DrMc

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.

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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

Molly and the Spider Plant

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It was Molly who reminded me. Molly is an English Springer Spaniel. Her soft, silky black ears make it irresistible to gently pull them. Her owner was bewailing the fate of her garden, as young Molly had developed a fascination for a particular potted spider plant. She sought my advice.

MollyandtheSpiderPlant

My mind went drifting back to my third Irish Wolfhound, named Shredder. ( You can see photos of Shredder and I on my Facebook Page) If there can be karma in the name you give your dog then he was blessed with boatloads of karma. He lived up to his name. The glue on envelopes fascinated him, and given his size, no kitchen counter was safe for the deposition of mail. He took what he pleased and to this day I blame him for receiving a 5 day cut-off notice from the electricity people. He’s the only dog I’ve ever had who actually did eat the children’s homework. No one laughed. But the real pain in the neck was his attitude towards a tiny potted lemon tree I had started on the back patio. One morning, as I made my garden rounds, I noticed that the tree was a little crooked. Doubtless the dirt was settling, so I carefully righted it, tamping the soil down gently at the base. A few days later I noted it was tilted again. Puzzled, I again returned it to its proper position. As the days passed, I began to realize a pattern here, namely that the tree was being knocked sideways again and again. I was righting it on a daily basis! And then I caught him, Shredder, with a lemon leaf in his mouth, grinning happily, tail wagging. Such fun! Sigh.

So I moved the plant. Nope. Now, as a veterinarian, I had lots of training for behavioral problems. This was drummed into us students as very important, because poor animal behavior can lead straight to the Pound. I became annoyed. I staked the tree with a bamboo stake. Apparently this was not deemed fair play by the dog and next morning I found the tree completely sideways, a branch broken. I righted it. He knocked it sideways. Finally I took metal rebar, settled the tree more deeply in the pot, and firmly staked the trunk every few inches. Satisfied that I had prevailed, I went to bed.

The following morning the lemon tree was nowhere to be seen. When it was no longer fun, Shredder had simply removed the entire plant and shredded it. Who says dogs don’t have a sense of humor?

I did not share this story with Molly and her owner. I wanted them to have confidence in my advice. But when next I saw her, Molly had become truly devious. She not only enjoyed her spider plant but had branched out to include ALL the potted plants. I understood her owner’s angst. I wished I had a fabulous know-it-all answer. There are special Behaviorists in the field of veterinary medicine. They listen for hours to your problems and have reams of questionnaires to fill out. They have many inventive cures to modify and “cure” your dog of his or her behavioral problems. Most of them involve owner intensive time: “Take your dog for a 5 mile walk twice a day, he’ll be tired out and have less energy”(me, too); “Tell him no! sharply every time he goes near your plant, then distract him with a fun activity” (but I needed to run to the grocery store, I won’t be home to distract him); “Use the dimes or rocks-in-the–tin-can method” (but first, how do you really securely seal the thing and second, my aim REALLY is that poor – ouch!). Somehow, behaviorists always have the answers and most of it involves time that most of us don’t have – or the dog wouldn’t be doing it to begin with, right? Fence either your dog or your plants in (expensive! Not attractive!).

In the end, I wanted to tell her to dump the spider plants and try roses. It’s karma. You see, one of the meanings associated with the name “Molly” is “rebellion”. They should have looked it up first.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

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Ronda and the Very Bad Paw

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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

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Missy and Hypoglycemia

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She was so small that her big sister was a Beanie Baby. She’d been sold straight from a cardboard box in the parking lot of a Big Box store. Her owners were entranced from the moment her fluffy 1 ½ pound body hit their hands. The sellers were short on details like birthdates. We guessed her to be 2 months old? She was christened Missy, her basic exam checked out, and she had her first vaccination before they took her home.

