Let’s talk PDA’s…

Dr Mc Blog

So back in 2003 I started to date this guy that had been an attorney, and was now doing the family law judging in town. I don’t know about the rest of you, but I had happily stereotyped lawyers a long time ago, and though I even knew a few I’d call friend and neighbor, still… you know what I mean? But this man was genuinely nice, we’d been introduced through mutual friends, and on this particular evening he had invited me to a very nice Italian restaurant north of town. We muddled through a few topics during the appetizer, and just as the soup and salad course arrived it became difficult to overlook an overly affectionate couple at the next table. I shook my head and looked away. My date re-focused my attention on him, saying with enthusiasm “we need to discuss that!” I shook my head again, dismayed. “Discuss what?”

“PDA’s”, he said.

I stared, riveted in place. My jaw literally dropped. Patent Ductus Arteriosus?!? He had my full attention while I marveled at the RANGE of this man. In seconds I was reliving my first case in vet school, which involved a mother goat and her kid. The youngster was born with a heart defect, Patent Ductus Arterioisus or PDA. The condition is not that uncommon in newborns of any species: an embryonic blood vessel that bypasses the lungs while circulating blood through the heart in the unborn fetus (no air to breathe inside the womb!), it is supposed to close up just before birth. If this particular blood vessel or duct doesn’t close completely, you can hear a swooshy abnormal heart sound, or murmur, in the newborn and most importantly, if the retained embryonic vessel is very large, it will continue to bypass the lungs and the baby may not receive enough oxygenated blood! This can be a life- threatening condition. Happily, most will close on their own within 2 weeks of birth. I still encounter this condition occasionally in young puppies and kittens, and have even had to refer tiny patients to cardiac surgeons for life saving surgery.

It is an intense situation when encountered- and here was my date, delving deep into such an intense subject on a first date!

“Wow,” I said, leaning forward, now fully engaged in this conversation, “What did you want to talk about, when have you encountered this?”

“Well,” he gestured, “on dates.”

“Dates? Your dates have had heart problems?”

“What?”

We were both now staring at each other- (remember, this is early days, when you still give the benefit of the doubt to each other- you know, he seems like he can walk and chew gum at the same time; she appears to be able to navigate a room without falling off her heels – you are charitable). But?!?

I waded in again. “Aren’t you talking about Patent Ductus Arteriosus? A heart murmur in newborns?”

The man who would become my husband glared back, “No, I’m talking about Public Displays of Affection!”

Silence again as we contemplated each other.

“Oh. I’ve never heard of that before.” I mumbled, ” What kind of public displays of affection did you have in mind?”

Never mind. The zest for the topic was gone, and we segued into other, safer conversation.

Christine McFadden, DVM
drmc@mcmenagerie.com

Summer Hiatus

So all the plans for blogs, journaling and the excitement of a new web page were swept away – drowned, actually – in the wake of disturbance created by our new computer program! Indeed, summer seemed to get swept away. I have yet to find that computers are great time savers, though there is no denying that for retrieval of history they are awesome. As long as you input the data to begin with, that is. Oh. So having wrestled the new software into submission (we submitted, actually), we are now back at it. Hello, Blog!

And right there with us have been the chickens. So I conceived a wonderful idea (note light bulb over my head on your next visit): let’s get chickens! I have a small fruit tree orchard at home and am opposed to spraying pesticides and have noted over the years the slow but steady increase of insect varieties amongst my trees. Nothing terribly serious (until the cherry fruit fly moved in) but the trend was disturbing – I’m willing to share my fruit, but the bugs appeared to have their own agenda. And I’m not an entomologist! I’m saving my love for the pets! Hence nature’s little natural bug factory: chickens! Bonus: eggs!

Did you know they mail order day old chicks? They arrived at the post office safely, little peepers! A mixed variety of unusual breeds, all girly chicks because we only wanted “baking eggs” like you buy at the grocery store. No danger of cracking into the kind that might hatch… no need to traumatize children or ME. So we set up the little sweethearts and watched them GROW every DAY. It was amazing!

