Tuesday, January 28, 2020

Super Bowl 2020-Number Five--ASPCA Safety Tips for Your Pets

DH DeForge, VMD
Silver Sands Veterinary
P- 1-800-838-3368
E-Mail- DonDeForge100@gmail.com
Number Five-Jan 2020

Image result for Picture of a dog in a super bowl uniform
Super Bowl 2020
ASPCA Safety Tips for your Pets
Take a moment and read this article on safety for your pets on Super Bowl Weekend.  Parties occur prior to and after the Super Bowl.  Pets are always mischievious and seeking new foods, drinks, and flavors.  Marijuana toxicity in pets is clilmbing as pet owners and their friends accidentally allow pets access to their Marijuana.  Do not allow this to happen in your home.  

If you follow the Super Bowl Weekend ASPCA Safety measures, your pet and your family will have a happy celebration of football and not have to visit an Animal ER for a life threatening problem!  #DrDonDeForge

Pet Safety on Super Bowl® Sunday: ASPCA~What You Need to Know!

puppy with a toy plush football and megaphone
Every February, countless sports fans gather in front of their televisions, ready for the year’s biggest football game: The Super Bowl®. During this time, when attention is focused on touchdowns, cheers, commercials and snacks, pets can get into all kinds of things they shouldn’t—things that could be a potential danger. So, just in time for the big game, the ASPCA Animal Poison Control Center (APCC) has a few Super Bowl® do’s and don’ts to help you ensure that your pets are safe and sound. 


If something smells delicious to you, it will probably smell even better to your pet. But as you know, many tasty treats we may enjoy can cause serious health concerns for your furry friends. 
Feed or let your pet get into chicken wings, creamy dip, pizza, chocolate desserts and potato chips. The spread for the big game can cause stomach upset and potentially pancreatitis. 
Be especially careful about any foods that might have garlic and/or onion in them, as they can cause damage to the red blood cells and kidneys. Additionally, chocolate, macadamia nuts, grapes, raisins and salty snack foods should be kept away from pets. 
Have a bowl of special treats you know your pet loves, or even your pet’s regular food, that guests can give to your four-legged-friend as a snack. That way, everyone can get something special to eat!

Alcohol, Prescription Medications, and Other Recreational Substances

For many people, adult beverages are part of the Super Bowl® celebrations. Adding guests to the mix also means that they may bring with them medications or other potentially harmful substances you should be on alert for.  
Leave alcoholic beverages or other recreational substances unattended. Glasses may be left unattended while people hurry to the kitchen or crowd around the television, and pets can easily lap them up. 
It’s also common for pets to get into marijuana and marijuana-infused baked goods, such as brownies, on game day. Both alcohol and items containing marijuana—especially if they are chocolate brownies—can have adverse and possibly dangerous effects on your pet. Keep in mind, it’s also not uncommon for pets to be exposed to these items the Monday after Game Day, since partygoers may leave something behind—giving your pet ample opportunity to find forbidden treats overnight or while his owner is at work. 
With all the people attending Super Bowl® parties, it’s not surprising that some guests bring medications along as well. Pets at parties often will grab medications out of a guest’s pocket or purse, or consume something foreign that may have been dropped on the floor. 
Take your glass with you and any put alcoholic beverages or recreational substances up out of paws’ reach. 
Ensure that any medications are not kept where pets can get to them, and that they are taken behind closed doors, just in case one or two pills are dropped. 
Clean up as you go! Don’t leave any plates or trash around for curious noses to get into. 
If you suspect your pet has been exposed to any poisonous substances or ingested anything harmful, contact your veterinarian or call Animal Poison Control Center (APCC) at 888-426-4435 immediately. 

