tag:blogger.com,1999:blog-76142645534837645772024-03-28T11:52:08.939-07:00Dr. Don DeForge Silver Sands Veterinary#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.comBlogger148125tag:blogger.com,1999:blog-7614264553483764577.post-48184195308405470352023-03-18T07:05:00.000-07:002023-03-18T07:05:24.053-07:00Roundworm-A Serious Zoonosis<p> Donald H DeForge, VMD</p><p>SilverSandsVeterinary.com</p><p>DonDeForge100@gmail.com</p><p>General Companion Animal Care</p><p>Walk-In Emergency and Urgent Care</p><p><span style="font-family: arial; font-size: x-large;"><br /></span></p><p><span style="font-family: arial; font-size: x-large;">Roundworm-The Hidden Zoonosis</span></p><p style="text-align: center;"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgwYKwwcNKNmmkaOzi1XC2xsjK8X-sVdZEwptB-exULJl33jb4-R37jIjlYZiDoyYVmWQDJi9Eq9Q9DhdwLWQe_dWvQPyIb1a3D5hhR8vX3nvdgvOpTcDJoC06mpHNSwVNpWFkye4fCgDuJBfphPBKMs0qA0GP2rHUCZzCDngiCHxWRamwOE-l4_Rti0w" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="833" data-original-width="837" height="637" src="https://blogger.googleusercontent.com/img/a/AVvXsEgwYKwwcNKNmmkaOzi1XC2xsjK8X-sVdZEwptB-exULJl33jb4-R37jIjlYZiDoyYVmWQDJi9Eq9Q9DhdwLWQe_dWvQPyIb1a3D5hhR8vX3nvdgvOpTcDJoC06mpHNSwVNpWFkye4fCgDuJBfphPBKMs0qA0GP2rHUCZzCDngiCHxWRamwOE-l4_Rti0w=w640-h637" width="640" /></a></div><br /><br /><p></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Roundworm a Serious Zoonosis</b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Toxocariasis</b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Toxocara</b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Roundworm</b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>A Serious Zoonosis</b></span></p><p><span style="color: red; font-family: arial; font-size: large;"><b><span style="background-color: white;">Roundworm infection, or Toxocariasis, is a </span><i style="background-color: white; box-sizing: border-box;">zoonotic</i><span style="background-color: white;"> disease — a disease that can be transmitted from animals to humans. Dogs and cats are the definitive hosts for the roundworm species that commonly cause human disease.</span> </b></span></p><h2 class="p2" style="background-color: white; box-sizing: border-box; line-height: 1.1; margin: 0px 0px 15px;"><span style="color: red; font-family: arial; font-size: large;">Zoonotic Potential - Roundworm Infection</span></h2><div><span style="font-family: arial; font-size: large;">Roundworm is common in our pet population in the United States. It can be found in all ages of dogs and cats but is most commonly seen in kittens and puppies. Because of this, it is critical to bring your pet to a veterinarian as soon as it is adopted; purchased; or rescued. </span></div><div><span style="font-family: arial; font-size: large;"><br /></span></div><div><span style="font-family: arial; font-size: large;">Your pDVM will set into place a very important deworming program to prevent your pet from being affected by roundworm and to prevent it from being spread to family; friends, or others in contact with your new your puppy, kitten, or a recent adult adoptee.</span></div><p class="p1" style="background-color: white; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span class="s1" style="box-sizing: border-box;">Roundworms can cause disease in humans. People can become infected by ingesting eggs; handling fecal material without gloves during disposal; toddlers and adults being licked in the face by the puppy, kitten, or adult infected pet; and children playing with fecal material and then eating without washing. </span></span></p><p class="p1" style="background-color: white; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span class="s1" style="box-sizing: border-box;">These see far fetched but infections occur each year, especially, in young children from poor hygiene and lack of parental supervision of pet with child. The pediatrician has a responsibility to discuss this zoonosis with parents.</span></span></p><p class="p1" style="background-color: white; box-sizing: border-box;"><span style="color: #333333;"><span style="font-family: arial; font-size: large;">Toxocara can also be spread by other animals called paratenic hosts. Eggs consumed by another animal, such as a rodent, can hatch and produce larvae that continue their development into adult worms when consumed by the primary host—a cat or a dog</span></span></p><p class="p1" style="background-color: white; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span class="s1" style="box-sizing: border-box;"> Because roundworm infection of humans is not a reportable disease, the exact number of persons affected each year is difficult to determine</span></span></p><p class="p1" style="background-color: white; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span class="s1" style="box-sizing: border-box;">Children are infected more commonly than adults. Because humans are dead-end hosts, the larvae do not become infective and do not encyst but continue to migrate through the body tissues. Somatic migration of roundworm larvae in humans can cause visceral larval migrans (migration through internal organs) or ocular larval migrans (migration to the eye), which usually renders that eye blind. The round worm can also affect the Central Nervous System.<span style="box-sizing: border-box; line-height: 0; position: relative; top: -0.5em; vertical-align: baseline;"><span class="Apple-converted-space" style="box-sizing: border-box;"> </span></span></span></span></p><p class="p1" style="background-color: white; box-sizing: border-box;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">As with dogs and cats, preventing exposure is key to preventing infection. Preventing roundworm infection depends on routine handwashing after playing with puppies/kittens or being exposed to dog/cat feces, regularly removing dog/cat feces from the yard and public areas, and routinely treating companion dogs/cats to prevent egg shedding in the environment.</span></span></p><h2 class="p2" style="background-color: white; box-sizing: border-box; line-height: 1.1; margin: 0px 0px 15px;"><span style="color: red; font-family: arial; font-size: x-large;">For Your Information:</span></h2><p><span style="font-family: arial; font-size: large;"></span></p><ul style="background-color: white; box-sizing: border-box; list-style-type: none; margin: 0px 0px 20px 20px; padding: 0px;"><li class="p6" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">Roundworms are among the most common parasites that infect dogs and cats.</span></span></li></ul><div style="text-align: center;"><span style="font-family: arial; font-size: large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEg5TIIFBvOFtmOHcUBrb20vRMQTJ1AIZQx1PwM198NnuXu7PRW4Luz9oZlEJain3nAdeSAvKvlxaU0-8EQ1Q_qgiVfqoGoJc1MUs3un72trZOJw8ntZEywsTqCNaageBWn_7Ej_nrZFI7LG77YJhx8xEdomhZ4Z75Bah1Fd3mLpko8a-6VypKipkb70Rw" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="417" data-original-width="626" height="426" src="https://blogger.googleusercontent.com/img/a/AVvXsEg5TIIFBvOFtmOHcUBrb20vRMQTJ1AIZQx1PwM198NnuXu7PRW4Luz9oZlEJain3nAdeSAvKvlxaU0-8EQ1Q_qgiVfqoGoJc1MUs3un72trZOJw8ntZEywsTqCNaageBWn_7Ej_nrZFI7LG77YJhx8xEdomhZ4Z75Bah1Fd3mLpko8a-6VypKipkb70Rw=w640-h426" width="640" /></a></div><br /><br /></span></div><ul style="background-color: white; box-sizing: border-box; list-style-type: none; margin: 0px 0px 20px 20px; padding: 0px;"><li class="p6" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">Roundworms steal nutrients from growing animals.</span></span></li><li class="p6" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">Female dogs/cats can become re-infected during pregnancy, which can lead to infection of puppies before birth or during nursing. Thus, females should receive treatment before breeding, and dam and puppies/kittens should receive treatment after delivery.</span></span></li><li class="p6" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">Treatment medications are very effective but only when given consistently and on schedule. Do not use over the counter dewormers but consult with your pDVM concerning prescription products that are safe and effective.</span></span></li><li class="p7" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span class="s1" style="box-sizing: border-box;"><span style="font-family: arial; font-size: large;">People can become infected by handling infected puppies/kittens and adult dogs/cats or their feces or directly from the environment. Risk is highest for families with young children or immunocompromised adults.</span></span></li><li class="p7" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span style="font-family: arial; font-size: x-large;"><br /></span></li><li class="p7" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span style="font-family: arial; font-size: large;">There must be a triad composed of your family pediatrician; your veterinarian, pDVM; and yourself to protect your family from roundworm exposure and infection. </span></li><li class="p7" style="box-sizing: border-box; list-style: inside none; margin: 0px 0px 10px; padding: 0px 0px 0px 20px; position: relative;"><span style="font-family: arial; font-size: large;">Remember, even though this zoonosis is most common in children because of poor hygiene practices, it can occur in adults.</span></li></ul><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>The Companion Animal Parasite Council-Update</b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>General Guidelines for Cats and Dogs </b></span></p><p><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Parasite Control</b></span></p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgjTXfg2jVblOdYbN534XyuHarITOpTrzvkHOg8Wd09NHsmpbcRI0Bo1D_uXSFlBAlwDIYwgm_RZ2VA4SyTqT4-BPzOXceZNVo2mW04O0_iDPg0QWPJVgpHhPF5rbB4spsN_vicsRfO2uD9w5UJUz7pD9ha5OqU-NU-IliSO6QB5XTbgIGp-gUuHs1igg" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="444" data-original-width="600" height="474" src="https://blogger.googleusercontent.com/img/a/AVvXsEgjTXfg2jVblOdYbN534XyuHarITOpTrzvkHOg8Wd09NHsmpbcRI0Bo1D_uXSFlBAlwDIYwgm_RZ2VA4SyTqT4-BPzOXceZNVo2mW04O0_iDPg0QWPJVgpHhPF5rbB4spsN_vicsRfO2uD9w5UJUz7pD9ha5OqU-NU-IliSO6QB5XTbgIGp-gUuHs1igg=w640-h474" width="640" /></a></div><br /><span style="font-family: arial; font-size: large;">One of the most misunderstood areas of concern by the public is simple parasite control in companion animals. </span><div><span style="font-family: arial; font-size: large;"><br /></span></div><div><span style="font-family: arial; font-size: large;">There are zoonoses-diseases that can spread from pets to people that are simple to understand to protect the pet owner and their families from developing parasites. These guidelines also protect and prevent the pet from harboring parasites.</span><p></p><p><span style="font-family: arial; font-size: large;">Toxocariasis-Roundworm-is a very serious parasite that can be spread from pets to people.</span></p><p><span style="font-family: arial; font-size: large;"><br /></span></p><div class="last-updated" style="box-sizing: inherit; color: #748896; font-family: "Proxima Nova Regular", Helvetica, Arial, sans-serif; font-size: 12px; margin: 0px 0px 20px; padding: 0px; text-align: right; text-transform: uppercase;"><span style="box-sizing: inherit; font-weight: 700; line-height: inherit;"><br /></span></div><div class="last-updated" style="box-sizing: inherit; margin: 0px 0px 20px; padding: 0px; text-align: right; text-transform: uppercase;"><span style="font-family: arial;"><span style="box-sizing: inherit; font-weight: 700; line-height: inherit;"><span style="font-size: large;">GENERAL GUIDELINES FOR DOGS AND CATS FOR DOG </span>LAST UPDATED:</span> SEP 16, 2022</span></div><div aria-hidden="false" aria-labelledby="dog-view-all-label" class="tabs-panel is-active" id="dog-view-all" role="tabpanel" style="box-sizing: inherit; margin: 0px; padding: 0px;"><div class="content-block" style="border-bottom: 1px solid rgb(230, 230, 230); box-sizing: inherit; margin: 0px 0px 30px; padding: 0px 0px 30px;"><h2 style="box-sizing: inherit; font-weight: 400; line-height: 0.9; margin: 0px 0px 0.5rem; padding: 0px; text-rendering: optimizelegibility;"><span style="font-family: arial; font-size: large;">Parasite Testing and Protection Guided by Veterinarians</span></h2><ul style="box-sizing: inherit; line-height: 1.4; list-style-position: outside; margin: 0px 0px 1rem 1.25rem; padding: 0px;"><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Conduct preventive physical examinations at least every 6 to 12 months.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Conduct annual heartworm testing in dogs; test cats prior to placing on heartworm preventive and thereafter as indicated.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Test annually for tick-transmitted pathogens, especially in regions where pathogens are endemic or emerging.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Conduct microscopic fecal examinations <a href="https://capcvet.org/articles/why-fecal-centrifugation-is-better/" rel="noreferrer noopener" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: inherit; cursor: pointer; line-height: inherit; outline: 0px; text-decoration-line: none;" target="_blank">by centrifugation</a> at least four times during the first year of life, and at least two times per year in adults, depending on patient health and lifestyle factors.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Based on sample size, clinical signs, suspected parasites and skill and experience of the clinic or laboratory, alternative diagnostics and screening with advanced technologies, such as fecal antigen, PCR (Polymerase Chain Reaction) and AI (Artificial Intelligence), may be preferred.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Prescribe control programs to local parasite prevalence and individual pet lifestyle factors.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Adapt prevention recommendations to address emerging parasite threats.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">In areas where Lyme disease is considered endemic or emerging, vaccinate dogs against <em style="box-sizing: inherit; line-height: inherit;">Borrelia burgdorferi.</em></span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Confirm pets have been both recently tested for parasite infection and are current on broad-spectrum internal and external parasite control prior to boarding or visiting shared space animal facilities</span></li></ul></div><div class="content-block" style="border-bottom: 1px solid rgb(230, 230, 230); box-sizing: inherit; margin: 0px 0px 30px; padding: 0px 0px 30px;"><h2 style="box-sizing: inherit; font-weight: 400; line-height: 0.9; margin: 0px 0px 0.5rem; padding: 0px; text-rendering: optimizelegibility;"><span style="font-family: arial; font-size: large;">Every Pet, All Year Long</span></h2><ul style="box-sizing: inherit; line-height: 1.4; list-style-position: outside; margin: 0px 0px 1rem 1.25rem; padding: 0px;"><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Administer year-round broad-spectrum parasite control with efficacy against heartworm, intestinal parasites, fleas, and ticks. Control of parasites with zoonotic potential is essential.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Administer anthelmintic treatment to puppies and kittens starting at 2 weeks of age and repeating every 2 weeks until regular broad-spectrum parasite control begins.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Maintain pregnant and nursing dams on broad-spectrum control products.</span></li></ul></div><div class="content-block" style="border-bottom: 1px solid rgb(230, 230, 230); box-sizing: inherit; margin: 0px 0px 30px; padding: 0px 0px 30px;"><h2 style="box-sizing: inherit; font-weight: 400; line-height: 0.9; margin: 0px 0px 0.5rem; padding: 0px; text-rendering: optimizelegibility;"><span style="font-family: arial; font-size: large;">Healthy Lifestyle, Healthy Pets, Healthy People</span></h2><ul style="box-sizing: inherit; line-height: 1.4; list-style-position: outside; margin: 0px 0px 1rem 1.25rem; padding: 0px;"><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Feed pets commercial or cooked food (not raw diets) and provide fresh water.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Cover sandboxes when not in use, and protect garden areas from fecal contamination.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Pick up feces immediately when walking a dog in a public area and from the yard on a daily basis.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">To prevent roaming and limit predation, keep dogs on a leash or behind a fence and keep cats indoors.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Permanently identify dogs and cats through microchip implantation.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Do not handle animal feces or urine with bare hands, and wash hands immediately after incidental contact. This recommendation is particularly important for children and individuals at increased risk.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Properly dispose of animal waste according to local municipal regulations.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Spay or neuter all pets not intended for breeding.</span></li></ul></div><div class="content-block" style="border-bottom: none; box-sizing: inherit; margin: 0px; padding: 0px 0px 30px;"><h2 style="box-sizing: inherit; font-weight: 400; line-height: 0.9; margin: 0px 0px 0.5rem; padding: 0px; text-rendering: optimizelegibility;"><span style="font-family: arial; font-size: large;">If Year-Round Broad-Spectrum Parasite Control Cannot Be Maintained</span></h2><ul style="box-sizing: inherit; line-height: 1.4; list-style-position: outside; margin: 0px 0px 1rem 1.25rem; padding: 0px;"><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">For puppies and kittens, administer anthelmintics starting at 2 weeks of age, repeating every 2 weeks until 2 months of age, monthly until 6 months of age, and quarterly thereafter.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Treat all adult pets four times a year with a broad-spectrum anthelmintic with efficacy against intestinal parasites.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Appropriate fecal diagnostics performed at least 2-4 times a year.</span></li><li style="box-sizing: inherit; margin: 0px 0px 10px; padding: 0px;"><span style="font-family: arial; font-size: large;">Encourage annual testing for heartworm and other vector-borne infections in dogs and routine, year-round use of heartworm preventive, monthly intestinal parasite control, and flea and tick control in all pets.</span></li></ul></div></div></div>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-3441936066124180982023-03-08T12:49:00.001-08:002023-03-08T12:49:23.580-08:00The Senior Pet-Unconditional Love-Become your pet's Super Hero!<p> </p><p><span style="font-family: arial; font-size: medium;">SilverSandsVeterinary.com</span></p><p><span style="font-family: arial; font-size: medium;">Donald H DeForge, VMD</span></p><p><span style="font-family: arial; font-size: medium;">General Practice</span></p><p><span style="font-family: arial; font-size: medium;">Walk-In ER -Urgent Care</span></p><p><span style="font-family: arial; font-size: medium;">203-877-3221</span></p><p><span style="font-family: arial; font-size: medium;">DonDeForge100@gmail.com</span></p><p><br /></p><p><span style="color: red; font-family: arial; font-size: x-large;"><b>Become a Super Hero and Help Your Geriatric Pet!</b></span></p><p><br /></p><p><span style="font-family: arial;"><span style="background-color: white; color: #222226; font-size: large;">“I wish people would realize that animals are totally dependent on us, helpless, like children, a trust that is put upon us.” – </span><b style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #222226; font-size: large; margin: 0px; outline: none; padding: 0px; vertical-align: baseline;">James Herriot</b></span></p><p style="text-align: center;"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEiaD73-EGyQUXy2TxIqVuZNM8yKBF_C2qh3H_IHiWwuFV0ykYU2VkAb9MV0GJ6Y72tMhdUJpv_kQk2mxnONfE67tOCaJfxtX26mY1sDSzRadupYw2LYnByyIzeDtW4dGQDAAA5gOjH9kzxk96A2Il_eHFJullRpriC4mfJzfgksQljM_UchPhLUoI75NA" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="408" data-original-width="612" height="426" src="https://blogger.googleusercontent.com/img/a/AVvXsEiaD73-EGyQUXy2TxIqVuZNM8yKBF_C2qh3H_IHiWwuFV0ykYU2VkAb9MV0GJ6Y72tMhdUJpv_kQk2mxnONfE67tOCaJfxtX26mY1sDSzRadupYw2LYnByyIzeDtW4dGQDAAA5gOjH9kzxk96A2Il_eHFJullRpriC4mfJzfgksQljM_UchPhLUoI75NA=w640-h426" width="640" /></a></div><br /><br /><p></p><p><span style="color: red; font-family: arial; font-size: x-large;"><b>The Senior Pet and Unconditional Love-</b></span></p><p><span style="font-family: arial; font-size: large;">Become a Pain and Discomfort Detective!</span></p><p><span style="font-family: arial; font-size: large;"><br /></span></p><p><span style="font-family: arial; font-size: large;">From the American Veterinary Medical Association:</span></p><p><span style="font-family: arial; font-size: large;"><br /></span></p><p><span style="color: #2f3538;"><span style="font-family: arial; font-size: large;">What do senior pets need to stay happy and healthy for as long as possible?</span></span></p><div class="field__item" style="-webkit-font-smoothing: antialiased; background-color: white; box-sizing: border-box;"><div class="avma-accordion-item--accordion-without-bg avma-accordion-item js-avma-accordion-item" data-allow-multiple="" id="accordion-79291" style="-webkit-font-smoothing: antialiased; border-bottom: 2px solid rgb(236, 237, 237); border-top: 2px solid rgb(236, 237, 237); box-sizing: border-box; margin-bottom: -2px;"><div aria-controls="aria-controls-79291" aria-expanded="true" class="avma-accordion-item__trigger" data-target="#aria-controls-79291" data-toggle="collapse" id="aria-labelledby-79291" role="button" style="-webkit-box-align: center; -webkit-box-pack: justify; -webkit-font-smoothing: antialiased; align-items: center; background: none; border: 0px; box-sizing: border-box; cursor: pointer; display: flex; justify-content: space-between; outline: none; padding: 1.245rem 0px 1.365rem; width: 680px;"><div class="avma-accordion-item__content" style="-webkit-box-align: start; -webkit-font-smoothing: antialiased; align-items: flex-start; box-sizing: border-box; display: flex; flex-wrap: nowrap;"><div class="avma-accordion-item__text" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><div aria-hidden="true" aria-labelledby="aria-controls-79291" class="avma-accordion-item__details collapse show" data-parent="#aria-controls-79291" id="aria-controls-79291" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-top: 0.75rem; max-height: 100%; opacity: 1; visibility: visible;"><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem; margin-top: 0px;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;">No matter how well cared for, senior pets are vulnerable to aging-related issues, including certain diseases. This means that senior pets require more attention than younger pets, including more frequent visits to the veterinarian as well as possible changes in their diet and home environment.</span></span></p><p style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem; margin-top: 0px;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;">Here are some basic considerations when caring for senior pets:</span></span></p><ul style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem; margin-top: 0px; padding-left: 1rem;"><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Increased veterinary care:</span> Senior pets need to see a veterinarian twice a year or more so signs of illness or other problems can be found and treated early, before they become bigger problems. Senior pet exams are similar to those for younger pets but more in-depth. These exams may include dental care, possible bloodwork, and specific checks for signs of aging-related diseases.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Diet and nutrition:</span> Senior pets often need foods that are more easily digested, provide different energy levels and ingredients, and contain anti-aging nutrients.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Weight control:</span> Weight gain in senior dogs increases the risk of health problems, whereas weight loss is a bigger concern for senior cats.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Parasite control:</span> Senior pets' immune systems aren’t as strong as those of younger pets. As a result, senior pets may not be able to fight off parasites or heal as fast.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Vaccination:</span> A weaker immune system means senior pets also might have different vaccination needs than younger pets.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Maintaining mobility:</span> Pets can become less active with age. Keeping senior pets active through appropriate exercise helps them stay healthier and more mobile.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Mental health:</span> Senior pets can show signs of senility or cognitive dysfunction. Stimulating them through interactions can help keep them mentally active.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Environment:</span> Senior pets may need changes in their lifestyle, such as new sleeping areas to avoid stairs, more time indoors, etc.</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="font-family: arial; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box; font-weight: 700;">Reproductive diseases:</span> Non-neutered/non-spayed senior pets are at higher risk of breast, testicular, and prostate cancers.</span></span></li></ul><span style="-webkit-font-smoothing: antialiased; background-color: initial; box-sizing: border-box;"><span style="color: red; font-family: arial; font-size: x-large;"><b>Dr. DeForge's Commentary-Loving Your Senior Pet</b></span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: arial; font-size: large;"><br /></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: arial; font-size: large;"><br /></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; text-align: center;"><span style="color: #2f3538; font-family: arial; font-size: large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEiiIlUfnRONHq8dTR4mH8XH2lAmAFLmiRfVY0MfsPnKw1Lmr7a6ZxFnkB8yFKiSnoMPpSZI-VXiwTI84xDwdkhBSZyS6PO33uCntNy6mXFTZx9CeCMG5OIlue9E9YxWEr75LAOIfl8v954zmlsVGUi1Y5xPZeGHSn-n4xPrdyEKSQmDxUUIz7GutisUQQ" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="600" data-original-width="432" height="640" src="https://blogger.googleusercontent.com/img/a/AVvXsEiiIlUfnRONHq8dTR4mH8XH2lAmAFLmiRfVY0MfsPnKw1Lmr7a6ZxFnkB8yFKiSnoMPpSZI-VXiwTI84xDwdkhBSZyS6PO33uCntNy6mXFTZx9CeCMG5OIlue9E9YxWEr75LAOIfl8v954zmlsVGUi1Y5xPZeGHSn-n4xPrdyEKSQmDxUUIz7GutisUQQ=w461-h640" width="461" /></a></div><br /><br /></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: arial; font-size: large;"><br /></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: arial; font-size: large;"><br /></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: arial; font-size: large;"><br /></span><ul style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem; margin-top: 0px; padding-left: 1rem;"><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;"><span style="-webkit-font-smoothing: antialiased; box-sizing: border-box;">There </span>are two times during a pet's life that they need careful medical scrutiny and examination by a veterinarian. Think young and think of the Golden Years.</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Veterinary Scrutiny of the Pediatric stage of life and the Geriatric stage of life is critical. So many senior patients are brought to the Silver Sands Veterinary Walk-In Emergency and Urgent Care Department who have very serious problems that could have been avoided with earlier examination.</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Silver Sands Veterinary stresses proactive care and not reactive care. The sooner a problem is diagnosed the sooner appropriate steps can be taken to resolve the issue and return a normal quality of life.</span></li></ul><span style="background-color: initial; color: #2b00fe; font-family: arial; font-size: large;"><b>Initiate a Report Card of Care tonight on your pet------------See below!</b></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2b00fe; font-family: verdana; font-size: large;"><br /></span><ul style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem; margin-top: 0px; padding-left: 1rem;"><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Is your pet drinking more water or urinating more frequently?</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Is your pet having trouble getting up after lying down?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Does your pet have an odor on the skin or from the ears?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Does your pet have an abnormal odor in the mouth?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Has your pet been losing weight?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Has your pet developed a poor appetite?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Has your pet developed a ravenous appetite but is losing weight?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; color: #2f3538; margin-bottom: 1.5rem;"><span style="font-family: verdana; font-size: large;">Does your pet have trouble moving through the home in dim light?</span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Does your pet's stool have normal form and color; is there a problem with intermittent diarrhea or constipation?</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Does you pet cough or wake up coughing at night?</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Does your pet have shortness of breath going up and down stairs or with minimal exercise?</span></span></li></ul><span style="background-color: initial; font-size: large;"><span style="color: #2b00fe; font-family: arial;"><b>If you have answered YES to any of the above, call your pDVM for an immediate appointment.</b></span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2b00fe; font-family: verdana; font-size: large;"><br /></span><ul style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem; margin-top: 0px; padding-left: 1rem;"><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Call Dr. DeForge with questions at 203-877-3221 or schedule an appointment on the SSV website: SilverSandsVeterinary.com if you do not have a pDVM</span></span></li><li style="-webkit-font-smoothing: antialiased; box-sizing: border-box; margin-bottom: 1.5rem;"><span style="font-size: large;"><span style="color: #2f3538; font-family: verdana;">Return the unconditional love TODAY by removing pain and discomfort with a geriatric check-up!