The roller coaster ride had begun. Sadly, Missy had already been exposed to Parvo virus. Parvo is dreaded throughout our Valley, as we seem to see a lot of this viral disease in young, usually unvaccinated dogs. With no immunity, they fall ill, exhibiting extreme vomiting and a watery bloody diarrhea. The virus further attacks their body by dropping their white cell count, so they can’t fight off the infection. Many puppies die from the disease. Supportive therapy in-hospital with intravenous fluids and medication provide life support while their body recovers. It’s a puppy’s best chance to survive. Missy was sick so quickly we knew that she had been incubating the disease when she was brought in and the vaccine wouldn’t have had time to provide protection. (The vaccine itself does not cause the disease) Further complicating matters was her very small size. She had no body fat to speak of. Placing an intravenous catheter in her threadlike leg vein was a miracle. And like many tiny, tiny puppies she couldn’t keep her blood sugar up without constant eating – and Missy couldn’t keep anything down. If her blood glucose levels plummeted she might faint, seizure or even die. To counteract this, we added dextrose to her IV fluid drip. And then we worried about overloading her tiny body with fluids or we might flood her heart! We have an IV syringe pump that carefully meters each drop to these most extremely small of all patients.

Missy was a fighter. She gamely held on and after four days Missy turned around and successfully fought off parvo. Hurrah! But within days it became obvious that Missy’s body couldn’t regulate her blood sugar levels on it’s own. She would appear dazed and weak at home for no obvious reason. I had to explain that Missy couldn’t waste a mouthful on treats – many treats are high in sugar (check the labels for corn syrup, dextrose, sugar beets, etc) and just as with diabetics, it gives a quick sugar high and then just as quickly dips back down. The dangerous Sugar Rollercoaster. Don’t take that ride! Missy needed to eat dog food, with protein, fat, slow-release complex carbohydrates (carbs are the sugars in food) and the calcium, vitamins and minerals a growing puppy needs. For several days she had to be fed every two hours, including at least once during the night. We expected her to outgrow this…. but when?

Missy’s body did learn to self-regulate. She grew to over 4 pounds. She finished her series of puppy shots and had no further health set-backs. We set the date for her ovariohysterectomy /spay for 8 months of age, when I could reevaluate her teeth – tiny dogs often have delayed dental eruption (they are slow to lose their baby teeth) and if retained, the baby teeth will crowd the adult teeth, trapping food particles and eventually rot out both teeth! It is so much easier on the puppy to remove these excess baby teeth under the same anesthesia they undergo for their spay / neuter surgery. We schedule the surgery when the adult teeth have come in. The big day came. We checked Missy’s blood sugar before surgery. Normal. We checked her teeth – she had retained three deciduous canine (fang) teeth. We extracted them. Hurrah!

Monitors beeping calmly, we proceeded to spay Missy. She acted like a completely normal patient, recovering beautifully. Hurrah! Postoperative blood glucose tests were all normal. Another hurrah! I don’t know if her little feet ever touch the ground (spoiled by love), but in addition to all the other miracles, Missy is a superb outgoing doggie friend to everyone she meets. Hurrah!


Christine B. McFadden, DVM
drmc@mcmenagerie.com

Hysterical Clients

/ Dr. Christine McFadden / 1 Comment

Who said veterinary medicine wasn’t fun?

There’s the man who got out of jail (he didn’t say why- either for going in or getting out) and came home to find his dog sick. This enraged him. We know this because he brought the dog to us (he was passing by, thought he’d drop in) and he was very thorough in his explanations to us of society’s injustices, particularly that he might have to take financial responsibility for his pet. We couldn’t diagnose the illness without a blood test – and magic wands are out of date, though I kept one on my desk for years. We’ve kept statues of the Virgin Mary, Buddha, dice, and a crystal ball. We do not turn our nose up at anything that might intervene on behalf of our patients. In the science-based world of medicine we have seen miracles – but we have also seen cases where the pet should have lived, by all rights, but died. In the end, we fall back upon diagnostic tests because they do just that: they help us to diagnose your pet’s illness, to unlock the pieces of the medical mystery so that we may help the patient.


This man was very angry. The time spent in jail seemed not to have been used for self-reflection or internal contemplation. It seemed unlikely that he read poetry. We thought we should focus on the dog. We weren’t entirely sure he could focus well enough to drive. He had no interest in paying to care for his dog nor did he wish to surrender it to a Rescue group. So he left. Only to return a half hour later, which we noticed immediately because his car was sideswiped as he drove in to the parking lot. While he was waiting for the police to show up (to investigate the accident) he surrendered the dog to Rescue. Post-script : dog did great.

