Sunday, December 4, 2011

Holiday Hazards For Dogs and Cats

HOLIDAY HOUSEHOLD HAZARDS
 
While the holidays can be joyful, they can also be stressful for you and your pets.  Knowing what can be dangerous for your pet and eliminating it from the environment or being cautious might help relieve some of that anxiety. 

Christmas trees, Poinsettias, Christmas Cactus, and Christmas tree preservative are all fairly benign:

The most common clinical signs after ingestion of the needles are vomiting, anorexia, abdominal pain and depression.  The toxicity of poinsettias is generally overrated.  Most pets just experience mild, self-limiting vomiting that resolves with little to no treatment.  The Christmas cactus is considered to be non-toxic.  Ingestion may cause mild gastrointestinal upset.  Most pets will not require care for vomiting.  Most pets that drink water containing Christmas tree preservative develop no signs. Occasionally we can see mild GI signs, rarely, bacterial/fungal contamination of the water may lead to more severe signs.

MORE SERIOUS PLANT OFFENDERS:

Mistletoe


Most ingestion of mistletoe cause just a mild gastritis. If purchased in a store, the berries frequently have been removed and replaced with plastic "berries" which can be a foreign body. Large ingestions may require decontamination and cardiovascular (heart, blood pressure) monitoring.


Shamrock


The Oxalis plant family can cause irreversible kidney damage and possibly kidney failure since it contains oxalates.  Vomiting is common.

Amaryllis


Amaryllis are common ornamental bulb plants, forced to bloom at Christmas time.  All parts of the plant are toxic, however the bulbs contain the highest concentration of alkaloids. The quantity ingested or the portion ingested can make a tremendous difference in toxicity. Ingesting foliage generally only results in drooling, vomiting, and diarrhea. Large ingestions, or ingestion of the bulb can cause hypotension, weakness, ataxia (difficulty walking), tremors and seizures. In general, prognosis is good. Large ingestions or cases with severe signs do require aggressive treatment.

 
Lily


 Cringing when I saw this picture of a cat so close to a lily!

Members of the Lilium and Hemerocallis genera (Easter lilies, tiger lilies, day lilies, etc.) cause acute renal (kidney) failure in cats. The toxic principle is unknown. Even minor exposures (bite on a leaf, ingestion of pollen) may result in toxicosis, so all feline exposures to lilies should be considered potentially life-threatening. It should be noted that not all plants with “lily” in the name are members of Liliaceae.  The lily flowers tend to be star shaped, with a deep throat, and they may have speckles.  When in doubt, bring the plant with you to the veterinarian’s office.
Delaying treatment beyond 18 hours frequently results in death or euthanasia.  In severe cases, peritoneal dialysis may aid in managing kidney failure until tubular regeneration occurs (10-14 days or longer). In severe cases, death or euthanasia due to acute renal failure generally occurs within 3 to 6 days of ingestion.

Chocolate

Chocolate is a mixture of cocoa beans and cocoa butter. It contains theobromine and caffeine, which are both classified as methylxanthines. Unfortunately, pets are sensitive to the effects of methylxanthines. Depending on the dose, methylxanthines can cause hyperactivity, increased heart rate, tremors, and potentially death. Other effects seen with chocolate overdose include vomiting, diarrhea, increased thirst, increased urination, and lethargy.  

The amount of methylxanthines present in chocolate depends varies with the type. The general rule is the more bitter the chocolate, the more toxic it could be. In fact, unsweetened baking chocolate contains almost seven times more theobromine as milk chocolate while white chocolate (a combination of cocoa butter, sugar, butterfat, milk solids, and flavorings without cocoa beans) contains negligible amounts of methylxanthines. Cocoa hull mulch, which smells intoxicating, is also TOXIC if your dog eats that as well. 

Early treatment, including decontamination procedures such as emesis (inducing vomiting) and activated charcoal, cardiovascular monitoring, and supportive care, is extremely helpful with chocolate poisoning. In addition, fluid diuresis may help enhance elimination.

