If I Could Be Granted Just One Wish

My very dear friend, amazing blogger, tireless dog advocate and dog health guru compiled another vet survey. The topic this time...

Veterinarians Answer: If You Could Be Granted One Wish, What Would You Wish For?

New Year is time of resolutions. But what if one could just make a wish instead?

I asked my veterinary friends, what their one wish would be.

I would wish that every single person could see the beauty and spirit in every living being.

Every animal has the ability to love, care for, and provide companionship. My wish would be for humans to look into not just dogs and cats but also other species for these traits. There is so much beauty, grace, and gentle magnificence in so many other animals. I truly think the world would be a more peaceful kind place if we looked into the eyes of more creatures with the compassion, love and devotion that we do our dogs.

Oh, and if there could never be another animal killed by the hand of man because we couldn't recognize the inherent value of their unique miraculous life that would be my wish.

I love my pig, sheep, horses, and even those "so ugly they were cute" opossums as much as my dogs and my cats. To say one is more important or valuable than another is not possible.

—Dr. Krista Magnifico, DVM, Diary of a Real-Life Veterinarian
    Dr. Krista on Twitter
    Don't forget to check out Pawbly.com, around the clock free pet advice

***

If I could be granted any wish, I would wish to work my way out of a job by doing SUCH a great job of preventative care, disease and injury treatment and client education that along with all the other vet teams in the world, that every disease were eradicated and every injury were prevented and the health and well being of every pet were optimized and we are left holding our stethoscopes and scratching our heads as we look around at all of the healthy, happy and vibrant animals.

I suppose for that to be a 100% successful plan, we would need to beat mortality as well.  (That would make all of our hard work of population control all that more important!)  And truly, if overpopulation and mortality were both solved...I would call my career a complete success. 

As it is, I will never be completely successful, but will continue my efforts to work towards as long, pain-free and illness free lives as possible for our animal friends.

Knowing how good things should be (OK we are not solving DEATH any time soon) and even how good things should be (a long, healthy live in a loving home for every pet) and how things ARE (often that good but not always) is a disconnect that can be discouraging.  But knowing I can make some difference and partnering with the rest of the vet team and clients locally and the rest of pet lovers globally to get as close as possible to that wish coming true is encouraging enough to keep me coming back.

—Dr. Shawn M. Finch, DVM, Riley & James 
    Dr. Shawn on Twitter

***

I wish I could specialize
in veterinary pediatrics.






—Dr. Greg Magnusson, DVM (Leo's Daddy), Leo's Pet Care
    Dr. Greg on Facebook and Twitter 

***

My wish would be that everyone had the financial resources necessary to properly care for their pets. 

Every day I receive emails from people who are trying their best to figure out how to come up with the funds to pay for what their beloved pets need. Some of these requests are truly tragic because a super-fixable problem is described- perhaps a broken leg, yet the people writing to me are having to consider euthanasia because of their limited financial resources.

I encourage them to contact their local shelter with hopes that they can find some assistance there. I also refer them to my website where I provide a lengthy list of organizations that may be able to provide them with financial assistance. 


—Dr. Nancy Kay, DVM, Speaking for Spot
    Dr. Kay on Facebook and Twitter

***

That's an easy one - to not have owner's financial constraints limit me from providing the care that their animals need.

It's not a perfect solution, but pet insurance can certainly help.

—Dr. Jennifer Coates, DVM, Fully Vetted

***

The wish that I would like to have granted (as pertaining to veterinary medicine) would be that pet owners would be dedicated to preventing diseases in their companion canines and felines that are truly preventable: periodontal disease and obesity (the number one and two diseases seen in veterinary clinical practice).

Both diseases have potentially irreversible side effects that can severely compromise a pet's quality of life.

 —Dr. Patrick Mahaney, Los Angeles, The Daily Vet
     Dr. Patrick on Facebook and Twitter 

***

That's an interesting question...

My one wish would be that people would adequately research a particular breed prior to adding an animal to their household.

There are so many dogs and cats that end up in shelters, rescues or worse, everyday.

Often, many of these animals were a wrong fit into that individual's household, right from the get go.  People often fall in love with a look of a breed rather than their characteristics.