Saturday, January 25, 2020


Donald H DeForge, VMD
Silver Sands Veterinary
17 Seemans Lane-Milford, CT 06460
January 2020 Number Four

Image result for Picture of a pet at the vet

Consider Screening Diagnostics 

Do not rely on: Reactive Care~
Become a Proactive Pet Advocate
Approaching chronic conditions reactively does patients a disservice on two main fronts. 
#1 Reactive care does not work to stop our pets from getting sick or experiencing unpleasant symptoms in the first place. 
#2 Reactive care is typically more expensive than what preventive care would have cost. 
What is Proactive Healthcare?
The antithesis of “reactive health” is proactive health care!
In proactive care, the pet owner and advocate takes responsibility to proactively manage THEIR own pet's health – moving away from the veterinarian “treating an ailment or disease”..... well past the early intervention of preventive diagnostics. 
You work as a partner with your veterinarian to control co-morbidities such as obesity in your pet with activities such as exercising, nutrition,  watching your pet's weight, eating healthy, scheduling annual exams etc.  
Prevention decreases the need for reactive care when the unnoticed problem becomes a serious life threatening condition.

Proactive Healthcare: A Commitment Between Veterinarian & Pet Advocate

For a proactive healthcare model to work, a pet advocate must be compliant and commit to the self-care of the pet they love. The veterinarian also has a responsibility to proactively manage the patient’s health – prevent disease, detect disease early, and improve healthcare results.
The [Pet-Vet-Pet Advocate] 
What you must consider:
1] Bring your veterinarian a fecal and urine sample at the time of your yearly Physical Exam.  Do not wait for the Animal Doc to recommend this to you.
2] Ask your Animal Doc to complete a Full Blood Panel--i.e. Chemistry Profile and CBC every year as part of your health care check-up.[Screening Diagnostics]  
Be sure to have them include screening tests for Heartworm and tick borne diseases in your dog.
3] Check to see your pet is vaccinated against the major diseases found in your area of the country.  Keep up to date on Rabies Vaccine which is a life threatening zoonosis.
4]  Ask your Vet to perform a Bartonella test on your cat or kitten at the National Veterinary Lab! Bartonella is a zoonosis!
5] Inquire from you vet about their deworming program for your dog and cat.  Remember: Roundworm-[Toxocariasis]- is a serious zoonosis...See Companion Animal Parasite Council on the Internet.  
Also ask for them to familiarize you with prescription products they recommend for flea and tick control.
6] In young pets, a Diagnostic Screening Panel can find problems well before they become serious illnesses.
7] In older pets, a Diagnostic Screening Panel can rule out liver disease, kidney disease, pancreatic disease, thyroid disease, anemia, and diabetes et al.
8] Ask your vet to perform an ECG on your pet-this is for the young and the old to pick up congenital or acquired heart problems.
9] Talk to your Animal Doc about an Echocardiogram to rule out a fatal heart problem-Hypertrophic Cardiomyopathy in cats. [This disease is common in young cats] 
In dogs, an Echocardiogram is a great screening tool to rule our EARLY heart disease.  Much heart disease is very treatable in our pets if diagnosed early.
10] Don't wait for your vet.  Ask for X-rays of the heart and lungs in pets over 7 years of age or in pets with heart murmurs and/or exercise intolerance-[coughing-lethary-gagging-difficult breathing-after exercise]  This is very important in all breeds and especially the aging Pugs and Bulldogs-i.e. Brachycephalic Breeds. 
Have these x-rays reviewed by a radiologist and re-checked yearly in dogs with diagnosed heart problems and especially in normal dogs over ten years of age!
11] Is your pet young, middle aged, or a senior and having trouble walking.  Talk to your animal doc about some scanning x-rays to rule out orthopedic problem and/or pain problems associated with the spine, hips, knees, elbows, or  other joints.
12] Do not be unhappy if your screening tests are normal!
The testing is important because it produces a pool of long term data that can be very important in the outcome of future problems in your pet.

Questions about this blog?
Write to DonDeForge100@gmail.com 


Bartonella Disease in Cats
A Serious Zoonosis
Kids and the Immnosuppressed
2020/Jan/Number Three

Don DeForge, VMD

Bartonella in Cats A Serious Zoonosis

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A Simple Solution:
Test all cats for Bartonella Disease with the Western Blot Test at the National Veterinary Lab! [NatVetLab.com]

Treat all positive cats to prevent infection of humans and to prevent you cat from becoming ill from Bartonella Disease[s]!