They got their own little coop and an exercise yard and fresh greens every day and… and… the incidental expenses can be overwhelming! But we really enjoyed our chicks in the Summer of the Computer and found their feathered baby antics quite soothing. It was a family affair – we took deck chairs out back to watch them. So I am now heartily recommending adding a few chickens to your yard – and once those eggs start coming, let me know if you’d like a few “baking eggs” – they’re a special kind that every family needs.

Christine McFadden, DVM

Pedicures For Pooches And Winged Critters

Just a short note today. Had a bird in last week with nails curling back into his feet. We see the same problem in dogs, and to a lesser extent in some cats (cat nails grow differently- instead of continuous growth, they grow and shed the tips intact, with tiny new tips or sheaths underneath). So there’s always the question of HOW to trim nails, and sometimes WHY they over-grow.
For many dogs and birds, their nail tips may be lightly clipped with a “human” nail trimmer. If the nail itself is white, you may be able to see the pink vein inside and avoid cutting into it, or  “quicking” the nail and making it bleed. BUY yourself some “QuickStop” at the pet supply store, so if a nail does bleed you can stop it by simply pressing a dab of quick stop powder hard into the end. The bleeding itself isn’t a big deal – your dog or bird will not die! It may be more uncomfortable, and I think the styptic powder stings a tad, but sometimes it’s necessary to cut a nail back hard to get things under control.
If a birds nails curl, the bird may be unable to perch! I have also seen dogs that are nearly crippled by curled nails that turn their toes sideways and splay their foot apart! A proper pedicure (sans nail polish) is important to a pets health!
Older dogs with arthritis are especially prone to foot problems and benefit from regular nail trims and shaping. Dogs can develop fungal infections of the nail and weeping infections in the nail bed and tissue that surrounds the toe. Overgrown nails are prone to cracks, splitting, and fractures- which can be so painful that I recommend a mild anesthetic when we repair them (think about digging out a deep splinter!).
One myth I find aggravating on the pets behalf is that cutting a nail back slowly (in stages over a few days) into the quick, causes the vein to recede. The idea is that multiple trims will eventually get the nail to the desired short length without significant bleeding. Let’s walk through this idea (flip flops are fine, hiking boots not required). If you get a paper cut on your finger, it bleeds. The miracle of clotting platelets occurs. You stop bleeding. Within a matter of hours, even if you irritate the same site, it won’t bleed again because the little vessels have naturally retracted! Same with nails! Instead of torturing your pet with every-other-day trims, get it over with once, then maintain regularly!
Regular pedicures vary from pet to pet. Some may need monthly attention, others quarterly . Stay tuned for our soon-to-be-released YouTube how-to video on this subject! Guaranteed seriously good info and hilarious delivery!

Are We Communicating, Doctor?

National Veterinary Technician Week

As a veterinarian I have been called upon to explore deeply into the human psyche. They never told me about this in vet school. My instructors cautioned against saying “oops” in the exam room, and pulling the ears too tightly on a pug-nosed bulging-eye breed of toy dog lest the eyeballs pop out (and yes, do you know it’s true? But I won’t tell about that one.). No, my teachers fell short in preparing me for the Late-Night-Emergency-Phone-Caller.

How would you respond to this call at quarter to eleven in the P.M., deep into REM sleep?

Veterinarian, “Hello?”

“Hello, Doctor? Meow, meow, meow. That’s what my kitty is saying. Meow, meow, meow…” (OK, I stopped counting. It went on for some time.) The voice on the telephone drew breath finally (one can only imagine her capacity under water), then queried, “Do you know what it is, Doctor?” I confess that I was at a diagnostic loss.

Then there was the time that an owner telephoned and wanted me to tell them if their pet was dead. The difficulty was that I had never seen their dog, and it was laying in their living room at home. Quoting a story from the “National Enquirer”, they were convinced that the pet was catatonic and might be buried alive. Convinced as they were, the question was surprisingly difficult to field. I’m ashamed to say that I finally told them to place the dog in a box and if it still hadn’t moved the next day or so I felt it would be okay to bury. Catatonic dogs were something else they didn’t discuss in vet school. It’s a subject I plan to take up with the dean.