—Dr. Roxane Pardiac, DVM

***

Allow me to preface my answer with the story of Pedro. Pedro is a 15-year-old, 17-pound Chihuahua mix who was diagnosed last year with a severe cardiac arrhythmia. It quickly became apparent that without a pacemaker, he wouldn’t survive.

This intervention meant traveling to a specialist and came with a $5000 price tag. Pedro’s parents chose to have the procedure done and borrowed the money necessary to pay his ransom. He became my first patient to get a pacemaker.

I’ve practiced veterinary medicine for nearly 17 years, working in a busy emergency practice, general practice, and alternative practice. I’ve seen countless committed clients forced to decline expensive tests, procedures, or referrals because they simply weren’t affordable. I’ve wrestled with these painful decisions in my own family.

My utopian wish:  That the best modern medicine and technology have to offer be affordable and accessible for every pet.

Pedro, by the way, warms my heart every time I see him.  He still acts like a puppy and I hope will live for another decade with his bionic ticker.

—Dr. Julie Buzby, South Carolina, ToeGrips
    Dr. Julie on Facebook and on Twitter

***

I would love to see all of the shelters emptied by adoption.






—Dr. Keith Niesenbaum, VMD, New York, Crawford Dog and Cat Hospital
    Dr. Keith on Facebook and on Twitter

***

It would be easy to say as a private veterinarian that my wish list would be to have my practice acquire a CAT scan to make it easier to provide diagnoses to my patients that such a modality would provide. It would be easy to say that; "I wish my clients had the resources (money and time) to treat their pets and my patients to the best of my, their and modern technology  abilities."

But I really think my wish is, "Let there be less but better science published."

The corollary is that " Extraordinary claims require extraordinary proof."

The worst example in the last 12 months was the extraordinary claim in a study from France that claimed that GM foods caused cancer. Newspapers ran this headline on the front page. Less than 12 months later the study was repudiated as flawed. Hardly a peep from the press.

Our understanding of standards of research evidence and statistics has evolved far enough that bogus or bad studies or even worse unsubstantiated opinions should not get attention at all. If we all had to only read, understand, and communicate good science, my life and my patients' lives would be so much better. And so would society.

Of course maybe we need a study to confirm my hypothesis. 

—Dr. Rae Worden, DVM, Ontario,  Fergus Veterinary Hospital
    Dr. Rae on Facebook and Twitter

***

A wish is something that is impossible or something that is imaginary. If a wish is actually attainable, then it would no longer be a wish but rather a goal. However, many goals have started out as wishes, so here is my wish.

My wish is for integrative medicine to become the norm, to be main stream, for all veterinarians to be on the same page when it comes to treatment options.

The hard core holistic medicine practitioners and the hard core evidence based medicine practitioners are on the fringes.

For the holistic practitioners, I will tell you there is a time for vaccines, antibiotics and yes, even corticosteroids. There are many times that the benefits of the altruistic medicine far outweighs the negative influences. In the long term, the body is a magnificent piece of machinery and can handle and recover very well from the use of altruistic medicine, if used judiciously and as necessary.

For evidence based practitioners, I will tell you that the scientific method is not flawless and because of this there is much that we do not understand, we do not know, and much we have wrong. There is a place for anecdotal evidence and the acknowledgement that each patient is just that - a single patient. A patient is not a number in a group and responds as an individual to treatments and should be treated as such.

That is my wish - a better understanding and cooperation for the betterment of patient treatment making integrative medicine as the norm. Once there then I can wish for functional medicine instead of reactionary medicine being the norm, but that would be asking for a big wish to change both diagnostics and treatment options. 

—Dr. Daniel Beatty, DVM, Dog Kinetics
    Dr. Dan on Facebook and Twitter

***

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Veterinarians Answer: What Is The Biggest Toll Our Dogs Pay For Obesity?  
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Dawg Business Blog, by Jana Rade

When Jana asked me to answer this I thought it was one of the best topics for a survey. When the survey came out I suppose that I shouldn't have been surprised by the answers. I mean, heck, I own a veterinary hospital no one knows better than I do that I have to support my staff, the mortgage, the electric bills, and the hundreds of other associated costs required to run a hospital, but, just like all of the rest of life, those things that are truly important to you are free from monetary constraints. Now, don't get me wrong, money makes life easier, but if we all had one wish would it really be related to money? I sure hope not.