Bartonellosis is an infectious bacterial disease, caused by the gram-negative bacteria Bartonella henselae.

Background: Pet cats can be infected with at least SIX species of Bartonella and any age cat is susceptible to infection. 
However, the medical literature shows that many severe cases of cat scratch disease in humans, especially in children, are associated with transmission from kittens.

Pathogenesis of Bartonella Infection: Cat and dog fleas and ticks all can carry and transmit Bartonella from cat to cat and probably from cat to dogs and cat to humans.
However, it seems possible, although not proven, that direct cat-to-cat transmission via scratches and bites, can transmit Bartonella from cat to cat as often as direct cat to human transmission occurs.

Kids and the Immunosupressed Important Targets

Kids and Kittens:
Kids love to play rough with kittens and are subject to accidental scratches and bites at a much higher rate.
Many pet parents come to veterinary hospitals with scratches and bites on their arms and legs from rough play with their kittens and adult cats.  Clients must be informed that Bartonella in cats is a zoonosis.

Comments from Dr. DeForge:
Dr. DeForge recommends all kittens and cats must be Bartonella tested with the Western Blot Test at the National Veterinary Lab.  
This laboratory also performs Western Blot Immunodeficiency Virus Testing and Feline Leukemia IFA Testing for cats.

Dr. William Hardy, National Veterinary Lab Director, may ask for a second test to be run if the first Bartonella test in your kitten is suspicious.  This can be due to an early antibody response in a young kitten.

Bartonella Disease:

Cat derived Bartonella disease can infect the the immunocompetent and immunocompromised people and people of all ages.

Recommendation for Cat-Owning Immunocompromised 
Clients [from the National Veterinary Lab]:

1] Avoid rough play with cats especially kitten

2] Wash cat bites and scratches imediately and thoroughly with running water and soap

3] do not allow your cat[s] to lick open wounds

4]  Control fleas in your cat with a prescription flea product

5] If you develop and infection [with pus and pronounced swelling] where you were kscratched or bitten by a cat or develop symptoms including fever, headache, swollen lymph nodes, and fatigue, contact your physician.
[from the National Veterinary Lab]

Have all cats in the household tested for Feline Bartonella!

Bartonella positive cats must be treated with specific antibiotic therapy to remove the infection from your cat.
Ask your doctor to have a Bartonella Test sent to the 
National Veterinary Lab, to screen for Bartonella infection, even if your cat is completely healthy. Statistics substantiate that 35% of normal healthy cats have Bartonella infection.

Bartonella can be transmitted to people from their cats by scratches, bites, or mere contact even without a known break in the skin.  It is imperative that the veterinary profession take this zoonotic risk seriously in order to protect their patients, clients, employees, and themselves. National Veterinary Lab-Dr. William Hardy-Director~~~www.NatVetLab.com

Bartonella causes disease in pet Cats: 

Bartonella causes inflammatory diseases in pet cats.

Bartonella infection in pet cats can be eliminated by antibiotic therapy; successful treatment can be confirmed by a post therapytiter! [Therapy Titration Test]  

All cats treated must be on a strict prescription flea control program to prevent re-infection.  Homes, with flea presence, should be treated by a professional exterminator.

Feline Bartonella Diseases: 

Oral Disease: 
Gingivitis- Oral Inflammatory Condition in Young Cats
[See: AnimalDentistrySolutions.blogspot.com 
Web Log #41-Stomatitis in Adult Cats-Not Bartonella induced]

Oral Ulcers 

Submandibular lymphadenopathy 

Respiratory Diseases: 
URI Rhinitis Sinusitis Ocular Disease: 

Uveitis Chorioretinitis Conjunctivitis 

Intestinal Diseases: 
Inflammatory bowel disease

Diarrhea (chronic) Vomiting (chronic) 

Other Diseases: 