Christine McFadden, DVM
DrMc@mcmenagerie.com

To Spay Or Not To Spay

So you think your dog is cute and your friends wish they had one just like yours? Or you think it would be good for your children to witness a live birth? Or you paid money for a dog “with papers” and now it’s time to recoup the investment? You can breed it yourself and make a fortune (no fortune, of course, if the bitch requires a C-Section to deliver, or if you have the puppies examined and vaccinated, or heaven forbid they don’t sell quickly and you have to start feeding them). Yes, mutt or purebred, you have talked yourself into breeding your pet.

Wait a minute. Please. Just because your pet is cute doesn’t mean its progeny will be equally attractive in looks or temperament (do you follow Hollywood?). And those friends who were just WAITING to get a dog often find it inconvenient when the time comes and decide to “wait till the next litter”. And why is it that you want your kids to experience the birth, but you fail to include them in the rest of the story – the ultimate Reality Show where you find out that half of the litter is not expected to stay in its original home? Should you tell your children to choose their favorite, then “kiss the rest goodbye”? Do you know that 25 % of the dogs turned in to Animal Shelters are purebred? That you can spay or neuter your dog for less than it costs to raise a litter of puppies? That HUNDREDS of dogs are euthanized every month, not just here in Merced County, but every city and county in the United States, because we would be over-run with stray and unwanted pets if we didn’t?

Start with one female dog and let’s do the math (courtesy of the Arizona Humane Society):
In her first year she produces 4 pups, 2 of them females (4 total)
Second year production of first and second generation females is 12 pups, 6 female (12)
Third year production of 3 generations of females is 36 pups, 18 females (36)
Fourth year production of four generations of females is 108 pups, 54 females (108)
Fifth year production of five generations of females is 324 pups, 162 females (324)
Sixth year production of 6 generations of females is 972 pups, 486 females (972)
Seventh year production is 2, 916 puppies…..

If you think there is a population problem in the world, it does not even compare to the population explosion in the pet world!

Christine McFadden, DVM
DrMc@McMenagerie.com

Freshman

I remember so well my beginnings at Davis. Being accepted to veterinary school was a dream come true. Large parties were held in my honor. My parents bragged. I bragged. I found an apartment in Davis, bought some new clothes, and picked up a set of dishes from the local grocery store with a large quantity of stamps I’d saved (remember those thick china plates you could save up for with stamps from your purchases?). I got a chair from the Salvation Army at an incredible price because it leaned a little to one side when you reclined in it, and I took the formica kitchen table my parents had when they were starting out. Obviously I was ready for vet school. I rented a U-Haul truck and managed to cram everything in and still close the doors. Everything except a car.

My mother, bless her heart, had the perfect solution. She presented me with a bicycle. Now Davis, as you may know, considers itself the Bicycle Capitol of the world. However, I have not been an avid fan of this form of exercise since age 10. But a bicycle it was to be. My mother didn’t understand why I had to have a French-built ten speed when there was a perfectly good used bicycle next door, rescued baskets and all from the Wicked Witch of the West just as she was riding by with Toto (Surely you recall that bicycle?). I can’t remember if I cried or not when I saw it. I was to go forth and conquer the world on THAT? To start my illustrious career on a bicycle that had a seat broad enough for my bottom and a revolting little bell that went ding-ding? My mother made room for it in the U-Haul, shut the doors and waved me off. The woman had a heart of stone.

These meek beginnings did not prevent me from throwing myself into the wonders of veterinary school. One of my first classes was Anatomy. The class spanned most of the first year and went on for hours. When a client comments “But there are so many different animals to learn” I can only give a surly nod. Spend six months minutely dissecting all the differences, then see how you feel. (In veterinary medicine, as elsewhere, everyone has their own opinion. Two years later a teaching surgeon interrupted my gabble of muscle identification during an exploratory to mutter “you can name it and cut it or you can just cut it!” So much for six months of study).

I acquired a cat and then a dog during my first year. I was given a couch. I traded in my mothers bicycle for a ten speed of obscure origin that I rode in one gear anyway, and eventually got a car. It was a good year and a good introduction to a profession that has never disappointed me.

Christine McFadden, DVM
drmc@mcmenagerie.com