blog

Starbucks Drama

/ Dr. Christine McFadden / Leave a comment

Sometimes it is difficult to find the thread where it all began. Maybe this story started when I first stopped giving out my real name to people taking my order for pizza or coffee or things. People never seem to be able to spell my name. What with the influence on “finding yourself” and being recognized as a unique individual, it seems that all the rules of spelling went out the window and people came up with very creative ways to write their names. I just gave up. The time it took to spell out my name required too much effort for a combination pizza, hold the bell pepper, regular crust, please. So after noticing that a friend was never asked how to spell her name, I adopted it for myself. Across town, if you can order it by phone, chances are my cell number comes up as “Amy”. I assure you, everyone knows how to spell “Amy”. Irritating.

 

So on this morning I had just finished some minor surgery on an alpaca at the Zoo. One of my staff, Courteney, assisted. The alpaca had formed two large abscesses under its jaw, suspicious for a disease caused by the uncommon bacteria Corynebacterium pseudotuberculosis. These fist-sized masses were painful. The alpaca had to be sedated and the abscesses lanced open with a scalpel blade, then surgical drains placed to allow continued drainage while the antibiotics took effect. The operation went smoothly and best of all, neither of us were spit upon. This was excellent, as we still had most of the day before us. To celebrate, I offered to buy her a drink at Starbucks as we returned to the clinic.

 

She placed our order and the man behind the counter asked for a name. “Amy”, I declared without thinking. Courteney shot me a look, eyebrows raised, but the guy behind the counter said “I’ll just make that “Dr Amy”. Startled by all this attention, I mumbled that my real name was Christine but no one could spell it and retreated to a spot near the door where I tried to melt into the wall. Courteney came over to cheerfully inform me that he was a client. Had the dog been there I had a good chance of making the connection but as it wasn’t I stayed glued to my wall.

 

So when the Starbucks man came in today with his two dogs, one an adorable Golden Retriever puppy that looks like an overgrown stuffed toy and his chocolate Lab, I recognized him immediately and was again mildly embarrassed not to have identified him at Starbucks.

And then I remembered That Other Starbucks Drama. Talk about Déjà vu. I’m going to have to write the company a personal apology. Again.

 

Flashback about 4 years. Another Zoo call, this time in winter. For some reason I became completely chilled, my fingers painfully numb from the cold. My assistant that day was Tim. I offered to buy us both a hot chocolate to warm up. We pulled up in front of the Starbucks store, delighted to find parking directly in front. Large glass windows allowed everyone inside to watch us get out of the Jag. Wearing green scrub tops, we looked important, like proper doctors. It was only after placing our order that I realized I had left my purse at the clinic. I turned to Tim for help, but he didn’t have any cash on him. All eyes were upon us. Our drinks were ready. Horrified, I tried to explain the situation but the kind barista waved us off, telling us to take our drinks. This was worse, obviously they’d been scammed before. Red faced, I fled the scene. Once back at work, I immediately sent Tim back with $20. (I’d have gone myself but there was a surgery waiting for me.)

 

Tim returned, now red faced himself. After paying our tab, Tim apologized again while backing towards the door. Unfortunately he backed into a display being used as a room divider, which exploded as he bumped it.  Tim got down on his hands and knees to gather up items as fast as he could, but they asked him to leave. Please. They seemed to feel we’d done enough for one day. Back at work, the staff created a Starbucks “ Most Wanted” poster with Tim’s face on it.

 

So now you know why I pass myself off as “Amy” sometimes and as for personal apologies : I swear I won’t combine Zoo visits with Starbucks again and  oh yeah – I don’t even drink coffee!

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Summer Vacation / Hawaii 5 Days or Less

/ Dr. Christine McFadden / Leave a comment

Well, I said helpfully, I just called up so you could yell at me.

Complete silence for a moment, followed by protestations. They had never been upset with me. Everyone was so lovely at the clinic. Their pet had never been away from them before.

Their dog boarded with us for a week. A joyous, boisterous good time was had by all. Their little Maltese, Princess, had never been anywhere where she could bark as much as she wanted. Once she realized there was no shushing, she barked herself hoarse. There was so much to see and do, dogs coming and going, the occasional call of a parrot, exotic sights and smells. New people to romp and play with, as her owners knew from receipt of photos and video outtake of their Princess at play. Not wanting to miss a moment of the party, Princess skipped her daytime naps. Accustomed to daily brushing at home, she submitted to some brushing at the clinic but wiggled uncontrollably because she wanted to play some more! Rules went out the window as this little Maltese took advantage of every new opportunity that came her way. We took to calling her the Energizer Bunny. The day she went home she had a bath and blow out and went trotting out the door, every inch the Princess.

