Cats

Coronavirus and your pet — what you need to know

/ Dr. Christine McFadden / Leave a comment

For many of us, our everyday lives have changed dramatically, suddenly, as the coronavirus pandemic has swept the world, crossing continents, invading communities large and small.

Although there are hundreds of existing coronaviruses in humans and animals, this brand-new “novel” coronavirus has never been seen before and has proven to be highly contagious among humans.

It is only natural that people question if their dogs and cats are also at risk. Diseases spread from animals to people are called “zoonotic.”

At this time there are no confirmed reports of pets becoming sick with COVID-19 in the United States. There is no information that suggests dogs or cats might be a source of infection to people.

What can you, as a pet owner, do in the face of a potential crisis in your own home? What if you, the owner, tests positive? Worse, what if you become severely ill?

SUGGESTIONS TO PREPARE YOUR HOUSE AND PETS

In case you might need to be home-quarantined, please keep at least two weeks of pet food and your pets’ medication(s) on hand at home.

Veterinarians are essential workers and most clinics are open to help you. Call your veterinarian if you need advance medication.

Should you test positive, have arrangements in place to limit your contact with your pet(s) just as you would limit contact with other family members. It is recommended that you not pet, kiss, hug, or share food with your pet during your quarantine period.

If you have a service animal (please refer to CDC guidelines for definition of service animals) or you, yourself, must care for your pets, please wear a cloth face covering and try to minimize contact, washing your hands well before and after pet contact.

You should not share any dishes, drinking glasses, towels, clothing or bedding with your pets during this time.

The coronavirus is primarily spread from an infected person’s bodily fluids, like saliva or mucous when they cough or sneeze.

Secondary transmission is possible if you touch a countertop or surface that is moist with infected sneeze or cough droplets. A smooth, nonporous surface like a countertop transmits better than a porous and fibrous surface like pet fur.

Again, at this time, per the CDC, there is no evidence that companion animal pets can spread the coronavirus to people. Pets are an important part of our lives and give joy and comfort, especially during a time of home isolation.

There is no reason, at the moment, to remove pets from a coronavirus positive house unless the owner becomes too sick to care for the pet and no other family member is available.

Should the owner be unable to care for a pet, and has no family to take it in, then the community will need to step in to help. Contact your veterinarian, a local Humane Animal group or your local Animal Shelter for service under these extreme circumstances.

CAN PETS TEST POSITIVE FOR CORONAVIRUS?

Despite the global cases of 2.1 million people being infected with the coronavirus as of April 17, at this time the AVMA is only aware of four animals worldwide testing positive : two dogs and one cat in Hong Kong, and a tiger in New York.

We do know in the case of the two dogs and housecat in Hong Kong, the pets lived in very close contact with a positive ill owner.

New York City’s Bronx Zoo had a Malayan tiger present with a cough and tested positive for the virus. A total of seven big cats in the collection had mild coughs. All recovered. They were not each tested because that required anesthetizing each animal, wherein the risks outweighed the benefits.

In this case the tigers’ caretaker was discovered to be asymptomatically positive and was shedding the virus. No other big cat in the collection was affected.

This has been an isolated incident, and it’s still under investigation.

Keep in mind, the domestic house cat is not a mini-tiger.

All of the house pets were asymptomatic. At this time, there is no evidence that house pets can spread the coronavirus to people and no pets or livestock have become ill with COVID-19 in the U.S. .

Please take appropriate steps to ensure your pets are safe and cared for during this time.

In the meantime, you can stay up to date on the coronavirus by following the American Veterinary Medical Association news online or reviewing the information on-site from the Centers for Disease Control and Prevention.

with a long distance, virtual hug,
Dr. Mc

Christine McFadden holds a license to practice veterinary medicine and surgery. She has cared for the family pets of Merced at Valley Animal Hospital for more than 30 years.

Rabies didn’t die with Old Yeller — and the disease is endemic to Merced

/ Dr. Christine McFadden / Leave a comment

I’m going to talk about something scary today.

Not an alien life form but a very real live virus called rabies. Rabies didn’t die out with Old Yeller — it is still very much with us, and definitely present in the wildlife of Merced County.

They map where the rabid animals were discovered, watching for “hot spots” of possible contagion in the wildlife. Positive rabid bats and skunks have been identified, often after a dog or cat has carried it into the house or killed it.