And I fondly recall Crack-A-Nose. Her name alone kinda gives you a heads-up, yes? A pitbull, she had a huge pink mass of doughnut-shaped tissue protruding from her vulva. Bigger than your fist. It was very dramatic. This dog had a condition called vaginal hyperplasia, or swollen vaginal tissue. It is not a true prolapse of the vagina nor a cancerous tumor. It occurs when a female dog has been in heat, producing high amounts of estrogen. The swollen tissue will shrink back to normal size when the estrogen hormone has declined – and the fastest, most effective and permanent cure for that is to recommend an ovariohysterectomy or spay. I explained all of this to her owner, a young woman who was rail thin with blond hair, beautiful, a little twitchy. The young woman pulled a fistful of hundred dollar bills out of her bag. She requested that I perform whatever services were required and informed me that she would pay in full right then. I agreed to her terms and performed surgery successfully that night. I figure the dog must’ve been a great guard dog for some very important stash, oops, stuff.

Now stop me if I’ve told you this one before. This was when I worked in a small office off Highway 59, still called “J” street back then. I remember the skirt I was wearing because it was the last time I’d ever wear it. It was quiet, around lunchtime. A man in his twenties came in. He announced that his dog had been run over by a mower. I was nearby and nodded, told him to bring the dog in. Occasionally you see an overactive puppy bouncing around a lawn mower and accidentally getting a toe clipped. Not very serious. He stared at me. But he’s bleeding, he said. I nodded again. This was to be expected. Please bring him in.

And he did. Only he hadn’t been talking about some little push mower, he meant a tractor hay/disc mower (the tractor weighs over a half ton) and it had practically amputated the dogs’ leg, so the “bleeding” he’d mentioned was an enormous spraying jet of blood from the severed femoral artery. The dog was going to bleed out – I was surprised it hadn’t died already. I stepped in with a pair of hemostats to stop the gushing fountain and got lucky. I completed the amputation in a sterile surgery and the dog lived. But my clothes were history.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

The Raw Movement

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There has been a call for us to return to the simpler life, back towards the days when all things were more “natural”. Sounds healthier, yes? “Natural equals healthy” they shout. Raw milk for the family and raw meat for the dog. Ummmmmm. Not always. I myself am happy to be the beneficiary of many scientific discoveries. Let’s take a look.

In 1928, Penicillin, the first true antibiotic, was discovered. An antibiotic is a medicine that destroys bacteria and other microorganisms (germs). Prior to that, the average life expectancy for a person was around 48 years of age. Before antibiotics people and animals often died from infection. Childbirth, surgery, and many diseases were often a death sentence because of the attendant infection. In the year 2019, the average person may expect to live until they are 80 years of age. Why the change? In large part, because of the decrease in deaths from infectious diseases. Antibiotics, Vaccinations, Disinfectants and Sterilization, improved hygiene. Thank you, research scientists!

In 1950 over half the American population lived on farms. Over the next 20 years farms and the multi-party line telephone would disappear as young people moved to the cities and family farms consolidated into mega-businesses. Suburbia was born. Also in flux was how we viewed and cared for our pets. There are fewer working dogs today, and their work has evolved from livestock assistance on the farm into service roles, stepping in to assist people with physical or emotional disabilities. Dogs and cats are recognized for the vital role they play in our everyday lives. We want to care for them the very best that we can, and how we feed them has come under scrutiny as we question our own diet.

It’s true that wolves, foxes and other wild canidae eat raw meat. The average life expectancy of a wolf in the wild is 6-8 years. In captivity, a wolf may live 16-18 years. A wild fox may live 2-5 years; captive, 14 years. Wildlife face a host of “natural” hardships: starvation, infection from contagious diseases (no vaccinations!), infection from wounds and parasites. This is life at its most natural. Most pet dog breeds have been domesticated for centuries. Most can expect to live 10-15 years.