</span></span></li></ul><span style="color: #2b00fe; font-family: arial; font-size: large;"><b>Changing Your Pet's Life and Removing Pain is your gift to your fur baby!</b></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="color: #2f3538; font-family: verdana; font-size: large;"><br /></span><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">One of the common problems with aging is orthopedic pain. A new tool of Physical Rehab in dogs is termed Photobiomodulation Therapy [PBMT]; Cold Laser Therapy; or Therapeutic Laser Treatments. It has been used in humans for quite some time and is being increasingly used in dogs and cats.</span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="background-color: initial; font-size: large;"><span style="color: #2b00fe; font-family: arial;"><b><br /></b></span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="background-color: initial; font-size: large;"><span style="color: #2b00fe; font-family: arial;"><b>Some Indications for Usage of Cold Laser-PBMT Therapy </b></span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><ol style="text-align: left;"><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Osteoarthritis</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Back Pain-Spinal Pain</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Hip Dysplasia Minor or Partial Cruciate injuries</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Tendon weakness</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Elbow arthrosis</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Post Surgical Pain Control</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Degenerative Joint Disease</span></span></li><li><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;">Other target pain centers </span></span></li></ol></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box; text-align: center;"><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEg6-v-PpKhHPrCbww2aADdY3qWBp_yTAwvXYSns8cF5E1H1MOZUUiQ_MntRtXjaMJ6VpslIafGURxrPFGhk6KZ_3MbZ8JMULt7KXQH6wTMaWxSxXks39Vmy6dkzfYeyDSDjQk3y5kpj5cH5s7ZXwdRYS1BnIlghYEQ8-RhdpbDjFi1YrJjz58B758l_5w" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="435" data-original-width="612" height="454" src="https://blogger.googleusercontent.com/img/a/AVvXsEg6-v-PpKhHPrCbww2aADdY3qWBp_yTAwvXYSns8cF5E1H1MOZUUiQ_MntRtXjaMJ6VpslIafGURxrPFGhk6KZ_3MbZ8JMULt7KXQH6wTMaWxSxXks39Vmy6dkzfYeyDSDjQk3y5kpj5cH5s7ZXwdRYS1BnIlghYEQ8-RhdpbDjFi1YrJjz58B758l_5w=w640-h454" width="640" /></a></div><br /><br /></span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="background-color: initial; font-size: large;"><span style="color: #2f3538; font-family: verdana;"> </span></span></div><div class="clearfix text-formatted field field--name-field-content field--type-text-long field--label-hidden field__item" style="-webkit-font-smoothing: antialiased; box-sizing: border-box;"><span style="background-color: initial; font-size: large;"><span style="font-family: arial;"><p style="box-sizing: border-box; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #495057;">Reduction in inflammation and pain in both acute and chronic conditions will increase the patient's quality of life. By improving analgesia, PBMT can be preemptive in preventing or minimizing chronic pain or wind-up and help reduce dependence on medications. </span></p><p style="box-sizing: border-box; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: red;"><b>If medications can be avoided, there is a benefit for the patient as a whole.</b></span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;">Veterinary rehabilitation does not focus on one specific problem, but rather sees the patient as a whole. One of the main goals of rehabilitation is a return to normal or near-normal function. Returning a quality of life and removing pain is a reality with Therapy Laser Treatment. The added bonus is that is is inexpressive. </p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;">The benefits of Photobiomodulation for rehabilitation patients focus on two main areas: [1]-increasing healing times through faster, stronger tissue repair, and [2]- the analgesic effect of the laser.</p><p style="box-sizing: border-box; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #2b00fe;"><b>Call Dr. DeForge about the SSV Therapy Laser Treatment Program for your pet.</b></span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;">The consultation and first treatment is free for you to see for yourself the difference it makes in your pet. Diagnostic testing and x-rays are commonly coupled with Laser Therapy.</p><p style="box-sizing: border-box; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">Traditional methods of pain management are very systemic in their approach. </span></p><p style="box-sizing: border-box; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: red;"><b>Laser Therapy treats the source of the pain rather than treating the symptoms systemically. </b></span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">PBMT-Laser Therapy is direct and specific about where it is targeting; while simultaneously producing immediate relief!</span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">PBMT is not just for arthritic joints and tissue injuries; it’s actually outstanding in many other conditions. </span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">Any form of pain or inflammation, in which you need to help the healing process along--Laser Therapy is a great add-on for immediate pain relief. </span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">It’s important, therefore, to “think of [PBMT] as a medical tool to help many pain problems in your fur baby instead of a treatment for only one condition.</span></p><p style="box-sizing: border-box; color: #495057; line-height: 1.6; margin-bottom: 1rem; margin-top: 0px; word-break: break-word;"><span style="color: #3c3c3c;">Questions: Write to DoctorDeForge@yahoo.com</span></p></span></span></div></div></div></div></div></div></div><p><br /></p>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-70570295844673019942022-09-07T06:25:00.001-07:002022-09-07T06:25:53.162-07:00 Fine Needle Aspirates-FYI!<p> Silver Sands Veterinary.com</p><p>DonDeForge, VMD Director</p><p>DoctorDeForge@yahoo.com</p><p style="text-align: left;"><br /></p><p style="text-align: justify;"><br /></p><h1 style="text-align: center;"><span style="font-family: verdana; font-size: x-large;">Cancer? </span></h1><h1 style="text-align: center;"><span style="font-family: verdana; font-size: x-large;">Why Veterinarians Perform Fine Needle Aspirates!</span></h1><div style="text-align: center;"><span style="font-family: verdana; font-size: x-large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEg9VkNarTdQ7yyIDTY3w6uy63t8nfkVSx3a7gXfLiNvcXPQbMk7s0KCm-Iw9UWZOwP1NdQIPykOoBFZXZW12GcmbIKbPdZFrTGbz4vQ6-46-NY0pt2nwrU8E-5zJq8La0uSNipdUaLZ508db8yyd1vFCxgdLAVf5e2AXZyXYgFiRoJhsMo-WPHinPPTWQ" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="600" data-original-width="534" height="400" src="https://blogger.googleusercontent.com/img/a/AVvXsEg9VkNarTdQ7yyIDTY3w6uy63t8nfkVSx3a7gXfLiNvcXPQbMk7s0KCm-Iw9UWZOwP1NdQIPykOoBFZXZW12GcmbIKbPdZFrTGbz4vQ6-46-NY0pt2nwrU8E-5zJq8La0uSNipdUaLZ508db8yyd1vFCxgdLAVf5e2AXZyXYgFiRoJhsMo-WPHinPPTWQ=w357-h400" width="357" /></a></div><div style="text-align: left;"><br /></div><br /></span></div><div><h2 style="background: white; line-height: 14.25pt; margin-bottom: .0001pt; margin: 0in;"><span style="color: #705e3e;"><span style="font-family: verdana; font-size: large;">Fine Needle Aspirates</span></span><span face=""Arial","sans-serif"" style="color: #705e3e; font-size: 11pt;"> –With Informed Consent<o:p></o:p></span></h2>
<p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span style="font-family: arial;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="color: black; font-size: 11pt;">Average time for a Cytology</span></b><span face=""Arial","sans-serif"" style="color: black; font-size: 11pt;"> report to be available: [1 week]<o:p></o:p></span></span></p><p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span style="font-family: arial;"><span face=""Arial","sans-serif"" style="color: black; font-size: 11pt;"><br /></span></span></p>
<p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span style="color: black; font-family: arial;"><span face="Arial, sans-serif" style="font-size: 11pt;">Histopathology/biopsy
surgery occurs only after the completion of the FNA cytology</span><span class="apple-converted-space" face="Arial, "sans-serif"" style="font-size: 11pt;"> </span><span face="Arial, sans-serif" style="font-size: 11pt;">procedure at the pathology laboratory.
As with other types of biopsies, the sample collected can help make a diagnosis
or rule out conditions such as</span><span style="font-size: large;"><span class="apple-converted-space"> </span><a href="http://www.webmd.com/cancer/"><span style="color: #3789b9;">cancer</span></a>!</span></span></p><p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span style="color: black; font-family: arial;"><span style="font-size: large;"><br /></span></span></p>
<h3 style="background: white; line-height: 12pt; margin-bottom: 0in; margin-left: 0in; margin-right: 0in; margin-top: 7.5pt; margin: 7.5pt 0in 0in;"><span style="color: #705e3e; font-family: arial; font-size: 11pt;">Histopathology: When It's Used<o:p></o:p></span></h3>
<p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span face=""Arial","sans-serif"" style="color: black; font-family: arial; font-size: 11pt;">Histopathology is commonly
performed on swellings or lumps located just under the<span class="apple-converted-space"><b style="mso-bidi-font-weight: normal;"> </b></span><b style="mso-bidi-font-weight: normal;"><a href="http://www.webmd.com/skin-problems-and-treatments/picture-of-the-skin"><span style="color: #3789b9;">skin</span></a> if
cytology is not confirmatory of a benign mass</b>.<o:p></o:p></span></p><p class="node" style="background: white; line-height: 12pt; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt;"><span face=""Arial","sans-serif"" style="color: black; font-family: arial; font-size: large;"><br /></span></p>
<p class="node" style="background: white; margin-bottom: 7.5pt; margin-left: 0in; margin-right: 0in; margin-top: 2.25pt; margin: 2.25pt 0in 7.5pt; mso-line-height-alt: 12.0pt;"><span style="font-family: arial;"><b style="mso-bidi-font-weight: normal;"><span face="Arial, "sans-serif""><span style="color: red; font-size: large;">Not ALL FNA Cytology procedures are
definitive</span></span></b><span face="Arial, "sans-serif"" style="font-size: 14pt;"><span style="color: red;"><b> with a complete diagnosis; if a diagnosis is not definitive surgical biopsies or special stains may be needed for diagnosis.</b></span><span style="color: black;"> </span><o:p></o:p></span></span></p>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="margin-left: -1.5in; mso-cellspacing: 0in; mso-padding-alt: 0in 0in 0in 0in; width: 925px;">
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<td nowrap="" style="background: rgb(228, 228, 252); height: 27pt; padding: 0in; width: 694pt;" valign="top" width="925">
<p class="MsoNormal" style="margin-left: -45pt; text-indent: 45pt;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="color: grey; font-family: arial; font-size: 11pt;"><o:p> </o:p></span></b></p>
</td>
</tr>
</tbody></table>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background: white;"><span style="font-family: arial;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-size: large;">Early
malignant tumors</span></b><span face=""Arial","sans-serif"" style="font-size: 11pt;">
can often appear quiet and benign and some can have very slow initial growth
rates. If benign disease is identified, then it does not require removal (other
than rare circumstances when a benign mass is causing discomfort for the
patient).<span style="mso-spacerun: yes;"> </span>If a malignant process is
diagnosed, oncologist consultation will be advised.<o:p></o:p></span></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;">The surgery to remove a known malignant
process is more intensive than one to remove a benign or undiagnosed tumor. <o:p></o:p></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;">If cancer is not identified using this
technique, have we eliminated the possibility of a cancerous condition? Dr.
DeForge will use his experience and judgment to match the pathology results to
the appearance of the nodule. He will always be available for consultation
concerning the need for further surgical intervention.<span style="mso-spacerun: yes;"> </span>Board Certified Veterinary Surgeons and
oncologists will round out the <st1:place w:st="on"><st1:placename w:st="on">Silver</st1:placename>
<st1:placename w:st="on">Sands</st1:placename> <st1:placename w:st="on">Veterinary</st1:placename>
<st1:placetype w:st="on">Center</st1:placetype></st1:place> team caring for
the pet you love.<o:p></o:p></span></p>
<p class="MsoNormal" style="background: white;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="background: white;"><span style="font-family: arial;"><st1:street w:st="on"><st1:address w:st="on"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-size: 11pt;">Will Dr.</span></b></st1:address></st1:street><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-size: 11pt;"> DeForge ever recommend</span></b><span face=""Arial","sans-serif"" style="font-size: 11pt;"> that a nodule be re-aspirated at a
later date? Generally speaking, if a benign process has been identified; it
will then be monitored. If this nodule enlarges rapidly or has any other
appearance that does not match the benign diagnosis, re-aspiration or re-biopsy
may be recommended. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background: white;"><span style="font-family: arial;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-size: 11pt;">All
dermal nodules</span></b><span face=""Arial","sans-serif"" style="font-size: 11pt;">
should be tested using FNA Cytology or Surgical Biopsy techniques! Dr. DeForge
generally recommends that all dermal nodules be evaluated by FNA cytology or
histopathology because a patient may have several benign nodules along with a
malignant/cancerous one. Once a nodule has been determined to be benign, it can
be documented on a “patient body map”, a diagram that indicates the location
and diagnosis of cutaneous nodules for future comparison in the event that a
new nodule has been identified. <o:p></o:p></span></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;">Exceptions to the “aspirate everything!” rule
are syndromes of multifocal benign skin growths such as benign adenomas of
poodles and terriers or epidermal inclusion cysts of Norwegian Elkhounds. These
patients can develop dozens of papules or nodules that tend to be identical in
appearance and tend to be reliably the same disease. Once such a benign
representative nodule has been diagnosed, you may be asked to monitor for and
report changes in any of the similar lesions. This rule exception should be
used with caution as it does NOT apply to other multifocal benign syndromes. A
patient may have lipomas AND a malignant soft tissue sarcoma or a mast cell
tumor at the same time, in different locations in the skin, and the
visual/textural presentation can be identical between these benign and
cancerous diseases. <o:p></o:p></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial; font-size: 11pt;"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background: white;"><span style="font-family: arial;"><b style="mso-bidi-font-weight: normal;"><span face=""Arial","sans-serif"" style="font-size: 11pt;">If
Cytology indicates a cancerous process is present-Histopathological
Examination-i.e. Surgical Biopsy</span></b><span face=""Arial","sans-serif"" style="font-size: 11pt;"> evaluation is required to confirm a
diagnosis and determine if adequate margins were achieved. Misdiagnosis with
FNA cytology is a possible disadvantage (malignant tumors misdiagnosed as
benign have been reported in approximately 1/3 of skin nodules that were
diagnosed as benign via cytology in one study), but this is a less common event
when Dr. DeForge works together with the clinical pathologist to provide the
most accurate diagnosis possible. Histopathology biopsy is the gold standard in
dermal mass diagnosis.</span></span></p><p class="MsoNormal" style="background: white;"><span style="font-family: arial;"><span face=""Arial","sans-serif"" style="font-size: 11pt;"><span style="mso-spacerun: yes;"></span>Cytology is
non-invasive and is frequently recommended as the initial testing procedure.<o:p></o:p></span></span></p>
<p class="MsoNormal" style="background: white;"><span face=""Arial","sans-serif"" style="font-family: arial;"><o:p> </o:p></span></p><span style="font-family: verdana; font-size: x-large;"></span></div><p></p>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-5934990077336294372020-11-25T09:44:00.000-08:002020-11-25T09:44:06.601-08:00Holiday Safety Tips for the Pet You Love<p> </p><p><br /></p><p><span style="color: red;"><br /></span></p><p><span style="color: red; font-family: verdana; font-size: large;"><b><i>Silver Sands Veterinary</i></b></span></p><p><span style="color: red; font-family: verdana; font-size: large;"><b><i>SilverSandsVeterinary.com</i></b></span></p><p><span style="color: red; font-family: verdana; font-size: large;"><b><i>Donald H DeForge, VMD -Medical Director</i></b></span></p><p><span style="color: red; font-family: verdana; font-size: large;"><b><i>203-877-3221</i></b></span></p><p><span style="color: red; font-family: verdana; font-size: large;"><b><i>DonDeForge100@gmail.com</i></b></span></p><p><span style="color: red; font-family: verdana; font-size: x-large;"><b><i><br /></i></b></span></p><p><span style="color: red; font-family: verdana; font-size: x-large;"><b><i>Happy Holidays 2020-2021</i></b></span></p><p><br /></p><p><br /></p><h1 class="title" style="background: rgb(244, 244, 244); border: 0px; color: #d7594c; font-family: Lobster, Arial, sans-serif; font-weight: normal; letter-spacing: -1px; line-height: 1em; margin: 0px; outline: 0px; padding: 0px 0px 13px; text-shadow: rgb(255, 255, 255) 1px 1px 1px; vertical-align: baseline;"><span style="font-size: x-large;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_hzj-HEvHcY8mcCHt05xKD5I6IKDElB3uncJOm02pHwzKCNG1beqxrOptz7i78bkg9WHuVqKc6w-9MZBdQO2K21f7FLBNdRibtXaHR_6gRQYGsoP0SBeVXj1HUNsflyypjGMK3hObWGIS/" style="margin-left: 1em; margin-right: 1em;"><img data-original-height="989" data-original-width="990" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_hzj-HEvHcY8mcCHt05xKD5I6IKDElB3uncJOm02pHwzKCNG1beqxrOptz7i78bkg9WHuVqKc6w-9MZBdQO2K21f7FLBNdRibtXaHR_6gRQYGsoP0SBeVXj1HUNsflyypjGMK3hObWGIS/w640-h640/image.png" width="640" /></a></div><br /><br /></span></h1><h1 class="title" style="background: rgb(244, 244, 244); border: 0px; font-family: Lobster, Arial, sans-serif; font-weight: normal; letter-spacing: -1px; line-height: 1em; margin: 0px; outline: 0px; padding: 0px 0px 13px; text-align: center; text-shadow: rgb(255, 255, 255) 1px 1px 1px; vertical-align: baseline;"><span style="color: #2b00fe; font-size: x-large;">Holiday Dangers that can Poison your Pets! </span></h1><h1 class="title" style="background: rgb(244, 244, 244); border: 0px; color: #d7594c; font-family: Lobster, Arial, sans-serif; font-weight: normal; letter-spacing: -1px; line-height: 1em; margin: 0px; outline: 0px; padding: 0px 0px 13px; text-shadow: rgb(255, 255, 255) 1px 1px 1px; vertical-align: baseline;"><span style="font-size: x-large;">Dr. Justine Lee</span></h1><p class="meta-info" style="background: rgb(244, 244, 244); border: 0px; color: #678e8d; font-family: Kreon, Arial, sans-serif; font-size: 16px; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 7px; text-shadow: rgb(255, 255, 255) 1px 1px 1px; vertical-align: baseline;"><br /></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">T</span><span style="color: red; font-size: large;">he holidays are stressful enough without you having to worry about rushing your dog or cat to the ER on Christmas Eve, right?</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Before you put any presents <span class="GINGER_SOFTWARE_mark" id="7de02754-b6ab-4c50-9df6-2bd7977b3d4c" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">below</span> the Christmas tree, do <span class="GINGER_SOFTWARE_mark" id="95e9f6af-7bf0-4af1-b9e7-2221f16b7544" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">your</span> pet a favor – learn about the common holiday dangers that are poisonous to dogs and cats. Certain holiday dangers pose threats to pets, including certain foods, plants, home ornaments, and decorations.</span></p><div class="wp-caption alignright" id="attachment_516" style="background: rgb(243, 243, 243); border: 1px solid rgb(221, 221, 221); float: right; font-family: "Droid Sans", Arial, Verdana, sans-serif; margin: 0px 0px 10px 10px; outline: 0px; padding: 4px 0px 0px; text-align: center; vertical-align: baseline; width: 310px;"><a href="https://drjustinelee.com/wp-content/uploads/2014/09/yay-7896390-digital.jpg" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;"><span style="color: red; font-size: large;"><img alt="yay-7896390-digital" aria-describedby="caption-attachment-516" class="wp-image-516 size-medium" height="200" sizes="(max-width: 300px) 100vw, 300px" src="https://drjustinelee.com/wp-content/uploads/2014/09/yay-7896390-digital-300x200.jpg" srcset="https://drjustinelee.com/wp-content/uploads/2014/09/yay-7896390-digital-300x200.jpg 300w, https://drjustinelee.com/wp-content/uploads/2014/09/yay-7896390-digital-1024x682.jpg 1024w" style="background: transparent; border: 0px none; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" width="300" /></span></a><p class="wp-caption-text" id="caption-attachment-516" style="background: transparent; border: 0px; line-height: 17px; margin: 0px; outline: 0px; padding: 0px 4px 5px; vertical-align: baseline;"><span style="color: red; font-size: large;">Chocolate poisoning in dogs</span></p></div><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><br /></span></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Foods</span><br />One of the most common emergencies I see are chewed-through packages of <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">chocolate</strong>, chocolate-covered espresso beans, chocolate-covered macadamia nuts, chocolate-covered raisins, chocolate-covered<span class="GINGER_SOFTWARE_mark" id="1327fd91-5e40-4822-a83c-c77ea157a8fc" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"> …</span> are you getting the hint? </span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Remember, your dog has a great sense of smell. Mix that with some sharp teeth, and he can easily chew through your beautifully wrapped edible gifts. Not only is chocolate poisonous, but some of the other added ingredients may pose a double whammy. Espresso beans can contain a potentially fatal amount of <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">caffeine</strong>, <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">macadamia nuts</strong> can result in temporary paralysis, and <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">raisins</strong> can result in acute kidney failure.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Some other common food dangers? Fattening, rich <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">meat scraps</strong> (e.g., turkey, ham, etc.) can result in <a href="http://www.pethealthnetwork.com/search/site/pancreatitis" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">pancreatitis</a> (i.e., inflammation of the pancreas), causing severe vomiting, diarrhea, malaise, and abdominal pain. Breeds such as <a href="http://www.pethealthnetwork.com/lifestyle/bearded-and-brainy-miniature-schnauzer" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Miniature</a> Schnauzers, <a href="http://www.pethealthnetwork.com/lifestyle/yorkshire-terrier" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Yorkshire Terriers</a>, and <a href="http://www.pethealthnetwork.com/lifestyle/shetland-sheepdog" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Shetland Sheepdogs</a> are especially predisposed, so fatty foods are an absolute no-no.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></strong></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Sugarless gum</strong>, <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">candy</strong>, and <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">desserts</strong> may contain <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">xylitol</strong>, a natural sweetener. When ingested by dogs, it results in a spike in insulin, causing a severe low blood sugar (e.g., hypoglycemia) and potential liver failure. Next, unbaked yeast bread dough and fruit cake (I mean, who really eats these anyway?) are potentially dangerous. </span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><a href="http://www.pethealthnetwork.com/dog-health/bloat-dogs" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Bloat</a>, gastric-dilatation volvulus (GDV), and secondary alcohol poisoning can result from your dog ingesting unbaked bread dough. Your dog’s stomach acts as an artificial oven, and the warm, moist environment makes the yeast rise (causing bloat) and metabolizes the sugar into carbon dioxide and alcohol (causing alcohol poisoning). </span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Another source of alcohol poisoning? Fruitcakes soaked in rum; when ingested by a dog or cat, alcohol can cause a dangerous drop in blood sugar, blood pressure and body temperature, potentially leading to <a href="http://www.pethealthnetwork.com/pet-health/pet-seizures" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">seizures</a> and respiratory failure. Also, the canned fruit (e.g., raisins) in fruit cake can result in acute kidney failure.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span class="GINGER_SOFTWARE_mark" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></span></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span class="GINGER_SOFTWARE_mark" id="c7c01385-624e-427c-9f15-2216dcbb2e1f" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Yuletide</span> plants</span><br />Don’t spread the hype: <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">poinsettias are rarely poisonous</strong>. The sticky white sap in poinsettias usually only causes mild mouth or stomach irritation if ingested. Instead, the bigger threat <span class="GINGER_SOFTWARE_mark" id="89184cf7-8a26-4160-871c-1c46dad638cf" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">are</span> flower bouquets which contain lilies. As little as 2-3 leaves or petals – even the pollen – can result in severe, acute kidney failure in cats. Certain lilies including tiger, Asiatic, <span class="GINGER_SOFTWARE_mark" id="cf9d05f7-797f-47ff-ab8e-327afd91c142" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">stargazer</span>, day and <a href="http://www.pethealthnetwork.com/cat-care/dangers-easter-lilies-cats" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Easter lilies</a> pose the biggest threats. </span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Thankfully, dogs are not affected, and only develop mild stomach upset with lily ingestion.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Like poinsettias, American mistletoe has been rumored to be poisonous too, but thankfully is only mildly toxic. It’s more dangerous cousin, the <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">European mistletoe</strong>, can be quite toxic to pets. So, make sure you’re buying the right kind of mistletoe… or more importantly, hang it high out of reach so <span class="GINGER_SOFTWARE_mark" id="ceb95636-8b43-4985-8793-c59d23dabb6c" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">yours</span> pets can’t chew on it.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><span class="content-subtitle" style="background: transparent; border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Holiday decorations</span><br />If you have a cat, no tinsel for you! When ingested, <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">tinsel</strong>, <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">ribbon</strong>, <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">string</strong>, or <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">yarn</strong> can result in a <a href="http://www.pethealthnetwork.com/cat-health/did-your-cat-eat-something-weird" style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">severe linear foreign body</a>, meaning the stringy tinsel can wrap around the base of the tongue or anchor itself in the stomach, making it impossible to pass through the intestines. As the intestines contract and move, tinsel can slowly saw through the tissue, resulting in severe damage to your pet’s intestinal tract. Treatment involves expensive abdominal surgery.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">Another household holiday danger? Filling your house with the smell of evergreen and cinnamon can actually be poisonous to your cat. Some <strong style="background: transparent; border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">liquid potpourris</strong> contain chemicals called cationic detergents, and curious cats may take a lick or two from these simmering potpourri pots. When ingested by cats, liquid potpourri can result in severe chemical burns in the mouth, fever, difficulty breathing and tremors. Dogs are not as sensitive to the chemicals, but <span class="GINGER_SOFTWARE_mark" id="a4de5c6b-88d0-4b55-9880-500566fc9662" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">its</span> best to keep <span class="GINGER_SOFTWARE_mark" id="b8183344-83de-4bd2-afc3-1b92309b6f62" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">potpourri</span> out of their reach to avoid a burn also.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">When in doubt, be aware of these very common holiday dangers to avoid in dogs and cats. The more you can pet-proof your house during the holidays, the less stressful it is for both the two-legged and four-legged family members. And more importantly, you can save that ER visit bill for gifts for your pets instead! Next week: some gift ideas for your dog and cat.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><span style="color: red; font-size: large;">If you think your dog or cat ingested something poisonous, contact your veterinarian, emergency veterinarian or <a href="http://www.aspca.org/pet-care/animal-poison-control" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" target="_blank">ASPCA Animal Poison Control Center</a> right away. When it comes to any poisoning situation, the sooner you diagnose it, the easier it is to potentially treat, the less invasive it is <span class="GINGER_SOFTWARE_mark" id="49a2140e-60f6-4101-9357-4f2deb9ed7ca" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">to</span> your pet, and the less expensive it is for you.</span></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><a href="https://drjustinelee.com/wp-content/uploads/2014/05/xjlee_sig.png.pagespeed.ic_.tcbOSQCRqG.png" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;"><span style="color: red; font-size: large;"><img alt="xjlee_sig.png.pagespeed.ic.tcbOSQCRqG" class="alignleft size-full wp-image-143" height="66" src="https://drjustinelee.com/wp-content/uploads/2014/05/xjlee_sig.png.pagespeed.ic_.tcbOSQCRqG.png" style="background: transparent; border: 0px; display: inline; float: left; margin: 0px 15px 0px 0px; outline: 0px; padding: 0px; vertical-align: baseline;" width="145" /></span></a></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><em style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;">If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.</span></em></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><em style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;"><br /></span></em></p><p style="background: rgb(244, 244, 244); border: 0px; font-family: "Droid Sans", Arial, Verdana, sans-serif; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><em style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: red; font-size: large;">A Special Thank You to Dr. Justine Lee and the ASPCA Poison Control Center [888-426-4435]</span></em></p><p style="background: rgb(244, 244, 244); border: 0px; color: #626262; font-family: "Droid Sans", Arial, Verdana, sans-serif; font-size: 13px; line-height: 24px; margin: 0px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;"><br /></p>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-27338062435969099352020-04-15T09:13:00.003-07:002020-04-15T09:13:25.236-07:00Unconditional Love-Hard to Find-DH DeForge, VMDDon DeForge, VMD<br />