Lymphadenopathy Fever of unknown origin 

Hepatic peliosis 

Bacillary angiomatosis 

Valvular heart disease (murmurs)

Bartonella can Affect Humans of any Age Group

Bartonella Diseases of People:

Cat Scratch Disease
Fever papule at scratch or bite site Lymphadenopathy

Regional Neurological Diseases:Encephalitis Meningoencephalitis, Encephalopathy

Aggression Cognitive dysfunction 
Status epilepticus

Ocular Disease 

Chorioretinitis Optic nerve neuritis 
Uveitis Disciform keratitis 
Conjunctivitis Parinaud’s oculoglandular syndrome Orbital abscess

Heart Diseases Endocarditis Valvulitis- vegetative Myocarditis Pericarditis Major Organs Involvement

Liver: Bacillary peliosis hepatis Granulomatous hepatosplenic syndrome

Spleen: Splenic bacillary angiomatosis 

Kidney: Necrotizing glomerulonephritis

Intestines: Inflammatory bowel disease Bacillary angiomatosis

Respiratory Diseases Pulmonary granuloma Pulmonary infiltrates

Musculoskeletal Diseases: Muscle: Bacillary angiomatosis Myositis Bone & Joints: Osteomyelitis Arthritis/ Polyarthritis 

Skin Disease:Bacillary angiomatosis 

Cutaneous rash- Henoch-Schenlein purpura Cutaneous granuloma annulare

Other: Fever of unknown origin Co-infection with Lyme disease Mononucleosis-like syndrome

Call your LDVM about scheduling a Western Blot Bartonella test in the cat your love.... a simple test for your cat.... a blood sample is collected~~processed~~ and sent to the National Veterinary Laboratory. 
DH DeForge, VMD

Questions about the Web Log
Contact #DrDonDeForge

Thursday, January 16, 2020

SSV House Calls For Pets-Compassionate Care-January 2020- Number Two

Dr. Donald DeForge
Silver Sands Veterinary

17 Seemans Lane~Milford, CT 06460
January 2020-Number Two
Image result for Picture of a Child with a senior dog or cat

Silver Sands Veterinary
House Calls for Pets 2020
A Celebration:
In Search of Compassionate Care

Senior Dog and Cat-Unconditional Love

Dr. DeForge offers to his clients both the traditional animal hospital setting at Silver Sands Veterinary in Milford, Ct.  [www.SilverSandsVeterinary.com] and our NEW Silver Sands Veterinary House Calls for Pets. Our animal hospital has been serving the greater Milford area for over 40 years.  Our NEW Mobile practice augments our traditional on-site veterinary hospital. 

Our brick and mortar state of the art veterinary hospital offers Preventive Medicine [vaccines and routine blood screening]; Physical Exams and Wellness Exams for Healthy Patients; Sick Patient exams; Full Diagnostic Testing; Digital Whole Body X-ray and Oral X-ray; Cardiology and Radiology Telemedicine; Visiting Specialists in Radiology, Internal Medicine, and Surgery; Comprehensive Oral Radiology Evaluation and treatment [Dr. DeForge is the only Fellow of the Academy of Veterinary Dentistry in the greater Milford area]; and Urgent Care.  

Urgent Care is for patients that do not need 24/7 monitoring in an ER Center.  There are a plethora of emergencies that fall under Urgent Care.  Urgent Care with Dr. DeForge will help your pet and yourself with expedited care with no long waiting that commonly occurs in a 24/7 ER Center.  In life threatening emergencies that need 24/7 care, Dr. DeForge will direct you to the nearest 24/7 ER Center.

Silver Sands House Calls for Pets
Celebrates its One Year Anniversary

Dr. DeForge and his nurses announce the One Year Anniversary of Silver Sands Veterinary House Calls for Pets.

This new service at Silver Sands Veterinary has has multi-purposes:

#1--Helping those dogs and cats that are very nervous and anxious in the traditional veterinary hospital!