It’s interesting to me that the raw food which people purchase to feed their dog is still a processed food (unless you’ve farmed and slaughtered the meat yourself), susceptible to all the bacterial infections they’re supposed to be trying to avoid.  Raw meat can be contaminated by listeria, salmonella, E Coli, campylobacter and more. What is interesting is that the proponents of RAW claim healthier coats or more energy – not a longer life or true overall health. One on-line site stated that a benefit to feeding a raw diet was that you had total control of what was included in your dog’s food – laughable! We are all aware of the food recalls for both human and animal products : listeria in cheese, E coli in spinach, campylobacter in chicken, salmonella and listeria in commercial raw dog foods.

The truth is : Bacteria aren’t going away. Like us, they fight for survival. They mutate and re-form and will turn up again and again. The Center for Disease Control (CDC), our national public health institute in Atlanta, Georgia, has a battalion of researchers and scientists that follow disease trends throughout the United States and around the world. They’re work is to safeguard us – sometimes from ourselves.

When a client requests advice on what to feed their pets I have a stock answer : Go with the tried and true. Go with a company that has been making pet food for decades, with decades of investment into research of breed needs, life stage requirements, and years of following pets to monitor their health, making any necessary adjustments to their foods along the way. They have invested their livelihood in formulating foods to help your pet to thrive. Often there are a variety of choices within each brand, with ingredient modification to meet the financial abilities of the buyer while still providing decent nutrition for the pet. Bon appetit!

Christine B. McFadden, DVM

drmc@mcmenagerie.com

My Husband’s Hospital Vacation

/ Dr. Christine McFadden / 2 Comments

My first indication that text messaging had gone too far in my household was the afternoon I checked my phone and discovered the following message : “Just wanted to let you know. I thought I might be having a heart attack so I checked myself into the hospital.” It had been sent from my husband’s cell phone.

 

What you need to know were the events preceding this text message. My husband had taken our children skiing two days earlier. On this morning, he had done some moaning and groaning around the house. The problem is, I not only have to get ready for work myself, but I oversee care of the kids, the cats and the chickens before leaving. Getting to school on time is a mountain we climb every day. If it’s not worth opening your mouth to speak up about something, I’m not going to slow down long enough to start an inquiry. He knows where to find his Advil.

 

I confess I felt more irritation than anxiety when I read the message. Really? I’d had a full day and no lunch up to that point. So I called him. He answered. He sounded cheerful. Enough hours had passed before I’d discovered his message that he could assure me that his chest x-rays, his blood tests and his EKG were all normal and he wasn’t having a heart attack. So why are you still there? I reasoned. Well, he rambled on, this doesn’t explain the pain. “What about arthritis?” I asked. Oh no, he assured me, I’ve never had arthritis here. It’s on my right side. I was driving myself to the golf course and felt pain in my right arm, so I pulled over and googled heart attacks. It said they would be on the left side, but I thought I should be sure. They’re going to run another test to see if I have blood clots. If it’s abnormal, I’ll stay for a CT scan.

 

OK, honey. I returned to my own patients. There was a cat that had been tumbled in the dryer for 7 minutes. She appeared dazed, with tiny bruises starting to appear on her skin where patches of fur were missing. She was a lucky cat; only last month, another cat had actually died in a similar accident. We began treatment for shock and started the cat on IV fluids.

 

It was closing time when my husband called. My test is abnormal, he said. “What’s the name of that test, hon?” D-Dimer. We use the D-dimer test in veterinary medicine. Platelets, the cells that help blood coagulate or clot so you don’t bleed out, will slowly break down after they’ve served their purpose. If your body is forming big blood clots where it shouldn’t, the by-product of platelet breakdown will be very high in the blood stream. The D-dimer test measures this level.

 

For a variety of reasons, I didn’t believe it. So while getting the kids squared away I researched the normal blood levels for humans. Armed with this info, I went down to visit my husband in the ER. He looked remarkably fit. In fact, he wasn’t feeling any pain, though he’d not been given any medication. I asked his nurse for the actual number on his D-dimer test. It was less than 200. I stared at the nurse. “But that’s normal”. Yes, the nurse agreed. I stared at my husband. “Who told you it was abnormal?” He frowned, concentrating. He wasn’t sure (What else did he have to do?). About then they came to wheel him down for his CT scan. They said it would be read that night. Forgive me my skepticism, but having assured myself that my husband was doing very well, I kissed him and told him to enjoy his scan. At this point I reflected that if they did find something wrong with him, it would not be what he’d gone in for. I slept poorly (despite my brave front). At 2:20 in the morning (5 hours later) my husband sent a text message that he had completed his CT scan but it wouldn’t be read until the next day.