Remind you of anyone you know? Ever needed a vacation after the vacation? Guess what, dogs do it, too. And for the pet owner who has never seen their dog like this, it’s scary. Understandably, their first reaction is to ask: what did we do to their dog? Often at high volume, because they’re worried. I no longer try to explain the “vacation syndrome”, I just offer to see their pet, courtesy, to check him or her over for any actual health issues. To date, I have never found a problem and all these pets have returned to normal behaviors and routines within a few days of going home.

And then there are the good folk who take their pet with them. Oh, to hit the open road, man’s best friend at your side. I’m supposed to tell you not to forget your health certificate, but unless you cross borders into another country you may not be asked to show them. I’ve heard national parks will often inspect these documents. They are technically required by law for interstate travel by car. Of course, some people get carried away and want to take their pet with them on vacation to places like Hawaii. We’ve discussed this in this column before that the State of Hawaii, a group of isolated islands, is rabies free, unlike the rest of the USA. They have stringent requirements before a pet may enter Hawaii. Some clever person named the program “5 Days or Less.”

Clients who come to see me are disbelieving when I explain that the 5-Day-or-Less Program is available AFTER 120 days from our first meeting. First their pet must meet the requirements for prior Rabies vaccinations and microchipping before we will submit a Rabies titer blood test (FAVN) to a government mandated lab. The 120-day countdown starts with their passing FAVN test. Four months later you may fly to Hawaii with your pet and enter the Islands that same day – 5-Days-or-Less! Ta-da! Should you fly your pet there earlier, they’ll just quarantine him/her on the island for 120 days at your expense. You are permitted to visit on-site.

I’ve worked on a lot of Health Certificates to foreign locales. I respect the concerns behind their requirements. I do wish that Hawaii had come up with a different name for their program, as the current title is misleading to many clients. Experience has taught me to quietly sidle into the room, smile brightly as I congratulate them on their big trip to Hawaii and ask when they are planning to travel? I roll out my paperwork and gently start to explain what actually lies ahead of us. Today I barely flinch when the client starts screaming. We work through it. And may I say that Hawaii is a piece of cake compared to Japan. Japan, also Rabies-free, requires that you start the process over 6 months in advance. I just completed one that we started in July of 2017. Two more are in the pipeline. That was me you heard screaming.

Christine McFadden, DVM

drmc@mcmenagerie.com

Dog flu has been reported in the Valley. Here’s what you need to know.

/ Dr. Christine McFadden / Leave a comment

Serious news for all dog owners in recent weeks, folks: Canine influenza, or dog flu, has been documented both in San Francisco and the Bay Area and in Fresno. Up to 50 cases were diagnosed in the Bay Area in mid-January, with a confirmed case in Fresno announced Jan. 24.

holding-dog-head-e1519278244598.jpg

This dog flu is highly contagious between dogs, with 80 percent of all exposed dogs becoming sick. Most of these dogs will be only mildly sick. Symptoms include coughing, sneezing, runny eyes and noses. Some dogs whose respiratory system has been attacked by the flu virus will develop secondary bacterial infections and have thick purulent (pus) discharge from their nose and a very high fever. Occasionally even pneumonia can occur and in rare instances, death.

You’ve all probably heard of “kennel cough,” which is a generic name for a variety of viruses or bacterial infections that cause a cough contagious to other dogs. The actual cause of bronchitis can only be determined through tests. An oral cheek and eye tear swab can be sent to the lab for a PCR test (polymerase chain reaction – if you really want to know more on that kind of testing, please research!) When last checked, a PCR upper respiratory test in dogs looks for up to 13 different viruses and other agents, including both forms of the Canine Influenza, H3N8 and H3N2. Dogs in close contact easily spread the germs by coughing on each other – in a kennel, a grooming parlor, at a dog park, day care or shelter. Anywhere dogs meet. In addition the flu virus can be spread by contaminated objects like food or water dishes, collars and leashes.

Should your dog contract canine influenza you will need to see your veterinarian. Treatment is tailored to symptoms and whether secondary infections are a concern. All affected animals should be isolated from other pets for 1 month to prevent the spread of this disease.

Canine influenza first made headlines in 2004 when several racing Greyhounds dropped dead in Florida. This was the CI H3N8. It wasn’t until March 2015 that there was another crisis when an epidemic broke out in dogs in Chicago. This was a different form of CI, H3N2. They thought part of the reason for an outbreak in a big city had to do with large concentrations of dogs moving through airports. The dog flu has not been widespread and risk to pets in many parts of the U.S. has been low.

