Travel

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

The French Fry Challenge

/ Dr. Christine McFadden / Leave a comment

Beware! Traveling veterinarians are everywhere!

Along with the vast hordes of people who undergo summer migration in odd patterns they refer to as “vacations,” we made our way across the North Pole to Europe, specifically France.

You may (or may not) recall that we had entertained an exchange student from that country earlier this year and that she had left us with the declaration (politely) that no where on Earth could the fabulous French Fry be found as it existed in her country, specifically the north of France.

The gauntlet had been thrown. Valiantly I threw all my free air miles into the purchase of plane tickets and we set off on our summer adventure. Our first venture with the French pommes frites (french fry) was …. drum roll, please : at an airport McDonald’s. Oooh la la!

Oddly enough, they tasted like a McDonald’s french fry here. Except they were accompanied by a lime green packet of “pommes-frites-sauce” which was a mysterious white color inside and tasted a bit like sweetened mayonnaise (if you’ve ever had sweetened mayonnaise?).

We passed. It must be an acquired taste, and in all fairness, we had to ask for ketchup everywhere we went, but they did have it.

I suspect when the shoe is on the other foot and the French are visiting us, we may not be so accommodating. We sampled the frites in Paris and across the south of France, then headed north to Lille, almost on the border with Belgium.

Here we met up with our exchange student, whose family welcomed us into their home. We sampled “les frites” in restaurants and roadside stands across Northern France and into Belgium. We ate them with dishes whose names we couldn’t pronounce and sometimes ingredients we couldn’t guess at.

We ate them wrapped in newspaper cones, served in clever tiny wire baskets and scattered across plates. Without exception they were served fresh from the fryer, hot enough to burn the skin off your fingers and tongue, and were indeed crispy/crunchy on the outside and soft and melting on the inside (or was that my tongue giving way?).

With a deep bow of respect, may I say that round one went to northern France in the “Pommes Frites Contestation.”

Wish this could become an annual event! We made the acquaintance of their cat, Plume, and several other pets along the way. We very much enjoyed our trip to another country and found ourselves, delightedly, also happy to come home.

There was much fun with “bonjour” and the French kiss, kiss greeting upon our return and then I got down to work. What a joy! I truly love my work and the people with whom I work.

In my absence, at the Applegate Zoo, our new Black-tailed Mule deer, Lily, had birthed twin fawns! Lily came to our Zoo only weeks before giving birth. She had been taken in by Fish and Game staff after reports of a deer coming up to people in traffic and trying to climb into their cars or mooch something to eat.

Obviously she had been hand-raised (surreptitiously, not legally) then released. Too imprinted on humans to live safely in the wild, Lily found a home here with us, where Donna, the head Zookeeper, watched over her vigilantly and assisted in the twins’ safe delivery on June 15.

Mule deer have a gestation period of about 200 days (compared with a human pregnancy of 280 days). Anxious that the mother and babies bond, Donna kept everyone away initially – not to worry, the little ones are as wild as the proverbial March hares! Right now they have their spots and are slightly smaller than the rooster they share a pen with. Both little does, the fawns will be able to stay with their mother at the Zoo.

Please come visit our City of Merced Applegate Zoo to welcome these newcomers and celebrate summer! A lively Special Celebration is offered this Sunday, July 22 from 10:30 a.m. to 1 p.m. at the Applegate Zoo. Meet the twins! A bounce house, water games, snow cones, popcorn and more will be offered.

Kids : Wear your swimsuits, shoes and shorts required! The zoo address is 1045 West 25th St. in Merced. Free parking.

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.

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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

World Rabies Day

/ Dr. Christine McFadden / Leave a comment

 

Several years ago I wrote an article on Rabies (Merced Sun Star, June 2014), a viral disease carried from animal to animal and sometimes from animal to human. For both animals and humans the disease is considered a death sentence.  I recently came upon a series of articles in a veterinary journal and was sad to learn that the disease is still a serious threat in much of the world and that approximately 60,000 people die from this disease every year. Still.

 

Why do I take up the story again? Because it deserves to be heard and, most importantly, it is still a threat to you and your loved ones. A very real threat if you enjoy traveling to out-of-the-way places.

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Rabies is a slow-moving viral disease. It can affect any mammal, but is usually spread from one carnivore to another as the virus is passed in saliva by bites through the skin. Infection after contact with infected saliva on an open wound is a possible, though unlikely, mode of transmission. Once a new victim has been bitten, the virus slowly makes its way into the nerves and through the nervous system to the brain. This can take two weeks to 2 months or longer. By the time the rabies virus is present in the saliva, death is near. It is for this reason that when an unknown dog bites a person the dog will be quarantined for 2 weeks.  Two weeks is long enough to monitor the dog : If rabid, the animal will die. The dog’s brain can then be tested for rabies virus and the bitten person still has ample time to receive the anti-rabies protective vaccine.

 

Rabies has been found in the wildlife in and around Merced County. It is endemic in area bats, raccoons, skunks and foxes. You, the pet owner, have set up a terrific protective line of defense by the simple stratagem of vaccinating your pet dogs and cats. It is believed that by vaccinating 80% of a populations’ pets an effective barrier is created to protect people against exposure to the disease. In the United States more rabid cats have been reported to the CDC (Center for Disease Control) than dogs for several years. Vaccinate your cats! Vaccinate all dogs and cats older than 3 months of age. Keep them up-to-date.

 

There are a few island communities which have managed to keep rabies out or eradicate its presence : Hawaii, Great Britain, and Japan are three. You cannot easily take a dog or cat into those Islands. I applaud their high security. The regions most likely to have rabid animals that endanger humans are underdeveloped countries in Asia and Africa.

 

For the traveler to a foreign country, be aware that the dogs roaming the streets may be high risk for encountering rabies. The unsuspecting traveler may admire a puppy, letting it lick their hands. Food you carry could attract attention from a roving dog. Many of these countries have inadequate medical services for diagnosing rabies or offering post-exposure prophylaxis (prevention/ PEP) services.  Rabies prevention is not universally available. The more exotic your outpost, the higher the risk of encountering rabies. Of the 60,000 people who die every year, nearly every single case (99%) of human death started with a bite from an infected dog.

 

Whether at home or traveling, camping for a weekend or following your dreams of adventure exploring a foreign land, please take precautions. Enjoy wildlife, but don’t treat or keep wildlife as pets. They cannot be vaccinated against rabies and may have variable incubation times for rabies. Avoid attracting wild life to your home or campsite. Do not feed wildlife. Do not feed your pets outdoors, as this attracts wild life and strays.  Avoid animals acting unnaturally. Animal-proof your trash. Avoid stray dogs and cats. Stray animals may not be vaccinated and they run high risk of exposure and contact with wild animals that might harbor rabies. The message, Backpackers : stay away from unknown dogs and wild life. The life you save might be your own!

 

World Rabies Day is Thursday, September 28th this year. This day is sponsored by an alliance among the World Health Organization and many other organizations working towards the goal of eradicating Rabies deaths in people and animals by the year 2030. They are joined by the One Health Initiative, a group dedicated to promoting increased communication and joint action between physicians and veterinarians globally through the integration of human medicine, veterinary medicine and environmental science. Rabies is cited as a classic example of what “One Health” is all about, as the control of rabies in animals has reduced the death toll in people from that disease. Together, we CAN make a difference.

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Photo Credit : https://www.express.co.uk