In fact, Merced is considered an endemic area for the disease. We have positive cases every year. In the 30 plus years I have lived and worked here, I have watched both the Public Health Department and Animal Control cooperate to monitor rabies-positive cases turned in to the county.

But what about the animals that just quietly die in the wild, that may be carriers of the disease? This, of course, is how it is spread.

Rabies virus enters the body through a direct bite or contact with the mucous membranes like the eyes, mouth and nose. Once there, it slowly spreads into the nervous system, eventually reaching the brain.

There is no cure for the disease at this point. In fact, only because the virus multiplies and spreads so slowly is it possible for post-exposure immunization to work and save human lives.

Rabies is diagnosed after the brain of the suspect animal has been inspected. There is no way to diagnose the disease in a living patient.

HIGH NUMBER OF CASES

California is considered to have a high incidence of cases — over 400 cases in wildlife reported annually. Skunks and bats are the most frequent wildlife involved, but other carnivores like raccoons, foxes, coyotes and bobcats are often positive.

Each year one or two cases of human rabies is reported in the United States. Since 2002, 21 of 24 reported human rabies cases in the US were linked to bats, per the Center for Disease Control (CDC).

On July 24, 2013 a young girl was bitten by a rabid bat at the Oakland Zoo — it was not an exhibit animal, just local wildlife. She received post-exposure immunization and is fine.

Easter in Bakersfield, California of 2012 was grim for the family whose pet cat bit their child, after it contracted rabies from area bats.

In June 2011, an 8 year old girl from Willow Creek, California actually survived the disease after intensive treatment at UC Davis’s Childrens Hospital. She is only the third person in the U.S. to survive rabies without receiving the post-bite immunizations.

Most people die or become seriously disabled. In countries where vaccination vigilance is not as high as the United States, rabies is a serious threat : 60,000 people die from this entirely preventable disease every year.

Three “islands” are isolated enough to have no rabies : Hawaii, England and Australia. Traveling with pets to these places is a complicated process as they strive to remain rabies free, protecting people and their indigenous or native wildlife from sure death.

VACCINATION IS KEY TO PREVENTION

Because wildlife cannot be vaccinated against Rabies, your first line of defense is to vaccinate your pets — the carnivores at highest risk of coming in contact with wildlife.

All dogs and cats should be vaccinated against rabies. And you should never approach wildlife, especially when they seem sick.

If your dog or cat is bitten by a bat or suspect carnivore that isn’t available for brain examination it is presumed exposed to a rabid animal. If the bat or skunk is confirmed positive and rabid and the dog or cat is not current with rabies vaccination protection it may be recommended that it be immediately destroyed.

If the pet is current on vaccination, by law it will still be isolated for anywhere from 10 days to 6 months, depending on the individual circumstances of the case.

If a human is bitten, whether it be a pet or a stray dog or cat, or any wildlife, it should immediately be reported to a physician.

If the animal is available, it will be quarantined or its’ brain will be examined to check for rabies. The type of bite, animal involved, vaccination history and other factors will determine the recommendations made by your physician and public health authorities.

This is where your money for those darned rabies licenses go. This is what it’s all about.

The message : Vaccinate your pets against rabies. It’s the law — and it’s a good one!

Christine McFadden holds a license to practice veterinary medicine and surgery. She has cared for the family pets of Merced at Valley Animal Hospital for more than 30 years. Send questions or comments to drmc@mcmenagerie.com