17 Seemans Lane-Milford, CT 06460<br />
DonDeForge100@gmail.com<br />
SilverSandsVeterinary.com<br />
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<span style="font-family: "verdana" , sans-serif; font-size: x-large;"><img alt="Can a Person with Dementia Be Left Alone?" height="266" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcScgzOIVhWoycVZwVS5t4QSI7lOQqlOQjMXLw0q3WBkWYaksjqn&usqp=CAU" width="400" /></span></div>
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<span style="color: blue; font-family: "verdana" , sans-serif; font-size: x-large;"><b style="background-color: white;">Unconditional Love-Hard to Find</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">During this difficult time..... during COVD-19 when we evidence death and pain all around us, it is important to reflect on love!</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Unconditional love is not of human brand. It is found only in the animal kingdom. Only infrequently is man able to separate ego and self to return unconditional love to another human.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">It is not impossible! I have been blessed to witness it and meet special "heroes" who did accomplish this awesome task.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">But animals.....they are always bringing unconditional love to you and I each and every day!</span></b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">As we continue in social isolation with anxiety about today and tomorrow, it is time to pick-up the phone and call a friend; a neighbor; a relative; a senior; or a person who just needs to hear the words: "Hello how are you today?" That is unconditional love!</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">When done with this call~~~~ seek out the companion pet in your home and say to them....today I am returning the unconditional love that you give to me each hour of each day!</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Read the story of Miracle below. I never met Miracle but the wonder of this dog is now in my heart to share with you!</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b>Dr. Don DeForge 15April2020 ~ 12:00</b></span><br />
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A Tribute to Miracle:<br />
<span style="background-color: white; color: #1d2129; font-family: inherit; font-size: 14px;">On Monday 4/13/20 at 11:27 am I had to say goodbye to my best friend. From the moment I met Miracle in a shelter in Cortland, NY in March 2004 I knew he was meant to be mine. He came to me a few months after my mother passed away and 2 years after my sister passed away and I always knew they had sent him to me as my very own fur angel to watch over me since they couldn’t be there. He was a faithful companion for 16 years and almost made it to his 17th birthday at the end of this April. He knew me before I was a veterinarian and was with me through vet school, internship, residency, multiple jobs, and multiple moves. He enriched my life in so many ways and I can’t even begin to describe how grateful and blessed I feel to have had him in my life. He touched the lives of so many other people too, from his younger years as a therapy dog at a nursing home, to my family and friends, and to almost anyone he met. He was often a better human than I was and taught me patience and forgiveness by watching his interactions with other people and pets. He had a gentle spirit and a sweet soul. He loved his cat brothers Frankie and Stewart and they loved him very much. Frankie was so bonded to Miracle and would kiss his face and sleep with him. Frankie was also Miracle’s “seeing eye cat” and would help Miracle navigate around the house after he lost his vision. Over the years people would frequently ask me why his name was Miracle and they would assume something big had happened to him. While he was a stray before the shelter found him, his name wasn’t due to this. Before her passing, my mother had suffered a stroke that affected her speech pathways so there were only a few words she could say clearly. She would say “my miracle” clearly when referring to my sister and I. When I met Miracle, I knew that was the perfect name for him and he lived up to it each day of his life. He will be so very missed by myself and his cat brothers but I know my mom and sister will take great care of him up in heaven until we meet again.</span><br />
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Thank you to everyone who loved Miracle and who helped me take care of him these last few months, and for the special people who helped me on Monday to make his passing peaceful.<br />
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-36530668111511330232020-04-06T11:24:00.004-07:002020-04-06T11:24:35.074-07:00Identifying Pain in the Pet You Love in Difficult Times-COVID-19<span style="font-family: Arial, Helvetica, sans-serif;">Don DeForge, VMD</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">17 Seemans Lane</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">Milford, CT 06460</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">203-877-3221</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">Silver Sands Veterinary</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">SilverSandsVeterinary.com</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<ul>
<li><span style="font-family: Arial, Helvetica, sans-serif;">A General Companion Animal Practice</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Urgent Care</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">NEW! Telemedicine Consultations</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Advanced Veterinary Dentistry</span></li>
</ul>
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">DonDeForge100@gmail.com</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<br />
<div style="text-align: center;">
<span style="color: red; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-size: x-large;"><img alt="6 Most Common Dog Health Problems" height="272" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcTdWrvn9YMW0Gz1_qPIXi9Dn8u2zTb5hZvDRO3ImMBLn1nxnCYL&usqp=CAU" width="400" /></span><br />
<span style="color: red; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-size: x-large;"><b>Identifying Pain in the Pet You Love during: COVID-19</b></span></div>
<div style="text-align: center;">
<span style="color: red; font-size: x-large;"><b>An Important Journey in helping your friend</b></span></div>
<div style="text-align: center;">
<span style="color: red; font-size: x-large;"><b><br /></b></span></div>
<span style="color: blue; font-size: large;"><b>We search each day for the end of COVID-19. It is a time of anxiety and fear! The media continues to flash headlines and be the first to announce local community death totals and infected totals as though we were completing a score card at a ball game.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>Consumers are throwing protective gloves over supermarket parking lots after they pack their cars; not respecting social distancing in the markets; and continue to hoard.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>It is a continuation of the me, myself, and I society that was always present but now is being fueled by panic and anxiety over a virus that no one understands.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>Why can't we try to put our heads together and help each other? Why can't we think WE rather than ME? </b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>To get through this we must help each other. Respect the market and chain stores. Do not litter their parking areas. Respect the workers who are there to provide for you. Most importantly, start respecting others! Explain to your children right from wrong and do not allow your children to grow up accepting wrong is right!</b></span><br />
<span style="color: blue; font-size: x-large;"><b><br /></b></span>
<span style="color: blue;"><b><span style="font-size: x-large;">During this time of unrest our pets can be in pain!</span><span style="font-size: large;"> </span></b></span><br />
<span style="color: blue;"><b><span style="font-size: large;"><br /></span></b></span>
<span style="color: blue;"><b><span style="font-size: large;">Silver Sands Veterinary continues to be here as a Primary General Care Practice; an Urgent Care Center; and now is offering TELEMEDICINE at a reduced fee to help those pets that need our help when you cannot easily come to our main hospital.</span></b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>Our main hospital has a SECURED NO SOCIAL CONTACT FOYER for admission and discharge. You are safe in this FOYER! You will not meet others in our parking lot because we are staggering appointments for you.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: x-large;"><b>For those who do not want to leave home we now offer TELEMEDICINE CONSULTS. This is very important if a pet is in pain.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<b><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><span style="color: red;">Recognizing Pain in Animals is NOT straightforward!</span><span style="color: blue;"> </span></span></b><br />
<b><span style="color: blue; font-size: large;"><br /></span></b>
<b><span style="color: #351c75; font-size: x-large;">Pet advocates and pet lovers are constantly seeking outward expressions of pain. A dog howling; a cat screeching; an overt inability to use a leg; or an open trauma site. Yes....these do cause pain.... but pain is most often hidden or occult in pets!</span></b><br />
<b><span style="color: #351c75; font-size: large;"><br /></span></b>
<b><span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><i>Pet owners may see something but they usually do not know what they are seeing!</i></span></b><br />
<b><span style="color: #cc0000; font-size: large;"><br /></span></b>
<b><span style="color: blue; font-size: x-large;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Pet owner's</span> must stop searching ONLY for acute signs of clinical pain but MUST start to become a pet detective and note how PET PAIN can be manifested in their pet's behavior.</span></b><br />
<b><span style="color: blue; font-size: x-large;"><br /></span></b>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>With COVID-19 many are working from home or are not working at this time. This is the time to spend a moment with your pet or pet[s] and study their behavior.</b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Behavioral changes can be the beginning of your recognition of "Bad Pain"! Pain that is present but difficult to interpret.</b></span><br />
<span style="color: red; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-size: x-large;"><b>Study the BehavioralChanges below! If present call for an out-patient or a Telemedicine Appointment immediately: </b></span><br />
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Interpreting "BAD Pain" </b></span><br />
<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>from Behavioral Change </b></span><br />
<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>and Pain Targets*</b></span><br />
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<span style="color: red; font-size: x-large;"><b>Do you recognize these changes in your pet?</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Somnolence-decreased activity</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Hyperexcitability</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Increase appetite or increased drinking</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Decreased appetite or decreased drinking</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not able to walk up and down stairs</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not wanting to play with toys</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>A playful jumping toy breed that is now sedintery</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not interested in treats</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>No interest in exercise or begins lying down after short exercise</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Shifting food from one side of the mouth to the other</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Dropping food</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not eating dry food or treats</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Avoid hard toys</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Avoids ball playing</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Abnormal posture when lying down</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Difficulty getting up from lying down</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Hiding in the home</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Aggressive when certain part of the body are touched</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not interested in other "pet friends in home"-Avoidance</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Ear Rubbing</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Anal dragging</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Face Rubbing</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Paw chewing and biting at flanks</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Vomiting and/or diarrhea</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Enlarged Belly-abdomen is hard-rock like and enlarged</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Forceful retching with no vomit being produced</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Coughing</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Bloody discharge from mouth or anus</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Swollen Mammary Glands</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Red or irritated skin</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Swollen interdigital area-between toes</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Mouth odor</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Gum Bleeding</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Pustular discharge around teeth</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Ulcers in mouth</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Bad odor in mouth-Oral malodor</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Broken teeth</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Discolored teeth-pink-red-purple-blue-brown-or grey</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Swellings around the globes</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Squinting</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Ocular Discharge</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Red Eyes</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Sunken Eyes</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Rubbing of the Eyes</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Enlarged Globe[s]</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Ulcers in the eye[s]</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Nasal discharge-Bloody noses that are frequent</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Broken nails</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Infected nails</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Nails growing into pads</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Lumps or bumps that are pustular or bleeding</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Limping</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not able to walk normally</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not able to stand</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not able to defecate</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Not able to urinate </b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Straining to urinate</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Straining to defecate</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Shortness of Breath</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Coughing</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Chronic Weight Loss</b></span><br />
<span style="color: #0b5394; font-size: large;"><b>Acute Weight Loss</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b><i><span style="color: #0b5394; font-size: x-large;">*</span><span style="color: red; font-size: large;">"Identifying the Behavioral Changes and Pain Targets are important but it is up to Dr. DeForge and his consultants to differentiate primary pain from secondary pain caused by other complex medical and/or surgical problems. </span></i></b></span><br />
<span style="color: #351c75; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>Whether Primary or Secondary, pain is pain and it must be addressed!</i></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i><br /></i></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>If uncertain that your pet is in pain, make use of Dr. DeForge's Telemedicine Consult Service. </i></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i><br /></i></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>[Call 203-877-3221] to schedule an appointment]!</i></b></span><br />
<b style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #0b5394; font-size: x-large;"><br /></span></i></b>
<b style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #0b5394; font-size: x-large;">Let Dr. DeForge be your guide to allow your pet to become pain free with a quality of life that we all seek during these trying times.</span></i></b><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #0b5394; font-size: large;"><b><br /></b></span></i></span>
<span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #0b5394; font-size: large;"><b>God bless and be well!</b></span></i></span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #0b5394; font-size: large;"><b>Dr. Don DeForge and Staff</b></span></i></span><br />
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<br />#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-34754672586131256562020-03-31T08:32:00.001-07:002020-03-31T08:32:25.656-07:00High Blood Pressure in Pets-Hypertension a Hidden ProblemDonald H DeForge, VMD<br />
SilverSandsVeterinary.com<br />
17 Seemans Lane<br />
Milford, CT 06460<br />
203-877-3221<br />
DonDeForge100@gmail.com<br />
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<img alt="AWR400001-K petMAP Manual" height="314" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcTxz1At5HgQHFAn3l8Hibmf4lcbpHzv0vZaM_aCHVT4R0pPHhkB&usqp=CAU" width="400" /></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>High Blood Pressure in Pets</b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Hypertension: A Hidden Problem</b></span><br />
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<span style="color: blue; font-size: large;">Can the companion pets we love develop High Blood Pressure?</span> The answer is YES!<br />
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A ISOLATED elevated blood pressure is not a reason to begin anti-hypertensive drugs.<br />
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<span style="color: blue; font-size: large;">A DECISION</span> on the USAGE of anti-hypertensive medicine is based on<br />
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<ul>
<li>Multiple High Blood Pressure Readings</li>
<li>Differentiating Primary from Secondary Hypertension</li>
<li>Diagnostic Testing</li>
<li>Consultation with your Local Doctor of Veterinary Medicine and/or an Internal Medicine doctor</li>
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<span style="color: blue; font-size: large;">Hypertension in Cats:</span></div>
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<li>Occurs most frequently in older cats</li>
<li>Many times coupled to kidney problems or hyperthyroidism</li>
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<span style="color: blue; font-size: large;">What are the two numbers</span> that make up a blood pressure reading?</div>
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<li>Systolic or the first number is the larger of the two numbers and measures the force of blood from the heart into the arteries</li>
<li>Diastolic or the smaller number measures the force as the heart relaxes~allowing blood to flow back to the heart</li>
<li>In our pet companions, the Diastolic pressure is not as reliable as Systolic~~~so we generally rely on the Systolic measurement </li>
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<span style="color: blue; font-size: large;">What are the dangers</span> of long term Hypertension?-i.e. High Blood Pressure in pets:</div>
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<li>Hypertension can affect the heart, kidneys, eyes, and the nervous system</li>
<li>Primary Hypertension means the high blood pressure is the disease itself</li>
<li>Secondary Hypertension means some other medical condition[s] are contributing to high blood pressure</li>
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<span style="color: blue; font-size: large;">Signs noted with High Blood Pressure</span>-Hypertension in Cats</div>
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<li>Disorientation</li>
<li>Dilated Pupils</li>
<li>Acute Blindness</li>
<li>Weakness in the legs</li>
<li>Retinal Detachment</li>
<li>Seizures</li>
<li>Involuntary rolling of the eyeballs</li>
<li>Stroke and Cerebral Vascular Accidents</li>
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<span style="color: blue; font-size: large;">Normal Systolic Pressure in Dog</span> is 100-150</div>
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High Blood Pressure in the dog is greater than 170</div>
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<span style="color: blue; font-size: large;">Normal Systolic Blood Pressure in the Cat</span> is 100-160</div>
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High Blood Pressure in the cat is greater than 180</div>
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<span style="color: blue; font-size: large;"><b>Remember</b></span> blood pressure reading is directly related to age, breed, weight, excitement, nervousness, and other medical problems. Consult your local doctor of veterinary medicine if you have a middle aged or older pet............. for a blood pressure check up............... at your next physical exam.</div>
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Questions: E-Mail DonDeForge100@gmail.com</div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-48669177619029936532020-03-27T09:04:00.002-07:002020-03-27T09:04:13.282-07:00COVID-19 Update Dr. Don DeForge<span style="font-family: Arial, Helvetica, sans-serif;">Donald H DeForge, VMD</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">17 Seemans Lane</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">Milford, CT 06460</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">203-877-3221</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;">DonDeForge100@gmail.com</span><br />
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<span style="color: red; font-family: arial, sans-serif; font-size: large;"><b><i>Finding Compassion in an International Emergency</i></b></span></div>
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<b><i><span style="color: red; font-family: "arial" , "sans-serif"; font-size: large;">COVID-19 Update:</span><span style="color: red; font-family: "arial" , "sans-serif"; font-size: 48.0pt;"> <o:p></o:p></span></i></b></div>
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<b><i><span style="color: red; font-family: "arial" , "sans-serif"; font-size: large;">Silver Sands Veterinary~<o:p></o:p></span></i></b></div>
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<b><i><span style="color: #00b0f0; font-family: "arial" , "sans-serif"; font-size: large;">Milford Veterinary Hospital<o:p></o:p></span></i></b></div>
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During this time of international COVID-19 crisis, Dr. Don
DeForge and his staff want to share a positive news story with you about our
history.</div>
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<span style="color: #548dd4; font-family: "arial black" , "sans-serif"; mso-themecolor: text2; mso-themetint: 153;">This year we are
celebrating the 90<sup>th</sup> Birthday of the moniker, Milford Veterinary
Hospital. Milford Veterinary Hospital is
our general practice under the umbrella of Silver Sands Veterinary.</span></div>
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Dr. Daniel Patchen after graduating from Ohio State
University built Milford Veterinary Hospital on the site that is now Patchen
Mews~~ 90 years ago. His hospital was
removed, after his death, to build the present condominium grouping-Patchen Mews!</div>
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I am sure many of you pass this site each day without
understanding the significance of Dr.
Patchen’s contributions. He would ride
horseback many miles on farm calls each day before the automobile made
traveling revolutionary! Dr. Patchen became one of the leaders of veterinary
medicine in the State of Connecticut. </div>
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I assisted Dr. Patchen when he practiced well into his 80’s
and did surgery for him. His wife after
her husband’s death asked me to continue the tradition of the name~ <b><span style="color: #00b0f0;">Milford
Veterinary</span></b> <b><span style="color: #00b0f0;">Hospital</span></b>.
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His wife gave me her husband’s~~ <b><i><span style="color: #00b0f0; font-family: "arial rounded mt bold" , "sans-serif"; font-size: 16.0pt;">Milford
Veterinary Hospital</span></i></b> ~~ street sign as a thank you in her
husband’s memory and as a remembrance of his contributions to veterinary
medicine. </div>
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<span style="font-size: large;">I do believe Dr. Patchen is watching this COVID-19 crisis
and encouraging all of us to do our share to end the spread of the
disease. </span></div>
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<span style="color: #351c75; font-size: x-large;"><b>COVID-19 UPDATE-updates will continue daily until this crisis ends........</b></span><br />
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<b><span style="color: #0070c0; font-size: 16.0pt;">We at Silver Sands Veterinary-</span></b><b><span style="color: red; font-size: 16.0pt;">Milford
Veterinary Hospital</span></b><b><span style="color: #0070c0; font-size: 16.0pt;">~ in conjunction with CDC Guidelines
have developed our </span></b><b><span style="color: red; font-size: 16.0pt;">“Foyer</span></b><b><span style="color: #0070c0; font-size: 16.0pt;"> </span></b><b><span style="color: red; font-size: 16.0pt;">Admission
and Discharge Zone”</span></b><b><span style="color: #0070c0; font-size: 16.0pt;"> which completely eliminates social
contact. <o:p></o:p></span></b></div>
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<b><span style="color: red; font-size: 16.0pt;">We have developed this for you.....................for your
safety……………</span></b> so that no patient that is ill or needs diagnostics will
ever be alone and lacking professional veterinary care.</div>
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Call Dr. DeForge or one of his staff about <span style="font-family: "arial black" , "sans-serif";">our </span><b><span style="color: red; font-family: "arial black" , "sans-serif"; font-size: 18.0pt;">“Foyer
Safety Zone for Veterinary Care.”</span></b><span style="font-family: "arial black" , "sans-serif";">
</span><span style="font-family: "arial black" , "sans-serif"; font-size: 24.0pt;">Phone 203-877-3221</span></div>
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<b><span style="color: #00b0f0; font-size: 26.0pt;">God bless; be safe; and be well! <o:p></o:p></span></b></div>
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<b><i><span style="color: red; font-family: "arial" , "sans-serif"; font-size: large;">We are OPEN and are here for you! We are condensing hours during this crisis. <o:p></o:p></span></i></b></div>
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<b><i><span style="color: red; font-family: "arial" , "sans-serif"; font-size: large;">All appointments are one hour apart
to limit any parking lot social interaction.
