The veterinary consultation starts here:

While veterinary consultations typically involve physical ailments and diseases, normal mental or psychological health is just as important in our canine companions. These things can and should be addressed by the veterinarian as soon as the client is greeted in the waiting or consultation room.
I feel this involves greeting the client and taking a brief period of time taking a history, while virtually ignoring the dog. The vet should deliberate approach the dog, while still ignoring it. This allows the dog to not feel like the focus of attention, reducing its anxiety and allowing it to remain calm. Should the dog cower behind the owner or stand up begging to be picked up, the owner should gently correct the dog and have it sit beside or just in front of him/her. Constant whining or attempts to get the owner's attention should be gently corrected. I feel that these steps are mandatory to ensure a successful and relatively pleasant visit to the veterinarian, and should be applied to every situation in which a pet is stressed or anxiety-laden when going somewhere (groomer, vet, boarding facility, etc.).
Small dogs are over-represented here not because they're "prone" to anxiety or fear, but because their owners think that this is the case. Nothing is further from the truth. In fact, they are easier to correct physically (and I'm not deathly afraid of getting mauled by them), making them great candidates to work on during their visit. Like Cesar Millan, the dog whisperer, I like to "train" the pet owners as well and I find them so wonderfully open to it!
I'll leave it up to professionals to deal with large, aggressive dogs, as I impart much importance to my fingers and other body parts. With these rarely-seen patients, we do the best we can.
Enjoy your next trip to the vet!

Does it get any better than this?!

Long days... and loving it.

After nearly three weeks at my new full-time position, I continue to look forward to going in to work, to working long days, to a fantastic, talented, and industrious group of employees, to a friendly and down-to-earth clientele, to a plethora of challenging cases, to learning, to sharing my knowledge, and to invest in this position.

Though my hours are long, my schedule allows for plenty of days off during the week, allowing me to enjoy all of my personal activities.


Malassezia (yeast) infections: something extremely common in cats and dogs, especially during allergy season. These little buggers can cause nasty ear infections, and if you look for them properly, can be found anywhere on the skin.
Incidentally, our microscope in the clinic is suberb, but not an electron microscope (as what has taken this image).

Antibiotics do not suppress the immune system

If somebody asks me one more time, "Aren't antibiotics bad for the immune system?", I'm going to blow a gasket.
As a veterinarian trained in the West, I've been trained to use antibiotics for bacterial infections, not homeopathic remedies, nothing freshly grown and picked from the earth.
I believe I am diligent about the prescription of antibiotics... a pill-pusher I am not, unless of course pills need to be pushed.
If a dog, cat, or human being, has a bacterial infection (pneumonia, for example), the infection itself stimulates the body's immune system (because the bacteria are antigens - unrecognized by the body's immune system), while the stress of the entire infection on the body can eventually weaken the immune system. Immunity does not always deal with an infection by itself, especially with serious infections. Antibiotics, when properly prescribed, will kill bacteria, render them unable to multiply, or make them more susceptible to the body's natural immune defenses. Antibiotics are nothing but synergistic allies with the body's immune system. This doesn't mean that physicians should have carte-blanche when faced with treating infections in patients. Pros and cons need to be heavily weighed so that 1) the patient has the greatest chance of recovering and 2) the greatest care is given so that drug resistance does not occur (too late for many types of infections, unfortunately).
If an overwhelming bacterial infection kills the organism, well then, there's no immune system left now, is there?

Pneumonia-causing bacteria.

When used judiciously, these will deal with those above.

Cats don't normally....

... consume much carbohydrate. Felis catus, like the larger Felidae, are strict carnivores. The only carbs the large cats consume come from the gut contents of their prey (herbivores). Felines typically don't eat bread, grains, seeds, pasta, rice, couscous... you get the point. Not to say that they won't eat these things, right? Cats, though much more discriminate than dogs, also enjoy food!
So I came home to find my cat chowing down on a zucchini-carrot muffin, which he stole from the bottom of my gym bag. Especially for a diabetic cat, muffins are really not the way to go!
He's voracious all right.

Things he'd eat in a second. How 'bout your cat?