Cheese Whiz

/ Dr. Christine McFadden / Leave a comment

So I was visiting with a friend when she decided it was time to pill her dog.  This was something new for her and she had questions. “What should I put the pill in?” She’d used peanut butter once before when she gave her dog some medicine. I shrugged. That’s ok. Told her I use bread with my dogs. Bread is something I usually have on hand, it’s cheap, and makes disgusting balls to mold around things like pills. My dogs would crawl through fire for a crust of bread. She opened her fridge (maybe she was out of peanut butter?) and called back from within its depths : “what about cheese?” “Sure”, I said.  She extracted herself from the refrigerator, bringing two slices of cheese with her. Pre-sliced orange cheese. Gotcha. Least it wasn’t in a can (and yes, I ate cheese whiz from a can growing up. Still here). Then she selected one slice and began to wrap up the pill. Sure seemed to be taking a while. The dog was starting to drool and I was my usual impatient self so I reached across to just mush it up, for heaven’s sake, no need to be dainty. In my expert hands the cheese completely crumbled and fell away from the pill. I stared. “What kind of cheese IS this?” I asked suspiciously. She glanced over at me. “Tillamook.” Tillamook? I reeled. Tillamook is some serious cheese. What happened to American Kraft? Where was the CAN, man? This was uncharted territory. Done trying to make silly putty out of real cheese, I simply reached down, opened her dogs’ mouth and pushed the pill and cheese crumbles in, letting the dog lick the last crumbs off my palm.
Real cheese, what a crazy idea. Invalidated my entire childhood’s culinary experiences! 

I Am The Cheese Dog

‘This is brand name organic right Karen?’

Sigh. Isn’t that the darndest thing? But I actually do find myself giving all sorts of recommendations on how to deliver medication to a pet. For many of my clients it’s fairly simple : they have a time tested treat that they can hide medication within and especially with the larger breeds of dogs and any garbage hound, down the hatch it goes. Medicine is a treat. For little dogs and those with pushed in faces and cats and birds and turtles and coyotes it can be surprisingly difficult to actually deliver the medication to its intended patient. Think about it. The brachycephalic breeds of dogs (Pugs, Bostons, Bulldogs) have all the body parts of a regular dog, just compressed into about 20% of the space. There’s no extra room in their mouth and they choke and turn blue if you try to get anything past them. Little dogs suffer from Napoleon Complex – they bite you if you try to force something on them. They know the Alligator Roll, too.

 

Cats? Hoo-boy, cats. We carry one medication for cats stocked in four forms: a tiny tablet, a chewable “gourmed” form, as a liquid and finally as a topical “transdermal” preparation. Yikes. Cat owners in particular are warned not to “dry pill” their cat, meaning do NOT shove a pill down your cat’s throat and forget about it. The pill or capsule may stick partway down, lodging in the folds of the esophagus. Without food or liquid to carry it down to the stomach, the medication may adhere and cause serious inflammation.  Most people have experienced the feeling at least once and don’t wish to repeat it. That’s why we swallow our meds with a glass of water. Esophagitis can affect a cats ability to swallow and in extreme cases lead to strictures or scar tissue in the esophagus. I often recommend that people be prepared to follow a pill with a syringe of warm water. This also helps cleanse the mouth of any aftertaste, making the experience more palatable (very helpful if you must repeat the medication in a few hours!). Feeding canned food afterwards is also effective. Many owners purchase special treats, some with a pocket to house the medication, to pill their pets.  Since medication in some form is almost inevitable for most dogs and cats, keep that in mind during training. Stay ahead of the game. And just to keep the record straight, the only cheese I eat out of a can these days has the word “Nacho” emblazoned across it. 

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com 

Little Old Ladies

/ Dr. Christine McFadden / Leave a comment

She was a little old lady, short and round as a dumpling. She energetically grabbed her dog from the exam table and tipped him onto his paws. You’d never have guessed her age except for the grey hair. Her dog found his footing and waited expectantly by her feet. “I’ve got to go”, she declared, “I have to decorate the Hall for my sister’s 50th wedding anniversary.” Wow, I marveled, that’s something! A blaze of blue eyes flashed at me. “It’s a pain in the-you-know-what” she said. “My 50th was 2 years ago and every day I wake up and wonder if we’re going to make it.”  She gave me a saucy grin and danced out the door, her dog following her in adoration. I stared after them open-mouthed. Awesome woman.

People and pets share their lives with me. It’s a jumble and a jungle out there, and hanging on to these moments builds a life. On a long work day, I spend more awake time with fellow staff than I do with my family. 