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<b><i><span style="color: red; font-family: "arial" , "sans-serif"; font-size: large;">Do not come in for a medicine
refill; to set up an appointment; for a general exam; or urgent care visit
without: <o:p></o:p></span></i></b></div>
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<span style="font-size: large;"><b><i><span style="color: #548dd4; font-family: "arial rounded mt bold" , "sans-serif";">FIRST calling us at 203-877-3221</span></i></b><b><i><span style="color: red; font-family: "arial" , "sans-serif";"><o:p></o:p></span></i></b></span></div>
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<b><i><span style="color: red; font-family: "arial" , "sans-serif";"><span style="font-size: large;">Thank you-Dr. Don DeForge</span><span style="font-size: 20pt;"><o:p></o:p></span></span></i></b></div>
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<br />#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-2944474351981615012020-03-24T12:57:00.000-07:002020-03-25T08:07:58.523-07:00Loving Our Senior CatsDonald H DeForge, VMD<br />
SilverSandsVeterinary.com<br />
1-800-838-3368<br />
DonDeForge100@gmail.com<br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><i><img alt="Image result for Photo of a senior cat" height="280" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcTZ9tVTlqyWm3Fj6QqCjNE9QjR9MyOpE959vLnDcWSHmVxCc0HN" width="400" /></i></span></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>Loving Our Senior Cats</i></b></span><br />
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<span style="color: #666666; font-family: "comic sans ms"; font-size: 18.0pt;">Senior cats aren't
necessarily at the end of their life — they're just learning how to live it
differently, so you and your cat still have plenty of time to do all the
human-cat things that best friends like to do</span><span style="color: #666666; font-family: "comic sans ms"; font-size: 24.0pt;">.</span><span style="color: #666666; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: blue; font-family: "arial" , sans-serif; font-size: x-large;"><b>Be proactive~~~not reactive!</b></span></div>
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<span style="color: #666666; font-family: "arial" , sans-serif;"><span style="font-size: 18.6667px;">Talk to Dr. DeForge about basic testing for Senior Cats to rule out problems that can be minor now but major if left unattended.</span></span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">The testing
recommended is not complicated. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Start with a Senior Profile and Complete
Blood Count for cats. These tests look at common problems found in older
cats: kidney; liver; pre-diabetes; hyperthyroidism etc. The Complete Blood Cell
Count looks at hematology. </span></div>
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<span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt;">It review Red Blood Cells, White Blood Cells,
checks for infection and inflammation in the body; looks at your platelets
etc. These are the same tests run on humans but they are veterinary
species centered. </span></div>
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<span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt;">The SDMA biomarker can pick up early kidney disease; 40% earlier than other biomarkers we have used for years.</span></div>
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<b><span style="color: blue; font-family: "arial" , sans-serif;"><span style="font-size: x-large;">So the question is not.... why should I run these tests?......the question.... is WHY NOT?</span></span></b></div>
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<span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt;">An Electrocardiogram is an excellent way to diagnose
early heart issues. Telemedicine is a vehicle through which we can send your
ECG to a Cardiologist for Interpretation! Chest X-rays and Echocardiograms-i.e. a sonogram of the heart] are readily available at Silver Sands Veterinary with our visiting Radiologist. </span></div>
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<b><span style="font-family: "arial" , sans-serif;"><span style="color: red; font-size: x-large;">Is Your Cat a Senior?</span></span></b></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">At one time, cats were
considered "senior" at the ripe old age of eight! Now with advancements in nutrition and with more and more cats being
kept indoors; it's no longer unusual for a cat to live well into their teens or
even into their twenties. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Despite the lengthened lifespan, cats still
reach their, early, senior years around the age of NINE. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">While this seems very young for a
cat that might have more than half of their life left to live, it is important
to realize the changes in their biology. Think of it this way: even though
humans are living longer these days (some into their 90s or 100s), they are
still considered a senior citizen between the ages of 60 and 65. </span></div>
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<span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt;">Even if you do
not see any physical changes, it is still important to think of your cat in their proper cycle of life.</span></div>
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<b><span style="font-family: "arial" , sans-serif;"><span style="color: blue; font-size: x-large;">Signs of Aging in Cats</span><span style="color: #333333; font-size: 14pt;"><o:p></o:p></span></span></b></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Typically, as a cat
heads into the senior years they begins to show signs of slowing down. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">They might also be less inclined to jump or climb, and might
even have difficulty getting to hard-to-reach places. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Older cats are more prone
to weight gain, although some aging cats lose weight instead. Any such weight change could be signs
of a serious health issue and should be discussed with Dr. DeForge. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Diabetes, Hyperthyroidism, Cancer, Liver Disease, and Kidney Disease must be reviewed with Dr. DeForge in both the overweight and underweight Senior Cat.<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , sans-serif;"><span style="color: blue; font-size: x-large;">Common Senior Cat Problems</span><span style="color: #333333; font-size: 14pt;"><o:p></o:p></span></span></b></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Aging cat issues are
often similar to those faced by humans. Older cats are susceptible to such
problems as arthritis, obesity, vision and hearing problems and dementia..............as
well as a host of diseases such as diabetes, cancer, kidney, liver disease, and thyroid problems. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">All cats are prone to periodontal disease. Without proper cleanings and oral x-rays by Dr. DeForge problems are likely. All cats, and especially aging cats, are susceptible to dental issues like gum
disease. Feline tooth resporption is common in all cats and cause pain and difficulty eating in cats. Seniors could be affected by multiple cat caries- i.e.resportive lesions. <o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;"><o:p><span style="color: red; font-size: x-large;"><b><i>Become a Senior Advocate and Detective! </i></b></span></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;"><o:p><span style="color: red; font-size: x-large;"><b><i>Look for any of the below signs and report them to Dr. DeForge. </i></b></span></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Difficulty or reluctance to try jumping or
climbing<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Changes in weight<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Strange lumps or bumps<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Failing to use the litter box or excessive urination<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Appetite loss<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Diarrhea or constipation<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Incontinence or lack of urination<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Lethargy or listlessness<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666;"><span style="font-family: "symbol";"><span style="font-size: 10pt;">·</span></span><span style="font: 7pt "Times New Roman";"> </span><span style="font-size: 18.6667px; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"><span style="font-family: "arial" , sans-serif;">Not able to play with toys or remember tricks that were taught</span></span></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Excessive meowing, yowling, or other
vocalizations<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Runny nose or eyes<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Cloudy eyes<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Bumping into objects<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Pawing at the face<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #666666; font-family: "symbol"; font-size: 10.0pt;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Excessive howling-dropping food-chewing on one side of the mouth<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;"><span style="color: red; font-size: x-large;"><b><br /></b></span></span></div>
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<b><span style="font-family: "arial" , sans-serif;"><span style="color: red; font-size: x-large;">Caring for Your Senior Cat</span><span style="color: #333333; font-size: 14pt;"><o:p></o:p></span></span></b></div>
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<span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt;"> All cats should have plenty of clean, fresh water available to help improve kidney
function and prevent dehydration. This is even more important in the aged cat with early kidney problems. Be sure water is plentiful and easily
accessible. Older cats may sometimes forget to drink, so consider either adding
wet food to your cat's meals or switching to canned Senior diets to ensure plenty of fluids.</span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Despite their tendency
to be less active, older cats still benefit from regular exercise. Encourage
your cat to move and play as much as she's willing to. Don't push,
especially, if your cat shows signs of joint pain or discomfort.<o:p></o:p></span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">You can help reduce the risk of
arthritis and joint problems by adding supplements that contains omega-3 fatty
acids as well as glucosamine and
chondroitin. Their is a plethora of supplements on the intervet. Do not purchase any supplements without a consult with Dr. DeForge and orthopedic x-rays at Silver Sands Veterinary. <o:p></o:p></span></div>
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<b><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Health Checks:</span></b><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;"> </span><a href="https://www.hillspet.com/cat-care/healthcare/signs-cat-is-hiding-its-pain" target="_blank"><b><span style="color: #31699f; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Cats are masters at
hiding their pain</span></b></a><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">, so any signs of
problems might go unnoticed until they become too pronounced to ignore. </span></div>
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<span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">This is
why it's important to take your aging cat for regular health checks to Dr. DeForge. Pay close attention
to your aging cat's behavior patterns and report any changes to Dr. DeForge.<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;"><span style="color: blue; font-size: x-large;">Common Problems in
Older Cats:</span><span style="color: #666666; font-size: 14pt;"><o:p></o:p></span></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Diabetes<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Kidney Disease<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Liver Disease<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Heart Disease<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Lung Disease<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Hyperthyroidism<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Osteoarthritis<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Dental Disease<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Bartonella Infection<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Leukemia and
Immunodeficiency<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Primary v. Secondary
Hypertension-High Blood Pressure<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Cancer<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #666666; font-family: "arial" , "sans-serif"; font-size: 14.0pt;">Intestinal Obstruction<o:p></o:p></span></div>
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<span style="color: red; font-size: x-large;"><b><span style="font-family: "arial" , sans-serif;"><o:p> </o:p></span><span style="font-family: "arial" , sans-serif;">Testing Advised:</span></b></span></div>
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<li><span style="color: #666666; font-family: "arial" , sans-serif; text-indent: -0.25in;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span><span style="font-family: "times new roman"; font-stretch: normal; line-height: normal;"><span style="font-size: large;">Chest</span></span><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;">X-rays</span></li>
<li><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;">Electrocardiogram</span></li>
<li><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;">Comprehensive Chemistry Profile and CBC with
Urinalysis</span></li>
<li><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;">Screening for Cat
Bartonella-Immunodeficiency-and Leukemia</span></li>
<li><span style="color: #666666; text-indent: -0.25in;"><span style="font-size: 18.6667px; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"><span style="font-family: "arial" , sans-serif;"> </span></span><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="color: #666666; font-family: "arial" , sans-serif; font-size: 14pt; text-indent: -0.25in;">Blood Pressure Screening</span></li>
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<span style="color: red; font-size: large;"><b style="background-color: white;"><span style="font-family: "arial" , sans-serif;">Senior cats aren't necessarily at the end of their life —
they're just learning how to live it differently</span><span style="font-family: "arial" , sans-serif;">! </span></b></span></div>
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<span style="color: red; font-size: large;"><b style="background-color: white;"><span style="font-family: "arial" , sans-serif;">Be proactive and schedule the testing that Dr. DeForge feels is necessary to bring a pain free quality of life to the cat you love.</span></b></span></div>
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<b style="background-color: white;"><span style="font-family: "arial" , sans-serif;"><span style="color: blue;">Question[s]: E-Mail Dr. DeForge at: DonDeForge100@gmail.com</span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i></i></b></span>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com1tag:blogger.com,1999:blog-7614264553483764577.post-71006835567160757842020-03-11T10:27:00.003-07:002020-03-11T10:27:30.760-07:00CATS HAVE ANAL SACS TWO-Valuable Information for the Cat Lover-DR. DON DEFORGE<span style="font-size: large;">Silver Sands Veterinary</span><br />
<span style="font-size: large;">www.SilverSandsVeterinary.com</span><br />
<span style="font-size: large;">Donald H DeForge, VMD</span><br />
<span style="font-size: large;">DonDeForge100@gmail.com</span><br />
<span style="font-size: large;">1-800-838-3368</span><br />
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<img alt="Image result for Diagram of a dog or cat anal sac" height="377" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcRV0Crw2SnEbGxVuD3odA3vXa4aUOYAJmwXk8XlNjMCEXEOt3yw" width="400" /></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>CATS HAVE ANAL SACS "TWO"</b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><span style="color: red;">~A SCOOTING </span><span style="color: lime;">PET</span><span style="color: red;"> </span></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><span style="color: red;">SHOULD BE EXAMINED BY A </span><span style="color: lime;">VET~</span></b></span></div>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>The anal sacs are paired sacs located on either side of the anus of dogs and also-CATS! Anal sacs collect the oily secretion of the glandular tissue that lines the sacs. [i.e. anal glands].</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Sebaceous glands within the lining secrete a liquid which smells foul. The anal sacs have no function. </b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>It is hypothesized that in the "historical-wild undomesticated species" the liquid being expressed during "fright; fight; and/or flight"[i.e. when being attacked] was a warning system to the pack.</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Dog and cat feces is firm and the anal gland liquid plays a part in lubricating the anal opening during defecation.</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>In the dog and cat, many times, the sac fails to empty during defecation, leading to impaction. Anal gland impaction results from blockage of the duct leading from the sac to the anal rim orifice. Secondary infection can occur if the problem is not treated. Infection; sac rupture; and cellulitis are all sequels to an untreated impaction.</b></span><br />
<span style="color: red; font-size: x-large;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><br /></span>
<span style="font-family: arial, helvetica, sans-serif;">Signs of Anal Sac Impaction in the dog are cat are:</span></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Difficulty sitting or standing</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Chasing the tail</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Trying to bite or lick the anal area if reachable</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Sitting in an abnormal position</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Constipation</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Perianal Pain</b><br />
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<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Scooting</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Anal itch</b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Malodor as the secretion leaks from the sac but never empties </b><br />
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;"><br /></b>
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Cats defecating outside litter box</b><br />
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;"><br /></b>
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Pungent Anal Odor</b><br />
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;"><br /></b>
<b style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">Blood or Pus in the perianal area</b><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Anal Sac impaction and abscessation are painful!</b></span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Many pet owners and groomers try to express the sac manually by pressing on the outer anal ring at the three/four and eight/nine positions on the face of a clock. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The danger of having the sacs emptied [i.e. external expression] by a person not cognitive of anal sac anatomy has been documented by veterinarians. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">If the lay person presses too hard, it can lead to sac rupture and abscessation in the area of the internal and external sphincter muscles. This can lead to painful complications and unnecessary surgery for your pet.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>The veterinarian uses internal sac expression</b></span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">With an understanding of anatomy and anal sac pathology, the veterinarian can safely empty the impacted sacs. This procedure is accomplished with twilight anesthesia; sedatives; analgesics; and at times local anesthesia of the anal area.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Key Point:</b></span><br />
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Routine emptying, when the patient is showing no sign of discomfort, is contraindicated. Frequent unnecessary expression can lead to inflammation; infection; or increased filling of the sacs from operator induced trauma to the site.</b></span><br />
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Co-Morbidities and Anal Sac Impaction</b></span><br />
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Obesity can lead to anal sac problems. Watch you pet's weight and seek help from your Primary Care Doctor of Veterinary Medicine on techniques for weight control. </b></span><br />
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: purple; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Allergy, anal impaction, and anal sacculitis are definitely linked. Patients with flea allergy dermatitis; food allergy; and atopic dermatitis are commonly affected with anal sac impactions. See your veterinarian and discuss a dermatologist referral and/or a dermatology work up at your general practice if allergy is in question.</b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Other Causes for Scooting and Anal Discomfort</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Perianal Tumors-benign and malignant</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Pruritic Anal Syndrome from diarrhea</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Intestinal Parasites</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Matted Hair from poor grooming</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Flea Allergy, Food Allergy and/or Atopic Dermatitis</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Colitis-Irritable Bowel Syndrome</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Cat Anal Sac Mythology</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Cats with chronic anal impaction and sacculitis are commonly diagnosed as "behavior induced problems"! That is not always the case! Behavioral problems can cause obscessive-compusive disorders but they are not always the cause of anal impaction and sacculitis.</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>You have been told or read that cats do not have anal sacs! This is totally INCORRECT!</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Cat anal sacs being expressed externally is as effective as internal expression by a veterinarian with sedation. This is totally INCORRECT. The lay person or pet owner can cause severe pain to their pet trying to empty a sac that is impacted or infected. Even worse, the lay person can cause rupture and abscesstion requiring surgery.</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>How often should my dog or cat's Anal Sacs be expressed? What else can I do?</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>As stated earlier, let your veterinarian be your guide.</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Ask for a diagnostic work-up to rule out allergy and other bowel problems that could be contributing to the frequent anal sac impactions. </b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Follow the Companion Animal Parasite Council recommendations on deworming of your pet to rule out parasites as a cause of anal impactions and sacculitis. Utilize a prescription flea control product, for ALL outdoor cats, as outlined by your General Doctor of Veterinary Medicine.</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Anecdotal reports have recommended adding fiber to the diet to help keep the anal orifice open during bowel movements. A good source of fiber for dogs and cats is unflavored-unseasoned canned pumpkin puree.</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>A cat would be given 1 tsp twice daily. Some cats love pumpkin-others need the pumpkin mixed with honey. For the finicky cat purchase a high quality cat treat and pulverize it into a granular consistency. Coat the pumpkin puree with this topping to entice your cat to try the pumpkin.</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>For Small Dogs add 1 tsp pumpkin puree twice daily to the diet.</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>For Medium Dogs add 2 tsp. pumpkin puree twice daily to the diet.</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>For Large and Giant Breeds add two tbsp. of a pumpkin puree twice daily to the diet.</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>The Future Is Now!</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Rather than simple internal expression of the anal sacs with sedation/twilight anesthesia, veterinarians are now proposing a new technique~~~The Anal Sac Infusion.</b></span><br />
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<span style="color: blue; font-family: arial, helvetica, sans-serif; font-size: large;"><b>With twilight sedation/analgesia, the veterinarian with a special curved tip syringe flushes debris and infected material from the sac with a normal saline solution.</b></span><br />
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<span style="color: blue; font-family: arial, helvetica, sans-serif; font-size: large;"><b>The veterinarian then removes the saline and replaces it with an infusion of an antibiotic and anti-inflammatory medicine. </b></span><br />
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<span style="color: blue; font-family: arial, helvetica, sans-serif; font-size: large;"><b>This infusion is absorbed and the remainder naturally eliminated by the dog or cat over a 30 day period.</b></span><br />
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<span style="color: blue; font-family: arial, helvetica, sans-serif; font-size: large;"><b>Ask your Regular Doctor of Veterinary Medicine about Anal Sac Infusions if you find yourself constantly or frequenlty returning to your local doctor of veterinary medicine for internal expression. </b></span><br />
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<span style="color: blue; font-family: arial, helvetica, sans-serif; font-size: large;"><b>These infusions can decrease the number of follow-up visits to your veterinarian as long as all co-morbidities have been examined and eliminated as causative factors of anal sac pathology.</b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b>Questions:</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b>E-Mail DonDeForge100@gmail.com</b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b>Don DeForge, VMD</b></span><br />
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-32456170283294279112020-02-26T10:01:00.004-08:002020-02-26T10:01:36.506-08:00EAR HEMATOMAS & RADIOSURGERY<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Silver Sands Veterinary</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">17 Seemans Lane</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Milford, CT 06460</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">203-877-3221</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Fax 203-877-8301</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">E-Mail DonDeForge100@gmail.com</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Director-Donald H DeForge, VMD</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">26Feb2020</span><br />
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<img alt="Image result for Picture of an aural hematoma in the dog" height="400" src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcQVvDCxK5jilcU6xlikC8882uwvgPCJQiGlOeuThKQjECMiK5je" width="323" /></div>
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<span style="box-sizing: border-box; font-family: "verdana" , "geneva" , sans-serif; font-weight: inherit;"><strong style="box-sizing: border-box; line-height: inherit;"><span style="color: red; font-size: x-large;">THE AURAL HEMATOMA</span></strong></span></div>
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<span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">An aural [ear] hematoma is a fluid-filled swelling created by broken blood vessels after bleeding has occurred between the skin and cartilage of the ear. These most often occur from self-inflicted trauma!</span></span></div>
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<span style="box-sizing: border-box;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="color: blue;"><b> Aural Hematomas</b></span><span style="font-weight: inherit !important;"> within the ear flaps occur when head shaking or scratching at the ears ruptures blood vessels within the ear flap. </span></span></span></div>
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<span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The ear flap may partially or completely fill with blood.</span></span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> </span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The ear flap will feel fluctuant and fluid-filled, like a water balloon.</span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large; font-weight: inherit;"> </span><br />
<span style="font-family: arial, helvetica, sans-serif; font-size: large; font-weight: inherit;">The fluid accumulation between the skin of the outer pinna of the ear and the ear cartilage may become so large that the opening of the ear canal is occluded. </span></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Early Treatment is Imperative</b></span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">:</span></div>
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<span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Aural Hematomas should be surgically repaired:</span></span></div>
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<li style="box-sizing: border-box; direction: ltr; list-style: outside none disc; margin: 0px 0px 0px 20px; padding: 0px 0px 10px;"><span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">When the Hematoma is so large that the ear canal is occluded the repair cannot be postponed. Since the Aural Hematoma is commonly associated with ear infections and allergy, the diagnosis of the pathology [i.e examination of the outer ear canal] is inhibited by the Hematoma itself.</span></span></li>
<li style="box-sizing: border-box; direction: ltr; list-style: outside none disc; margin: 0px 0px 0px 20px; padding: 0px 0px 10px;"><span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The Hematoma, needs immediate repair if it is in a location where it will create scarring in such a way that the ear canal will be permanently narrowed. A permanently narrowed ear canal can predispose the patient to a lifetime of ear infections. </span></span></li>
<li style="box-sizing: border-box; direction: ltr; list-style: outside none disc; margin: 0px 0px 0px 20px; padding: 0px 0px 10px;"><span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The Hematoma should be immediately repaired if the owner states their pet is unacceptably uncomfortable!</span></span></li>
<li style="box-sizing: border-box; direction: ltr; list-style: outside none disc; margin: 0px 0px 0px 20px; padding: 0px 0px 10px;"><span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The Hematoma must be repaired to maximize the ability of the ear flap to stand up straight after Hematoma resolution and to prevent excessive scarring in the ear flap! </span></span></li>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Radiosurgery is the best tool for Repair of Aural Hematomas</b></span></div>
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<span style="box-sizing: border-box; font-weight: inherit !important;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><strong style="box-sizing: border-box; line-height: inherit;">ASPIRATION</strong> – This is a temporary procedure that involves using a syringe to remove the fluid contents from the Hematoma. The problem is that a space is left behind when the fluid is removed and this space readily refills with more fluid leading to only temporary results. If the clot in the hematoma is already well organized and on its way to scarring, there may not be much fluid left to aspirate and the technique may not work at all. If aspiration fails, Aural Hematoma Radiosurgery is needed to permanently correct the Hematoma.</span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><span style="background-color: white;"><b><span style="color: red; font-size: x-large;">Radiosurgery</span><span style="color: #091d42; font-size: large;"> creates eliptical drainage sites and conforms to the anatomy of the ear pinna.</span></b></span></span><br />
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>For Radiosurgery to be successful the cause of the Aural Hematoma must be diagnosed. If the Aural Hematoma is associated with allergy, without treating the allergy allows the problem to become chronic.</b></span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>Ear culture and cytology is to be considered in any patient with chronic otitis.</b></span></span><br />
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>If present, ear mites must be treated at the time of the Aural Hematoma Surgery.</b></span></span><br />
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<span style="color: #091d42; font-family: arial, helvetica, sans-serif; font-size: large;"><span style="background-color: white;"><b>Tumors of the outer ear must be biopsied to rule out malignancy!</b></span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><span style="background-color: white; color: red; font-family: Arial, Helvetica, sans-serif; font-size: x-large;"><b>The Aural Hematoma and Ear Infections:</b></span></span><br />
<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>The new long acting otic infusions that remove yeast and bacteria while reducing pain and inflammation are excellent. The pet owner does not have to treat the ears at home, during ear Hematoma surgery recovery, with these long acting infusions. </b></span></span><br />
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>Dr. DeForge recommends treating with these otic infusions monthly for 3 months after an Aural Hematoma has been treated with Radiosurgery.</b></span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>Allergy Blood Testing for Inhalants and Food Allergy is also offered and recommended by Dr. DeForge.</b></span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><b>Dr. DeForge always gives the option of scheduling a referral appointment with an Animal Dermatologist.</b></span></span></div>
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<span style="color: #091d42; font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b><span style="background-color: white; color: #091d42; font-size: large;">A new immunotherapy for Inhalant Allergens-[i.e. Atopic Dermatitis]-named </span><span style="background-color: white; color: blue; font-size: x-large;">Cytopoint</span><span style="background-color: white; color: #091d42; font-size: large;"> is always recommended by Dr. DeForge in the truly atopic patient.</span></b></span><br />
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<span style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: large;"><span style="color: blue;"><b>CYTOPOINT</b></span><span style="color: blue;"> is a safe, effective, long-lasting treatment to help control <a href="https://www.cytopoint4dogs.com/why-is-my-dog-so-itchy.aspx" style="box-sizing: border-box; margin: 0px; padding: 0px;">itch due to allergic or atopic dermatitis</a>. It is an injection that is given by Dr. DeForge that targets itch at its source.</span></span></div>
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<span style="background-color: white; color: blue; font-family: Arial, Helvetica, sans-serif; font-size: large;"><b>CYTOPOINT</b> works like your dog’s own immune system. It is specifically designed to target and neutralize one of the main proteins that send itch signals to your dog’s brain that triggers scratching, licking, and chewing. CYTOPOINT blocks signals that trigger allergic itch, so the constant scratching can stop, and red irritated skin can heal. In fact, in a study, CYTOPOINT helped damaged skin begin to heal within 7 days. Dogs with atopic dermatitis commonly suffer from ear problems, anal problems, and skin problems.</span><br />
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<span style="color: red; font-size: x-large;"><b>The First Night Home:</b></span></div>
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<li><b><span style="color: blue; font-size: large;">Keep indoors</span></b></li>
<li><b><span style="color: blue; font-size: large;">Leash walk only for urination and defecation</span></b></li>
<li><b><span style="color: blue; font-size: large;">Cool compress the inside of the ear every other hour for 5 minutes till bedtime the first day/night home</span></b></li>
<li><span style="color: blue; font-size: large;"><b>The ear will ooze a blood tinged fluid for 72 hours</b></span></li>