Air France crash

Apparently, a member of a royal Brazilian family, a dancer from the famed "Riverdance" group, and a couple of CEOs from some big company, were amongst the 228 killed in the Air France crash.
Everyone on that plane was someone's "royal," someone's dancer, someone's boss or employee, someone's love.
They were all human and every death caused as much devastation to a family as the next. Who cares what the ---- they did for a living or how popular they were in society... all mattered equally to somebody.
My thoughts are with the grieving families.

Humane Society Woes

Many years ago, soon after I moved to Toronto, I visited the Toronto Humane Society. I told them that I recently graduated as a vet, and management took me on a personal tour of the facilities, which had impressed me greatly at the time. Granted, there were exponentially less cats there at that time than today, but the wards were spotless, the dogs appeared clean and friendly, their runs were well-kept, and the cats lazily purred away while their owners-to-be agonized over which ones to choose. Upon questioning the manager about the THS's long and altruistic history, she reached for her bookcase and provided me with a copy of the THS Calendar, published in 1887, explaining and beautifully illustrating the Society's raison d'être.
Now we read in the Globe and Mail about the Globe's investigation into allegations that the THS has been ignoring the pleas of employees and volunteers to provide them with the necessary means to prevent suffering of their animals.
There appears to be compelling evidence thus far, even after reading just two articles on the subject. Witnesses seem to be coming out of the woodwork to expose their rather shocking personal experiences, while citations from THS management reminded me of the wind gushing from the mouths of yet unelected politicians (or managers who don't know what the ---- is going on in their businesses or institutions). I would have lent far less credence to the nauseatingly lefty writings of the Toronto Star (see last week's coverage regarding dog getting shot by cop - of course let's blame the man) - glad to be reading about this in the Globe.
Whatever occurs, the reputation of the THS must be restored so that its modus operandi not be eschewed for petty politics. Its mandate: to help alleviate the pain and suffering of (people and) animals.

Detail from an image in a previous post, from the Calendar of the Toronto Humane Society, 1887.
Update: OSPCA executes search warrants at Toronto Humane Society. Read here.

Cute AND tasty?

I could almost hear the collective "awwwwwwwww..." after the country learned of the piglet that wiggled its way from the confines of a transport truck onto the shiny asphalt of North America's busiest freeway, the 401, to then be saved by a good Samaritan who brought the pretty porcine to the THS. The piglet was examined by veterinarians there and will be treated for a broken leg.

Though admittedly adorable, I cannot but think of the piglet's fate, had it not fallen from the truck: it would have arrived at a pig farm, to grow and be fattened up over a few months or more, to then be slaughtered and used for our consumption, the beings so willing to wolf down menu items of pork chops, bacon, and pancetta, and yet with hearts so warm as to rescue this pre-fab menu item in order to alleviate its suffering. This story should be both heart-warming and also a reminder of the thousands, no, millions of adorable piglets and pigs being led to slaughter at this very moment.
Is this blatant hypocrisy or rather a more innocent manifestation of our contemporary human condition?

Humans eat pork products willingly. Our hearts also warm when seeing images such as this.

Carrying your dog around

I've blogged about this before: how inappropriate it is to conduct your day with your dog in a purse or other semi-capacious item not normally used to tote living things.
How it has come to incense me so, I do not know, but that I feel sorry for the dogs is clear.
Humans had it right millenia ago. Their behavior towards humans has changed little since then, while ours towards them has inexorably led to the very many doggie behavioral issues that need to be eschewed from the development of our intimate human-canine relationships.
I will continue to bring this topic up, as I would like to drill it into the minds of as many people as possible, in an effort for all of us to achieve the healthiest human-canine bond possible.
It's work, but well worth it!

The skull of what may be the earliest known dog, which dates to 31,700 years ago. The prehistoric skull was excavated at Goyet Cave in Belgium ( photo: Mietje Germonpre).

Human rights

Unrelated to veterinary issues, I am ashamed by the most heinous violations committed by Russia against the gay community during a pride rally in Moscow. Activists were arrested during this peaceful rally, hours before the all-inclusive Eurovision finals were to take place (which was won in 1998 by Dana International, an Israeli transsexual). As GPOC writes on his blog: an attack on the liberties of one group is an attack against us all. Where are Toronto's lefty protests now? We must all decry Russia's devolution to barbarism.

It's 2009 and this is still occurring on this planet.

Training Tips

I knew Twitter was good for something: I would never have found this page with 12 excellent tips (I think they're essentially mandatory) every dog owner should follow.
Click here for an obedient dog.