The dog flu H3N2 has been known to affect cats. One outbreak occurred in cats in a high-stress shelter environment. No cats are known to have died from the canine influenza viruses, and there is no approved vaccine for cats.

Canine influenza viruses have not been found to be transmissible to humans.

Should you like more information on the canine influenza viruses please look up the American Veterinary Medical Association article on-line. Your local veterinarian has information and protective vaccine available to your pet. This bivalent vaccine protects against both strains of dog flu. Two vaccinations are required to start, given approximately one month apart, and can be started as young as seven or eight weeks of age. Because it takes a month for your pet’s body to mount a complete immune response, and given the closeness geographically of the epidemic, we recommend all dog owners contact their veterinarian to start protection. Be aware that like the Bordetella vaccine (a better known “kennel cough”) and human “flu shots” even with proper vaccination your pet might contract a mild case. Many area clinics are offering the vaccination to their regular patients. Simply put, we want to protect your pets. We’re here for you.

Christine B. McFadden

drmc@mcmenagerie.com

The Large Animal Vet

/ Dr. Christine McFadden / Leave a comment

 

 

Perhaps the title sounds misleading. A “large animal” vet develops a veterinary practice caring for the needs of livestock such as cattle (dairy or beef), sheep, goats and pigs. A “small animal” veterinarian like me is usually slotted into the care of companion pets such as dogs and cats. So when I examine a 200 pound dog, it is still a small animal and likewise there is often confusion about whom to call when the patient is a pot-belly/miniature pig. Not me.

 

The life of a small animal vet and that of a large animal practitioner are markedly different. One works almost exclusively indoors, dressed neatly, white coat in place. The other weathers life outdoors, facing extremes of blazing heat to icy cold, rain and snow. One always has a sink handy to tidy up. The other uses outdoor hoses more than they’d like. A dairy vet may check over 100 head of cattle in a morning and four “farm calls” make a full day. A small animal vet may follow the medical strands of more than 25 patients a day, winding through exams, blood results, x-rays and working in a surgery or two.  All juggle the demands of unexpected emergency work.

 

Being in an office most of the day, I rarely interact with my brother and sister large animal veterinarians. So when the pygmy goat from the petting zoo fell over dead I was unhappy, but proceeded to perform a post-mortem examination and sent tissue samples off to our regular lab. I had overseen the care of these goats for many years, but they were on the back burner when it came to my interest in the truly exotic Zoo collection. My concerns centered on whether or not the public might have fed something odd to the goat? (I’ll jump ahead here : No. The public did not harm the goat). I mulled over the problem but prepared to wait until the pathology report was finished sometime in the next week. And then another goat died.

 

I was unnerved. The goats were being closely watched and none had shown any outward signs of sickness. They had all lived for more than 8 years at the Zoo and had never, collectively, suffered a single injury amongst themselves. I immediately sought the expertise of a Large Animal veterinarian. The Goat Expert was on a dairy farm. The return call came in as I was finishing one surgery and about to start another. Gloves still on, I was staring at some x-rays

in-between these surgeries when they told me they had Dr. B on the line. Multi-tasking at its best.

 

I hurried over, snapping gloves into the waste receptacle and grabbing pen and paper. I introduced myself and LAUNCHED into a recital of my goat woes. I verified that he had goat experience? Yes. I gave him dates, genders, date of deaths, lack of lab results, still pending. I drew breath to spew forth another list of details and heard him gently respond, “Yes…. I think…. I might be able…. to help”. His measured tones were from a man used to the gentle rhythms of milking machines, contented cows swishing their tails, chewing their cuds. Da-dum da-dum to my staccato dop-dop-dop-dop-dop! I managed to squeeze in a few more hurried sentences (surgery! Waiting!) before he responded calmly, “I think I drive past your practice on my way up from this dairy….”. I opened my mouth. Closed my mouth. I could hear the clouds, feel the sunshine, almost see the shining black and white hides of the gentle Holsteins he surveyed as we spoke. It was all there in the rhythm of his speech. I told myself to stop yapping before he decided my goat problem would be too stressful for him to bother with.

