 92 Comments »

Three Essential Steps for Maintaining Your Dog’s Health

Sunday, March 25th, 2012

As mentioned in my last blog post, the American Animal Hospital Association and the American Veterinary Medical Association recently teamed up to create Guidelines for Canine and Feline Preventive Healthcare. These guidelines have been distributed to veterinarians throughout the United States with hopes of enhancing their efforts to counsel their clients about disease prevention.

Last week, I provided you with a tour of the preventive guidelines for feline health care. Rather than review the entirety of the guidelines for you dog lovers (I encourage you to do this on your own), from them I’ve selected three that I consider to be most important.

An Annual Physical Examination

In the past, veterinarians have done a remarkably good job using vaccine postcards and emails to remind their clients to schedule visits. The downside is, clients have been inadvertently programmed to believe that vaccinations are the most, if not the only, important part of their dog’s regular visits. Now that adult core vaccinations are required only once every three years (rather than once a year), it’s no surprise that veterinarians have observed a marked decline in annual office visits.

An annual physical examination is a key ingredient for maintaining your pet’s good health. It provides the opportunity for discussion about nutrition, behavioral issues, parasite control, and anything else that warrants veterinary advice. Additionally, an annual physical allows for early disease detection and treatment. It’s a no-brainer that the earlier cancer is detected, the better the outcome. The same holds true for heart disease, kidney disease, periodontal disease, and a myriad of other medical issues that might be detected during a routine physical exam. Here’s the bottom line, get your pet to the vet once a year, no matter what!

Heartworm Prevention

Heartworm disease has now been documented in all 50 of the United States. This parasitic infection is spread from one dog to another by way of mosquitoes. Heartworms set up housekeeping primarily within the heart and the blood vessels within the lungs where they are capable of wreaking havoc. Treatment for this disease isn’t always successful and carries significant potential for negative side effects. To make matters worse, there is a worldwide shortage of Immiticide®, currently the only approved drug to treat heartworm disease. And, while it’s tempting to believe that your dog’s thick haircoat or primarily indoor lifestyle will be protective againt heartworm disease, statistics prove otherwise. There, have I adequately made my case for use of heartworm prevention?

There are a number of safe and effective medications on the market that effectively prevent canine heartworm disease. Talk with your veterinarian about the incidence of heartworm disease in your community to determine if prevention is warranted. If recommended, please use the product exactly as prescribed. Lack of compliance is the number one reason dogs receiving heartworm prevention develop the disease. To learn more about heartworm disease, visit the website of The American Heartworm Society.

Counseling on Behavioral Issues

The number one reason dogs are euthanized or relinquished to shelters is problematic behavior. Separation anxiety, aggression, failed housetraining- these are just a few of the reasons people give up on their pets. I recently worked with a client for the first time whose adorable six-year-old Schnauzer Molly has kidney failure. In an, “Oh, by the way” comment, she told me that she and Molly never, ever spend time apart because of separation anxiety. Left alone, sweet little Molly assumes the role of demolition artist. When I asked Molly’s mom if she’d ever mentioned this problem to her family vet, she sheepishly shook her head. She was unaware that discussion with her veterinarian would result in referral to a “vetted” trainer and a prescription for medication designed specifically for the treatment of canine separation anxiety.

Be sure to talk with your vet about any of your pet’s behavioral issues just as soon as they become apparent. The sooner such problems can be nipped in the bud, the better the outcome will be.

Does your dog receive an annual physical examination? Are you administering heartworm preventive medication? Have you discussed your dog’s behavior issues with your veterinarian? Do tell!

Best wishes,

Nancy Kay, DVM

Tags: American Animal Hospital Association, American Veterinary Medical Association, Annual physical examination, Behavior issues, Canine aggression, disease prevention, Dog trainer, Dr. Nancy Kay, Guidelines for Canine and Feline Preventive Healthcare, Heartworm disease, Hearworm prevention, House training, Immiticide, Nancy Kay DVM, Separation anxiety, Speaking for Spot, The American Heartworm Society, Vaccine reminder postcards, vaccines, Your Dog's Best Health
Posted in Canine family members, Canine Symptoms, Dog health, Dr. Nancy Kay, Speaking for Spot, Veterinary Office Visits, Your Dog's Best Health | 9 Comments »

Never a Dull Moment!

Sunday, January 29th, 2012

Having graduated from veterinary school in 1982, this year marks my 30^th year practicing veterinary medicine! Wow, that’s a lot of years! What feels most remarkable is that I’ve been able to work at the same profession for so long without becoming bored or complacent. I’m certain the reason is that not a single week goes by without my seeing or experiencing something new and exciting.

Take Dottie, for example. This exuberant 5-year-old spayed female Jack Russell Terrier mix was referred to me because of persistent vomiting despite treatment with a variety of medications. Little Miss Dot continued to eat well and she remained normally active, but her daily vomiting continued. Blood and urine testing were normal as were x-rays of her belly.