<li><span style="color: blue; font-size: large;"><b>Cool compressing is accomplished with an-ice bag or a bag of frozen peas in an outer wrap freezer bag. Do not put direct ice on the surgery site.</b></span></li>
<li><span style="color: blue; font-size: large;"><b>After cool compressing apply Aquaphor healing ointment to the Radiosurgery drainage sites on the inside of the ear. Not doing this will allow a scab to form and stop drainage.</b></span></li>
<li><span style="color: blue; font-size: large;"><b>The ear is very swollen from the Hematoma being present for an extended time. The swelling will reduce in 5-7 days</b></span></li>
<li><span style="color: blue; font-size: large;"><b>After day one, WARM compress the inside of the ear flap </b></span><b style="color: blue; font-size: x-large;">4-6 times daily [clean wash cloth soaked in tepid water] for about five minutes each time for one week. This allows drainage and stops the Hematoma from reoccurring</b></li>
<li><span style="color: blue; font-size: large;"><b>Failure to do this will allow the Hematoma to reoccur</b></span></li>
<li><span style="color: blue; font-size: large;"><b>Apply Aquaphor to the healing drainage sites every time after warm compressing</b></span></li>
<li><span style="color: blue; font-size: large;"><b>Re-checks are important with Dr. DeForge weekly for 4 weeks</b></span></li>
<li><span style="color: blue; font-size: large;"><b>Continue the Gabapentin as prescribed by Dr. DeForge to reduce pain</b></span></li>
<li><span style="color: blue; font-size: large;"><b>No topical ear medicines are needed. The otic infusion controls infection and inflammation.</b></span></li>
<li><span style="color: blue; font-size: large;"><b>No antibiotics are needed because of the anti-bacterial function of the ear infusion</b></span></li>
<li><span style="color: blue; font-size: large;"><b>Call daily with progress reports until you first re-check 7 days after your Aural Hematoma Surgery</b></span></li>
</ol>
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<span style="color: blue; font-size: large;"><b>The Aural Hematoma is a complex medical problem.</b></span></div>
<div style="background-color: white; font-family: montserrat, arial, sans-serif;">
<span style="color: blue; font-size: large;"><b>Flea Control is necessary with a prescription flea and tick topical prevention product or a prescription flea and tick oral prevention product to reduce the possibility of atopic dermatitis combined with flea allergy dermatitis.</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-size: large;"><b>Food allergy if present must be addressed.</b></span></div>
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<span style="color: blue; font-size: large;"><b><br /></b></span></div>
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<span style="color: blue; font-size: large;"><b>Rechecks are essential to a positive outcome while avoiding unnecessary additional ear surgery.</b></span></div>
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<span style="color: blue; font-size: large;"><b><br /></b></span></div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-49188730245626170252020-01-28T14:22:00.001-08:002020-01-28T14:31:00.738-08:00Super Bowl 2020-Number Five--ASPCA Safety Tips for Your PetsDH DeForge, VMD<br />
Silver Sands Veterinary<br />
SilverSandsVeterinary.com<br />
SilverSandsVeterinary.blogspot.com<br />
P- 1-800-838-3368<br />
E-Mail- DonDeForge100@gmail.com<br />
Number Five-Jan 2020<br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><i><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b> SUPER BOWL 2020~PET BOWL SAFETY!</b></span></i></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><i></i></span></div>
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" 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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>ASPCA Safety Tips for your Pets</i></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><i>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. </i></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><i>If you follow the Super Bowl Weekend </i></span><i style="color: blue; font-family: Arial, Helvetica, sans-serif; font-size: x-large;">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</i><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><span style="color: #272626; font-family: "museo slab 300" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif; font-size: 2.44444rem;">Pet Safety on Super Bowl® Sunday: ASPCA~What You Need to Know!</span></span><br />
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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 <a href="https://www.aspca.org/pet-care/animal-poison-control" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">ASPCA Animal Poison Control Center (APCC)</a> has a few Super Bowl® do’s and don’ts to help you ensure that your pets are safe and sound. </div>
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<a href="https://www.aspca.org/pet-care/animal-poison-control/people-foods-avoid-feeding-your-pets" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">Foods</a></h3>
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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. </div>
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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. </div>
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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. </div>
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<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;">Do: </span></div>
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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!</div>
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<a href="https://www.aspca.org/pet-care/animal-poison-control/poisonous-household-products" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">Alcohol, Prescription Medications, and Other Recreational Substances</a></h3>
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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. </div>
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<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;">Don’t:</span></div>
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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. </div>
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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. </div>
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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. </div>
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<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;">Do:</span></div>
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Take your glass with you and any put alcoholic beverages or recreational substances up out of paws’ reach. </div>
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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. </div>
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Clean up as you go! Don’t leave any plates or trash around for curious noses to get into. </div>
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<em style="box-sizing: inherit; color: inherit; font-size: inherit; line-height: 1.5em;">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. </em></div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com1tag:blogger.com,1999:blog-7614264553483764577.post-84101577064585879382020-01-25T09:25:00.003-08:002020-01-28T14:21:15.192-08:00ANIMAL DOC CHANNEL-NUMBER FOUR-BE PROACTIVE~SCREENING DIAGNOSTICS~ FOR THE PET YOU LOVE~JAN 2020~NUMBER FOURDonald H DeForge, VMD<br />
Silver Sands Veterinary<br />
17 Seemans Lane-Milford, CT 06460<br />
P-203-877-3221<br />
F-203-877-8301<br />
www.SilverSandsVeterinary.com<br />
DonDeForge100@gmail.com<br />
January 2020 Number Four<br />
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<span style="color: blue; font-family: "verdana" , sans-serif; font-size: x-large;"><b>ANIMAL DOC CHANNEL</b></span><br />
<span style="color: red; font-family: "verdana" , sans-serif; font-size: large;"><b><i>PROACTIVE PREVENTIVE CARE</i></b></span><br />
<span style="color: red; font-family: "verdana" , sans-serif; font-size: large;"><b><i>Consider Screening Diagnostics </i></b></span><br />
<span style="color: red; font-size: large;"><b><i><span style="font-family: "verdana" , sans-serif;">FOR THE PET YOU LOV</span>E</i></b></span><br />
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<span style="color: red; font-family: "verdana" , sans-serif; font-size: x-large;"><b><i>Do not rely on: Reactive Care~</i></b></span><br />
<span style="color: red; font-family: "verdana" , sans-serif; font-size: x-large;"><b><i>Become a Proactive Pet Advocate</i></b></span><br />
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<span style="font-size: large;">Approaching chronic conditions reactively does patients a disservice on two main fronts. </span></div>
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<span style="font-size: large;">#1 Reactive care does not work to stop our pets from getting sick or experiencing unpleasant symptoms in the first place. </span></div>
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<span style="font-size: large;">#2 Reactive care is typically more expensive than what preventive care would have cost. </span></div>
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<strong style="margin: 0px; outline: 0px; padding: 0px;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><i>What is Proactive Healthcare?</i></span></strong></div>
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<span style="font-size: large;"><span style="color: #464646; margin: 0px; outline: 0px; padding: 0px;">The antithesis of “reactive health” is proactive health care!</span></span></div>
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<span style="font-size: large;"><span style="cursor: pointer; margin: 0px; outline: 0px; padding: 0px;">In proactive care, the pet owner and advocate</span><span style="color: #464646; margin: 0px; outline: 0px; padding: 0px;"> 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. </span></span></div>
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<span style="font-size: large;"><span style="color: #464646; margin: 0px; outline: 0px; padding: 0px;">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. </span></span></div>
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<span style="font-size: large;"><span style="color: #464646; margin: 0px; outline: 0px; padding: 0px;">Prevention decreases the need for reactive care when the unnoticed problem becomes a serious life threatening condition.</span></span></div>
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<span style="font-size: x-large;">Proactive Healthcare: A Commitment Between Veterinarian & Pet Advocate</span></h2>
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<span style="margin: 0px; outline: 0px; padding: 0px;"><span style="font-size: large;">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.</span></span></div>
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<span style="color: #3d85c6; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>The [Pet-Vet-Pet Advocate] </b></span></div>
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<span style="color: #3d85c6; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Triad is THE ANSWER</b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>What you must consider:</b></span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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] </span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Be sure to have them include screening tests for Heartworm and tick borne diseases in your dog.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">4] Ask your Vet to perform a Bartonella test on your cat or kitten at the National Veterinary Lab! Bartonella is a zoonosis!</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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. </span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Also ask for them to familiarize you with prescription products they recommend for flea and tick control.</span></div>
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<span style="color: #3d85c6; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>6] In young pets, a Diagnostic Screening Panel can find problems well before they become serious illnesses.</i></b></span></div>
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<span style="color: #674ea7; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>7] In older pets, a Diagnostic Screening Panel can rule out liver disease, kidney disease, pancreatic disease, thyroid disease, anemia, and diabetes et al.</i></b></span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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] </span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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. </span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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!</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">12] </span><span style="color: #3d85c6; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>Do not be unhappy if your screening tests are normal!</i></b></span></div>
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<span style="color: #cc0000; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></div>
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Questions about this blog?</div>
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Write to DonDeForge100@gmail.com </div>
#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com1tag:blogger.com,1999:blog-7614264553483764577.post-22369180684690467812020-01-25T06:16:00.002-08:002020-01-25T06:16:34.962-08:00BARTONELLA DISEASE IN CATS A SERIOUS ZOONOSIS-JAN 2020 Number Three<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Bartonella Disease in Cats</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>A Serious Zoonosis</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Kids and the Immnosuppressed</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>SilverSandsVeterinay.blogsport.com</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>www.NatVetLab.com</b></span><br />
<b>2020/Jan/Number Three</b><br />
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Don DeForge, VMD<br />
www.SilverSandsVeterinary.com<br />
SilverSandsVeternary.blogspot.com<br />
AnimalDentistrySolutions.blogspot.com<br />
P-203-877-3221<br />
F-203-877-8301<br />
DonDeForge100@gmai.com<br />
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<b><span style="font-size: x-large;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: small;">Bartonella in Cats A Serious Zoonosis</span></span></b><br />
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" 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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">A Simple Solution:</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: blue; font-size: large;"><b>Test all cats for Bartonella Disease with the Western Blot Test at the National Veterinary Lab! [NatVetLab.com]</b></span></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Treat all positive cats to prevent infection of humans and to prevent you cat from becoming ill from Bartonella Disease[s]!</b></span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="color: blue; font-size: large;"><b><span style="background-color: white; font-family: "roboto" , "arial" , sans-serif;">Bartonellosis</span><span style="background-color: white; font-family: "roboto" , "arial" , sans-serif;"> is an infectious bacterial disease, caused by the gram-negative bacteria </span><span style="background-color: white; font-family: "roboto" , "arial" , sans-serif;">Bartonella</span><span style="background-color: white; font-family: "roboto" , "arial" , sans-serif;"> henselae.</span></b></span></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="color: blue; font-family: "roboto" , "arial" , sans-serif; font-size: large;"><br /></span></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Background:
Pet cats can be infected with at least SIX species
of Bartonella and any age cat is susceptible to
infection. </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>However, the medical literature
shows that many severe cases of cat scratch
disease in humans, especially in children, are
associated with transmission from kittens.</b></span><br />
<b><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></b><b><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> </span></b><br />
<b><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></b><br />
<span style="font-size: medium;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Kids and the Immunosupressed Important Targets</span></b></span><br />
<span style="font-size: medium;"><b><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Kids and Kittens:</span></b></span><br />
<span style="font-size: small;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Kids love to play rough with kittens and are subject to accidental scratches and bites at a much higher rate.</span></b></span><br />
<span style="font-size: small;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></b></span><br />
<span style="font-size: small;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></b></span>
<span style="font-size: small;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></b></span>
<span style="font-size: small;"><b><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Comments from Dr. DeForge:</span></b></span><br />
<b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Dr. DeForge recommends all kittens and cats must be Bartonella tested with the Western Blot Test at the National Veterinary Lab. </span></b><br />
<b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">This laboratory also performs Western Blot Immunodeficiency Virus Testing and Feline Leukemia IFA Testing for cats.</span></b><br />
<b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></b>
<span style="font-size: small;"><b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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.</span></b></span><br />
<span style="color: red; font-size: x-large;"><span style="font-size: small;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></b></span>
<span style="font-size: x-small;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;">Bartonella Disease:</span></b></span></span><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Cat derived Bartonella disease can infect the the immunocompetent and immunocompromised people and</span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"> people of all ages</span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">.</span></span></b><br />
<b><span style="font-size: medium;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><br /></span></span></b>
<b><span style="font-size: medium;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Recommendation for Cat-Owning Immunocompromised </span></span></b><br />
<b><span style="font-size: medium;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Clients</span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> [from the National Veterinary Lab]:</span></span></b><br />
<b><span style="font-size: medium;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">1] Avoid rough play with cats especially kitten</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">2] Wash cat bites and scratches imediately and thoroughly with running water and soap</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">3] do not allow your cat[s] to lick open wounds</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">4] Control fleas in your cat with a prescription flea product</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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.</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">[from the National Veterinary Lab]</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Have all cats in the household tested for Feline Bartonella!</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b>
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Bartonella positive cats must be treated with specific antibiotic therapy to remove the infection from your cat.</span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Ask your doctor to have a Bartonella Test sent to the </span></span></b><br />
<b><span style="font-size: large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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.</span></span></b><br />
<br />
<b><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">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~~~</span></b><b style="font-size: x-large;"><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">www.NatVetLab.com</span></b><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Bartonella causes disease in pet Cats: </b></span><br />
<br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Bartonella causes inflammatory diseases in
pet cats.</span><br />
<br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Bartonella infection in pet cats can be
eliminated by antibiotic therapy; successful treatment can be
confirmed by a post therapy</b></span><b style="color: blue; font-family: arial, helvetica, sans-serif; font-size: xx-large;">titer! [Therapy Titration Test] </b><br />
<b style="color: blue; font-family: arial, helvetica, sans-serif; font-size: xx-large;"><br /></b>
<b style="color: blue; font-family: arial, helvetica, sans-serif; font-size: xx-large;">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.</b><br />
<br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Feline Bartonella Diseases: </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<b style="color: red; font-family: arial, helvetica, sans-serif; font-size: x-large;">Oral Disease: </b><br />
<b style="color: red; font-family: arial, helvetica, sans-serif; font-size: x-large;">Gingivitis- Oral Inflammatory Condition in Young Cats</b><br />
<b style="font-family: arial, helvetica, sans-serif;"><span style="color: blue; font-size: large;">[See: AnimalDentistrySolutions.blogspot.com </span></b><br />
<b style="font-family: arial, helvetica, sans-serif;"><span style="color: blue; font-size: large;">Web Log #41-Stomatitis in Adult Cats-Not Bartonella induced]</span></b><br />
<b style="color: red; font-family: arial, helvetica, sans-serif; font-size: x-large;"><br /></b>
<b style="color: red; font-family: arial, helvetica, sans-serif; font-size: x-large;">Oral Ulcers </b><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Submandibular lymphadenopathy </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><span style="color: blue;">Respiratory Diseases:</span><span style="color: red;"> </span></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>URI
Rhinitis
Sinusitis
Ocular Disease: </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Uveitis
Chorioretinitis
Conjunctivitis </b></span><br />
<span style="color: blue;"><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
</span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><span style="color: blue;">Intestinal Diseases:</span><span style="color: red;"> </span></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Inflammatory bowel disease</b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Diarrhea (chronic)
Vomiting (chronic) </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Other Diseases: </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Lymphadenopathy
Fever of unknown origin </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Hepatic peliosis </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Bacillary angiomatosis </b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Valvular heart disease (murmurs)</b></span><br />
<br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><br /></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Bartonella can Affect Humans of any Age Group</b></span><br />
<br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b style="font-size: xx-large;">Bartonella Diseases of People:</b></span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Cat Scratch Disease</b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Fever papule at scratch or bite site
Lymphadenopathy</b></span><br />
<span style="color: blue; font-size: large;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Regional
Neurological Diseases:Encephalitis
Meningoencephalitis, Encephalopathy</span></b></span><br />
<br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Aggression
Cognitive dysfunction </b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Status epilepticus</b></span><br />
<span style="color: blue; font-size: large;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Ocular Disease </span></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Chorioretinitis
Optic nerve neuritis </b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Uveitis
Disciform keratitis </b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Conjunctivitis
Parinaud’s oculoglandular syndrome
Orbital abscess</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Heart Diseases Endocarditis
Valvulitis- vegetative
Myocarditis
Pericarditis
Major Organs Involvement</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Liver:
Bacillary peliosis hepatis
Granulomatous hepatosplenic syndrome</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Spleen:
Splenic bacillary angiomatosis </b></span><br />
<span style="color: blue; font-size: large;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Kidney: </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Necrotizing glomerulonephritis</span></b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Intestines:
Inflammatory bowel disease
Bacillary angiomatosis</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Respiratory Diseases Pulmonary granuloma
Pulmonary infiltrates</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Musculoskeletal Diseases: Muscle:
Bacillary angiomatosis
Myositis
Bone & Joints:
Osteomyelitis
Arthritis/ Polyarthritis </b></span><br />
<span style="color: blue; font-size: large;"><b><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Skin Disease:Bacillary angiomatosis </span></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>Cutaneous rash- Henoch-Schenlein purpura
Cutaneous granuloma annulare</b></span><br />
<span style="color: blue; font-size: large;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: large;">Other: Fever of unknown origin
Co-infection with Lyme disease
Mononucleosis-like syndrome</span></b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: large;"><br /></span></b></span>
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"><b><span style="background-color: white; font-size: large;">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. </span></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: medium;">DH DeForge, VMD</span></b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: medium;"><br /></span></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: medium;">Questions about the Web Log</span></b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: medium;">Contact #DrDonDeForge</span></b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: blue; font-size: medium;">DonDeForge100@gmail.com</span></b></span>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com1tag:blogger.com,1999:blog-7614264553483764577.post-26796053729698327822020-01-16T09:31:00.000-08:002020-01-22T05:39:01.014-08:00SSV House Calls For Pets-Compassionate Care-January 2020- Number Two<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">Dr. Donald DeForge</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">Silver Sands Veterinary</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">www.SilverSandsVeterinary.com</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><br /></span>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">DonDeForge100@gmail.com</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">P-203-877-3221</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;">F-203-877-8301</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"><b>January 2020-Number Two</b></span><br />
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" 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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>Silver Sands Veterinary</i></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>House Calls for Pets 2020</i></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>A Celebration:</i></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>In Search of Compassionate Care</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: large; font-style: italic;">Senior Dog and Cat-Unconditional Love</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><span style="color: red; font-size: large;"><b><i>Dr. DeForge</i></b> offers to his clients </span><span style="color: red; font-size: large;">both</span> 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. </span><br />
<a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Our brick and mortar state of the art veterinary hospital offers Preventive Medicine [vaccines and routine blood screening]; </span><span style="font-family: "arial" , "helvetica" , sans-serif;">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. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">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.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>NEW!</i></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><i>Silver Sands House Calls for Pets</i></b></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Celebrates its One Year Anniversary</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>Dr. DeForge and his nurses announce the One Year Anniversary of Silver Sands Veterinary House Calls for Pets.</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>This new service at Silver Sands Veterinary has has multi-purposes:</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>#1--Helping those dogs and cats that are very nervous and anxious in the traditional veterinary hospital!</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>#2--Helping the Senior Pet owner that can no longer bring their pets to a traditional veterinary hospital</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>#3--Helping the handicapped who need assistance within their homes</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>#4--Giving free time to the pet owner who cannot find the hours to dedicate to visiting a traditional veterinary hospital</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>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.</i></b></span><br />
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<b style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i>The House Call visit can also help the sick patient with testing and triage to identify the cause of their illness.</i></b><br />
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<b><i><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">What can be done during a House Call Visit:</span></i></b><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>Comprehensive Wellness and Sick Patient Health Exams</i></b></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i>Telemedicine EKG's</i></b></span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i><br />Advanced Chemistry Profiles and CBC's</i></b></span><br />
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<b style="color: blue; font-family: Arial, Helvetica, sans-serif;"><i>In the cat, Leukemia Testing; Immunodeficiency Virus Testing and Bartonella Testing [a zoonosis]</i></b><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><b><i><br />It is recommended to have all sick patients have Fecal Examinations to check for intestinal parasites.</i></b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: purple;"><b><i>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.</i></b></span></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: red; font-size: large;"><b><i>Compassionate Care</i></b></span><span style="color: blue;">: yesterday, today, and tomorrow are hallmarks at Silver Sands Veterinary and </span></span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Silver Sands House Calls for Pets</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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. </span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Silver Sands Veterinary and our NEW House Call Practice are both compassion-centered!</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">The nurses bring love and understanding to each patient. This calms the patient and allows examinations and testing with minimal stress.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Leadership compassion is the WONDER of the HUMAN-ANIMAL BOND. It is derived from</span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">mono-tasking and focus tasking. With this emphasis, the health care professional can open their eyes to the needs of their patients. </span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Dr DeForge truly believes, and has personally demonstrated over the years, that compassionate care along with </span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: red;"><b><i>compassionate care nursing</i></b></span></span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"> can lead to expedited recovery from complicated medical and surgical problems.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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..... </span><span style="font-family: "arial" , "helvetica" , sans-serif;"><i><b><span style="color: red;">with caring and wanting to help</span><span style="color: blue;">!</span></b></i></span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">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.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">I encourage readers of this blog to read a book by Kathy Nimmer-</span><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: blue;"><b><i>Two Plus Four Equals One-Celebrating the Partnerships of People with Disabilities and their Service Dogs</i></b></span></span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">. 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. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><i><span style="color: red;">I teach my nurses that Love and Hope are the building blocks of Compassion and Empathy!</span></i></b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: blue;">With this in mind, no patient is left behind! Pain is removed; quality of life is restored; and recovery is expedient. </span><b><i><span style="color: red;">All of life is a journey and not a destination.</span></i></b><span style="color: blue;"> Those who feel they know their destination can be greatly disappointed. </span></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: red;"><b><i>The journey of Love and Hope is the journey we should all seek!</i></b></span></span><span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"> 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.</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">Questions:</span><br />
<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;">E-Mail DonDeForge100@gmail.com</span><br />
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif;"><br /></span>#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com2tag:blogger.com,1999:blog-7614264553483764577.post-78978623483478550242020-01-15T13:59:00.000-08:002020-01-22T05:32:53.850-08:00Pre-Anesthesia Check-Up-Making the Journey Safe-Number One Jan/2020<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. Don DeForge</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Silver Sands Veterinary</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">203-877-3221</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">DonDeForge100@gmail.com</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">www.SilverSandsVeterinary.com</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">www.AnimalDentistrySolutions.com</span><br />
<a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=7614264553483764577" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b> January~2020-Number One</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><img alt="Image result for Anesthetic monitor picture with EKG shown" height="266" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTuh8vJCTwSvNO8jSP7LAo-ItkpQ5W0x38KfyMRrFMbMrIo48DM&s" width="400" /></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: red;"><b><i>Anesthesia Monitoring is essential in all pets undergoing Anesthesia</i></b></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i><b style="color: blue;"><i>The Importance of Pre-Anesthesia Testing</i></b></i></b></span></div>
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<span style="color: blue; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><i>Making the JOURNEY SAFE!</i></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: red; font-size: large;">Prior to any general inhalation all pets should have pre-anesthesia assessment.</span></span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The testing is different for the young pet; the middle aged pet; and the senior pet.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">BELOW is a list of some of the appropriate testing that is advised before general anesthesia in your pet. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The list is a guide and is not to be a substitute for ANY additional testing recommended by Dr. DeForge</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. DeForge is a strong advocate of Pre-Anesthesia Testing.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Besides age, other factors that must be considered when performing pre-anesthesia testing are: weight [especially obesity]; other medical conditions present [co-morbidities]; heart murmurs present; difficulty breathing at home; shortness of breath; coughing; or previous adverse reactions to pre-anesthetics-induction medicines- and or the general anesthetic itself!</span><br />