Here's my promise; my ability to practice medicine, help others, and improve the quality of both my patients and my clients lives does not depend on money. There is a way to help everyone and every pet, just like there is a way to take care of each other. When we realize this for each other human being we can realize it for every other creature. It's a simple matter of where we place our priorities. It doesn't have to be just a dream.




 

Medical Terms That Sound Like A Diagnosis, But Really Aren't, Guest Post by Jana Rade, Dawg Business

Medical Terms That Sound Like A Diagnosis But Really Are Not (Part I)

“Diagnosis that offers neither a solution
or an explanation is not a diagnosis.”
—Gregory House, MD

What really is a diagnosis?

According to wikipedia, a diagnosis (from an ancient Greek word that stands for discernment) is the identification of the nature and cause of [an illness].

In other words, getting to the bottom of a problem.

Why is this important?

A good diagnoses answers not only the question of what, but also the question of why.

The why is where the true solution lies.

I spent several days trying to come up with a good way to illustrate my point. And then the right story fell into my lap.

Recently, my mom got a fish tank with a few fish.

About a week ago she mentioned that it seemed that couple of the fish were not eating. She did go the the pet store she got the fish from, but the owner wasn't there, and the clerk told her that they definitely must be eating. Well, perhaps.

The other day she noticed that one of those two fish broke out with some kind of rash.

She took the fish out of the tank, put it in a glass and went to the pet store again. This time the owner was there.

He checked out the fish and told mom to take it back home; he was going to come over that afternoon.

He showed up equipped with an arsenal of vials and diagnostic thingies. He scrutinized the other fish, the tank, and the water chemistry.

Apparently, nitrate levels were off the charts!

Then he interrogated mom and found out that—with best intentions—she was overfeeding the fish! That's what led to the high nitrate levels, which then led to the fish getting sick.

He did treat the water with a liquid from one of his vials. He also treated the water with the sick fish, which he then took with him to see if he can bring it back to health. Then he gave mom detailed feeding and tank care instructions.

I am not an expert on fish, but I assume that the fish probably had ichthyophtirius, or something like that.

What is the point of this story?

Ichthyophtirius certainly sounds like a diagnosis, doesn't it? He could have easily stopped there, couldn't he?

But would that address the REAL problem?

Not for long.

*** 

The mother of all lame diagnoses is idiopathic “one-thing-or-another.”

Such a diagnosis admits three things:

1. we know that there should be a discernible cause for whatever is wrong (otherwise there would be no need for the qualifying adjective)
2. we have no idea what the cause is
3. we gave up trying to figure it out

“Idiopathic, from the Latin word idiot; meaning we're idiots cause we can't figure out what's causing it.”
—Gregory House, MD

Such a diagnosis really is an admission of defeat. 

Unfortunately, such a diagnosis often means that present medical science doesn't have the tools to get to the root of the problem.

What if sometimes the answer is hiding in plain sight?

This silly joke comes to my mind:
Patient: “My eye hurts when I drink coffee.”
Doctor: “Next time try taking out the spoon.”

Of course one could attempt to treat the eye somehow or manage the pain .. taking out the spoon, however, is much better solution, don't you think?

That's why getting to the bottom of things is so important.

In defense of idiopathic “one-thing-or-another” diagnoses, I have to say that I met with much worse.

As with Jasmine's chronic diarrhea, where the conclusion—as we were told then—was. that she has a delicate system. Or just recently, when my friend's dog was diagnosed with very sick intestines.

To top it off, both of these conditions got treated!

Quite often, though, you might encounter a medical term that truly does sound like a diagnosis.

Dermatitis, uveitis, otitis … just for a couple of examples. They do indeed describe the problem; in this case inflammation of the skin, eye or ear, respectively.

What do you think, are these final diagnoses?

It's your dog's health,
Jana

Related articles:
Medical Terms That Sound Like A Diagnosis But Really Are Not: One-thing-or-anotheritis

Link to the original article.
medical terms that sound like diagnosis

Link to author;
Jana Rade

Symptoms: Recognition, Acknowledgement And Denial, Guest Blogger Jana Rade

Today's blog is from my fellow blogger, and dog health expert, Jana Rade.