Physaloptera worms. Photo Credit vet.ohio-state.edu.

When I examined Dottie, had I not known better I would have thought she was a completely healthy little girl. I performed abdominal ultrasound, the results of which were normal. The next step was endoscopy in which a long telescope device was passed down her esophagus and into her stomach and upper small intestine. Lo and behold, when I entered Dot’s stomach I was greeted by a herd of little white worms! They were crawling every which way and many dove into their burrows within the lining of Dot’s stomach in response to the bright light of the endoscope. No wonder the poor girl was vomiting!

Never before thirty years of practice have I seen stomach worms, aka Physaloptera! I’ve just moved cross-country, so I assumed that I’d just encountered my first case of a disease that must be common in the Carolinas. Not so! Other than as photos in a textbooks, none of my coworkers had ever before seen Physaloptera. There was a crowd of twenty or so people crowded into the endoscopy suite in order to have a look. (I should have charged admission!)

Intestinal worms in dogs and cats are commonplace. Worms living (and burrowing) in the stomach are a rarity and I may have encountered my first and only career case of Physaloptera. These worms are transmitted via insects such as beetles, cockroaches, and crickets. Dogs who eat such critters are subject to developing stomach worms. The eggs of the worm may show up via fecal flotation (the stool sample is examined under the microscope). Veterinarians don’t commonly think of running fecals on patients with vomiting as the only symptom. I certainly won’t be skipping this test in the future! Running a simple fecal flotation is far less expensive and a whole lot easier on the patient than an endoscopic procedure.

Dot received the appropriate deworming medication and her vomiting has completely resolved. Her doting family members are thrilled with the outcome and they are going to do their best to prevent their little girl from snacking on insects in the future.

Do you encounter new and exciting things in your chosen profession? Please do tell!

Best wishes,

Nancy Kay, DVM

Tags: Deworming, Dr. Nancy Kay, DVM, endoscopy, Fecal flotation, Nancy Kay, Physaloptera, Speaking for Spot, Stomach worms, Vomiting in dogs, Your Dog's Best Health
Posted in Dog health, dog health care, Dr. Nancy Kay, Second opinions, Speaking for Spot, Veterinary Diagnostic Procedures, Veterinary Specialists, Your Dog's Best Health | 9 Comments »

Anesthesia Guidelines from the American Animal Hospital Association

Sunday, January 22nd, 2012

Photo Credit: The Pet Doctor Inc.

I have great respect for the American Animal Hospital Association (AAHA). One of the many wonderful things this organization does is the gathering of experts within the profession to create practice guidelines for veterinarians. In the past, for example, I’ve exposed you to AAHA guidelines for vaccination protocols. Not only are such guidelines helpful for veterinarians, they are also available to you, the consumers of veterinary medicine. With such information in hand, I’ve no doubt that you will be better able to make informed decisions for your pets. And there’s nothing I like better than helping people become better medical advocates!

AAHA’s latest endeavor has been the creation of guidelines for anesthesia for dogs and cats. They cover multiple aspects of anesthesia including preanesthesia patient evaluation (detailed medical history, thorough physical examination, assessment of risk based on breed, age, and overall health), diagnostic evaluation, preanesthetic medications, recommendations for induction and maintenance of anesthesia, monitoring parameters and equipment, pain management, staffing recommendations, and monitoring of the patient following anesthesia. Did you know that 47 percent of canine deaths and 60 percent of feline deaths associated with anesthesia occur during the anesthetic recovery period rather than during the actual anesthesia? I had a hunch about this, but was unaware of these statistics until I read the Anesthesia Guidelines.

As a small animal internist, it’s a given that I only see patients who are sick. (I truly miss all of those well puppy and kitten exams!) So, I truly appreciate the section written about managing anesthesia for patients with preexisting medical issues including kidney disease, diabetes, heart disease, and liver disease.

Although the AAHA guidelines are written for veterinarians, I encourage you to take a look. Let me know if you need any help interpreting what you read. Keep in mind that these guidelines are simply that- guidelines. Veterinarians are not required to follow them. This is why it is up to you to ask the right questions to learn how your veterinary staff members anesthetize and monitor their patients. In addition to reading these guidelines when formulating your list of questions, I encourage you to also read the chapter called “Important Questions to Ask Your Vet…And How to Ask Them” in Speaking for Spot. There, you will find a thorough list of questions to ask your vet when anesthesia is recommended. Perhaps the very first question should be, “Have you read the new AAHA Anesthesia Guidelines?”

What have your experiences been with pets undergoing anesthesia?

