Category: Advice & Stories (page 2 of 20)

Pets and Ibuprofen Don’t Mix

Otis ibuprofen toxicityThe following is a true story (used with permission) of how easily accessible medications, like ibuprofen, can be harmful to your pet.

Meet Otis.  His story is one that challenges the old adage about curiosity and cats, but he is a curious dog.  Don’t worry, he’s fine now; but he almost wasn’t.  While his person was sleeping one day, Otis took the opportunity to sample some medications that were accidentally within his reach.  Nobody knows his motivation but it’s a good thing his family noticed.  The culprit in this case was ibuprofen.  Yes, many people’s favorite, useful, pain relieving medication really is bad for your pets.

The first sign of trouble was the medication actually being found.  The liquid filled capsules were strewn about on the floor and with no one home other than Otis and his person, it was easy to figure out who the chew marks belonged to.  At this point, many people might be thinking “okay, no big deal.”  And then the vomiting started, which is the first sign of a toxicity issue.  Otis couldn’t hold anything down and the more he threw up, the worse his dehydration got.

otis-blood-resultsBecause ibuprofen toxicity can actually cause kidney failure along with the intestinal upset, his owner brought him to me to check some blood tests and what we found was consistent with ibuprofen ingestion as his kidney values were mildly elevated above normal.  Otis was admitted to the hospital and we started him on intravenous fluids to essentially help dilute the drug in his blood stream and preserve blood flow and pressure supplying the kidneys.  Without this treatment, Otis would surely become more ill.  In addition to the IV fluids, I started him on some medications to help gastrointestinal tract due to the ulcerations that can develop.

During his first couple of days, Otis started to show improvement.  He was happy, eating well, and most importantly – not vomiting!  But when we checked his kidney values, they had gotten slightly worse.  After talking with his family and agreeing that he was clinically stable, we felt it was best that he stay on his IV fluids for a couple more days.  Checking Otis’ kidney values daily for the next few days we noted that they returned to normal with the additional treatment.  After five days in hospital, Otis finally got to go home!

Otis taught us all a valuable lesson; one that he was fortunate to recover from.  While he got into ibuprofen accidentally, many people will try to self medicate their pets with over the counter medications that may not be safe.  This can inadvertently lead to permanent damage, or worse.  Please, for the safety of your pets, don’t rely on Dr. Google or your neighbor to prescribe something for your pets if they become ill; talk to your veterinarian.  Has your pet ever gotten into over the counter medications??

Otis ibuprofen going home

Otis got to go home!

Disclaimer: All blog posts may contain opinions which are my own and may not reflect those of any current or former employers.

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Vet Techs – My Heroes

vet techs heroes superheroes

from Retroland.com

Everybody needs a hero.  For the kids of the world, it might be one of the Avengers, an athlete, or a beloved book character (Harry Potter anyone?).  For the adults, maybe it’s a friend, the President, or your parents.  As a veterinarian, most people would think that my hero would be James Herriot.  While he holds a special place in many people’s hearts, he’s not the first person I think of first when I choose my veterinary hero.  In actuality, I can’t pick just one person.  I have to admit I go with a collective.

The ones I look up to and admire are veterinary technicians.  Many pet owners and the general public don’t realize the full extent of what they do. It’s all the little things (and big ones) that they do that makes me appreciate and respect them.  While often times it’s the veterinarian that gets the credit for helping our animal patients, it’s really a team effort but the technicians are the ones doing a large portion of the work.

multiple Pinterest boards

multiple Pinterest boards

Vet techs aren’t just awesome at cuddling puppies & kittens, though it is a perk of the job sometimes!  They can often be found restraining an animal for a catheter, collecting blood or urine samples, and recovering a patient from anesthesia.  They get exposed to radiation for x-rays though we make it as safe as possible.  Oftentimes they are the first ones to note a problem or pain in a patient when it is brought back for triage during an emergency while the doctor is being tracked down.  And they’re amazing mathematicians being precise so as to avoid accidental over dosages with medications.  There’s so many other facets to the job as well.