Symptoms: Recognition, Acknowledgement And Denial

symptom n. an abnormality caused by a disease that is observable in a sick animal 
Source: Dictionary of Veterinary Terms: Vet-speak Deciphered for the Non-veterinarian

The above definition points out two important things. A symptom is an abnormality that can be observed.

As far as your dog's health is concerned, this is the most important part of your job. 

You're the one who needs to pick up on such things. Well, of course you know that, that is a no-brainer, isn't it? You would be surprised how often it is not.

Observing doesn't necessarily mean understanding

Roxanne Hawn of Champion of My Heart wrote a great heartfelt article on the subject,Fearful Dog's and Medical Warning Signs. Sometimes we get so used to certain existing abnormalities, such as fear, that it is very easy to miss their medical significance.

If you had a confident dog, who suddenly became fearful, you're likely to take notice. But what if your dog is already fearful?

Your dog might be fearful, he might be quiet, he might be reactive … it is knowing what isnormal for your dog that is important.

Knowing what is normal

Knowing what is normal requires truly knowing your dog. Nobody else can do this for you.

Some symptoms are hard to miss because the hit you right in the face. Explosive diarrhea,vomiting, bleeding, severe itchiness...

But symptoms are not always as obvious. That doesn't mean that they are any less important.

As in Lilly's case, there was increase in fearfulness. But things like summertime increase in fears is normal for Lilly. Then there was some decrease in activity and stamina. Hiding behavior and change in elimination habits. Hair loss...

Beware of racionalizations

I think it is our tendency to nurture denial. Decrease in activity and stamina is easily attributed to weather, being tired from _______ (fill in your racionalization), or simple aging. “He just matured and slowed down.” There is no such thing in dogs, my friend! Dogs don't slow down because they matured, they slow down because being active had become difficult and/or accompanied by pain.

Even pain is sometimes considered normal in a senior dog!

When I joined hubby and our guys at the friend's farm recently, it was just couple days after Jasmine started favoring her front left leg again. I was upset about it and we had an appointment scheduled with her chiropractor.

The friend was complimenting on how great Jasmine was looking (and she was) and how well she was doing. I agreed but noted I was concerned about her front left leg.

“Well, she's eight years old,” the friend said.
Yes, she is, but she was eight ears old three days ago too and was pain free!

Just because a dog gets older it doesn't mean they won a frequent-flyer-pain-card!

Pain is not normal at any age! Pain is a symptom and needs to be addressed. Slowing down, not wanting to jump up on the couch, reluctance to play ... are not signs of maturity, they are symptoms of pain.

JD's buddy at the farm, Griffin, used to be his play buddy since JD was a pup. They'd play and play all day until they'd drop. Griffin is a Labradoodle and he is 6 years old now. He suddenly doesn't want to play with JD any more (which is breaking JD's heart).

What do you think? Had Griffin became too mature for silly play or should he be examined for signs of arthritis or other health problem?

The frog in boiling water

Gradual changes are the hardest to notice. Because they happen a little bit at the time they kind of became the new normal. Just like the frog placed in cold water that is slowly heated will not jump out. It doesn't work out so great for the frog!

Any signs that could be attributed to aging should be examined.

I think using what your dog was like when they were younger can serve as a good baseline. Symptoms of arthritis, Cushing's disease … are all too often contributed to aging.

Image Ostrich Head In Sand

Straight out denial

denial n. refusal to admit the truth or reality
Source: Merriam-Webster

Nobody wants bad things happen to their dog. Denial is really hoping that what you're seeing isn't what you fear it might be.

The first time Jasmine got up and was limping on her rear left leg, both hubby and I hoped her leg just fell asleep. Maybe her leg just fell asleep. Maybe she just laid wrong. Maybe she's just a little stiff. Hubby, eternal optimist, God bless his soul, is always trying to offer one of these explanations. But experience taught me otherwise.

Beware of “maybe it's just” explanations for what you're seeing

Maybe it's just heat was the first thought of Duncan's parents when he became lethargic and listless. Three days later he collapsed upon arrival to the emergency hospital and was diagnosed with Immune Mediated Hemolytic Anemia (IMHA).