Xylitol


Xylitol is a naturally occurring sugar substitute. Use of xylitol has recently expanded in popularity, and xylitol is found in many sugar-free gums, candies, and other foods. Dogs appear sensitive to xylitol, and ingestion can result in rapid, life-threatening hypoglycemia and with higher doses, have been associated with liver failure.
Treatment before symptoms includes inducing emesis, and when signs develop treatment is directed at managing the hypoglycemia with IV fluids containing sugars, plasma transfusions, and supportive treatment for liver failure. 

Onions

Onions and other members of this genus include garlic, leek, shallot, and chive. Pieces of onion, onion powder, or even cooked onion, can cause damage to red blood cells which could result in anemia in both dogs and cats. Clinical signs associated with onion poisoning include hemolytic anemia, hemoglobin in the urine (which can cause kidney damage), vomiting, weakness, and pallor. 

Treatment consists of decontamination procedures such as inducing emesis and administering activated charcoal, which should be considered with recent ingestions. Whole-blood transfusions, fluid therapy, and supportive care should be administered until patient recovery.

Macadamia Nuts

Macadamia nuts may cause problems if ingested by dogs.  Clinical signs commonly reported in dogs ingesting macadamia nuts include weakness, depression, vomiting, ataxia, tremors, and hyperthermia.   The cause for their sensitivity is unknown.  These nuts are often in cookies, chocolates, and other treats.

Treatment includes decontamination procedures such as inducing emesis, administering activated charcoal, and administering enemas. Additional supportive care should be given as needed. The prognosis in most cases is extremely good. Most dogs return to normal within 48 hours.

Rising Bread Dough
 

Ingestion of rising bread dough can be life-threatening to dogs. The animal's body heat will cause the dough to rise in the stomach.  Ethanol (alcohol) is produced during the rising process; high levels of salt in the dough can cause imbalances of body fluids and minerals in the bloodstream; and the dough may expand several times its original size. Signs seen with bread dough ingestion are associated with ethanol toxicosis, salt toxicosis, and foreign body obstruction may include severe abdominal pain, bloating, vomiting, incoordination, and depression.
Treatment in cases of recent ingestion in asymptomatic dogs, involves inducing emesis. In some cases, dough removal may necessitate surgery. 


Grapes and Raisins

Some types of grapes and raisins have been shown to cause kidney failure in dogs.  The basis for kidney failure following consumption of grapes or raisins is unclear, but is currently being studied in the veterinary community. The amount of grapes or raisins that may cause renal failure is not exactly known, so any amount could potentially be dangerous.
Treatment of recent ingestion:  inducing vomiting and administering activated charcoal is recommended.  This should be followed with IV fluids for 48 hours.  During this time the patient should be monitored for kidney damage.  If the animal shows evidence of renal failure, fluids and supportive care should be continued.

AFTER THE PARTY IS OVER

Moldy Foods, Trash, and Bones

Moldy foods may contain certain tremorgenic mycotoxins.  Tremorgenic mycotoxins can induce muscle tremors, ataxia, and convulsions that can last for several days.  Intoxications have been reported in many species; however, dogs that roam or have access to spoiled foods are more at risk.
Treatment goals following tremorgenic mycotoxin ingestion include minimizing absorption through decontamination procedures, such as emesis, lavage (flushing the stomach), and activated charcoal, controlling tremors and seizures with methocarbamol, and providing supportive care.  With early aggressive treatment, prognosis is good. 

Trash ingestion can cause intestinal blockage and perforation as well.

Bones are not good for your pet.  They can break the pet’s teeth, they are choking hazards, they can obstruct and perforate the intestines, they can have nasty bacteria such as E. coli and Salmonella on them.  Don’t give them intentionally, and don’t let them fish them out of the trash.



Ethanol

Due to their small size, cats and dogs are far more sensitive to ethanol than humans are. Even ingesting a small amount of a product containing alcohol can cause significant intoxication. Cats are particularly attracted to mixed drinks that contain milk, cream or ice cream (e.g. White Russian, alcoholic eggnog, Brandy Alexander). Ethanol is rapidly absorbed orally and signs can develop within 30-60 minutes. Alcohol intoxication commonly causes vomiting, loss of coordination, disorientation and stupor. In severe cases, coma, seizures and death may occur. Pets who are inebriated should be monitored and given supportive care by a veterinarian until they recover.