To put it bluntly, I can’t live without my veterinary technicians! They have been a mainstay in my life for the past 18 years.  From John at Shores Animal Hospital in Gainesville, Florida, then Dalila my right arm & the rockstar night crew at Hollywood Animal Hospital, and to my current crew of Jackie, Kayla, Mandy, & Melissa at the Kingston Veterinary Clinic (and everyone in between), they have all taught me so much that has made be a better veterinarian AND a better person.  These are the heroes of veterinary medicine and they deserve respect, admiration, and appreciation.  If you know a veterinary technician, consider yourself a lucky person.  Who is your hero?

Dear veterinary technicians,

Keep being awesome.  And thank you for doing what you do!

Sincerely,

Dr. Llera

Dear Gord

Guest Author – Mandy Jackson, RVT

Gord megaesophagus fosterI put a dog to sleep yesterday.  He was my foster dog.  He came to me quite ill, and with a disease I knew I couldn’t cure.  Gord had megaesophagus.  What that meant for him was that his esophagus, the “tube” that carries food from your mouth to your stomach, was stretched out like a balloon that has been blown up and deflated dozens of times.  The muscular contractions, called peristalsis, that help move your and waste through your body did not occur in his esophagus.  I described it as though he had something like a pelican pouch in his throat.  When he ate, much of his food and water would collect in this “pouch”, rather than being digested in his stomach and intestines.  He regurgitated a lot of what he was fed.  He came to me emaciated, needing to gain about 35% of his body weight, a daunting task for both of us.  How do you get a dog who can’t maintain his weight to gain 20 pounds?

megaesophagus foster walkMegaesophagus is an awful disease.  To have a beautiful, kind and gentle soul in your home, starving despite your best attempts to feed him is heartbreaking for you, but unquestionably worse for him.  We tried several different textures and consistencies and with the help of a friend who also cared for Gord in her home while I was unavailable, we learned that “meatballs” worked best for him.  I’d roll his food into golf ball sized nuggets and toss them to him one by one, hold him sitting in the begging position and then go for a short walk.  Water was more difficult, but I taught him to drink from a huge rabbit bottle mounted so he had to hold his head up to drink.  After 3 weeks of trial and error I finally felt like we were on the right path.  That maybe, just maybe, he could be managed.  That he could potentially live a “normal” life.  For almost 5 days he gained weight and strength.  He was producing more urine, and it was becoming paler in colour, showing that he was better hydrated than before.  He walked faster on our short travels, not rude enough to pull me, but enthusiastic enough that I could feel a difference in him.  I was so very proud of him.

And then, on Thursday, I went to check on him in his run at work.  To give him his dinner and spend my lunch break walking him.  He had vomited 3 puddles of blood in his kennel.  My heart sank into my feet.  I will not go into more detail here, but it’s most likely that 2 years of poorly managed megaesophagus left his mind and spirit willing to recover, but his body just too damaged, the last 18 hours of his life caused a shocking transformation in his body and spirit.

Deciding to end the life of a foster is a uniquely horrible experience.  He wasn’t really “my” dog, but I had taken responsibility for his life and his care.  He was mine in trust, on loan, my temporary dog. I was only supposed to be a resting place, a bump in his road.  But there he was, getting sicker in front of me and waiting for me to make it better.  Not able to tell me how he felt, what he wanted.  I sat on my couch with his big, blocky, black velvet head in my lap and promised him that I would make it stop.  My beautiful Gord was not Gord anymore.  For the first time since I met him, he was in pain and that was not part of the deal I made with him.  I took him to work, one last sad car ride.  Carried him into the treatment room and gave his care over to 2 of the loveliest people I’ve ever met.  At the end of his life I wasn’t his nurse or his foster mom anymore.  I was just his person, finally.  Gord of No Fixed Address (the horrible nickname I gave him, a joke that started when a friend suggested I adopt him) was at home in my heart.  I climbed up on the table and wrapped myself around him, buried my face in that perfect spot behind every retriever’s ears and held him close.  He went quietly, left this world in the arms of someone who loved him enough to make that call. Gord with bear

Dear Gord,

I’m sorry.

=======================================

Mandy Jackson RVT

Mandy Jackson is a registered veterinary technician at the Kingston Veterinary Clinic.  Mandy shares her home with her 2 dogs, Auden and Olivia, and her cat, Floyd Pepper.  When she’s not at work, she co-runs Friends of Willow Rescue (an all-breed rescue), is a busy foster-mom, avid reader and a recent convert to the joys of crocheting.

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