Our neighbor's though it was just the heat when their dog collapsed. He died at the emergency hospital of heart failure.

Even just the heat can be deadly for your dog!

Know what is normal for your dog!

Know what is normal for your dog. Note and acknowledge any deviations from it. Noticing and addressing early symptoms can make a world of difference, and, in some cases, it can mean the difference between life and death.

Resist denial and racionalizations. The only way to deal with a problem is by facing it. And if by some chance you do end up in the veterinarian's office with a false alarm, trust me, it's the better alternative.

It's your dog's health,
Jana

For more information or to read more of Jana's articles you can find her at; Jana Rade

Veterinarians Are People First

A guest post from fellow Pawbly advisor, Dawg Business writer, founder, and dog lover Jana Rade. 

Veterinarians Are People First

I am working on a guest post about choosing a veterinarian. It made me reflect on all the veterinarians we've worked with—and it had been quite a few.

There are some important objective criteria to consider when choosing a veterinarian for your dog.

However, veterinarians are not machines—they are people. Each of them is a unique individual. Michelangelo, Einstein … it was not their education or their affiliations what made them who they were.

Every veterinarian is a person first, then a veterinarian.

What kind of person is your veterinarian?

Their education might be the same, the information out there is available equally to all of them—it is what they do with it what makes the difference.

Do you prefer an experienced old-timer or a young vet who won't have that much experience but is more likely to be up to date with all the new treatments and techniques?

Well, I can tell you that it is not as simple as that. 

Jasmine's present vet is an old-timer and he is on top of all the latest research and treatments. I haven't stumped him yet, and, believe me, I ask all kinds of questions.

Jasmine's earlier vet was a young one and couldn't care less. He was the type who believed that since he's made it through the vet school he now knows everything.

Jasmine's first vet was an experienced practitioner, working in a reputable clinic. 

He seemed to know his stuff. Yet he failed to recognize Jasmine's food allergies.

We started looking for a new one because we felt that our frequent vet visits were fruitless. More importantly, we felt that it became just business for him; there was no indication that he actually cared about his patients.

The vet we switched to came with great recommendation from our friends.

As we heard all the stories about how wonderful he was, we were very excited to get him as Jasmine's new vet.

He did seem to care about Jasmine and was very nice. And yet he became a source of great disappointment.

Our friends thought he was as amazing as they come.

At the beginning we did too. But he didn't listen to what we were telling him and his effort to keep things price-friendly for the clients led to cutting corners where they shouldn't have been cut.

Priorities are important.

What is your prospective vets' main priority? Is it an academic interest? Is it personal success and image? Is it their ego? Is it looking good in front of the clients? Is it just business? Or is it well-being of their patient? We've met them all.

It all comes down to attitude.

Intellect, education, those are all important things. Experience is great, but it can work both for or against your dog. Attitude, however, is what will make the difference when it really matters.

If your vet really cares about his patients, they will keep up with newest research and treatments. They will listen to what you're saying. They will take your dog's symptoms seriously. They will discuss things with you. They will consider what you came up with during your research. They will seek a second opinion when unsure.

They will have the drive to do everything that needs to be done to make your dog well.

We dealt with vets who lost the motivation to work their way to a diagnosis in a complicated case and were satisfied merely dealing with the symptom(s). We dealt with vets who made up their minds about things before hearing out what we observed in our dog. We dealt with vets who knew it all and nobody, particularly not dumb owners, could tell them anything. We dealt with vets to whom their professional pride meant more than their patient. We dealt with vets who'd jump out of their skin at the notion of looking for a second opinion.

At the end, attitude is what can make it or break it.

We love and cherish Jasmine's present vet. Do we agree on everything? No, we don't. Is he infallible? No, he isn't. But I know he will bend over backward for Jasmine's benefit.

Aptitude is important. But aptitude without attitude is useless.

When looking for a vet for you dog, consider all the objective criteria. But don't forget to look for attitude.