 Stay tuned for tomorrow's blog on...

OTHER HOUSEHOLD HAZARDS

Blog by:
Dr. Dana Lewis
Dr. Dana assists families with Pet Hospice and Euthanasia in the Raleigh North Carolina area (Raleigh, Durham, Chapel Hill and the greater Triangle, as well as Wake, Durham, Orange, and Chatham counties.)




Friday, December 2, 2011

Microchipping Pets Register and Activate

Microchipping Your Dog or Cat ....
Don't Forget To Also Register It!

This is a true story that happened to me last night as I was heading out to dinner with a friend.  We were driving in my community and my friend said, 'Watch out for that dog!'  (slam on breaks)   This beautiful husky mix is frantically running around the intersection.  I pulled over, opened my door and called her to me. She had her tail between her legs but she finally made it to me.. she had a pink collar on with no tag. DARN!   I put her in the back of my car and thought, 'Now what!'.   I knock on a few doors and no one knows of a husky mix in the area. I even stop a few people that were walking to see if they heard about someone looking for a dog. Goose Egg. W

e were meeting someone at dinner in 20 minutes, I can't bring her home because of my dogs... I was in a pickle.    "Maybe she is microchipped!'

So I call Amy - someone who works at the clinic I used to work at (Pet Vet Animal Hospital). She agreed to meet me at the clinic to scan her.  The dog started to warm up to us and was so sweet. I can tell she was WELL taken care of and was certainly someone's dog. 

We get to Pet Vet, scan her ..... AND.... she has a microchip!  YAY!!!!   And Amy says, 'Well - let's call and see if it is registered.'  Boo. What a downer... I was on a high that I may be able to find her family and get on to my meal. :)     We call Avid and they did not have anyone registered for that microchip. But they gave us the name of the rescue that had originally had her chipped.  We call them - Allen Babcock Rescue in Plantation Florida.

They give us the name of who adopted her, I call 411 but the number we get is just ringing. :(    It's getting late so Pet Vet lets us board her there for the night so we can resume the hunt tomorrow.

8:00 am I get a call from the rescue place - she finds an address (don't ask how - she is a detective) - and it is right near where I found her. The house was for sale - so we try to call the realtor. Leave a message. Now I proceed to call the local animal hospitals to see if they have a client by that name. The 3rd clinic I called did not have a client but the receptionist said, 'I have a friend with that last name and her family has a husky and they live right where you found her.'   She texts her friend and 10 minutes later, the mom calls me!!! YAY! 

I told mom where to pick her (Marley) up and she was so grateful.   However - she had no idea about registering the microchip. She just said, 'The rescue said she had one - we never knew to register it.'.

And here en-lies the whole purpose of this blog.
1) Microchip ALL your pets!  It is fast, easy and cheap

2) Just because they have the microchip in them - does not mean it is registered. You have to go on the company's site to actually register them and pay an annual fee (CHEAP - like $15/year) and enter your contact information. You can even submit a picture, upload medical information, etc.


3) Walk your dog more so your neighbors can recognize your dog ... I literally asked the house across the street from this lady if they knew of a husky and they did not know of one.  Everyone sees me in my neighborhood walk my doberman and Samoyed.  And I know where all the labs live, the dachshunds reside, etc.

4) Make sure your dog has tags on their collar

Well - Marley is safe and sound and is now registered with Avid! :)  But hopefully she won't escape again. I know how scary that feeling is.  And for such a friendly/beautiful dog... she could have easily been kidnapped. 

Thanks to Pet Vet Animal Hospital, Amy and the rescue group! 

Posted by:
Mary Gardner, DVM
www.lapoflove.com

Monday, November 28, 2011

Charlotte Mobile Vet for End of Life Care Jennifer Hawthorne

LAP OF LOVE 
VETERINARIAN SPOTLIGHT

Lap of Love has been in Florida since 2009 but only this summer grew to North Carolina where we now have 3 veterinarians offering pet hospice and in home euthanasia services.  Dr. Jennifer Hawthorne was our first veterinarian in North Carolina - Charlotte area and is our next vet to 'spotlight'! 

