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The Snake River Vet Blog will be moving to a new Web address on October 1st.
The blog’s new location is http://snakerivervet.com/wordpress/
If needed, please update your links and subscriptions to the new blog location.
I have mentioned before that one on the best things about being a rural veterinarian is getting to visit ranches and work with ranchers and cowboys all over Eastern Oregon and Southern Idaho. I recently made a trip to a ranch in Oregon where I was scheduled to check 350 cows for pregnancy. It was about a 2 hour drive from the clinic and we were scheduled to start at 7 am to avoid the desert heat. Needless to say, it was an early morning start for me and John. the willing young man I convinced to help me identify and mark cattle. After a nice ride through a very rural portion of Eastern Oregon, we arrived at the ranch where a ready crew was waiting. We got started right away, working with 3 generations of ranch family, neighbors, and crew. Few things are as satisfying as working around these families and their livestock.
It was a perfect morning. The cattle were cooperating and the weather was cool and pleasant. We were about half way done, each cow was preg checked, vaccinated, identified and let out of the chute. Pregnant cows went to the right, open, or non pregnant cows to the left. Everything was running smoothly.
I noticed one of the buckaroos and his horse, working in the pen next to the chute. He would ease his horse forward one step and then rein him in. A second or two later, he would do the same. In between checking cows, I continued to watch him and his horse as they kept on. I admired the way he could coax his horse forward one step at a time and stop him so precisely with each step. I thought they were doing a fine job of cutting a cow out of the herd. It was obvious to me that both the buckaroo and his horse knew what they were doing. Problem was, I couldn’t see the cow they were trying to move. Then I realized there was no cow, what was he doing? A little horse training maybe? Then I saw it and realized what this tough Eastern Oregon cowboy was doing all along. Just ahead of him and his horse I saw a mama Killdeer scoot under the fence, behind her were 3 tiny puffballs being pushed along by the buckaroo and his horse. It was 3 baby killdeer and their killdeer mama being herded toward safety away from the cows. I just witnessed a first for me, and as far as I know, the first ever killdeer roundup. If only I had a video camera. Of course, when all of his buddies realized what he was doing, they harassed the buckaroo without remorse. He laughed along sheepishly, but I am sure he would have done it again in a second.
Like I said before, working with ranch folks is one of my favorite things to do. I never know what the next adventure will bring. I am sure we will laugh about the killdeer roundup for years to come. The next time you hear about how ranchers don’t care about the environment, picture a buckaroo in a wide brimmed hat with his horse, and the killdeer roundup.
Many of you remember last year’s canine influenza outbreak that occurred in the Chicago area. Many of you, along with us, felt helpless with the fact that there was nothing anyone could do to help protect our furry family members. Anyone remember that? Well…awesome news! There is now a flu vaccine available! And even better news? We have it available at Snake River Vet Center! Before you hurry down to get your doggie their flu vaccine, here is some information to help you make a sound decision about whether to vaccinate or not.
There are 2 strains of the canine canine influenza viruses have been isolated: H3N2 and H3N8. The newest strain is the H3N2 and is of avian (bird) origin. The H3N8 strain is of equine (horse) origin and has been around longer. It is recommended that dogs be vaccinated against both viruses to be protected.
The canine influenza virus is spread by dogs being in close contact with each other and via aerosolization (which means it can be carried and spread through the air). All dogs that are exposed are at risk because they have not built up a natural immunity. The clinical signs include: coughing, sneezing, nasal discharge, ocular (eye) discharge and fever. Some dogs get a mild case and can be treated at home, however; others may need or require hospitalization and supportive care. The scariest part? Dogs that are newly infected and actively shedding the virus (meaning they are contagious) will not show any signs of being sick at first. Clinical signs often arise days after they have already been sharing the virus with everyone else. This makes the virus super sneaky!
Dogs that are at high risk include those participating in social activities with other groups of dogs. This may include: doggie day care, boarding facilities, training facilities, dog shows or trials, dog parks, shelters, kennels, and grooming facilities.