 

I visited him on my way to work the next morning. He was cheerful and even complimentary on the hospital breakfast. They were going to run some more blood tests. I left him to it.

 

At work, my own patients were well. My dryer tumbled cat looked much better and was enjoying a hearty breakfast herself. Her bloodwork was excellent. By early afternoon I was discharging my patient to her ecstatic owner. Back at the human hospital, my husband had been leaked the information that he had a “non-displaced hairline fracture in his right rib”. My husband was now being offered an echocardiogram and had begun to call me every hour or so. I told him if he couldn’t relieve the babysitter by 3:30 to let me know. If he wanted to stay another night in the hospital that was on him. I was worn out.

 

Once he knew it was just a cracked rib, my husband felt lots better. I arrived home that night to find he had invited several people to dinner and cooked up a storm. Even better, he could go on his golf vacation next week.

 

I am SO grateful my patients can’t talk!

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Castor the Police Dog

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There are many fine working dogs out there – cattle and sheep dogs, Guide Dogs for the Blind, Special needs assistance dogs, Bomb and Drug dogs, and perhaps one of the finest working groups, the Working Police Dog, or K-9 Cops, complete with their own badge. Hired on by Police and Sheriff departments nationwide, they are largely made up of German Shephard and Belgian Malinois breeds. I have had the honor of working with these dogs for over 30 years. Both local Police Department and Sheriff’s Departments have working dogs, used on the SWAT team, for school protection, building searches, drug deals and of course, criminal apprehension.

Astor was a beautiful sable shepherd. High strung, as so many of these dogs need to be to perform their job, ever alert, he suffered from stomach issues, and his spleen would swell to enormous proportions. We had just gotten in 4 new dogs at the Police Department, and one had already been rejected for a permanent lameness in the right shoulder and returned to the seller. This was at great expense and nerve wracking for the new program. To have problems with another dog was near unbearable. I said he needed to have surgery, to biopsy the intestine and spleen. It was late in the day when his handler came down to visit him in recovery. Though the individual police departments own the dogs, it is their Peace Officer Handlers that live with the dog and develop an intense bond. These dogs – and their handlers – were new to me and I knew very little about them. I was ignorant that even off duty an officer is expected to be prepared to respond to an emergency, so when the handler bent over in post op to greet his dog, I was most startled to note a gun in his waistband! I wondered if he’d planned to shoot me if the surgery hadn’t gone well! (He said no).

Most of the dogs have German names, as many were and still are imported from Germany. Their commands are given in the German Schitzhund or obedience training language. Handlers lucky enough to be assigned a partnership with one of these dogs will spend weeks learning the cues and training required while forming a deep bond. You see, these dogs can go where a person cannot. These dogs serve as the first line of defense when things go bad. No one wants to lose a dog – but better the dog than a Peace Officer. The K-9 Cop can mark a perpetrator in a crowd and run him (or her) down. Once the fleeing person stops, they will stand still, not biting unless the person resists and provokes a bite. They can be sent into buildings with cameras on their backs to locate the offender. They can smell or hear where someone is hidden.

Castor was a Malinois from the Sheriff’s Department. He passed away naturally some years ago. A very “sharp” dog, he was a holy terror when he came into our clinic. He growled at all the staff. He was not walked during his brief stays, as we customarily do with all boarding pets. Except….Castor loved me. There was no rhyme nor reason to it. I poked him with needles, gave shots, drew blood. No problem. At first I wondered if I resembled the handler’s wife, but once I met her, blonde, petite, beautiful, sadly I knew that I did not. Whatever the reason, I was grateful. Castor had many arrests to his name, but my favorite story was the guy swimming in the canal to elude capture. His handler sent the dog, knowing if the guy made it to the far bank he might get away. The criminal decided to drown the dog. Castor took matters into his own hands, simply wrapping his jaws around the only body part he could reach – his neck. The man surrendered.