Dr. Jennifer was born and raised in Roper, NC. A teeny town in eastern North Carolina. She now lives in Charlotte with her husband and 19 month old son. 

I had to look it up cause I never heard of Roper - it's where the 'A' bubble is!


Dr. Jennifer and Marty
She has 4 furry children as well. Two cats - Marty and Isabelle. And two dogs - Tucker and Lacy.

NC State is where she went for both undergrad and vet school. 

When asked what her favorite breed of dog is - she said that she likes hounds!  And if she could own an exotic animal - it would be a Tortoise. 


Dr. Jennifer and her husband love to travel to the mountains and the beach when they can. 

Her favorite part of being a veterinarian is when she can help an animal in whatever way that may be. And if she could be anything other than a vet - she would be a stay at home mom! :)

Fun fact: Dr. Jennifer used to show horses - Western Pleasure - but now hardly touches them. 

Dr. Jennifer services the Mecklenburg, Cabarrus and Iredell counties including Charlotte, Concord, Kannapolis, Huntersville, Mooresville and more.

To contact Dr. Jennifer Hawthorne:
DrJennifer@lapoflove.com
(704) 659-1500

Click the states below for a list of veterinarians near you:
North Carolina
Florida
Tennessee

Posted by: Mary Gardner, DVM

Saturday, November 26, 2011

Mary Gardner Remembers Neo



Mary Gardner's Pet Memorial for Neo

Today is one year since my Doberman Neo passed due to complications from cancer (Cushings).  Although a very sad day to remember, I would like to use this day to remember my boy for the sweet, gentle blessing he was in our lives.

It all started back in 2000.....
 
A doberman?    Oh heck 'NO'!    I had just lost my 12 yr old Samoyed to an infection following a dog attack by a Rottweiler and at the time  Rottweiler = Doberman!    "Well - if we are going to get one - he needs to be raised with my new Samoyed puppy so there are no future problems."   

And so begins my LOVE of dobermans - red ones in particular!

Neo was born Christmas day 1999 and was a little fire cracker.



He instantly won me over!  And as for getting along with his new sister... well there was no separating the two! 
Neo and Rissa as puppies
Two great minds
So pretty and handsome
Furry pillow!
"What are these stupid bows?"
He also LOVED his pal Herbie!

This is when Herbie was bigger than Neo
And Neo grew! They loved to snuggle


In 2003 we all moved up to Gainesville for Vet School! 
He liked the rural living! 
In the U-Hal on the way to Gainesville
Neo and Serissa loving the G-Ville Life
Neo stood/slept by my side the entire way through school.
Study Break

He even came to school with me a few days to try to figure out his few 'issues'
He was an attentive student
Neo and a tech... such a ladie's man
What issues you ask... well he had:
  • OCD and liked to chew on his leg
  • Low Thyroid
  • Food allergies (he could only have fish)
  • Cancer on his toe (needed that removed)
  • And Dog Aggressive... loved people though
    Nasty Skin issues - we figured it out though! Food Allergies


I survived Vet School!  
And we moved back to South Florida. 
Enjoying Markham Park

He was such a good furry cousin!
His most favorite thing to do however, was to go camping in Georgia with dad! 

 

But us ladies did love him! 


Serissa, Mary and Neo
Dr. Kim Simons and Neo - that was his 'vet' (the best)
Mary and Neo 
 (I have to admit - seriously good hair day)




Neo after a CT - still a little loopy
 Neo got cancer when he was 10 but he had a great 9 months after diagnosis and did awesome with surgery and chemo. 
To learn more about Neo's fight against cancer - Click Here.
Neo after surgery - sleeping off the anesthesia


To learn more about Cushings - the type of cancer Neo had - Click Here.


  
He will always watch over me & 
I look forward to the day we meet again!