 

An hour later Dr. Thomas Bauman drove up in a large truck outfitted for all manner of veterinary ministrations. He spent an hour and a half doing a post-mortem on one goat. He had a wicked knife and mulled over the cause of sand in the stomach. He felt it was too much. Did we feed on the ground? No. But little kids feed the Zoo goats oat hay pellets and they often dropped to the sand, with all the goats scrambling to get their share. Hmmm. He gave the problem his full attention and we submitted a gazillion samples to the State Lab, including an intact eyeball because it would be useful for trace metal analyses. The final answer was a copper deficiency in the feed, to which Pygmy goats are especially susceptible. Hay grown in the San Joaquin Valley is often deficient in copper. The salt lick fed at the Zoo did not have added copper because Alpacas are in with the goats and they are susceptible to copper toxicity (too much) if supplemented. So we now feed our goats little capsules of copper wire every six months and all is good. But sometimes I find myself wishing that I was a Large Animal veterinarian. Just so I could slow down and smell the …..never mind.

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Walking Your Dog

/ Dr. Christine McFadden / Leave a comment

Walking the dog is good exercise, good for the dog, good for the family. Done properly, you take in some sunshine and fresh air. You have time to admire the blossoming trees and critique your neighbor’s landscape. Wait a minute, there’s a “proper” way to walk your dog? Hmmmm…

 

Young puppies need exercise to build strong bones and muscle. Psychologically their mind will be more focused if their body is relaxed after a good run. Good manners and obedience training is then maximized. The average dog needs 30 to 60 minutes of hard exercise every day – not just a leashed walk around the block. Some breeds, like hunting breeds bred to run for hours, may need more exercise than a breed bred to be a lap dog. Different personalities require more exercise to tire. Know your pet.

 

Because of the high prevalence of canine Parvovirus infection locally, all puppies should have received three or four vaccinations for this and Distemper by four months of age before hitting the streets of Merced.

walking dog.jpg

Dogs that do not receive adequate exercise are often bored and that pent-up energy can turn into destructive habits: tearing up furniture and household items, digging up the back yard, constant barking. Yech! No wonder you see those ads for free dog, needs big back yard.

 

As your dog grows older his or her exercise needs change, especially if your pet has any health issues. Arthritis is as common in older dogs as in older people, and regular exercise is even more important to keep them moving. You can fall into a vicious cycle : it hurts to walk, so you let your dog stay home and sleep. His muscle tone deteriorates further and can’t carry the weight of his own limbs. Muscle atrophy occurs, and now your dog walks bone-on-bone. This is where regularly scheduled daily exercise helps to keep that muscle tone built up and will improve your dog’s mobility. This is also a good time to consider working with your veterinarian to consider arthritis medication options, customized to your dog’s kidney and liver function. Your vet will review with you dietary options, over the counter supplements and anti-inflammatory and analgesic (pain) medications. Working together we can optimize your dog’s athleticism and enjoyment of life well past what used to be achieved.

 

Explore the lovely foot paths along Bear Creek and Black Rascal Creek. Merced neighborhoods enjoy our climate by showcasing flowers throughout most of the year. Clean up after your pet’s waste, don’t let your dog soil someone’s yard. There are many handy gadgets available today to make the minor chore quick and easy.

 

Please review the weather before setting out. The Valley rarely suffers severely cold days but there’s no denying that our summer weather includes many scorching days over 100 degrees. Feel the asphalt with your palm. Even after the sun has gone to bed, you may find the road too hot for doggie feet. They aren’t walking on rubber-soled athletic shoes that insulate their feet from the baking asphalt! Early mornings are most cool for pet and people if you can motivate yourself to get out there and enjoy our sunrise.

I feel I must add a word of caution to all would-be dog walkers and perhaps especially to parents of young children who wish to take the dog for a walk. Dogs attract other dogs. Your pet may be walking obediently on a leash, minding its own business and another dog or dogs may come from nowhere. These loose dogs may attack your dog. If you try to intervene they may leave your dog to attack you. Some of my clients walk their dog and carry a stout walking stick for possible defense. Some carry pepper spray but I have heard that it is often ineffective on dogs, not to mention you must be close enough to aim for the eyes. An inventive scheme is to carry an umbrella, and if a stray approaches rapidly open and close the umbrella to fend off an attack. Loud noises, such as produced by an air horn, could also frighten away a dog. Always stand your ground and face an approaching dog, saying “NO” in a loud, commanding voice. Hold your hand out firmly in the universal gesture for “Stop!” Do NOT scream and jump around as you have now become prey. Should your dog actually be attacked do NOT use your hands and arms to try to pry them apart – every year I have a client or two sent to the hospital when the attacking dog turns upon them (or their own dog bites them, frenzied as it tries to protect itself). Only a stick, a broom, a chair, some kind of physical object can be used to wedge the dogs apart. Know your neighborhood. Do not walk your dog near homes with chronically loose pets or dogs that bark viciously along the fence line and might jump over.

 

Taking a walk has benefits that far outweigh the risks. Get out and enjoy our spring!

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com