<span style="background-color: black;"><br /></span><b style="color: red; font-family: arial, helvetica, sans-serif;"><span style="background-color: white; font-size: large;">Young Pets</span></b><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Chemistry Profile and CBC</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Urinalysis and Fecal Exam</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Electrocardiogram</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Physical Exam</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Chemistry Profile and CBC</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Urinalysis and Fecal Exam</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Chest X-rays</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Blood Pressure</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Electrocardiogram</span><br />
<span style="font-size: large;"><span style="background-color: black; color: red; font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"><b style="background-color: white;">The Senior Pets</b></span></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Physical Exam</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Chemistry Profile and CBC</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Urinalysis and Fecal Exam</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Chest X-rays</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Blood Profile</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Screening for Thyroid Disease</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Electrocardiogram</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Echocardiogram-ultrasound of the heart</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;">All dogs in all ages groups should have Heartworm Testing and tick serology to identify the presence of heartworm or tick borne diseases</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;">All cats should have an IFA Feline Leukemia Test; and a Western Blot Immunodeficiency Virus test and Bartonella test sent to the National Veterinary Lab to eliminate co-morbidities.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">See NatVetLab.com</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">See below the reasons for Chest X-rays in Pre-Anesthesia Assessment</span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;">If any dog or cat experiences coughing; shortness of breath; has a heart murmur; or evidences abnormal heart/lung x-rays................ a consultation with an Animal Cardiologist and Pulmonary Specialist is recommended.</span><br />
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"><b><i><br /></i></b></span><span style="font-family: "arial" , "helvetica" , sans-serif;">Many pet owners bring their pets to veterinarians with a history of sneezing; gagging, or on-and-off stressed breathing. Others comment their pets will cough while on leash. Some pets wake up during the night coughing and gagging. These pets may have occult heart and or lung disease that can only be found with the testing mentioned in this web log.</span><br />
<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b><br /></b></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: red; font-size: large;">The hidden cough is a diagnostic challenge.</span></b> This may be missed in many breeds because the pet has had grunting or strange respiratory sounds since a puppy. This is especially common in Brachycephalic breeds [Bull dogs; Pugs; Boston Terrier; Bull Terriers; Boxer etc]</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;">Cats with heart and lung disease in early stages are very difficult to diagnose without special imaging. All cats 2 years of age and older are advised by Dr. DeForge to have an Echocardiogram to rule out occult Hypertrophic Cardiomyopathy </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;">In older cats, testing for hyperthyroidism must be initiated. As a co-morbidity, hyperthyroidism can affect heart function. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>The hidden cough is the reason Chest X-rays are recommended in middle aged and senior pets.</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-size: large;"><span style="background-color: white; font-family: "verdana" , sans-serif;"><span style="color: blue;"><b><i>The Coughing Pet and </i></b></span></span><b style="background-color: white; color: blue; font-family: verdana, sans-serif;"><i>The Hidden Cough~</i></b></span><br />
<span style="background-color: white; font-family: "verdana" , sans-serif;"><span style="color: blue; font-size: large;"><b><i>The Hunt for Heart and Lung Disease in the Aged Pet Prior to Anesthesia</i></b></span></span><br />
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A Special Thank You to: Washington State University-Internet</div>
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<span style="border: 0px; font-family: "arial" , "helvetica" , sans-serif; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">This information is not meant to be a substitute for veterinary care. Always follow the instructions provided by your veterinarian.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Cough is a common problem in dogs but occurs less frequently in cats. Cough is caused by irritation of the throat, airways or the lungs. The main airway to the lungs known as the windpipe or trachea branches into smaller airways called bronchi which branch several more times as they travel to the deeper parts of the lung. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">There are many causes of cough. A thorough history and physical examination help the veterinarian decide which causes of cough are most likely in your pet and helps him or her decide which diagnostic tests to recommend and which therapies are most likely to be effective. Cough originating from the trachea may be stimulated by lightly squeezing the trachea. Cough due to heart disease may be accompanied by a murmur or abnormal heart rate or rhythm.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Your description of the nature of the cough, when the cough occurs, and if anything brings on coughing can be very helpful in pinpointing the cause of coughing in your pet. Some causes of cough result in difficulty breathing between coughing episodes whereas with other diseases, the pet breathes normally between coughing episodes. Some types of cough occur more commonly at night when the animal (and human family members) are trying to rest. Animals with heart failure, collapsing trachea and lung edema cough more at night than during the day.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Cough caused by tracheal irritation or tracheal collapse often occurs when the pet is excited or is tugging on its collar. Cough caused by heart disease may follow exercise or excitement. Cough due to tracheal collapse may be stimulated by drinking water. Coughing that occurs during or shortly after eating may be due to disease of the larynx or esophagus. The larynx normally closes when food is swallowed to prevent food from entering the trachea. If the larynx is diseased it may not close when food is swallowed resulting in food entering the trachea. Food may pool in an abnormally dilated esophagus. The food then may pass to the mouth and down the airways into the lungs causing pneumonia and cough.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Some coughs sound moist and others are harsh and dry. Moist coughs indicate the accumulation of fluid (water, blood or pus) in the airways or lungs. The environment and habits of the pet can influence which causes of cough are more likely. Dogs that hunt or spend time outdoors may inhale grasses, seeds or other foreign materials through the nose into the airways. In addition to causing coughing, foreign materials can travel down the airways and through the lung causing an infection with a large amount of pus to develop in the space surrounding the lung. This disease is called pyothorax. Animals that have exposure to other animals in a shelter or boarding facility are more likely to have an infectious cause for coughing. The region of the country in which you live or to which you and your pet have traveled, influences the likelihood of some diseases like heartworm disease and fungal infections of the lung (histoplasmosis, coccidiomycosis and blastomycosis). Heartworm disease occurs in both dogs and cats and is most common in parts of the country that have lots of mosquitoes.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The age and breed of the pet also influences what causes of cough are most likely. Young animals are more likely to develop a cough due to infections with bacteria or viruses. Young to middle aged cats may develop wheezing and cough due to asthma. Cats with asthma have sudden episodes of wheezing and coughing but are normal in between episodes. Middle aged to older, small breed dogs are more likely to have heart disease due to leaky valves. Middle aged to older, large breed dogs are more likely to develop paralysis of the larynx.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Tracheal collapse occurs most commonly in middle to aged overweight small breed dogs . Tracheal collapse is rare in cats. The cough is often described as sounding like a goose honking. Treatment for tracheal collapse includes weight reduction and intermittent use of cough suppressants and sedatives. Surgery can be performed in dogs with severe collapse that don't respond to weight reduction and cough suppressants but often surgery is not effective.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Kennel cough or infectious tracheobronchitis is caused by several infectious organisms, including bacteria and viruses. Vaccinations are not 100% protective against the agents of kennel cough. Coughing due to kennel cough usually becomes apparent within a few weeks of exposure of your dog to other dogs in a kennel or show environment. Kennel cough usually resolves itself without any treatment. If the cough is severe enough that the pet has difficulty sleeping or people in the house have difficulty sleeping, cough suppressants can be given to suppress the frequency of cough, allowing the pet and human members of the household to get rest while the disease runs its course. If the cough does not subside in a week to ten days, your pet should be evaluated for other diseases of the lungs or airways.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Cough can be caused by heart disease, which is diagnosed by a chest x-ray, an electrocardiogram which measures the electrical activity of the heart, and often by a heart ultrasound which allows the veterinarian to view the inside of the heart, including the valves and the thickness of the walls of the heart muscle. Heart disease may cause heart enlargement that puts pressure on the airways causing cough or the heart may fail and lead to edema of the lungs.)</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Allergies to particles in the air including dust, pollens, and smoke can cause allergic lung disease and coughing.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">In older patients, lung cancer has to be considered. The lungs receives a large amount of blood that flows through the rest of the body. Lung cancers in dogs and cats most often originate from other organs and are transferred from those organs through the blood to the lung. Some cancers may be controllable with anticancer medication. Single lung tumors that originate within the lung may be surgically removed in some cases.Tests that may be recommended to identify the cause of a cough include a blood profile to screen multiple organs, a stool exam to look for parasites or their eggs that are coughed up and swallowed, chest x-rays or x-rays of the trachea. The larger airways can be examined using a flexible scope called a bronchoscope in a procedure called bronchcoscopy. Sterile fluid can be flushed into the airways to collect samples for culture or microscopic exam. Large foreign bodies in the airways can be removed by bronchoscopy. Specific tests may be performed if heart worm disease or an infectious cause for the cough are suspected.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Treatment of coughing patients depends upon the disease diagnosed and may include cough suppressants, antibiotics for bacterial infections, and steroids for allergic lung disease. Avoid self medicating your pet as the treatment for one cause of cough may be very wrong for the treatment of another type of cough.</span></div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-55911153963290630712018-10-22T09:18:00.001-07:002018-11-02T07:33:57.159-07:00Topics in Companion Animal Dentistry-Finding the Answer-Gingival Hyperplasia #DrDonDeForgeDonald H DeForge, VMD<br />
Silvers Sands Veterinary<br />
Milford Veterinary Hospital-Urgent and General Care<br />
17 Seemans Lane-Milford, CT-06460<br />
P 203-877-3221<br />
F-203-877-8301<br />
E-Mail-DonDeForge100@gmail.com<br />
Centers for Oral Care<br />
Tri-State Advanced Oral Medicine and Oral Surgery<br />
Fellow of the Academy of Veterinary Dentistry<br />
No. 28<br />
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<span style="font-family: "arial black"; font-size: x-large; white-space: pre-wrap;">Topics in Companion Animal Dentistry:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-size: x-large; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Gingival Hyperplasia </span></div>
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<span style="background-color: transparent; color: black; font-family: "times new roman"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;"><img alt="\\WDMYCLOUDMIRROR\SSVC_Storage\Lectures\NEVMA Lectures\Images\Gingival Hyperplasia Pictues\20180908_103311.jpg" height="468" src="https://lh5.googleusercontent.com/gieWLSQuKHaXgG2I6eqEaKa2nP8Q-4U0TsFYq7xN-GBZxOAggKA5-bIK2lq7xn_29Bsx5dk9fXWhEKCmZKvqWAiwrge_305HNH4G1num3nC3fnBjYOh5yczMUM-GdiIwGNUSa55rAqp0wI00GA" style="border: none; transform: rotate(0rad);" width="624" /></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Historical Background:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Gingival Hyperplasia is a common findings in Boxers, Bulldogs, Pit Bulls, and Cocker Spaniels</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">along with other breeds. Its etiology is not known but a genetic link to certain breeds is </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">suspected. There is a proliferative and abnormal growth of gingival tissue with pseudopocket </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">formation. These pockets lead to attachment loss with food, hair, and debris entrapment. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">This condition should never be ignored because it will lead to advanced periodontal pathology </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">and oral pain.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Diagnosis:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Diagnosis is with Incisional biopsy. Gingival hyperplasia can mimic epulis; benign invasive </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">oral tumors; and oral malignancies. It is essential to biopsy to rule out oral cancer.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Medicine Induced Gingival Hyperplasia:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Certain families of medicines can cause gingival hyperplasia. Diphenylhydantoin; </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Cyclosporine; and Calcium Channel Blockers can induce gingival hyperplasia. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Not all patients on these drugs develop gingival hyperplasia. If a patient does have gingival </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">hyperplasia treatment alternatives for the condition under care must be scrutinized.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Treatment Choices:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">The goal of treatment is the surgical removal of proliferative tissue restoring normal gingival </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">contour. Cold steel; laser; and radiosurgery [4.0 MHz] are the surgical cutting choices. It is </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">my opinion that only radiosurgery should be utilized for the following reasons:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Radiosurgery~~~High Frequency 4.0 MHz*</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Permits hemorrhage control with a clear surgical field of vision</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">It prevents seeding of bacteria into the incision site</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">It permits planing of soft tissue</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">It eliminates scar tissue formation</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">It minimizes post-operative discomfort and re-treatments</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">It has a pressureless cut with a “paint-brush”-like stroke</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">*If your patient has a pacemaker or an Implantable Cardioverter Defibillator [ICD] your </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">veterinary cardiologist must be consulted prior to the use of radiosurgery.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">The Procedure:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Incisional Biopsy can be done before or during the procedure if the owner does not wish two </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">anesthesia visits. Pre-Anesthesia testing is completed prior to anesthesia.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Gas Inhalation anesthesia only</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Pre and post treatment oral photography is advised</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Full mouth oral radiology must be completed prior to removal of hyperplastic gingiva to isolate </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">other co-existent oral pathology. Client consultation is compulsory with Informed Consent </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">before treating other pathologies.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Under general inhalation anesthesia periodontal Ligament Blocks are initiated~~~ </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">[not regional] using Articaine/Septocaine-total dosage is weight dependent</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">A fully rectified 4.0 MHz waveform using a Vari-Tip 118 electrode for surgical removal of the </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">hyperplastic tissue, is initiated, with an inverse bevel gingivectomy followed by a ginigvoplasty</span></div>
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<span style="font-family: "arial"; white-space: pre;">A complete Piezoelectric ultrasonic root planing is completed after gingivoplasty</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Tincture of myrrh and benzoin is the recommended postoperative dressing</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial black"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Follow-Up Care:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">A soft diet is recommended for 30 days</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">All hard chew materials are removed from consideration</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Plaque control is essential to assist in post care recovery</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Rechecks are monthly for 6 months</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">Regrowth of gingival tissue is minimal with excellent periodontal care of the patient </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre;">professionally along with homecare anti-plaque topicals.</span></div>
Questions about this blog?<br />
Contact Dr. DeForge at: DonDeForge100@gmail.com<br />
<br />#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com1tag:blogger.com,1999:blog-7614264553483764577.post-42838902084582959152018-10-16T07:35:00.001-07:002018-10-16T07:35:28.673-07:00In Search of Compassion Care-Donald H DeForge, VMD Donald H DeForge, VMD<br />
www.SilverSandsVeterinary.com<br />
1-800-838-3368<br />
Medical Director Silver Sands Veterinary; House Calls for Pets Silver Sands and<br />
Centers for Oral Care-Tri-State Referrals in Oral Medicine and Oral Surgery<br />
Fellow of the Academy of Veterinary Dentistry<br />
President of the Society for Veterinary Medical Ethics<br />
#DrDonDeForge<br />
#SilverSandsVeterinary<br />
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<span style="font-size: x-large;">In Search of Compassionate Care</span><br />
<span style="font-size: large;">D. DeForge, VMD</span><br />
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<span style="font-size: large;">The below essay was written by Mara Fionese and Stefano Alice-Family Medicine.</span><br />
<span style="font-size: large;">Take a moment and read it carefully. </span><br />
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<span style="font-size: large;">As President of the Society for Veterinary Medical Ethics, I seek to bring the words of the Royal College of General Practitioners motto to veterinary medicine:</span><br />
<span style="font-size: large;">Cum Scientia caritas-Compassion and Knowledge.</span><br />
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<span style="font-size: large;">I begin, today, a campaign to make veterinary medical care more compassionate! </span><br />
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<span style="font-size: large;">Veterinary medical students and human medical students become demoralized by an impersonal system before they begin their journey. </span><br />
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<span style="font-size: large;"><span style="color: #141414; font-family: "neue helvetica w01" , "helvetica neue" , "helvetica" , "arial" , sans-serif;">This is a pedagogical mistake due to a depersonalizing education system: unconcerned and unable to give full support to students, leaving them alone and without a role model.</span> </span><br />
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<span style="font-size: large;">As Fionese and Alice </span><span style="font-size: large;">state: </span><span style="color: #141414; font-family: "neue helvetica w01" , "helvetica neue" , "helvetica" , "arial" , sans-serif; font-size: large;">Compassion isn't a single, sympathetic utterance, but is rather made up of presence and engagement</span><span style="color: #141414; font-family: "neue helvetica w01" , "helvetica neue" , "helvetica" , "arial" , sans-serif; font-size: large;"> </span><a href="https://www.urmc.rochester.edu/news/story/3991/what-does-compassion-sound-like.aspx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; font-family: "Neue Helvetica W01", "Helvetica Neue", Helvetica, Arial, sans-serif; font-size: x-large; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">that suffuses an entire conversation</a><span style="color: #141414; font-family: "neue helvetica w01" , "helvetica neue" , "helvetica" , "arial" , sans-serif; font-size: large;">.</span><br />
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<span style="color: #141414; font-family: "neue helvetica w01" , "helvetica neue" , "helvetica" , "arial" , sans-serif;"><span style="font-size: large;">Rollo May, psychologist and theologian, applies the Greek word “agape” or the Latin “caritas” to compassion to underline what is essential in a therapeutic relationship: an emotion of regard and affection (it applies to both “agape” and “caritas”). He shares the Royal College of General Practitioners’ (RCGP) point of view, whose motto is: “Cum Scientia caritas - Compassion with Knowledge”. It all seems to fit.</span></span><br />
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If you were to comb through scientific literature, you may notice that there’s something capable of <a href="http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1918062" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">reducing post-operative pain, </a>boosting <a href="https://www.ncbi.nlm.nih.gov/pubmed/20871495" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">the survival chance of cancer patients</a>, lowering the mortality rate in high risk cardiac patients and cutting <a href="https://www.ncbi.nlm.nih.gov/pubmed/22836852" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">the hospitalization rate for diabetics</a>. As if that wasn’t enough, it also <a href="http://heartsinhealthcare.com/wp-content/uploads/2016/07/Compassion-infographic-plus-references.pdf" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">boosts the immune system</a>.</div>
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So what is this mysterious substance? It’s compassion, or better still, compassionate doctors. Before you stop reading, don’t make the mistake of confusing compassion with pity or commiseration.</div>
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Compassion isn't a single, sympathetic utterance, but is rather made up of presence and engagement <a href="https://www.urmc.rochester.edu/news/story/3991/what-does-compassion-sound-like.aspx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">that suffuses an entire conversation</a>.</div>
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The importance of compassion may unsettle doctors who think their duty is to be technically proficient and up-to-date, those who think that it’s a natural quality you either have or don’t have, as well as certain ethicists who think that doctors need to maintain a professional distance from their patients. [Not all ethicists believe this-D DeForge, VMD]</div>
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But it is central to the welfare of patients. Dr. Robert Youngson, an anaesthesiologist, has launched a campaign to make healthcare more compassionate. According to <a href="https://www.time-to-care.com/" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">his research</a>, there are two type of doctors who fit the profile:</div>
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1) Empathetic doctors: those who naturally grasp that the whole point of empathy is to focus attention on the patient.</div>
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2) Doctors who have successfully attended a doctor patient communication skills course. Communication skills can be taught.</div>
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For example, a good technique for showing compassion, is simple: 3 T’s. Talk or listen, take time and touch. Merely taking the time to talk and listen to patients is comforting, as is a <a href="https://www.washingtonpost.com/national/health/doctors-often-struggle-to-show-compassion-while-dealing-with-patients/2011/05/02/AFiR8A5G_story.html" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">doctor’s touch</a>.</div>
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Moreover, we must leave our empathetic abilities to guide us through our work, we should develop our compassion as a gift everyone can use.</div>
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How many doctors have become cold and distant after losing their freedom and being forced to work as small cogs in a big machine? How many students have become unenthusiastic or demotivated before even getting their medical degree? This is a pedagogical mistake due to a depersonalizing education system: unconcerned and unable to give full support to students, leaving them alone and without a role model.</div>
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Scientific literature proves that this argument can be applied both to single professionals and organisations. Personality, values and behaviour reflect individual performances, which are the road to failure or success for each organisation. The doctor-patient relationship is part of the healing process</div>
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Biologically speaking, empathy can be explained by "<a href="http://psych.colorado.edu/~kimlab/rizzolatti.annurev.neuro.2004.pdf" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">Mirror neurons</a>." These are a type of brain cell that fires when someone performs an action, and also when a person watches someone else performing the same action.</div>
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They were discovered back in the 90s, by a team of Italian researchers who found individual neurons in the brains of monkeys that fired both when the monkeys grabbed an object and also when the monkeys watched another primate grab the same object.</div>
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But mirror neurons also exist in the brain areas that are in charge of emotions.</div>
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This means that we are able to recognize other people’s emotions simply by observing them. When we observe someone, these mirror neurons are activated and allow us to at least partly feel the emotions that the person we are observing is feeling.</div>
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<a href="http://www.charterforcompassion.org/science-and-research-compassion-book/mirror-neurons-and-empathy-experiencing-another-s-inner-world-with-clarity-instead-of-fear" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">These “empathic” mirrors</a> are triggered both when we experience an emotion and when we observe somebody who is experiencing the same emotion. This extraordinary achievement provides the neurophysiological grounds for empathy.</div>
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“It’s the relationship that heals”, says Dr. Irvin D. Yalom, Psychiatry professor at Stanford University; he underlines the importance of qualitative relationships over theory. A relationship is strictly personal, a good relationship is based on care and the will to relieve patients’ suffering.</div>
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According to the American psychologist Carl Rogers, there are three main ingredients to a good doctor-patient relationship: empathy, honesty and <a href="http://www.simplypsychology.org/client-centred-therapy.html" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">genuineness</a>.</div>
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Rollo May, psychologist and theologian, applies the Greek word “agape” or the Latin “caritas” to compassion to underline what is essential in a therapeutic relationship: an emotion of regard and affection (it applies to both “agape” and “caritas”). He shares the Royal College of General Practitioners’ (RCGP) point of view, whose motto is: “Cum Scientia caritas - Compassion with Knowledge”. It all seems to fit.</div>
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If we work on patient-centered care, if the patient himself feels that he’s taken seriously and the doctor addresses his needs, this will lead to reduced <a href="https://www.ncbi.nlm.nih.gov/pubmed/21551394" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom: 1px solid rgb(213, 224, 232); box-sizing: border-box; color: #005c9c; line-height: 1.125; text-decoration-line: none; transition: all 0.15s ease-out 0s;">healthcare waste</a>.</div>
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Our purpose is to stimulate a debate on how to improve medical training, given the positive results of the researches; a debate on being both up-to-date and compassionate.</div>
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At the edge of the Fourth Industrial Revolution, a wave of digital-era change, compassion is still a valuable tool for those who want to shape innovations rather than being overwhelmed by them.</div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Read the words of this age-old song from Disney. Then reflect on how compassionate care can enter into your life today!</span><br />
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<span style="background-color: white; color: #222222; font-family: "arial" , sans-serif; font-size: 12pt;">When a star is born</span></div>
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They possess a gift or two<br />
One of them is this<br />
They have the power to make a wish come true<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">When you wish upon a
star<br />
Makes no difference who you are<br />
Anything your heart desires will come to you<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">If your heart is in
your dream<br />
No request is too extreme<br />
When you wish upon a star<br />
As dreamers do<br />
Fate is kind<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">She brings to those
who love<br />
The sweet fulfillment of their secret longing<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">Like a bolt out of the
blue<br />
Fate steps in and sees you through<br />
When you wish upon a star<br />
Your dreams come true<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">When you wish upon a
star<br />
Makes no difference who you are<br />
Anything your heart desires will come to you!<o:p></o:p></span><br />
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><br /></span>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">Questions on this blog?</span><br />
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">Write #DrDonDeForge at: DonDeForge100@gmail.com</span></div>
<br />#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-54010976672093294462018-10-04T14:54:00.003-07:002018-10-04T14:54:13.149-07:00CAT STOMATITIS-THERE IS A CURE-Topics in Animal Dentistry- www.SilverSandsVeterinary.com-#DrDonDeForge<br />
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<span style="font-size: large;">www.SilverSandsVeterinary.com</span><br />
<span style="font-size: large;">P 1-800-838-3368</span><br />
<span style="font-size: large;">E-Mail: DonDeForge100@gmail.com</span><br />
<span style="font-size: large;">Centers for Oral Care</span><br />
<span style="font-size: large;">The New York and New England Animal Dental Health Services</span><br />
<span style="font-size: large;">Donald H DeForge, VMD</span><br />
<span style="font-size: large;">Fellow of the Academy of Veterinary Dentistry</span><br />
<span style="font-size: large;">President of the Society for Veterinary Medical Ethics</span><br />
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<strong><span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">CAT STOMATITIS!<o:p></o:p></span></span></strong></div>
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<strong><span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">THERE IS A CURE!</span><span style="font-family: "lucida bright" , serif; font-size: 18pt;"><o:p></o:p></span></span></strong></div>
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<strong><span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Attention: Doctors,Veterinary Nurses, and Stomatitis Cat advocates.</span></span></strong></div>
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<strong><span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Today’s <i><u>Topic in Animal Dentistry</u></i>
outlines my oral surgery using GBR to cure cats from stomatitis. It is the only surgery to date that can bring
complete resolution without remission.<o:p></o:p></span></span></strong></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><strong><span style="background: white; color: #333333; line-height: 115%;">Questions can be directed to </span></strong><a href="mailto:DonDeForge100@gmail.com"><span style="background: white; line-height: 115%;">DonDeForge100@gmail.com</span></a><strong><span style="background: white; color: #333333; line-height: 115%;"> or you can call me at 1-800-838-3368.<o:p></o:p></span></strong></span></div>
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<strong><span style="background: white; color: #333333; line-height: 115%;"><o:p><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></o:p></span></strong><strong><span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Introduction: Topic In
Animal Dentistry #1</span></span></strong></div>
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<span style="color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
<span style="background: white;">The classic treatment of feline Stomatitis with
whole mouth extraction or extraction of the teeth distal to the canine teeth
has proven to be non-productive in half of the patients treated.<o:p></o:p></span></span></span></div>
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<span style="color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
<span style="background: white;">Any where between 50-65% of these felines have
only short term improvement with a return of the oral inflammatory condition in
6 to 18 months. On the other hand, the alternative surgery, herein
described, utilizing Guided Bone Regeneration and radiosurgery to create full
thickness mucoperiosteal flaps…… i.e. osseous surgery combined with bone