Protecting your pet is as simple as vaccinating them. The initial series includes two vaccines, one for each virus (H3N2 and H3N8), and a booster of each vaccine around 3 weeks. The vaccine will boost natural immunity against these viruses, and will then need to be boosted thereafter on a yearly basis. Dogs vaccinated against canine influenza are not protected until they have had the first follow up booster (at 3 weeks) of both vaccines.
We no longer have to sit by and helplessly wait for an outbreak to occur before we take action. You can start protecting your precious pups now before this sneaky virus strikes! We recommend vaccinating all dogs but especially those that are at high risk. We know how important your furry family members are to you and we want to be able to offer all we can to help ensure your pet’s safety. Currently, we have these vaccines available in a package that includes all four vaccines! If you are interested in vaccinating your dog or have any questions, please call us at (208) 452-7950.
Jennifer Janitell DVM
All horse owners know the importance of treating horses, and other equids, for internal parasites. The parasites we are most concerned about are the small strongyles, round worms and tapeworms that have potential to cause disease in our horses. These worms live in the intestines and shed eggs through the horses feces and on to the pasture where they hatch into larva only to be picked up again by other horses. Parasite infections in can lead to weight loss, ill thrift, and even colic. Our goal as horse owners and Veterinarians is to minimize the potential for disease caused by these nasty little creatures.
When I graduated from veterinary school, deworming treatments were recommended every 6 to 8 weeks. We sometimes even recommended daily worming medication in the form of supplements. These methods of treatment were successful against large strongyle worm infections but failed to eliminate small strongyles and other types of parasites. It has also possibly led to deworming medication resistance in worms.
More recently, recommendations have changed. The goal now is to limit parasite infections keeping horses healthy and minimizing clinical illnesses. We are also trying to avoid further development of resistance to deworming medications and control parasite egg shedding into the environment. We accomplish this with less frequent deworming and monitoring worm burdens through fecal analysis.
In general, we now recommend that healthy, adult horses are dewormed twice a year. Preferably in the spring and summer here in the Northwest. We recommend that you use two different classes of dewormer and that one of them is effective against tapeworms, which are now believed to be an important cause of colic. We also recommend that you have a fecal analysis done at least once a year for each horse to determine if your deworming protocol is working. We also recommend that a fecal is performed on any new horse to your herd or on one that is losing weight or condition. Fecal samples can be brought in to our clinic anytime for analysis. A sample should be as fresh as possible, stored in an air tight container, and refrigerated until delivered to the clinic.
Young horses and foals require a little more intense schedule of treatment. During their first year of life, foals should receive four deworming treatments. The first should occur at 2-3 months of age with a product that gets roundworms. The second at weaning, third treatment at 9 months of age, and again at 12 months. Yearlings and 2- year-olds should also be treated 3 to 4 times per year.
Pretty straight forward and simple, right? Of course, these are general recommendations. Each horse and ranch are different and there are many variables to consider. It is important for you to discuss your situation with a veterinarian to determine any additional recommendations for your horses. Call Snake River Veterinary Center if you have any questions at (208) 452-7950. The veterinarians at Snake River Veterinary Center recommend you treat with a product that is effective against tapeworms and bots, as well as small strongyles going in to the fall. We recommend a product that contains ivermectin and praziquantal.
So, now a little incentive to get your fall horse deworming done. Snake River Veterinary center is offering a special discount for anyone who purchases their fall deworming products from us before November 1, 2015. We will extend a 10% discount on all equine dewormers and fecal analyses purchased prior to this date. Just mention you read this blog to receive your discount.
I always say we are fortunate to live in a society where we have the means and ability to take such good care of our pets. I know this is a cliché, but our pets are part of our families. I can’t tell you how many times I have heard the phrase, ” my mom worries more about her little dog than she ever did about us kids”. Bottom line, we want our pets to live comfortable, happy lives. One of the things we need to be aware of in our pets is the management of pain. Dogs and cats, as well as all other animals, do feel pain.