#2--Helping the Senior Pet owner that can no longer bring their pets to a traditional veterinary hospital

#3--Helping the handicapped who need assistance within their homes

#4--Giving free time to the pet owner who cannot find the hours to dedicate to visiting a traditional veterinary hospital

With Silver Sands House Calls for Pets, your pets can relax in the confines of their homes while Dr. DeForge and his nurses attend to their preventive care [Physical Exams-Vaccines-Routine Blood Testing]  etc.

The House Call visit can also help the sick patient with testing and triage to identify the cause of their illness.

What can be done during a House Call Visit:

Comprehensive Wellness and Sick Patient Health Exams

Telemedicine EKG's

Advanced Chemistry Profiles and CBC's


Heartworm and Tick Serology in dogs

In the cat, Leukemia Testing; Immunodeficiency Virus Testing and Bartonella Testing [a zoonosis]

It is recommended to have all sick patients have Fecal Examinations to check for intestinal parasites.

If the illness is beyond the scope of mobile care, the pet advocate can transport to our brick and mortar traditional veterinary hospital, Silver Sands Veterinary, for additional testing.  Referral to a specialist is another option.

Compassionate Care: yesterday, today, and tomorrow are hallmarks at Silver Sands Veterinary and Silver Sands House Calls for Pets

Human medicine, veterinary medicine, and other allied medical fields have reached epic levels of sophistication and specialization.  This has led to an emphasis in science; technology, and economics with a loss of compassion and empathy. 

Silver Sands Veterinary and our NEW House Call Practice are both compassion-centered!

The nurses bring love and understanding to each patient.  This calms the patient and allows examinations and testing with minimal stress.

Leadership compassion is the WONDER of the HUMAN-ANIMAL BOND.  It is derived from
mono-tasking and focus tasking.  With this emphasis, the health care professional can open their eyes to the needs of their patients.  

Dr DeForge truly believes, and has personally demonstrated over the years, that compassionate care along with compassionate care nursing can lead to expedited recovery from complicated medical and surgical problems.

One of the advantages of or our House Call practice is decreasing stress levels in many patients.  Stress in people and animals is a significant co-morbidity that can advance other medical problems already present in your pet.  This has been shown to be the case in Chronic Interstitial Cystitis in cats as described by Dr. Tony Buffington at the Ohio State University School of Veterinary Medicine.

Our nurses, simply stated, seem to become more sensitive to their patient's suffering.  This is challenging to them emotionally.  That challenge is handled by approaching each pet..... that is ill..... with caring and wanting to help!

The nurses bring unconditional love back to the companion animal who has spent their entire life giving unconditional love to their pet advocate.  Each nurse's approach to compassionate care strengthens the compassion of all co-workers in the health care team.

I encourage readers of this blog to read a book by Kathy Nimmer-Two Plus Four Equals One-Celebrating the Partnerships of People with Disabilities and their Service Dogs. Kathy became blind at a young age and has dedicated her life to making a difference. She has earned a Bachelors and Masters Degree in English from Purdue University.  She is a avid writer, poet, pianist, and motivational speaker.  She competed as a gymnast in two national championships for the blind.  She mentors sighted and blind individuals entering the education field.  Nimmer lives deeply, soaring and plunging through the heights and depths of life; keeping hope as her eternal guide.  

I teach my nurses that Love and Hope are the building blocks of Compassion and Empathy!

With this in mind, no patient is left behind!  Pain is removed; quality of life is restored; and recovery is expedient.  All of life is a journey and not a destination. Those who feel they know their destination can be greatly disappointed. 

The journey of Love and Hope is the journey we should all seek!  Living within the journey will allow us to accept that helping others only makes us stronger.  As we continue to grow, we can freely share compassion and empathy with every person and companion animal that we are honored to greet, support, and treat as caregiver.

E-Mail DonDeForge100@gmail.com

Super Bowl 2020-Number Five--ASPCA Safety Tips for Your Pets

DH DeForge, VMD Silver Sands Veterinary SilverSandsVeterinary.com SilverSandsVeterinary.blogspot.com P- 1-800-838-3368 E-Mail- DonDeFor...