augmentation has proven to be completely successful. <o:p></o:p></span></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; color: #333333; line-height: 115%;"> </span><span style="color: #333333; line-height: 115%;"><br />
<strong><span style="background: white;">Guided Tissue Regeneration (GTR) </span></strong><br />
<em><span style="background: white;">Refers to procedures that attempt to regenerate lost
periodontal structures, such as bone, periodontal ligament and the connective
tissue attachment that support our teeth. This is accomplished using
biocompatible membranes, often in combination with bone grafts or tissue
stimulating proteins. <o:p></o:p></span></em></span></span></div>
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<strong><span style="background: white;">Guided Bone Regeneration (GBR) </span></strong><br />
<em><span style="background: white;">Refers to procedures that attempt to regenerate bone. This is
accomplished using bone grafts and biocompatible membranes that keep out tissue
and allow the bone to grow. <o:p></o:p></span></em></span></span></div>
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<span style="color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
<span style="background: white;">In the <strong>Journal of Veterinary Dentistry</strong>,
Vol 14, No. 4-Dec 1997-Evaluation of Bioglass®/PerioGlas™ [Consil®] Synthetic
Bone Graft Particulate in the Dog and Cat-DH DeForge, VMD -GBR is
described. <o:p></o:p></span></span></span></div>
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<span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Bioglass® Synthetic Bone Graft Particulate [PerioGlas™/Consil™] was
utilized to treat osseous periodontal defects, and in post-extraction sites to
maintain the vertical height and width of the alveolar ridge. In the
osseous periodontal defect treatment group, clinical probing depths deceased
significantly, and there was an apparent gain in attachment level. This
synthetic bone graft particulate improves the rate of osseous growth while
being resorbed and replaced with bone during the healing process.<o:p></o:p></span></span></div>
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<span style="color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
<span style="background: white;">This original work led to the utilization of
Consil®/Bioglass®, synthetic bone graft particulate, in a feline stomatitis
surgery technique I developed.<o:p></o:p></span></span></span></div>
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<span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="mso-spacerun: yes;"> </span>When implanted in stomatitis
felines, a material surface reaction results in the formation of a calcium
phosphate layer that is similar in composition and structure to the
hydroxyapatite found in bone mineral. This apatite layer provides the
scaffolding onto which the patient’s new bone will grow allowing repair of the
bone defects in feline oral stomatitis. Diseased bone is removed and new
bone is created to allow the patient to fully recover from the inflammation and
pain caused by the pre-surgical oral pathology.<o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; color: #333333; line-height: 115%;"> </span><span style="color: #333333; line-height: 115%;"><br />
<span style="background: white;">The hypothesis that the cats affected with
stomatitis suffer from a bone disease rather than a dental disease has been
confirmed <span style="mso-spacerun: yes;"> </span>with this new surgical
approach to the disease. The confirmation is the actualization of complete and
permanent clinical improvement after GBR surgery in the edentulous patient
[i.e. patients having had earlier whole mouth extraction surgery by other
surgeons prior to referral to me]. In these felines, where the whole mouth
extraction technique had failed, GBR Feline Stomatitis Surgery succeeds
confirming the origin of the pathology as a bone-centered pathology.<o:p></o:p></span></span></span></div>
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<span style="color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br />
<span style="background: white;">Before patients can be treated utilizing radiosurgery
combined with GBR, comprehensive pre-anesthetic screening must be
completed. An incisional biopsy is performed to rule out other causes of oral pathology including oral cancer. An Esophagostomy tube must be placed two weeks prior to GBR
Stomatitis Surgery.<o:p></o:p></span></span></span></div>
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<span style="background: white; color: #333333; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">This surgery has been utilized by me for over a decade with ONLY
POSITIVE results.<span style="mso-spacerun: yes;"> </span>After all of this time,
animal oral surgeons are now starting to acknowledge in their lecturing and
manuscripts in journals that cat stomatitis may have a bony component. The
wheel of surgical change moves slowly!<o:p></o:p></span></span></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">Contact Dr. DeForge about an in gratis exam!</span></span></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">Dr. Don DeForge</span></span></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">Fellow of the Academy of Veterinary Dentistry</span></span></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">President of the Society for Veterinary Medical Ethics</span></span></div>
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<span style="color: #333333; font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">04October2018</span></span></div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-87623388317190890212018-09-05T14:12:00.003-07:002018-09-05T14:12:29.241-07:00Anesthesia Safety for the Pet You Love #DrDonDeForge #SilverSandsVeterinary<br />
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<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Donald H. DeForge, VMD</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">NEVER NEVER LAND</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="color: black; font-size: 14px;">It might be miles beyond the moon,</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
Or right there where you stand.<br />
Just keep an open mind,<br />
And then suddenly you'll find<br />
Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
You'll have a treasure if you stay there,<br />
More precious far than gold.<br />
For once you have found your way there,<br />
You can never, never grow old.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
And that's my home where dreams are born,<br />
And time is never planned.<br />
Just think of lovely things.<br />
And your heart will fly on wings,<br />
Forever in Never Never Land.</div>
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<span style="font-size: x-large;">A Safe Journey for Your Pet Under Anesthesia</span><br />
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<b><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLLcKF1D7JR5sDG5XmjUF4P6ZgQuT78-ZKPZ1hCSXCzoJindnbKkL2wObyQ0ksajCevy2fW6nH4BfygfpC2DTT8k2Q2BgbJYaNQOGknfSeZzfTPPziB2dI283YFQNLKXHAtedLByVJtDjr/s1600/19.2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="253" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLLcKF1D7JR5sDG5XmjUF4P6ZgQuT78-ZKPZ1hCSXCzoJindnbKkL2wObyQ0ksajCevy2fW6nH4BfygfpC2DTT8k2Q2BgbJYaNQOGknfSeZzfTPPziB2dI283YFQNLKXHAtedLByVJtDjr/s400/19.2.png" width="400" /></a></b></div>
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<span style="background: white; font-size: 22pt; line-height: 33.7333px;">Pre-Anesthesia Examination and Testing Requisites-American College of Veterinary Anesthesia- Monitoring Guidelines<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;">Companion animal advocates are very concerned when</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> the pet that they love needs to undergo general</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> inhalation anesthesia for any reason.</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> </span><span style="background: white; font-size: large; line-height: 21.4667px;"><br /></span><span style="background: white; font-size: large; line-height: 21.4667px;">The ultimate goals of veterinary preoperative medical</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> assessment and human preoperative assessment are</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> identical. The goal of exam and testing is to reduce the</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> patient’s surgical and anesthetic peri-operative</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> morbidity or mortality, and to return the patient to</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> normal functioning and a pain free quality of life as</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> quickly as possible.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"><br /></span><span style="background: white; font-size: large; line-height: 21.4667px;"> It is imperative to realize that anesthesia risk and</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> recovery from anesthesia risk is multi-factorial and a</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> function of the preoperative medical condition of the</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> patient; the invasiveness of the surgical procedure; and</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> the type of anesthetic administered.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"><br /></span><span style="background: white; font-size: large; line-height: 21.4667px;">A history and physical examination is critical with</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> emphasis on risk factors for cardiac and pulmonary</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> complications. Laboratory investigations must be</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> ordered based on the patient’s age; medical status; drug</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> therapy; or the nature of the proposed procedure.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> </span><span style="background: white; font-size: large; line-height: 21.4667px;">Those veterinary patients with co-morbidity should be</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> optimized for the procedure. Proper consultations with</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> appropriate medical specialists should be scheduled to</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> improve the patient’s health prior to anesthesia if</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> indicated.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"><br /></span><span style="background: white; font-size: large; line-height: 21.4667px;">These consultations should ideally not be done in a "last</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> second" fashion. The pre-operative preparation involves</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> procedures that are implemented based on the nature of</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> the expected operation as well as the findings of the</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> diagnostic workup and the pre-operative evaluation.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> </span><span style="background: white; font-size: large; line-height: 21.4667px;">The referring doctor-LDVM-RDVM-can spear head and</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> complete all exams and testing or refer to a specialist</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> for that testing.</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> </span><span style="background: white; font-size: large; line-height: 21.4667px;">Listed below are many of the tests that the LDVM or</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> Specialist may order based on the age of the patient;</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> pre-existing medical health of the patient; and/or othe</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> factors noted in past Medical Records. It is critical to</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> know if any patient referred has had any adverse history</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> with anesthesia, sedation, and/or analgesic medicines i</span></span></h2>
<h2>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background: white; font-size: large; line-height: 21.4667px;"> the past.</span></span></h2>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The Pre-Anesthesia Testing Module choices will be determined by the veterinarian or anesthesiologist that will be anesthetizing the friend that you love. Not all of the testing below is performed on each patient. Discuss your doctor's testing choices based on age; past anesthesia history; any present medical problems; the obese state; or present problems being treated.</span><br />
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<span style="background: white; font-family: "arial" , "helvetica" , sans-serif; font-size: large; line-height: 30.6667px;">Pre-Anesthesia Testing Modules<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> [ } Physical Exam<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Comprehensive Chemistry Profile and CBC<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Urinalysis<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Feline Leukemia-Immunodeficiency-and Bartonella Testing at National Veterinary Lab<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] CardioPet proBNP / Feline *<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] SDMA Biomarker for Kidney Function (IDEXX Adult Wellness<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Blood Pressure<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Coagulation Testing [PT/PTT/BMBT]<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Electrocardiogram<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Chest Radiology<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Echocardiogram<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Abdominal Sonogram<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Internal Medicine Consult and Pre-Anesthesia Testing<o:p></o:p></span></div>
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<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">[ ] Cardiologist Consult</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Common Questions Asked about Animal Anesthesia:</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">1] Are anesthesia complications common?</span><br />
<br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">There are horror stories on the internet that just are not fact. </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Some internet sites offer reliable and useful information from</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">veterinary specialists....many others contain inconsistencies </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">and flat out falsities. Don't be fooled by misinformation. Do </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">research on anesthesia; read articles from veterinary univer-</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">sity sources and discuss your findings with your local doctor</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">of veterinary medicine. This will rid your mind of a few </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">unfounded fears. A well trained veterinary team will take</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">every reasonable precaution including state of the art</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">monitoring equipment with trained veterinary nurses for</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">patient evaluation under anesthesia.</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">2] The drugs my doctor uses for anesthesia may hurt my</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> pet?</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Sit down with your LDVM and have them describe all</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">of the drugs to be used and why they have been</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">selected.</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">The veterinarian chooses an anesthesia protocol</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">to meet each patient's needs based on the patient's</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">procedure; time predicted under anesthesia; the age of the</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">patient; other medical conditions present prior to anesthesia;</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">and general overall health of your pet. Don't forget to</span><span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"> ask </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">about the monitoring equipment and how your pet is </span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">recovered after anesthesia.</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Don't let friends, gossip, or the internet prevent your pet</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">from receiving necessary care with general anesthesia.</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Let your doctor be your guide!</span><br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Dr. DeForge welcomes questions to his blogs at </span><br />
<br />
<span style="color: #4e4e4e; font-family: "arial" , "helvetica" , sans-serif; font-size: large;">DonDeForge100@gmail.com</span></div>
#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-8165429705188835942018-08-24T12:42:00.001-07:002018-08-24T12:42:38.267-07:00Never Never Land-Poisonings in Companion Animals #DrDonDeForge #SilverSandsVeterinary<br />
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<span style="color: #201f20; font-family: "roboto" , sans-serif; font-size: 15px;">Donald H. DeForge, VMD</span><br />
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">NEVER NEVER LAND</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="color: black; font-size: 14px;">It might be miles beyond the moon,</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
Or right there where you stand.<br />
Just keep an open mind,<br />
And then suddenly you'll find<br />
Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
You'll have a treasure if you stay there,<br />
More precious far than gold.<br />
For once you have found your way there,<br />
You can never, never grow old.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
And that's my home where dreams are born,<br />
And time is never planned.<br />
Just think of lovely things.<br />
And your heart will fly on wings,<br />
Forever in Never Never Land.</div>
</div>
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<img alt="Image result for Picture of a poisoned Pet" height="175" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSYDPgbWizMlD3RmDs9oUPHPiGm8LqNrIB7VWCPgVUWc7W6iKuYZA" width="400" /></div>
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<span style="font-size: large;">Dr. DeForge shares today the common poisonings noted on the ASPCA Pet Poison Hot Line.</span><br />
<span style="font-size: large;">This BLOG could save your Pet's Life!</span><br />
<br />
<span style="font-size: large;">ASPCA Poison Control</span><br />
<span style="font-size: large;">Top Ten Poisonings Noted in Companion Animals</span><br />
<span style="font-size: large;">Animal Poison Control Center</span><br />
<span style="font-size: large;">24 Hour Emergency Veterinary Poison Hotline</span><br />
<span style="font-size: large;">888-426-4435</span><br />
<br />
Descending Order Based on 2017 Data:<br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10. <span style="box-sizing: inherit;">Garden products.</span> In line with <a href="https://www.aspca.org/news/announcing-top-pet-toxins-2016" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">last year’s results</a>, we saw that garden products remained in the same #10 spot, accounting for 2.6% of APCC’s cases. Many pets find fertilizers and other gardening-related products irresistible. Make sure your pets are contained when you are working in the garden with herbicides and soil enhancement products.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">9. <a href="https://www.aspca.org/pet-care/animal-poison-control/toxic-and-non-toxic-plants" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank"><span style="box-sizing: inherit;">Plants.</span></a> Plants remained in ninth place with 5.4% (10,725) of APCC’s cases. Throughout 2017, landscaping plants, houseplants and bouquets were all sources of potential problems for pets. Lilies (Lilium sp and Hemerocallis sp.) in particular pose a serious danger for cats, while Sago Palm and Oleander plants continue to be a serious danger for both dogs and cats. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">8. <span style="box-sizing: inherit;">Rodenticides</span>. Rodenticide exposures made up 6.3% of cases in 2017, an increase when compared to last year. The unpredictable weather patterns last year had rodents seeking shelter and food inside homes, leading to an increase in these preventative poisons. It’s important to remember that rodent poisons can be just as toxic to pets as they are to the pests they’re designed to kill. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">7. <span style="box-sizing: inherit;">Insecticides.</span> Insecticide exposure cases continued to decrease from 2016, with only 6.7% of cases (13,307) related to these items. If the directions on the label are not followed, these products can be dangerous to pets, so always use caution when dealing with insect poisons. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">6. <a href="https://www.aspca.org/pet-care/animal-poison-control/poisonous-household-products" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank"><span style="box-sizing: inherit;">Household items.</span></a> Household items dropped one spot from last year comprising 8.6% of cases in 2017. Household items include paint, glue, cleaning products and laundry detergent, among others. With this group, proximity to pets’ environment is a common reason for exposure. <a href="https://www.aspca.org/news/animal-poison-control-alert-keep-laundry-detergent-pods-away-pets" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">Laundry pods</a>, which made the news this year, are an up and coming danger in this group. It’s important to be mindful about keeping your pets away when using cleaning products or doing your laundry.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">5. <span style="box-sizing: inherit;">Chocolate.</span> Chocolate toxicity made up 8.8% (17,540) of APCC cases. That works out to over 48 cases a day! While chocolate is a food, APCC gets so many calls about chocolate that it gets its own spot on the top 10 list. Dogs in particular are “chocolate fiends,” and with their good sense of smell, they are very good at finding it. Also, the popularity of chocolate as gifts for holidays like Christmas, Valentine’s Day and Easter only increases the chance for pets to get into it. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">4. <span style="box-sizing: inherit;">Veterinary products</span>. Veterinary products made up 8.9% of cases seen. Flavored and chewable medications make it easier for our pets to take a pill, but this also means they may eat the entire bottle if they find access to them—leading to a potential overdose and complications.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">3. <a href="https://www.aspca.org/pet-care/animal-poison-control/people-foods-avoid-feeding-your-pets" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank"><span style="box-sizing: inherit;">Food</span>.</a> People food comes in at number three with 10.9% of cases (21,648) in 2017. Pets cannot safely ingest all of the same food items humans can. Grapes and raisins, onions and garlic (Allium sp.), avocados, macadamia nuts, alcohol, raw yeast bread dough and <a href="https://www.aspca.org/news/xylitol-sweetener-not-so-sweet-pets" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">xylitol</a> are all different types of foods that can be dangerous for pets. The popularity of xylitol in sugar-free items like gum and baked goods has continued to keep this group near the top of the list. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">2. <span style="box-sizing: inherit;">Over-the-counter (OTC) medications.</span> OTC medications made up 17.4% of APCC cases in 2017. Like last year, OTC medications came in second place in the top 10 list. This is a diverse group of items such as vitamins, pain medications (acetaminophen, ibuprofen, and naproxen), herbal supplements, probiotics, antihistamines and cold and flu medications. As with human prescription medications, most exposures are accidental. Making sure pet owners are educated about how to keep these out of pets’ reach and checking with a veterinarian prior to giving an OTC medication to a pet is important. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">1. <span style="box-sizing: inherit;">Human prescription medications. </span><span style="font-size: large;">Prescription medications tops the list!</span> Last year, 17.5% (34,888) of APCC cases were attributed to prescription meds. This group contains a wide range of medications, but pain medications, antidepressants and heart medications are the most common medications APCC receives calls about. Ingestion of the medications is typically accidental. However, pet owners unintentionally giving the wrong medication also occurs. </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">With any potential dangers and toxins, it is important to keep these things out of paws’ reach. While accidents can always happen, the less accessible any of the items are, the less likely your pet is to get into them. To help you stay up-to-date on potential pet toxins or dangers, download the <a href="https://aspcaapp.org/" rel="noreferrer" style="box-sizing: inherit; color: #ff6300; text-decoration-line: none;" target="_blank">APCC Mobile App</a> today!</span></div>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><span style="font-family: "arial" , "helvetica" , sans-serif;">If you suspect your pet has been exposed to any poisonous substances, contact your veterinarian or call Animal Poison Control Center (APCC) at 888-426-4435 immediately.</span></em></div>
#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-69624527053355993182018-08-23T08:16:00.000-07:002018-08-23T08:16:05.373-07:00Never Never Land-Xylitol Poisoning In Dogs #DrDonDeForge #SilverSandsVeterinary<br />
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<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Donald H. DeForge, VMD</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">NEVER NEVER LAND</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="color: black; font-size: 14px;">It might be miles beyond the moon,</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
Or right there where you stand.<br />
Just keep an open mind,<br />
And then suddenly you'll find<br />
Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
You'll have a treasure if you stay there,<br />
More precious far than gold.<br />
For once you have found your way there,<br />
You can never, never grow old.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
And that's my home where dreams are born,<br />
And time is never planned.<br />
Just think of lovely things.<br />
And your heart will fly on wings,<br />
Forever in Never Never Land.<br />
<div>
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</div>
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<div style="text-align: center;">
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Xylitol-A Hidden Danger to Dogs</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Adapted from the ASPCA Poison Control Center</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. Don DeForge</span><br />
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<span style="font-size: large;">Xylitol is a sweetener</span><span style="font-size: 18px;"> that is most commonly found in food products but can be found in other consumer goods as well. While xylitol consumption can be dangerous for your dog, it does not cause problems in humans or cats! It is not understood why it is species specific. In dogs, it excessively stimulates insulin release. Severe low blood sugar can occur as early as 30 minutes after ingestion and up to 12 hours after ingestion.</span></div>
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It is a popular ingredient in human tooth paste; chewing gum; and mouthwashes because it inhibits Stretococcus bacteria accumulation in the mouth thereby decreasing plaque formation. It increases the deposition of calcium and phosphate salts into dental enamel by alkalinizing the saliva.</div>
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Xylitol has become popular as a sugar substitute for human consumption.</div>
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You can find it in gum; sugar free candy; weight loss medicines; in many over the counter non-prescription items; and baking products. It can be added to many other food items on the grocery store shelves. Read labels carefully and do not give a Xylitol containing product to your dog.</div>
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<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;">Why is xylitol so serious for dogs?</span></div>
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In dogs, xylitol causes low blood sugar and liver injury. Signs of low blood sugar include weakness, unsteadiness, shaking and (if it goes untreated) seizures. While low blood sugar can occur very quickly—as soon as 30 minutes after ingestion—it can take up to 12 hours for symptoms to appear after ingestion. Your veterinarian or ER Doctor at one of the local 24/7 ER Centers will advise if your pet should be admitted for aggressive critical care treatment with fluid therapy; blood sugar and liver value monitoring; and/or administration of liver protectants. When in doubt about how much has been ingested precautionary aggressive treatment at your LDVM's hospital or a 24/7 Animal ER Center is warranted.</div>
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Recent reports show that Xylitol can cause liver necrosis in dogs. This will occur within 72 hours of ingestion. The toxic dosage of ingested Xylitol in dogs is 0.1 to 0.5 g/kg. Call the ASPCA Poison Control Center if your dog has ingested the Xylitol so that they can perform the calculations to see if a toxic dose has been ingested.</div>
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Signs of liver injury may include a decrease in appetite, lethargy, yellowing of the skin as well as vomiting and diarrhea. Symptoms indicating liver injury in your dog may not be seen for two or three days after ingestion.</div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Xylitol has many faces:</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
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Unfortunately xylitol can be found in many commonly purchased goods. While gum or food items are the most common, you can also find the ingredient in:</div>
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<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Medications</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Vitamins</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Personal items such as baby wipes, diapers, sunscreen, makeup, and lip balm</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Dental health products such as toothpaste, dental floss, breath fresheners, mouth wash and mints </li>
</ul>
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Some food items that may contain xylitol include:</div>
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<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Drink powder</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Pudding</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Candy</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Chocolate</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Baked items</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Pancake syrup</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Ketchup and barbecue sauce. </li>
</ul>
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<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;"><span style="font-size: large;">How do you keep your pet safe?</span></span><br />
<span style="box-sizing: inherit; font-family: "museo slab 700" , "lucida grande" , "lucida sans unicode" , "trebuchet ms" , sans-serif;"><span style="font-size: large;"><br /></span></span></div>
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If your pet got into something, first check the ingredient label on the product. If the ingested item contains xylitol and you notice any abnormal behavior from your pet, it is best to go to your local veterinary clinic or 24/7 Animal ER Center immediately. </div>
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A veterinarian will likely first check your dog’s blood sugar and liver enzymes to see if they are abnormal. </div>
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If your dog does have low blood sugar, your vet may give a source of sugar (dextrose) IV to bring their sugar levels back up to avoid any serious complications.</div>
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If your pet got into something but is still acting normal, you should still call APCC so they can determine if the amount of xylitol ingested is dangerous to your pet’s health. The amount of xylitol found in different products—even different flavors of gum—can vary widely, so having information about the item ingested, how much was ingested and knowing your pet’s weight is important.</div>
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</div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">To help keep your pets safe:</span></div>
<ul style="box-sizing: inherit; color: #272626; font-family: "Museo Slab 300", "Lucida Grande", "Lucida Sans Unicode", "Trebuchet MS", sans-serif; font-size: 18px; list-style-image: none; list-style-position: outside; margin-left: 1em; padding: 0px;">
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">When purchasing a new item, check the ingredient list for xylitol. If you have a pet that is prone to getting into things or a mischievous new puppy, it may be best to avoid bringing that particular item into your home. If you do bring home products containing xylitol, make sure to keep them in a safe place out of paws’ reach.</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Make sure to keep items like purses or backpacks off the floor so that there is less opportunity for a nosy pet to find out what’s inside.</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">When taking medications, consider doing so in a room with a door so you can keep your pets out in case something drops. That way you can pick up the dropped medication before your pet can.</li>
<li style="box-sizing: inherit; margin-bottom: 0.5em; margin-left: 1em;">Get lock lids for all in and outside garbage containers that are labeled pet proof!</li>
</ul>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;">If you suspect your pet has been exposed to any </span></b></em></div>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;"><br /></span></b></em></div>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;">poisonous substances, contact your veterinarian or</span></b></em></div>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;"><br /></span></b></em></div>
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<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;">call Animal Poison Control Center at </span></b></em></div>
<div style="box-sizing: inherit; color: #272626; font-family: "Museo Slab 300", "Lucida Grande", "Lucida Sans Unicode", "Trebuchet MS", sans-serif; line-height: 1.5em;">
<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;"><br /></span></b></em></div>
<div style="box-sizing: inherit; color: #272626; font-family: "Museo Slab 300", "Lucida Grande", "Lucida Sans Unicode", "Trebuchet MS", sans-serif; line-height: 1.5em;">
<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;">888-426-4435 immediately.</span></b></em></div>
<div style="box-sizing: inherit; color: #272626; font-family: "Museo Slab 300", "Lucida Grande", "Lucida Sans Unicode", "Trebuchet MS", sans-serif; line-height: 1.5em;">
<em style="box-sizing: inherit; color: inherit; line-height: 1.5em;"><b><span style="font-size: large;"><br /></span></b></em></div>
#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-6637245553372191502018-08-17T10:03:00.003-07:002018-08-17T10:03:35.586-07:00Never Never Land~ In Search of Compassionate Care #DrDonDeForge #SilverSandsVeterinary<br />
<br />
<br />
<br />
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Donald H. DeForge, VMD</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<br />
<br />
<span style="font-size: 20pt;">Never Never
Land….</span><br />
<div class="MsoNormal">
<span style="font-size: 20.0pt; line-height: 115%;">When You
Wish Upon a Star...... Dreams Come True!<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 20.0pt; line-height: 115%;">In Search of
Compassionate Care<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 115%;">Donald H.