Posted by:
Mary Gardner, DVM
www.lapoflove.com
11-26-11

Friday, November 25, 2011

Does Euthanasia Hurt My Dog or Cat

Answering Some Common Questions About
Veterinary Euthanasia

Veterinarians are often asked “Will euthanasia or the medications used hurt my pet?”  We understand that the stress of deciding when to put your pet to sleep is overwhelming – but to add on the thought that it hurts – can really put pet owners into a state of confusion.  Dr. Cherie Buisson offers some answers.

Euthanasia is a Greek word meaning "the good death".  It is a gift that we are able to give our pets - to suffer ourselves so they can be released from suffering.  Naturally, people have a fear of euthanizing their pet and agonize over whether they are doing the right thing.  Two of the more common questions we are often asked are "will it hurt?" and "how long does it take?"

Photo Curtosy: Tampa Tribune (Dr. Dani McVety)
With Lap of Love, euthanasia is not painful and typically more peaceful than most people expect.  Why?  Because in almost all cases, we give our patients an injection of a sedative before euthanasia.  This injection is given either under the skin (like a vaccination) or in the muscle. The sedation typically does not hurt – we use teeny needles – similar to a vaccine needle.  

Before humans are given anesthesia for surgery, they are also given a sedative. And we do the same for your patients. The wonderful combination of medications we use give them a sense of relaxation and in many cases can make them unconscious (some dogs will even snore!).  

Some pets may be able to move a bit while under sedation and even have their eyes half open, but they are not aware.  It takes about half the dose of our sedation to make our patients unconscious.  It takes more to stop their body from moving without their knowledge.   (For instance, I have a friend who had anesthesia for a tooth removal.  While he was under anesthesia, he moved around and kicked one of the nurses.  He doesn't remember a thing about it.)  It is similar to when your dog cat (or even yourself) moves/twitches in their sleep.  It is just a natural reflex.

Once they are in a relaxed state, we can take our time administering the euthanasia solution. The actual administration of the solution is not painful – it does not sting or hurt.  In dogs, it is typically given in a vein and they do not feel discomfort. However, in elderly or sick patients and in cats, being able to find a good vein can be difficult.  Rather than poke and prod, the euthanasia solution may also be administered centrally (for example, into the abdomen).  This is also painless as our patient is already sedated.  

The drug used for euthanasia is an overdose of a barbiturate (a type of anesthetic) called Pentobarbital Sodium. (Many of us are asked if it is like what was used with Michael Jackson – and although not the exact drug (Proprofol) – it does work the same way).  It stops brain function – so the pet passes while they are sleeping and will not ‘know’ what is happening. 

How long does the euthanasia appointment take? The Lap of Love veterinarian is usually with you for less than an hour.  Most appointments last 30-45 minutes.  Sedation may take seconds or up to 20 minutes depending on how ill the pet is at the time.  Actual administration of euthanasia solution takes only seconds.  It can be followed by an increase in breathing, then breathing stops.  

Photo Credit - DVM News Magazine
The heart stops a few seconds to minutes later.  Our patients may hiccup, give a big stretch, have a final deep breath or make slight noises during this time.  These are all natural reflexes and is perfectly normal.  They happen with natural death as well.  If the solution is administered centrally, it may take longer.  Sometimes 15-20 minutes can pass before the heart stops completely – but the pet is sleeping the whole time and is in no discomfort or pain.  This is a great time to cuddle with your pet and tell them how much you love them.  Many owners are grateful to have a chance to hold their pet again knowing they are not in any pain.

Euthanasia is the most difficult decision we face as pet owners.  It is also the most generous – especially when your pet’s quality of life is diminished or they are suffering.  Be kind to yourself and be sure to ask questions.  This is your beloved family member, and it's good that you don't make this decision lightly.  If you truly love your pet and only want what is best for them, you will make the right decision when the time comes.  Be sure you talk with family members and your veterinarian.  No one should have to go through this alone.  We have some wonderful resources at www.lapoflove.com to help you with your decision.  And of course, our veterinarians are always willing to lend a hand/and an ear!s.

Please explore our website www.lapoflove.com or contact your local Lap of Love veterinarian to ask any questions you may have about hospice and euthanasia.