In the United States Air Force, fighter pilots are accompanied by a “Wingman”, another fighter plane which flies off the right wing and just behind the lead, whose job is primarily to protect the lead by “watching his back”. Our Canine Corps of Peace Officers serve as “Wingman” to the officers they shadow.  May we be humbled by their gifts and grateful for their service.

Marijuana Toxicosis

/ Dr. Christine McFadden / Leave a comment

Now it is possible that some of you may succumb to the same little habit I am guilty of: reading the popular magazines while standing in line at the grocery store. Never buying them, of course. This is where I follow the stars (we aren’t talking astronomy here) and gather knowledge of my fellow human beings. Consider it human resource research. It doesn’t take many pages for me to feel that I have gleaned everything of interest that one of these magazines might offer, so imagine my surprise when I came across an entire page devoted to the subject of: “What’s In My Bag?” It is actually believed to be of interest to American readers to know what a Hollywood actress might carry in her purse. I am stuck on that: who cares and why? First, I decided to look in my own purse. I have one, though I rarely carry it.  Wallet, ID, keys. A pen. Sometimes I have actual money in there, sometimes not. I cannot imagine this being of interest to anyone else. Even potential purse snatchers have divined that it’s not worth their time.

Now, if I was going to be interviewed for a magazine with full page glossies, would I lie and embellish all that? You bet. Do people really carry extra shoes, whole bottles of water, and apples in their purses? Why don’t THEIR apples bruise after being jostled in a bag with shoes all day long? Are those shoes… gym shoes? Ewww. Is it possible that I am the only person in the world who doesn’t carry protein bars as their snack, sweetened preferably with honey or agave or stevia leaves, no white sugar please? Help! These women have no need for gym class – their purses are “free weights”. Crunches, curls, lunges -just lift and press that purse. The possibilities are endless.

One item missing from these lists of “What’s In My Bag” are marijuana products. Ooops, did I just say that? Hollywood has a bit of a rep for extreme partying, for a lifestyle of too many pills, alcohol, and drugs. Now that marijuana has been legalized in California I thought someone’s “Bag” might be the first place it would show up. So I’m happy they’ve shown restraint. I’m not very happy about marijuana, legal or not. Legalization has opened up a host of dangers for my patients, mostly the dogs.  As a veterinarian, I am appalled at the people who, through carelessness or on purpose, allow it to be shared with their pets. Over the years I have cared for several dogs that were “stoned”. Marijuana-laced brownies or other food items were usually the culprit, but about half the time the item was shared with the dog because their owner was high and thought their dog should be allowed to experience the same “joy”. The reason I saw the dog was because even in their fog, the owners recognized something was terribly wrong and sought emergency care for their pet.

A pet affected by marijuana toxicosis will exhibit a host of neurological abnormalities. Dogs may become so agitated they appear manic, drooling, dilated pupils, constant vocalization and walk uncoordinated. Seizures, coma and death may occur. There is no ready test at present to detect marijuana levels in a dog, so we must rely on the owner’s honest history if we are to help their pet. That said, there is also no true antidote – we must watch the dog suffer the effects, which we try to minimize and flush out the drug with IV fluids, oral charcoal, sedatives and  sometimes enemas. The active chemicals in marijuana are stored in body fat, broken down in the liver and exit the body in the feces. It can take 24 miserable hours or longer for your pet to recover. Some trip. I am not impressed.

Years ago, fatalities related to marijuana exposure were rare. Most pets ingested only small amounts of a natural plant, containing a relatively small amount of the primary psychotropic chemical THC (tetrahydrocannabinol). That is no longer true. You see, in developing medical-grade marijuana products they have synthesized and concentrated the most potent chemicals in marijuana. Pets that ingest these medical-grade products have a much higher risk of toxicity.