Lookee the photo I found online.

Twitter

I joined Twitter yesterday in order to boost readership of this blog. I have many great followers and readers (for which I am grateful), but I would love to reach out to more people out there in the blogosphere. Is it egotistical to want this? To want thousands and thousands of people following what I have to say? My training as a vet has helped bring me to this: a practitioner, a blogger... someone who is opinionated and isn't afraid to share it.
By joining this ultra-popular networking site, I, too, have been introduced to some spectacularly interesting blogs - there are some darn incredible writers out there!
My quirkiness notwithstanding, there are important things to bring to the forefront and I hope that this blog, my writing, my opinions, will evolve towards something more important, more intelligent, and of course, remain relevant to all of us.

Tweet.

Spring is here!

Spring is a time when many people take their pets to the vet for their yearly check-up. The snow has melted - in areas that receive snow - and pets become exposed to different things, like plants, dirt, baseball fields (and therefore baseballs), fossils, fault lines, fleas, ticks, and trolls (where they're indigenous).

Ok, jokes aside: dogs (and cats - cats are more complicated with respect to heartworm disease) require heartworm testing, monthly flea, tick and heartworm prevention, and possibly vaccines/boosters.
You should always your vet which vaccines are being administered to your pet and why. Ensure that a rabies vaccine is not given more frequently than what is labeled by the company (i.e., 1 year vs 3 years for rabies) or less frequently than required by law (which often correlates with manufacturer's recommendations. "Core" vaccines, like distemper and parvovirus (for dogs) and panleukopenia and rhinotracheitis (for cats) have been shown to provide immunity for at least several years, if not lifelong immunity. That's right: lifelong protection. I am confident that my patients are protected if their titers are sufficient. Vaccine titers are therefore becoming ever more popular. This entails the measurement of antibody against a certain disease (virus or bacteria). My recommendation is to check titers every year (if affordable - remember, the more people ask for this service, the more vets will offer it, and certainly vice versa - prices should go down as a result). I do not subscribe to yearly vaccines - this practice is outdated and medically unsound.
This does not mean that I don't believe in vaccines! In fact, the opposite is true. I would convince every owner whose puppy/kitten or naive pet (naive in the immune sense, meaning never vaccinated) that their pet MUST be vaccinated and booster a year later.
Dogs living in areas where Leptospirosis and Lyme disease are endemic should discuss these vaccines with their vet.
Not all dogs are candidates for all vaccines. So ask your vet, you've got the right to know!

Which one is right for your pet? Find out more by reading the American Animal Hospital Association (AAHA) canine vaccination guidelines here.
Guidelines for cats can be found here.
Lotsa reading, folks and may be complicated - my apologies!

Voracious cat

As you now know, my cat is acromegalic and diabetic. This means his diabetes is difficult to control and his high levels of circulating growth hormone (and uncontrolled diabetes) means he's constantly hungry. As I blog, he is bothering me for crackers and peanut butter, and is slowly making his way towards the New York style banana pudding (courtesy of Red Rocket Coffee).
Aside from a lick, which he now and then steals, I do not let him eat these things.
While slightly humorous, I must remember that not long ago, he would never have wanted to eat these things. Isaac, I must remember, is sick. This fact I have accepted.

Not Isaac, but I haven't ruled this scenario out.

More "Dog Whispering"

At my favorite neighborhood café, I kindly asked two young ladies if I could give them a short training lesson, after their dominant Chihuahua became aggressive when I introduced myself to him. It seemed he had a combination of dominance, fear, and territorial aggression. After the dog bit my fist (which I made so that fingers would be spared), I quickly put my left index finger around his tiny collar, and constrained him on my lap in this painless manner. After expressing his stinky anal glands and urinating all over me, I used my right hand to gently correct him until he was calm and submissive.
The two young ladies were very pleased. I made sure the dog could not see his owners (both sitting to my right), and would allow him to see them only once he was calm. He did not dare show me his teeth, growl, or bite afterward.
After his owners told me that this tough, little guy showed aggression towards larger dogs, I had another dog owner walk by a few times with both of her tail-wagging black Labs, as I held the little guy on the ground. The Labs very kindly introduced themselves to the Chihuahua, with barely a peep from the latter. We did this about a half dozen times.
This was the first time his owners could remember that he did not lunge or bark at the larger dogs. I insisted, rather drilled it into them, that these corrections must continue with them, lest his aggressive behaviour persist. I hope the bite on my knuckle and ensuing sepsis were not in vain.