When I’d first started out in town I struggled to put my textbook medical knowledge together with my patient’s needs. My focus was on the animals and I learned their names first. This fact appalled me the day I rounded a clothing carousel at a local store and came face to face with a client. The woman looked up, a smile starting and then fading as I blurted out “Beau!” – not her name at all, but her dogs. Good grief! I worked harder to learn BOTH their names in future but don’t test me on that one. Over the years my brain often refuses to let go of the first impression, the pet we bonded over who is now deceased, so that I continue to call the next dog, or worse, the third or fourth pet that follows, by the original dog’s name. My staff cringes at these mistakes, occasionally alarmed as they search for other signs of dementia. There’s Zoie’s Mom. Oh, she has another dog now. Mrs. R is 87 years old. Last year she took a trip to China with her daughter. Next year they’re thinking of Australia. Zoie was a 10 pound black miniature poodle who had epilepsy and the sweetest disposition you could ask for. Her new dog is 3 years old, but she will always be the “new” dog. When we get together we talk more about Zoie. The new dog is very healthy and we don’t have twelve years of medical battles fought and won to look back upon with her. 

And I have fond memories of the family matriarch, in her 90’s, who put out condensed milk for her cats every day. They were all terribly obese. She confided to me once that if they turned up their nose at a can of food she’d just open another flavor. Sometimes, she said, there would be as many as 7 cans lined up along her porch. I marveled at the ability of our pets to train us. She took in many neighborhood strays and it pleased her to spoil them. She laughed at my dietary advice. Condensed milk had seen her into her 90’s and I wasn’t going to convince her otherwise.  She gave me a chocolate colored blanket she’d hand crocheted. I have it yet.

old ladydog-walking-4426782.jpg

It was a little old lady who taught me about the bluing older woman used to take the grey out of their hair and make it lustrous white. True, sometimes it turned their hair a delicate blue. This invaluable knowledge helped me make white poodles whiter. 

I’ll be a little old lady someday. I’ll hoard cats and keep too large of a dog and goodness knows what other kinds of critters. I plan to wear purple with a red hat and act up just like those women in the Red Hat Society, because I love the poem by Jenny Joseph. And to all the older women who have shared their pets and their lives with me, thank you for enriching my days and just for being you.

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Ronda and the Very Bad Paw

/ Dr. Christine McFadden / Leave a comment

It was late in the day when the Animal Control Officer from the City of Merced Police Department brought us a stray cat that was in trouble. This service is provided to injured stray animals in the City, and it is up to us to determine if they can be helped or, sometimes, to help end their suffering. This little grey cat weighed in at 7 pounds and had a left front paw mildly swollen from what appeared to be a bite wound. She was running a fever, almost 104 degrees F, but was purring and in general seemed very happy to have been found. We shaved her wound; the paw didn’t look too bad. We could help her.

Under anesthesia I opened the abscess so that the pus could drain out, using a sterilized rubber band to act as a seton or drain to keep the tiny wound open for healing; otherwise it might close up too quickly, sealing bacteria inside and the abscess would not resolve. The cat was temporarily named “Ronda” by the staff, given an antibiotic injection and some subcutaneous fluids for her fever and placed in a cage with her own comfy blanket.

End of story, yes? I moved on to other patients, leaving the daily nursing to our extremely capable nursing staff. When no one claimed Ronda after several days, we approached the local Rescue Group, New Beginnings For Merced County Animals, to ask if they might be able to find a home for her. They agreed to take her in. New Beginnings was founded over 11 years ago by a remarkable local woman, Sharon Lohman. The non-profit organization works with over 70 volunteers and pet Foster parents to find homes and care for well over 5,000 dogs and cats each year. It is estimated that they have saved the lives of up to 75% of the dogs who enter our local shelters.

Well, Ronda’s story didn’t end with that first minor surgery. Her swollen paw didn’t respond to treatment. Irritating. Abscesses like this just aren’t that medically challenging. I threw a second, high powered antibiotic at her, and added twice daily foot soaks in antibacterial wash. Kindergarten medicine! Open an abscess up, drain it, and voila, they practically heal themselves! Ronda, however, hadn’t read that medical bulletin. Pus was leaking around the drain, but her paw wasn’t healing. We tested her for the feline leukemia/FELV and feline aids/ FIV viruses, in case Ronda was immunosuppressed. She tested negative for both (and people CANNOT get HIV or AIDs from cats).

Eight days after she had been admitted, Ronda was still there, her paw enormous! We took x-rays, looking for signs of abnormal bone tissue, maybe a sliver of metal acting as a foreign object. Zilch. Normal. I was worried that Rescue wouldn’t take her. (They do a lot of fundraisers, but sometimes it comes down to “do you want THIS animal, or will helping 5 others be better?”). Now we were discussing amputating her front leg to save her life. I was furious with that paw. Because of the progression, I was certain that I was dealing with an anaerobic bacteria, one that didn’t require oxygen to grow. These bacteria can be difficult to kill. I asked for the weekend, and told Ronda she had one last chance.