In my 20 years of practice, the attitude toward pain management has continued to evolve. We now understand how important pain control is for our pets’ well being, comfort, and ability to recover from an injury or surgery. We have at our disposal many different medications, supplements, and procedures available to help alleviate pain. I classify animal pain in two very broad categories. These are not official, textbook type classifications, just my own simple way to decide how to treat an animal that I think is in pain. The first one is trauma. Whether it is from an injury or surgery, pain management is an important part of our protocol at Snake River Veterinary Center. Even our routine dog and cat spays and dog neuters go home with pain medication. In fact, it is standard in most practices and should be expected. Pain causes stress in animals, which in turn causes the release of cortisol by glands in the body. This actually slows the healing process. Alleviating pain decreases stress, stops the release of cortisol, and speeds the healing process. We can all relate. When you and I undergo painful injuries or procedures, we appreciate a little pain management too. When we feel better, we recover faster.
The second type of pain is chronic pain from diseases such as arthritis. You know, the kind of pain many of us feel as we get a little older. Dogs and cats can also suffer from chronic pain. Animals are tough and sometimes they don’t show their discomfort in the same way people do so it can be difficult to assess pain in our pets. Some of the signs of pain may be as simple as they are reluctant to jump in to the car or on to the couch like they used to. Maybe their appetite has decreased or they won’t chase the ball. Sometimes they will growl or offer to bite someone if the think that person might cause them pain. We often attribute a pets slowing down because of age. I often hear, “he is just getting old, Doc, I don’t know what to do”. The good news is that we can manage the older pets’ pain, making them much more comfortable and returning them to their normal activities. It may be as simple as periodic oral medication. We can also prescribe supplements, special diets, and injections in more serious cases. Each pet is different and we use different approaches for each individual. I would like to add a caution here, DO NOT use human over the counter pain medication on your pets. Ibuprofen and Tylenol are toxic to pets. Visit with a veterinarian before giving your pet ANY human medication.
As many of you know, I am an avid waterfowl hunter. Due to this habit, I own a herd of Labrador retrievers. My oldest and most reliable lab is named Addie. She is 12 years old now and her and I have spent many hours together hunting ducks and geese. She is my right hand “dog” so to speak and holds a special place in my heart. She loves to go with me and is always a willing participant. The passenger seat of the pick up is her spot and if you sit in her place, she will give you dirty looks, just ask some of my hunting buddies. Recently, I was going to take her with me for a ride in the pickup. When I called her, she hid in her dog kennel and wouldn’t come near the pick up. I thought it was just her being stubborn (one of her less desirable traits) but quickly figured out she didn’t want to jump in the truck. An exam and x-rays told me she was starting to get sore in her hind end. She had already had knee surgery and years of hard work were beginning to take their toll. I started her on an anti inflammatory and a joint supplement and within a few days she was acting much better. Initially, I was concerned that her hunting days were over but she is feeling so much better that I think she will get to tag along again this season. Of course, more as an observer than a hard core participant but at least she will get to go along which will make her very happy.
So, whats the “take home” message here? First, if your pet is injured or undergoes a surgical procedure, expect them to be treated for the pain associated with the procedure. Second, if you have an older pet that is beginning to slow down a little and is having a harder time getting around, there are things we can do to keep them comfortable and active. Give us a call if you have questions and we will help you determine how to best help your pet.
Recently at Snake River Veterinary Center, I diagnosed a case of Heartworm Disease. Since I have been in practice, a little over four years now, I have only diagnosed one other case at our clinic. Diagnosing this disease is a daily occurrence for veterinarians in the south, but not something we see every day in our area. Fortunately for us and our sweet patient, the owners have elected to pursue treatment.