Best wishes for a happy new year,

Nancy Kay, DVM

Tags: AAHA, AAHA Guidelines, American Animal Hospital Association, American Animal Hospital Association Guidelines, anesthesia, Anesthesia for cats, Anesthesia for dogs, Diabetes and anesthesia, Heart disease and anesthesia, Kidney disease and anesthesia, Liver disease and anesthesia, Medical Advocacy, medical advocate, Monitoring anesthesia, Pain management for pets, Speaking for Spot
Posted in Dog health, Medical Advocacy, Medicine Decision Making, Speaking for Spot, Your Dog's Best Health | 8 Comments »

Resolutions for the New Year That Will Benefit You and Your Pet

Sunday, January 1st, 2012

The transition to a new calendar year may inspire you to muster the resolve to make good changes in your life. How about the lives of your pets? No time like the present to make some new year’s resolutions that will benefit both of you. Here are three suggestions:

More Face Time With Your Pets

Our furry family members are more than happy to be our exercise partners, confidantes, psychotherapists, and nonelectric heating blankets. Take advantage of such pet-facilitated services as much as possible this year!

What dog doesn’t crave attention from their favorite human? Teach your best friend some new tricks. Begin working on that long overdue grooming. Get your pup out for more exercise (lose the sedentary human behavior at the dog park). Don’t let the winter weather be a deterrent. Go shopping for some canine winter apparel and gift yourself with Dr. Phil Zeltzman’s book, Walk a Hound, Lose a Pound to glean some inspiration!

What about our kitties? Well you know how it is- cats tend to like things on their terms. However, even the most curmudgeonly of cats will benefit from a feather toy tempting them to expend some energy and some affectionate scratches under the chin. The challenge is to spend more quality time with your kitties while convincing them that the activity is of their choosing.

Fewer Vaccinations

Your adult pet’s good health requires inoculation with core vaccinations no more than once every three years. The term “core” is reserved for those vaccines, such as distemper, that are recommended for every adult animal. Overvaccinating (vaccinating more than once every three years) exposes your best little buddy to needless risk (yes, there is some risk associated with every vaccination). Besides, why spend your hard earned money on something that is completely unnecessary?

If your veterinarian has remained on the “once a year bandwagon” and the thought of convincing him or her otherwise gives you a case of the willies, I encourage you to read the chapter called, “Discussion About Your Dog’s Vaccinations” in Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet. Kathie please make this a live link to the Amazon page The information found there will provide you with all the inspiration you need to broach the vaccination conversation with your vet. (For those of you who are cat fanciers, please know that my hope is to create the feline version of this book within the year. In the meantime, know that the basic principles provided in Your Dog’s Best Health apply to kitty care as well.)

Recruit a Professional to Help With Your Pet’s Behavioral Issues

Would you love to be able to leave your dog home alone for more than ten minutes without the house being destroyed? Would you be ecstatic if your precious puss quit spraying your walls with his version of graffiti? Would you relish the idea of taking your dog for a walk without having to ice your shoulder afterwards? There is no time like the present to tackle such behavioral issues. I encourage you to get the professional help you need so that you and your pet can fully enjoy cohabitating. Chronic behavior issues tend to gradually result in more and more isolation for the pet until most of their waking hours are spent within a crate, a single room of the house, or the backyard. Such isolation begets even more negative adaptive behaviors, and the end result may be relinquishment to a shelter or rescue organization; worse yet, euthanasia.

Please know that if your dog or cat has a significant behavioral issue, you are certainly not alone. Also know that the sooner the issue is dealt with, the happier the outcome will be for both you and your pet. Hiring a pro to help you work out a behavior bugaboo will be one of the best investments you make this year!

When choosing a trainer or behaviorist, check in with your veterinarian for a recommendation. Additionally, check out the websites below. You’ll find lots of information about how to choose the right person to help you with the issue at hand. These sites also have “locators” to help you find a professional in your area.

Association of Pet Dog Trainers

Certification Council for Professional Dog Trainers

International Association of Animal Behavior Consultants

Animal Behavior Society

American College of Veterinary Behaviorists

Have you made any “pet resolutions” this year? Does your pet have a behavioral issue that is affecting the quality of your life? Have you successfully dealt with a significant behavioral issue in the past? Please share what you know so that others may offer advice and/or benefit from what you have learned.

Best wishes for a happy new year,

Nancy Kay, DVM

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot. 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 is available at Amazon.com, local bookstores, and your favorite online book seller.

Tags: behavior and training, behavioral issues, Dog care, dog health, Dr. Nancy Kay, exercise, Nancy Kay DVM, new year's resolutions, Speaking for Spot, Vaccinations, walking your dog, Your Dog's Best Health
Posted in dog care, Dog care tips, Dog health, Dog Training, Medical Advocacy, Speaking for Spot, The Vaccination Conundrum, Your Dog's Best Health | 4 Comments »

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Archive for the ‘Dog health’ Category

Celebrating May

Consultations

Two-For-One Book Sales

Were You Smarter Than A Vet Student?

Are You Smarter Than a Vet Student?

Three Essential Steps for Maintaining Your Dog’s Health

Never a Dull Moment!

Anesthesia Guidelines from the American Animal Hospital Association

Resolutions for the New Year That Will Benefit You and Your Pet

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