An absolutely adorable Chihuahua.

Horner's syndrome

.... revisited, again, for the third time. Not that I'm complaining or anything, it seems Horner's is quite common. With over 70 million dogs in the US and 4 million in Canada, I would imagine that a significant number have been afflicted with Horner's syndrome at some point in their life. Have you heard of this syndrome? Has your dog or cat (or you) had Horner's? If so, tell me about it. Any questions? I'll try to help you out the best I can.
PS: See my post "Iranian kisses woman's breast," and the comments. By golly, I've been branded a racist.

A woman with Horner's syndrome (see previous two posts for photos of cat with Horner's).
Addendum: The eyes of two different colors, called heterochromia, is NOT part of Horner's syndrome. Note the small pupil and droopy eyelids. In cats and dogs, we'd also see the 3rd eyelid protruding. A sunken eyeball is often a subtler sign of Horner's.

Polo horses drop dead

It appears a pharmacy's mixing error is to blame for the death of 21 horses in Florida this week. Many of the horses started dropping like flies at a prestigious Polo Club in Palm Beach. Five horses not given a mixture of vitamins were the only ones that survived.
How utterly devastating. While this does not appear to be a deliberate intoxication of the animals, it is nonetheless heart-wrenching.
If I can digress: I'd rather see a horse running free in a field than chasing a ball in one.

I'm ok with this.

Painting

"Guppy," 48 inches X 36 inches, acrylic and mixed media on wood panel.
Not vet stuff, sorry.

Prolific

Not in the bunny rabbit sense. However, I have been busy painting my butt off the last few weeks. Some of my artwork will be going up at Red Rocket Coffee May 1st. How exciting!

Untitled, 36 X 24 inches, acrylic and mixed media on wood panel.

Puppies from China

Today the Toronto Star reported that a Toronto woman has spent thousands of dollars bringing seven puppies from China to Canada. Our country (continent actually) has enough rescue organizations which could have used that money to save a few cats and dogs. Perhaps a few fractures could have been repaired on a few Canadian rescue dogs (who will now have to be euthanized)? I am certain that this woman could have expended the same energy to find them a home in China.
Of course, most of us are gaga over the (never-ending) sensationalist Star coverage: adorable, happy little puppies in their recent Canadian photo-op. This story and photo likely turned thousands into doting, sniveling mashed potatoes.
This woman thought with her heart, not her head.

Dogs that could use a few bucks.

Acromegaly in a cat.

My 14 year-old domestic short-haired cat, Isaac, has been diabetic for a little over a year. He was well-controlled, and even went into diabetic remission, meaning that he was completely off insulin for a few months (cured, essentially).
Then he started drinking and urinating more, a clear sign that his glucose (sugar) was high. Chronic stress could lead to insulin resistance, however, this cat is virtually never stressed. He's the coolest cat I've ever met (no bias there). A herd of wildebeest can run through the house and he would not bat an eye. Three dogs were recently brought over to the house while family was here for dinner. Isaac lazily plopped himself in the middle of the living room while three dogs goaded him in vain to initiate a game of dog-chase-cat. No such luck.
While his insulin requirements crept up with no drop in his blood glucose, I became strongly suspicious of an underlying problem. Possibilities include an infection (anywhere in the body), a tumor, or another endocrine (glandular) problem, like Cushing's for example, and other issues.
Extensive testing, including an abdominal ultrasound and chest x-rays revealed nothing - not an iota of an inkling of a suspicion of a problem, including Cushing's.
He started to become even more pot-bellied and when he would hitherto eat nothing but the right cat food, Isaac started asking us for table food: pizza, (the occasional) McDonald's hamburger, risotto, filet mignon, chicken breast, deli turkey slices, yams, fries, and the list goes on.
This prompted me to suspect a disease (some say close to a third of diabetic cats are affected) called acromegaly, also known as gigantism. Test results came in today and Isaac's numbers were unequivocally consistent with the disease. This explains the consistently high blood glucose. Besides the high sugar, I am relieved that he is clinically well and he could stay this way for months to years.
Here, the vet has diagnosed acromegaly for the first time - in his own cat.