Heartworms are spread from mosquitoes and virtually 100% of unprotected dogs could contract them in high risk regions. The disease does occur in cats as well, but it is not as common. Although the disease is common along the Ohio/Mississippi river basins and Atlantic/Gulf coasts, it is has been diagnosed in all 50 states. The carrier of the disease is the mosquito and the life cycle is as such: As an infected mosquito takes a blood meal, the heart worm larvae are passed into a dog’s bloodstream. The larvae then travel to the heart where they molt into several other larval stages before developing into an adult. The process from infection, to development of adult worms, takes 6 months. Once an adult worm is present in the heart, they can then reproduce and new larvae called Microfilaria, circulate in the bloodstream. At this point, when a non-infected mosquito takes a blood meal from an infected dog, they are infected with the Microfilaria. The Microfilaria molt into different stages within the mosquito, and are then ready to be a source of new infection when the mosquito takes another blood meal.
All dogs and even cats should be tested for Heartworms annually. The test is simple as we only need a drop of blood from your pet, and it only takes 10 minutes to process. Heartworms can be prevented with use of a monthly Heartworm preventative such as Sentinel, Heartgard, Iverhart, etc. The treatment for adult worms however, is more challenging, expensive, and lengthy.
As mentioned earlier, we recently diagnosed a case and have been given the privilege to treat her. She is a native of the south and is a rescue dog. We were performing our Wellness Special at the clinic which included a Heartworm screening test, when we diagnosed her. She showed no outward signs of the disease, as it was diagnosed very early. Some dogs that go undiagnosed develop heart failure and are more difficult to treat.
Treatment for her Heartworms began today. We would love to include all of you in the process as we move forward with her treatment. The American Heartworm Society recommended treatment protocol will take 120 days to complete.
Today we administered a heartworm preventative called Sentinel. We pre-treated with an injection of benadryl and a steroid. We are observing her and enjoying her company throughout the day, to monitor for any signs of reaction. She will also go on an antibiotic called Doxycycline today and it will be given twice daily for 1 month. Heartworms can carry bacteria, so we must kill the bacteria first to try to minimize reactions. We also are killing the Microfilaria at this point with administration of the preventative Sentinel. The overall goal of this process is to kill the “babies” (Microfilaria), eliminate the bacteria, and then slowly kill the adult worms. If the adult worms are killed to soon or suddenly, they may cause a stroke or an anaphylactic reaction/shock.
In 30 days, she will receive another preventative (Sentinel). In 60 days, we will administer a preventative, along with starting the adulticide injections to kill the adult Heartworms. She will be on steroids to prevent reactions and her activity level will have to be very restricted. At day 90 and 91 she will get another set of injections to kill the adults, and she will be tested at 120 days to see if our treatment was a success.
It is going to be a long and challenging road ahead for this sweet girl and her family. Please follow us as we move through this process and give support to “Bailey” and her family. We will post updates as she moves through her treatment protocol.
To conclude this blog, I hope I was able to bring some general awareness to Heartworm Disease and Prevention. Monthly preventives are highly recommended along with annual heartworm tests. If you have any questions, please feel free to call (208) 452-7950.
Jenny Janitell, DVM
I have been a large and small animal veterinarian for 17 years now, and for all of those 17 years I have taken call. I don’t mind taking call- I enjoy being able to help clients and their animals when the need arises, even when it’s at 2 o’ clock in the morning. Sometimes I make the mistake of predicting whether or not I am going to be called out though. Let me explain- there have been times when I look at my schedule in the morning and deem the day slow and therefore appropriate to schedule evening plans with my beautiful wife, Heather. Let me tell you a story about how that sometimes work out.
One sunny morning as Heather and I were getting ready for work, I checked my schedule for the day and saw that it looked pretty easy. I was going to be on call in the evening, but the last few nights had been quiet so I wasn’t expecting anything this particular evening either. As we were headed out the door, I asked Heather if she would like to go to dinner after work.
She looked to me as if she were unsure and said, “Tonight? I thought you were on call again. You know how it goes when we make plans when you are on call.”
To which I replied, “I am sure it will be okay, but I will check in with you this afternoon. How does Mexican sound?”
Skeptically she said, “Ok. Mexican sounds fine. Talk to you this afternoon.”
So, off I went down to the clinic, where the day breezed by. I saw some puppies that I had delivered by c-section a few weeks before for their first puppy vaccines, worked on a horse’s teeth out in the barn, and did a few vaccine and wellness appointments. Overall, it had been a great day at the clinic. At 4:30, I called Heather to tell her that the schedule was empty for the rest of the day, and that I should be by to pick her up in an hour.