The American Veterinary Medical Association (AVMA) is undertaking research to see if there are any medical benefits to the non-hallucinatory, non-psychotropic chemical CBD (cannabidiol) that is also found in marijuana. Could it be part of a treatment plan for problems such as arthritis in pets or epileptic seizure control? At this time there is little scientific evidence on this subject. Legitimate research has been hampered by the fact that while many State laws have legalized restricted uses for marijuana in people, the Federal Laws have not changed. Until the safety and risks of CBD products have been studied there is little advice on the subject from veterinarians. In the meantime, PLEASE prevent exposure of your pet to any THC / marijuana products !

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.

New Life for an Old Dog

/ Dr. Christine McFadden / Leave a comment

She had been all black in her youth, but now at the age of 14 she is showing some gray around her muzzle. She used to jump and romp and play. Now she walks sedately across the yard, a faint weakness in her hindquarters. But always, Bella has class. Always, the gentle tail wag to let you know that she’s listening, she’s here.

Two years ago, Bella exhibited marked signs of difficulty when she tried to stand up in the morning. Upon examination, it was obvious that she was losing feeling in her back feet. Our X-rays showed degeneration of the spine in her back. We discussed options and Bella’s owners decided to see a specialist, where Belle underwent laminectomy spinal surgery. She recovered beautifully and even though she needed to stay on arthritis medications she moved quite fluidly again. Bella enjoyed her people and her life.

Bella is a Labrador Retriever, and though I don’t believe she has ever retrieved anything more interesting than a goodie from her owners’ hands, she shares a fate common to many Labs. Bred to be high energy dogs, capable of hunting all day and swimming in frigid waters to retrieve ducks, these dogs seem to naturally have an extra layer of protective fat. Given snacks and a soft life in the suburbs, many a Lab will put on a few extra pounds.

As I surveyed Bella in the exam room on Tuesday, I felt a deep unease. By no means obese, Bella could have stood to “lose a few” but not like this – Bella had lost 10 pounds over a two month period of time. Nothing in her diet or routine had changed, though her owners noted that she frequently passed a soft stool. Given her weight loss, I recommended that we start with a blood panel for diagnostic tests. Her physical exam was unremarkable for her age and existing medical history.

When the lab tests returned, the “biggies” were all good. No sign of diabetes, liver and kidney function within normal limits. Her body proteins were low. Hmmm.

Bella’s body either wasn’t making proteins or it was losing protein. In this case, with further testing, we were able to verify that she wasn’t losing protein in her urine, and that her small intestine wasn’t absorbing nutrients properly (her cobalamin levels, or vitamin B12, was too low). Of course, we knew she had chronic diarrhea, so it was only a small step towards the diagnosis of a protein-losing enteropathy, or PLE. Plowing ahead, what was the underlying cause of THAT? We asked that Bella return for abdominal x-rays and ultrasound. While corroborating thickened bowel loops, we also found a mass on her spleen. We didn’t know if that mass might be cancerous or not, but we hadn’t found any other signs of cancer and dogs can get along without their spleens very nicely. If it wasn’t cancer but a hematoma on the spleen, there was a risk of it rupturing and Bella bleeding to death. After several talks, we scheduled Bella for surgery. She would undergo a splenectomy to remove the spleen and have her intestine biopsied to confirm the cause of her PLE.

This was a lot to ask of an old dog. Bella was in surgery for over an hour, requiring her to lay on her back, not a terrific position for a dog that had undergone major back surgery. Positioned in a foam support tray throughout, I still worried. Surgery was successful and her recovery from anesthesia rapid.

We kept her on intravenous pain meds, but there was no denying that Bella was slow to “bounce back”. Her owner cried that first day. Because of her IV fluids, Bella couldn’t move around easily. She struggled. We disconnected the fluids to take her outdoors to walk in the sunshine. Pain medication can cause a loss of appetite. I hand fed her. We slowly decreased the pain meds and upped her recreation. On Day four post-op, Bella met her owner in the parking lot. Moving slowly, she walked over to her, tail gently wagging. Bella went home. Her biopsy report diagnosed Inflammatory Bowel Disease (IBD) which responded well simply by feeding a specialty diet. The diarrhea disappeared. Her spleen was cancer free. Bella was on the road to a full recovery, as classy as ever.

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.