It's your dog's health!
Jana

If you would like to read Jana's other articles you can find them at the following links;

Dawg Business

dvm's daily

If you would like to ask Jana a question about dogs, dog health, or any other dog issue please visit Jana at pawbly

DawgBlogger Interview. The Dog Health Advocate Speaks

Pawbly, the collaborative effort of myself and my dear friend and Adam, (president of No Kill Harford, http://www.nokillharford.org/), is a place to ask questions, learn, and build relationships to strengthen peoples ability to take care of their pets. Our motto is "Ask --> Connect --> Learn. And that's what we are here to do. We are actively building a community of pet experts to help pet loving people across the globe. It is a very simple mission that we are all passionately devoted to providing. We have been so fortunate to find others as passionately devoted as we are.

Pawbly is thrilled and honored to have Jana Rade with us as a  guest blogger, contributing her years of research,writing and sharing her experiences with us. She is also answering questions pertaining to dog health. She is a true dog (or as she would say 'dawg') lover. Her beloved dog Jasmine, (her self described, "dog of her life") lead a long battle with many medical challenges along the way. Jasmine sadly lost her battle this past spring. Ms. Rade was diligent and devoted in meeting every obstacle head on and researched every disease, illness, and stumbling block that Jasmine faced. Jasmine was Ms. Rades inspiration to learning, writing, and informing others of the plights and challenges a sick dog faces. Her body of work continues to shed light on emerging veterinary medicine, alternative options, and provides a network of resources to assist other pet lovers in trying to find longevity, health, and happiness for those dogs Jasmines legacy leaves behind.

Although I was never fortunate enough to meet Jasmine in person I feel as if I knew her. Jasmine's tale, her ups and downs, every illness, every side effect to every treatment option, and clinical sign were documented by Jana. Jasmine's life has helped countless others because of the intense dedication of her mom. She is missed by many of us who never got to kiss her face but always knew who she was.

As our first guest blogger we wanted to introduce Jana to you with our first guest blogger interview;

Pawbly; I just want to ask you very basic questions like;

1. What started you writing?

Short answer? Jasmine. All the things we didn't know and realized we should have. Such as not all vets were created equal, that simply taking a dog to the vet should be enough but often isn't, and that one should trust their instinct if they feel things aren't right. Also all the things we learned along the way. I came to believe that Jasmine's rough journey could help other dogs and started writing about it.

2. Where did you see your writing when you started versus where you are now?

My mission remains the same and I don't expect my writing to change, just, hopefully, keep evolving.

3. What is your hope in writing and publishing?

My hope is to help dog owners to become true, educated health advocates for their dogs. I do hope to put together a book about Jasmine's journey eventually.

4. What have been some of your favorite aspects of blogging and writing?

Hearing about dogs whose lives are better because of Jasmine's journey and legacy.

5. What are the topics you enjoy writing about

Dog health advocacy topics

6. How much time do you dedicate to your blog, your DVMs Daily, and other online publications, or social media?

Too much and not enough both at the same time. I hope to be able to devote more time to my writing so I can put out more well researched articles on dog health issues. I'm hoping to land a sponsor one of these days.

7. How can Pawbly help you achieve some of these goals?

I don't know, actually ...? I signed up with the intention to help, not expecting getting help.

Anything else you would like to mention to help us get to know you better and understand how to help you with your purpose.

As I mentioned above, my mission, and Jasmine's legacy, is that other dogs would benefit from her journey and our experiences. I also encourage other people to share theirs, for the same reason. One can always learn things as they go, but there can be quite a high price for that. Learning from experience of others is a gift that can help avoid mistakes, help understand problems better, help knowing that one is not alone, help making better decisions. At the begging, I said, that if Jasmine's struggles can save just one dog from suffering, than my mission was fulfilled.

Q. what pet related blogs do you follow?

A. I follow and read about all veterinary blogs that are out there. I read some blogs on training and behavior. I follow a whole bunch of other blogs  but, frankly, don't have time left to read them. I skim through the content and read posts related to dog health topics only.

Jana Rade publishes a daily on-line publication "the dvms daily" http://paper.li/DawgBlogger/dvms,

a blog, Dawg Business,  http://dawgbusiness.blogspot.com/,

and can be found on twitter @DawgBlogger.

She is an amazing dog advocate and we are so fortunate to have her on board helping us help pets everywhere.

You can find us 24/7/365 at pawbly.com. We are always here to you and your pets and we are always free!

Jasmine