At 4:40 my receptionist Holly called up to my office to tell me there was a client on the phone who had some questions about her goats.
I spoke with the client about the sick goats and before I knew it I was in my pick-up and on my way to Middleton to examine the sick caprine (that’s vet speak for goats). When I got to Middleton I quickly called Heather again to tell her where I was and that I might be a little bit late.
Just as the sun dipped below the horizon, and I had packed up my supplies with a feeling of satisfaction from doctoring the goats and giving their owner a detailed home care regimen that would result in happy, healthy animals in no time, I called Heather again.
“Hi honey! I am just leaving the client’s farm, and I will be by the house in 30 minutes to pick you up.”
She replied, “Do you still want to go? It’s after 7:30 and you are working tomorrow aren’t you?”
“Of course I still want to go, I am starving!” I said.
Again, with just a hint more skepticism in her voice, “Ok. See you in a few.”
As I pulled into my driveway, my cell phone quacked (my ringtone is a duck quacking, and I am positive everyone around me loves to hear it as much as I do) and it was one of my large animal clients who had some questions about a bull that wasn’t doing too well. I spoke with him for 15 minutes or so about what do. He didn’t seem to think I needed to go out to his place, so I gave him a few pointers and headed in to get Heather.
Honestly, as I walked in the door, I half expected her to tell me to forget about it, as it was now a quarter after 8. But, there she was gathering up her purse, ready to go. We decided to take my vet truck to dinner, mostly because I had parked it in the driveway right behind where Heather’s car was in the garage. Heather opened the passenger side door and was met with a seat full of dirty coveralls, medication bottles, and papers. As she transferred the mess to the back, she jokingly said, “Don’t worry- I will take care of these.”
I replied, “Thank you, I’m sorry I didn’t get that stuff put away. I was just…”
“Brent!” She yelped. “WHAT is this?”
“Oh, that. That’s goat poop I need to drop by the clinic for a fecal analysis. I’m sorry.” I felt awful, I really should have had that in the back, but I hastily tossed it on the console as I was leaving the clients.
20 minutes later, we were seated at our favorite Mexican restaurant and had just given the server our order. I was just about to dig into the delicious chips and salsa that had been placed on our table when we arrived when my cell phone started quacking again. I listened carefully to the message, took down the person’s phone number, and called her back.
As I hung up the phone Heather asked, “Should we ask for our food to go? Do we need to head down to the clinic?”
“No,” I replied, “She has a lab that is whelping, but it sounds like things are going okay to me. I told her to call back if she has any more concerns.”
The waitress brought our food and we ate our dinner without interruption, save one long-time client whom I know very well that was also dining there who stopped by our table to offer up some kind words. He said something along the lines of, “Thanks again doc for fixing up my old dog and how on earth did you convince her to marry you?”
We paid our tab and headed back to the truck. Yawning, I asked Heather, “You want to watch a movie when we got home?”
She asked, “Do you think you will make it through a movie? Your day has been a bit busier than you expected.”
“I’ll be fine, but I do have to stop at the clinic and check on a kitty that is hospitalized first. Do you mind driving, my cellphone is quacking.”
By the time we got home it was nearly 10:30. We got settled in on the couch and fired up Netflix to see what was on.
Heather stopped on a comedy that had just been released, and said, “This looks good- do you want to watch this? Brent?”
She tells me my only reply was the soft sound of my snoring.
Being on call is a very important part of being a rural, mixed practice Veterinarian. At Snake River Vet we are very proud of the fact that there is a veterinarian available 24 hours a day almost every day of the year to help our clients and patients. I am so lucky to have a wonderful and supportive wife that patiently sticks through evenings like the one I just described. Moreover, she is a willing (and cute) makeshift technician when middle of the night calls turn out to be involved and extra hands are needed. It’s not easy being a veterinary spouse, but Heather takes it all in stride.