I took her to surgery again. Knowing that I had to expose all possible tissue to oxygen, leaving no place for bacteria to hide, I literally dug through each toe, around each pad. I placed two ¼ inch penrose drains (don’t ask me how) in that tiny paw. I added on an antibiotic better known for fighting anaerobic infections and we all sat back and held our breath. In 48 hours her paw was fine. Ronda kept her leg, healed quickly from that point on and went to her new home. Lesson re-learned: Never assume.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Follow drmcsveterinarytales on Facebook for even more!

Weight Loss Dreams

/ Dr. Christine McFadden / Leave a comment

Myrtle had lost 8 pounds. I was most impressed. A middle-aged Australian Shepherd, she’d never had puppies, so couldn’t excuse her mid-life spread by pointing out her gorgeous offspring. Myrtle had been spayed young, which virtually guaranteed that she would not contract breast cancer in her lifetime (a 1-in-4 risk for older intact female dogs). This also meant she couldn’t drum up excuses about hormonal changes late in life. No, sadly, Myrtle would garner no awards for discovering the mystery behind unwanted weight gain : too many calories in, not enough burned off. In short, Myrtle over-ate and slept in. “Exercise” was not in her vocabulary.

 

When you realize that she had stuffed 73 pounds into a 50 pound body frame, you might begin to understand the concern. A young dog that is overweight can usually bear the extra pounds with grace. They are active, if perhaps less agile than a truly fit play mate. But look ahead : after years of joints and body parts groaning under those extra pounds, you will find this same pet to be suffering from arthritis at a much younger age than its counterparts. The overweight dog faces their senior years plagued with creaky knees and groaning hips. Yes, we have bunches of medications to come to their aid – an arsenal of anti-inflammatories, analgesics (an analgesic is a straight pain medication that is meant to mask the pain but does nothing to change the underlying condition, does not reduce inflammation, etc), dietary supplements, omega this and that – and they work. They do. But NO pill helps a suffering obese dog as much as taking that extra weight off. The weight loss can’t reverse the damage already done, but it will significantly reduce the everyday burden and muscle strain required to move the body.

 

As a group veterinarians are seeing obesity with increasing frequency in pets of all kinds. Diabetes mellitus (sugar diabetes) is on the rise, as are heart disease, exercise intolerance and heat stroke.

 

We feed our dogs too much, too often. I would like to think that the man who assured me he fed his dog only doughnuts was kidding. I understand the desire to share food with those we love. At our veterinary clinic we stock a low cal treat in each exam room. They gum up like rice cakes and average about 3 calories each. No, I don’t suppose anyone would chose it over bacon, but my patients on the whole accept them. The Disney stickers we used to hand out were a little dry going down. We serve treats because we hope our patients have a pleasant experience. We understand what you’re going through.

 

When meeting a pet who desperately needs to lose weight, I try to review the actual diet as fed at home. There have been some surprises over the years. Dental chews help keep teeth healthy. Bonus! Because most people do not brush their dog’s teeth. But we found some of those chews had up to 50 calories each – which for a tiny dog leading a “lapdog” life could account for 1/5th of their total recommended daily caloric intake! Dog food companies have been slow to publish the calorie count of many of their foods. If found, it will read as “Kcal” or kilocalorie, which is the same as “calorie” in everyday life.

 

So-called “lite” or healthy-weight or weight-management diets can have widely varying calorie counts. Get that information, calories (Kcal) per cup, before choosing which food is best for your pet. Extra fiber will fill up the stomach, helping your dog feel satisfied with smaller meals. Your veterinarian is always there to help. Blood tests can be checked to rule out underlying health issues, and we offer assistance with prescription weight loss foods and plans that really work – if followed.

 

We strive for balance. As long as we count the gummy bear and the cocktail peanuts, we can help you make the life plan work. Because at the end of the day, the real reward is talking to Myrtle’s owner and hearing her say in wonder : “It’s as if she’s 2 years younger. I’m getting my dog back.”

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com