The same woman, young and normal in appearance on the left; older with signs of acromegaly in the middle and on the right (pronounced chin and underbite, enlarged head, and severely thickened fingers, etc.).

Pet Shop Boys and PETA

Last week, it was reported that PETA, People for the Ethical Treatment of Animals, had asked the famed 80s British pop band, The Pet Shop Boys, if they would change their name to "The Rescue Shelter Boys."
Why not "The Vegan Tofu Granola-Crunchy Boys," or the "I forgot that I'm a Human Living on Planet Earth Boys?"
PETA, land your UFO back on solid ground and get the heck back to Earth.
Temple Grandin, who has revolutionized the way animals are lead to slaughter, eats meat - have the nutbars at PETA boycotted her books??

In addition to many of their other shenanigans, PETA are seeking to have the word fish changed to sea-kitten. This way, it seems, we would be less likely to consume something called a sea-kitten. The only problem with this is that all the PET SHOPS would have sea-kittens flopping around in their front windows. Nothing cute about that....

Hit-and-run

Very sadly, a man driving a pick-up truck struck a rider and her horse in Collingwood, Ontario. The rider sustained minor injuries while her horse did not fare nearly as well. The full extent of what transpired is not known, however, we do know that it was a man in the truck, and that he fled the scene after the incident.
Let's hope they catch him.

Jessica Ruppel, riding Bella. A brief description of the horse's injuries and the suffering she endured after being hit nearly brought tears to my eyes.

Dog Portraits

By now, most know me as a guy who is not into eccentric "doggie culture." That said, the leftopath Toronto Star recently ran an article on pet portraits. Far from cheesy, these pieces of art demonstrate incredible talent. Beautiful and original, they really capture some personality and charm. Here are some examples.

A Katie Sonnichsen portrait. Fantastic.


Paul Boddum's work. Apparently, this is his dog. What incredible talent!

Puppy strangles

By request, I am posting about a disease called puppy strangles, otherwise known as juvenile cellulitis. While we don't see cases of it every day, it is nonetheless not rare.
Affected puppies are usually between one and four months of age. with symptoms that are often quite shocking in appearance. They include a swollen face, ears, muzzle, and spectacularly enlarged lymph nodes. The symptoms are consistent with other diseases and must be differentiated from a severe bacterial or fungal infection and mange (Demodex or Sarcoptes mites under the skin). Puppy strangles can be quite painful, unlike the other diseases just mentioned.
While it may appear that these dogs have some sort of infection, true puppy strangles is an auto-immune disease, meaning that the puppy's own immune system has, for some reason, gone a "little haywire". Therefore, treatment involves the use of prednisone, as an immunosuppressant, for cure. Within one to two weeks of treatment, affected puppies respond very favorably. The disease is curable and does not recur.

Puppy with juvenile cellulitis, or strangles (photo from the Pet Health Library).

Dogs in the news

Today, The Globe and Mail reported that a 4 month-old Lhasa Apso, sealed in a bag, was found in a Toronto dumpster. Nice, eh? A maintenance worker heard the whimpering of the poor animal and discovered it in the refuse bin. The adorable little puppy is up for adoption at Toronto Animal Services.
On the opposite page in the Globe, you can read about how another two dogs, belonging to one owner, were likely deliberately poisoned in Whitby Park. This after a weekend of deliberate poisonings in nearby Port Perry. These dogs had ostensibly eaten treats laced with ethylene glycol (antifreeze). It imparts a sweet taste to anything so would be undetectable in an already-sweetened treat. It causes acute and often irreversible kidney failure. It is treatable if detected early, and fatal if left undetected. A Boston Terrier, one of the intoxicated dogs described above, has already died. I cannot imagine the devastation and utter sadness that has been wrought upon this dog's owner.

The culprit who tossed the puppy in the bin, left to suffocate, should never be permitted to own a pet, of any kind, ever again in his/her life. Period. Of course, add a massive fine or jail time... let authorities figure that one out.
Please, let authorities find the s.o.b. who has been killing our dogs and and be harpooned (literally?) with the harshest sentence possible.

Not a dog, not a cat, not a guppy, not a newt. People should be banned from owning any animal after found guilty of any act of cruelty towards animals.