DeForge, VMD<o:p></o:p></span><br />
<span style="font-size: 16.0pt; line-height: 115%;"><br /></span>
<span style="font-size: 16.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<br />
<div style="text-align: center;">
<span style="color: #222222; font-family: arial, sans-serif;"><br /></span></div>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><br /><div style="text-align: center;">
<img alt="Image result for picture of jiminy cricket" height="320" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcR3waUc_7Diz0eCcZT9Y6Efh-7lEhExCJTm5kQsRYBUmTYknXka7A" style="font-family: arial, sans-serif; font-size: 12pt;" width="320" /></div>
</span>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><br /></span>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><br /></span>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;"><br /></span>
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">When a star is born<br />
They possess a gift or two<br />
One of them is this<br />
They have the power to make a wish come true<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">When you wish upon a
star<br />
Makes no difference who you are<br />
Anything your heart desires will come to you<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">If your heart is in
your dream<br />
No request is too extreme<br />
When you wish upon a star<br />
As dreamers do<br />
Fate is kind<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">She brings to those
who love<br />
The sweet fulfillment of their secret longing<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">Like a bolt out of the
blue<br />
Fate steps in and sees you through<br />
When you wish upon a star<br />
Your dreams come true<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 9.2pt;">
<span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt;">When you wish upon a
star<br />
Makes no difference who you are<br />
Anything your heart desires will come to you</span><br />
<span style="background-color: transparent; font-family: "segoe ui", sans-serif; font-size: large;"><br /></span>
<br /></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; line-height: 115%;"><span style="font-size: large;"></span><span style="font-size: 14pt;"> </span></span><span style="font-family: "Segoe UI", sans-serif; font-size: 14pt;">Human medicine, veterinary medicine, and other allied medical fields
have reached epic levels of sophistication and specialization!</span><br />
<span style="font-family: "Segoe UI", sans-serif; font-size: 14pt;"><br /></span><span style="font-family: "segoe ui", sans-serif; font-size: 14pt;">There is no upper limit! Top researchers and
clinicians combine to find answers to cancer; diabetes; Alzheimer’s;
Parkinson’s disease; and a plethora of painful conditions.</span><span style="font-family: "segoe ui", sans-serif; font-size: 14pt;"> </span><span style="font-family: "segoe ui", sans-serif; font-size: 14pt;">Organ transplants and cloning continue to advance
to extend our years, on planet Earth, with quality of life.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">With a plethora of specialists in veterinary medicine,
our companion animal population continues to recover more quickly from serious
disease; life expectancy continues to increase; and more pets have quality pain-free
lives.<span style="mso-spacerun: yes;"> </span>Surgical teams with criticalists
in consultation with animal internists lighten the pathway to recovery.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">What is lacking in the New Millennium in all areas of
medicine is COMPASSION!</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"><br /></span></span>
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>Medicine is
synonymous with multi-taskers.<span style="mso-spacerun: yes;">
</span>Veterinarians are burdened by clinics; surgery; urgent care; critical
care; and ER patients. They live in a framework of management bureaucracy.<span style="mso-spacerun: yes;"> </span>Somewhere in the mass of this struggle the
word COMPASSION has been forgotten.<span style="mso-spacerun: yes;"> </span>This
is not just a veterinary problem but also a major problem in human medicine.<span style="mso-spacerun: yes;"> </span>Too many patients and not enough time leads
to “impersonal” care.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">The day of the human general practitioner visiting
your home has decreased by 90%.<span style="mso-spacerun: yes;"> </span>There
are communities with local clinics and home visits but they are few and far
between.<span style="mso-spacerun: yes;"> </span>At one time, the human
physician examined all systems and treated all problems.<span style="mso-spacerun: yes;"> </span>With specialization, the orthopedist does not
want to hear about a prostate problem.<span style="mso-spacerun: yes;">
</span>The hand surgeon does not want to hear about your back pain…..etc. etc.
etc.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Articles have been written on burnout, suicide, and
compassion fatigue.<span style="mso-spacerun: yes;"> </span>None have proven
answers. The fact that we continue to write about these issues can hopefully
encourage human physicians, human dentists, other health care professionals and
veterinarians to seek help before it is too late.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">We must not forget that COMPASSIONATE patient-care
considerations are linked to treating others the way we would want to be treated. We owe it to our patients to
never abandon them with a lack of COMPASSION.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">When Doc visited my Dad who was a stroke victim, he
sat and chatted and had a cup of coffee before leaving.<span style="mso-spacerun: yes;"> </span>When the dentist came to our home to remove
an abscessed tooth from my Dad, he did not just walk away but sat with my Dad
and joked and told stories about what it was like “in the day” when they were
growing up.<span style="mso-spacerun: yes;"> </span>Compassion to the stroke
victim isn’t as common today within the “sterility” of corporate practices.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Technical, biomedical, and financial issues are areas
in which physicians and veterinarians find a comfort zone.<span style="mso-spacerun: yes;"> </span>COMPASSION and other emotional care problems
have become ”major discomfort areas”! They are intangible entities and take
time to solve.<span style="mso-spacerun: yes;"> </span>These issues decrease the
amount of patients seen each day.<span style="mso-spacerun: yes;"> </span>They
are “not for profit” areas of care and that bothers medical facility
management.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">The intangible must become tangible. <span style="mso-spacerun: yes;"> </span>Compassion does not belong on a multi-task
list. <span style="mso-spacerun: yes;"> </span>COMPASSION is a uni-task or a mono-task.<span style="mso-spacerun: yes;"> </span>Years ago and even today, the veterinarian
sought the multi-tasker and was the ultimate multi-tasker. In the New
Millennium, the veterinarian must transition from a multi-tasker to a mono-tasker.
Searching for COMPASSION is a mono-task.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Before anyone can mono-task, they must temporarily
each day disconnect from the electronic world and initiate focus tasking:<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">1] First and foremost shut off the Smart Phone<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">2] Walk away from your desk-top and the other
multi-problems sitting on your desk for completion<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">3] Put a pause on answering messages; writing E-Mails;
consulting with your head technician or physician’s assistant; or meeting with
your practice manager<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">4] Set COMPASSION goals.<span style="mso-spacerun: yes;"> </span>Review these goals weekly with staff to see
if any or all of the goals have been achieved.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">All of this is to strengthen the meaning of the
doctor-patient relationship. Separating oneself from an anxiety centered
multi-tasking world and mono-tasking can lead to harmony and initiate feelings of compassion. Finding compassion in meditation has been found helpful.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">A recent study by Northeastern University’s David
DeSteno confirmed what Buddhist theologians have long believed---meditation can
lead you to more compassion, love, and a commitment to end suffering for
oneself and others.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">The concept is that the mono-task meditation exercise
improves attention and the ability to focus one’s attention to specific areas
of the work environment…..i.e. COMPASSIONATE CARE!<span style="mso-spacerun: yes;"> </span>In humans medicine, this is a reflection
concerning ALL patients [i.e. the well insured and those without insurance] and
in veterinary medicine to all members of the Animal Kingdom! <o:p></o:p></span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">The
ultimate question is:<span style="mso-spacerun: yes;"> </span>Can compassion be
trained and learned in adults?<o:p></o:p></span></i></b><br />
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></i></b></div>
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<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">One researcher
compares it to flexing our “compassion muscles” every day. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">We build up the “compassion muscle” and respond to our
patient’s suffering with greater care and desire to help.<span style="mso-spacerun: yes;"> </span>Veterinarians find themselves holding their
patients with loving care and talking to their patients after surgery or a
medical test and not just returning them to the medical-surgical wards.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span>
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Veterinarians
have to accept a TOTAL commitment to becoming “Voices of the Voiceless” and
finding creative ways to help clients who love their pets but have financial difficulties.<span style="mso-spacerun: yes;"> </span>This is not easy! A team member can be
assigned to this important task under the supervision of the hospital manager.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Human physicians MUST find ways to stop double and
triple booking by adding new doctors and physician assistants to their
group.<span style="mso-spacerun: yes;"> </span>They MUST report abnormal lab
tests compassionately with a personal phone call to their patients and not
relegate this task to one of the nurse assistants at their practice.</span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">Human physicians must take on a GREATER ROLE working
with insurance companies to have testing approved that is relative to diagnosis
and patient care.<span style="mso-spacerun: yes;"> </span>This is time consuming
but it is essential in returning COMPASSIONATE CARE to medicine.<span style="mso-spacerun: yes;"> </span>Insurance obstacles should not become a
problem in providing care.<span style="mso-spacerun: yes;"> </span>Everyone is
entitled to excellent diagnostic care and appropriate treatment without
insurance restriction.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">The positive extension of leadership compassion is that
it grows!<span style="mso-spacerun: yes;"> </span>It is embellished by all
nurses, assistants; technicians; and client service representatives as it is
exemplified by practice management.<o:p></o:p></span><br />
<span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">In
human and veterinary medicine leadership compassion originates from
mono-tasking and focus-tasking in compassionate care.</span></i></b><span style="font-family: "segoe ui" , "sans-serif"; font-size: 14.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>It is the answer!<span style="mso-spacerun: yes;"> </span>“Only when we give joyfully, without
hesitation or thought of gain, can we truly know what love means.” Dr. Leo
Buscaglia<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><o:p></o:p></i></b></span></div>
<div class="MsoNormal">
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<div class="MsoNormal" style="border: none; mso-border-alt: thin-thick-small-gap windowtext 9.0pt; mso-border-shadow: yes; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "segoe ui" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Dr.
DeForge welcomes comments and questions about his blogs at DonDeForge100@gmail.com<o:p></o:p></span></i></b></div>
</div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-18596631164842633982018-08-16T14:04:00.000-07:002018-08-16T14:04:17.281-07:00Never Never Land-Finding Happiness #DrDonDeForge #SilverSandsVeterinary<br />
<br />
<br />
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Donald H. DeForge, VMD</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">NEVER NEVER LAND</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="color: black; font-size: 14px;">It might be miles beyond the moon,</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
Or right there where you stand.<br />
Just keep an open mind,<br />
And then suddenly you'll find<br />
Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
You'll have a treasure if you stay there,<br />
More precious far than gold.<br />
For once you have found your way there,<br />
You can never, never grow old.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-size: 14px; font-stretch: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
And that's my home where dreams are born,<br />
And time is never planned.<br />
Just think of lovely things.<br />
And your heart will fly on wings,<br />
Forever in Never Never Land.</div>
</div>
<br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;">Finding the Elusive~~ Happiness!</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><br /></span>
<div style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><img alt="Image result for Picture of happy people" height="239" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQKaKdqPS3LZqW-RCSxa2OMqBnCqVqBo_uLA8paYR4nKdO_J8-Hng" width="320" /></span></div>
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<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
Do your believe each day your life is hard and it will not change? Do you distrust people and feel they are all bad? Do you give people a chance to get to know you or do you turn away from strangers and do not make friends easily? Do you watch the "negative" news all of the time and never find the "good news" which takes a lot of time and research to discover! Does all of the bad in the world make you believe that global issues will never be solved and we are all destined to live in pain and fear? Are you jealous of other's good fortunes and wealth? Do you hate those that win the lottery and become instant millionaires? Do you control others lives and micromanage the life of your spouse; your partner; and your children? Do you live in worry and fear about tomorrow when today has not yet ended? </div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
If you have answered yes to all or many of the above.................... happiness will elude you until you change. Money does not bring happiness. Many of the millionaire lottery winners have had miserable lives because of the money that they were given. Sports figures and entertainment personalities with limitless incomes have committed suicide and become addicted to alcohol and illegal drugs. The question then becomes......How do I find the ELUSIVE HAPPINESS?</div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
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<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
My special friend and mentor Dr. Leo Buscaglia once wrote to me about finding happiness. He published this LOVE quiz! He is now gone. He asked me to never stop sharing or believing in the importance of helping others.</div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
Take his Love Quiz.! It could help your Find the Elusive Happiness that we all seek and bring you a step closer to experiencing Never Never Land each day as you awaken............ and interact with others. Dr. Buscaglia is no longer with us but he is always teaching anyone that seeks answers through the words he has left behind. I share his WORDS with you!!! He worked to transform the world!!! Let his words allow you to get to know him.......... and allow you to see what others many never see!</div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
<span style="background-color: white; color: #009900; font-family: "times new roman"; font-size: 1.125rem;"><br /></span></div>
<span style="background-color: white; color: #009900;"><span style="font-family: "verdana" , sans-serif; font-size: x-large;"><b><i>Love Quiz</i></b></span></span><br />
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
<span style="background-color: white; color: #009900; font-family: "times new roman"; font-size: 1.125rem;">Dr. Leo Buscaglia</span></div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
<span style="background-color: white; color: #009900; font-family: "times new roman"; font-size: 1.125rem;">My Mentor and Friend </span></div>
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<div style="box-sizing: inherit; line-height: 1.75rem; margin-bottom: 20px; padding: 0px;">
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<span style="font-family: "times new roman"; font-size: large; font-weight: bold;">A</span><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">sking yourself questions and answering them honestly is a good path to self-knowledge. </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">In keeping with this idea, I'd like to propose a few end-of-the-day questions for each of us . . .</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
<div style="background-color: white; color: #000099;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">· Is anyone a little happier because I came along today?<br /><br />· Did I leave any concrete evidence of my kindness, any sign of my love?<br /><br />· Did I try to think of someone I know in a more positive light?<br /><br />· Did I help someone to feel joy, to laugh, or at least, to smile?<br /><br />· Have I attempted to remove a little of the rust that is corroding my relationships?<br /><br />· Have I forgiven others for being less than perfect?<br /><br />· Have I forgiven myself?<br /><br />· Have I learned something new about life, living or love?<br /><br />. Have I gone through the day without fretting over what I don't have & celebrating the things I do have?</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large; font-weight: normal;">
If you are not satisfied with your answers, take heart. Tomorrow you get to start all over again! If you will it, this is one quiz you can never fail!!!</span></h4>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large; font-weight: normal;"><br /></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-weight: normal;">Dr. Don DeForge is a general companion animal practitioner and urgent care Doc for over 40 years in Milford, Ct.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-weight: normal;">He welcomes your questions and hopes that you find the elusive happiness that you seek today!</span></div>
<div style="font-family: proximanova, "helvetica neue", helvetica, roboto, arial, sans-serif; font-size: 1.125rem;">
<em style="box-sizing: inherit;"><br style="box-sizing: inherit;" /></em></div>
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#DrDonDeForgehttp://www.blogger.com/profile/00848690008001115070noreply@blogger.com0tag:blogger.com,1999:blog-7614264553483764577.post-17735869547489022282018-08-15T10:15:00.003-07:002018-08-15T10:20:27.006-07:00Never Never Land-Cat Bartonella-An Important Zoonosis #DrDonDeForge #SilverSandsVeterinary<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Donald H. DeForge, VMD</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Silver Sands Veterinary</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford Veterinary Hospital</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
17 Seemans Lane</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
Milford, CT 06460</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
P-203-877-3221</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
E-Mail DoctorDeForge@yahoo.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
DonDeForge100@gmail.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
www.SilverSandsVeterinary.com</div>
<div style="color: #201f20; font-family: roboto, sans-serif; font-size: 15px;">
<br /></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">NEVER NEVER LAND</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;">Cat Bartonella and Public Health Risks</span></div>
<div style="color: #201f20; font-family: roboto, sans-serif;">
Donald H DeForge, VMD<br />
<br />
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-family: proxnov-reg, arial, sans-serif; font-size: 14px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
It might be miles beyond the moon,<br />
Or right there where you stand.<br />
Just keep an open mind,<br />
And then suddenly you'll find<br />
Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-family: proxnov-reg, arial, sans-serif; font-size: 14px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
You'll have a treasure if you stay there,<br />
More precious far than gold.<br />
For once you have found your way there,<br />
You can never, never grow old.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-family: proxnov-reg, arial, sans-serif; font-size: 14px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
And that's my home where dreams are born,<br />
And time is never planned.<br />
Just think of lovely things.<br />
And your heart will fly on wings,<br />
Forever in Never Never Land.</div>
<div class="verse" style="border: 0px; box-sizing: inherit; color: black; font-family: proxnov-reg, arial, sans-serif; font-size: 14px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; padding: 0px; vertical-align: baseline;">
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<span style="border: 0px; box-sizing: inherit; color: black; font-family: , "arial" , sans-serif; font-size: 14px; font-stretch: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><br style="box-sizing: inherit;" /></span>
<br />
<div style="text-align: center;">
<img alt="Image result for Picture a a toddler playing with a kitten" height="320" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTswdsL2d1YLu1Gks-vZs0AvGxYkw6eIxYmNzDYKeBwek5vPaVJ" width="320" /></div>
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<div style="color: #201f20; font-family: roboto, sans-serif;">
<span style="font-size: large;"><br /></span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">The authority on Bartonella in cats is Dr. William Hardy, Director of the National Veterinary Lab! For more information go to www.natvetlab.com</span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">In Never Never Land there is no Cat Bartonella! In this world, Bartonella is a severe health risk to cats, dogs, and man.</span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">In this review, there will be an isolation of Cat Bartonella as a Public Helath risk to humans.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></div>
<div style="color: #201f20;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. Hardy recommends testing all healthy cats for cat Bartonella disease by [Western Blot Test] and all in house Elisa testing for Leukemia and Immunodeficiency Virus be re-checked and confirmed with-[i.e. Immunodeficicency Western Blot Testing and Leukemiia [IFA Testing].</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Cat Bartonella causes inflammatory disease in cats including lymphocytic plasmacytic granulomas; conjunctivitis; uveitis; pulmonary granulomas; myocarditis; upper respiratory infections; urinary tract infections; skin granulomas, and oral ulcers.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Test or Not to Test:</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. Hardy recommends Bartonella Testing of all cats for their sake and for the safety of their owners. Bartonell is a cat pathogenic organism of numerous preventable diseases and a zoonotic risk for their owners.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Feline derived Bartonella infection in humans can cause neurological; ocular; cardiac problems; spleen and liver granulomas; seizures; arthropathy; lymphadenopathy; cat scratch disease; and in rare cases can be fatal.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Cats get Bartonella from fleas. People most often get Bartonella from their cat through innocent scratches and bites when playing with their cat.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Cats and their fleas are reservoirs for Bartonella henselae. All cats should be screened for Bartonella with a simple Western Blot blood test sent to National Veterinary Labs.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">It is essential that any immunocompromised patient who owns a cat should have it screened for Bartonella. If positive for Bartonella, the cat must be treated for Bartonella with Aziththromycin. The immunocompromised person should NOT be the one administering the Azithromycin antibiotic to their Bartonella positive cat.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Anyone owning a Bartonella positive cat and especially the immunocompromised should immediately call their own personal physician and/or pediatrician and let them know that there is a Bartonella positive cat in their home. Because Bartonella is a zoonosis, it is up to the primary care physician to decide if the pet owners or their children should also be tested for Bartonella disease.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Bartonella is a disease of all cats but because kittens are more playful than adult cats they often scratch and bite in a playful fashion which can transmit Bartonella to family members.</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Speak to your local animal doc and schedule screening tests for Cat Bartonella for all cats in your home at the National Veterinary Lab.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Never Never Land is never found in a home with Bartonella positive cats. Bartonella can be removed from your cat. Find out about your cat's Bartonella status for the good of your cat and for those that you love.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Dr. DeForge has been a Companion Animal general practice doctor for over four decades and also an Urgent Care Animal Doc for the same period. He welcomes your questions at: DoctorDeForge@yahoo.com</span></div>
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