Who could resist Oliver? He’s a one-year old mixed breed, totally attentive to his owner, whose beautiful lady sits by watching proudly. They were sitting having a coffee outside a café in Menton. Oliver lives in Imperia, across the border in Italy.
A few nice infection images I found:
Infection control exhibit
Image by Samuel Mann
Infections de malwares
Image by pandafrance
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Image by seephylliz478
Hoo boy, that 20/20 piece sure stirred up some emotions, didn’t it? And it’s Thanksgiving, a week of gratitude, so I’m going to take a step back and say thank you to all the wonderful readers and colleagues who make writing this worthwhile. In honor of that, I’m going to take a moment and also share with you some of my own veterinary secrets. For the low low price of nothing, I want to explain to you what I believe, based on over a decade now in the field, is the best way to save money at the vet. No sarcasm here.
The best way to save money at the vet is….are you ready?
To spend more time at the vet. No, really.
Preventive Care is where it’s At
If one wants to know some of the best ways to save money on medical care, we need look no further than the group that has gotten the cost/benefit analysis down to an exact science: the human medical profession. It’s taken a long time for the field to come away from the model of medical firefighting: wait until something gets bad- CANCER! KILL IT WITH RADIATION! and more towards preventive care: MAMMOGRAM ALL THE LADIES! Firefight when you have to, but how much better is it to catch things early? For us, of course, it’s lives on the line, but guess what? It’s better for the bottom line too. Win-win.
Interestingly, the three situations described in the 20/20 bit as potential money grabs by the veterinary profession are perfect illustrations of why preventive care is so very important. Had we seen the extent of Marty Becker’s 90 minute interview for the piece in context, this would have all been part of the piece, by the by.
50% of dogs over the age of 10 will develop cancer. I see it every day. It stinks, and once it’s diagnosed in advanced stages the treatment options are difficult and expensive. When your veterinarian finds a lump on a dog during a routine exam, for the love of everything, check it out! Trust me, I would make more money resecting it in a messy surgery a year from now when it’s huge as opposed to doing a little biopsy or fine needle aspirate here and now, but I don’t recommend that because I don’t want that to happen to your pet.
Here’s just a few examples of things I have diagnosed on a check of a lump the owner was on the fence about doing anything about:
-mast cell tumor
Early detection saves lives.
People often go to those weekend vaccine clinics to save money instead of getting it done in the office. Then what happens? They hand you a pamphlet and you have to decipher which package, A, B, or C you want like it’s ordering your kid’s school photographs. It’s confusing. Often, you overbuy. It’s a lot of work to try and stay on top of these things, and I certainly don’t expect pet owners to be reading up on current best practices for vaccines each and every time the dog’s getting boarded and you need a Bordetella vaccine.
I take vaccines very seriously. I keep up on the latest AAHA guidelines- based on research, science, and the best our field has to offer in terms of what constitutes duration of immunity and core versus non-core vaccines. I use that to tailor a vaccination protocol for each pet who comes through the door. I can’t tell you what I recommend across the board because there is no such thing as ‘one size fits all’. I’ve done the full complement, I’ve done titers, I’ve written letters asking the county to exempt an elderly pet with a history of vaccine reactions from a rabies vaccine. This is what we do. If your veterinarian isn’t open to that conversation, I agree 100% that you may want to find someone else.
That being said, the majority of my patients do stay on schedule with vaccines, because once you’ve seen dogs dying of parvo while a little child weeps, you kind of get invested in doing all you can to prevent that.
Bottom line: It’s worth it to find a veterinarian you trust. We’re not unicorns, at least in my experience; we usually can be found hanging around.
Vaccines save lives.
Here’s the one that caused the most discussion. Our profession is in the middle of some real change in terms of recognizing the importance of dental care. Since I am not a boarded veterinary dentist, I defer to their vast reservoirs of knowledge and the evidence is clear: 85% of pets have periodontal disease by the age of 4. Most of it is invisible to the naked eye. Can you imagine if we waited until our teeth looked brown and grungy with recessed red gums before going to the dentist? There is real, actual value in getting professional care even if a mouth “looks” OK.
The *best* way to keep your pets’ teeth healthy at home is incidentally also the cheapest: brush their teeth daily. The other best thing is to get regular, anesthetized dental cleanings to prevent disease from developing/worsening. If you choose not to anesthetize a healthy pet at 3 years old for routine maintenance, the end result is often a 12 year old with impaired organ function and a mouth full of horrifically painful teeth that need to be removed, at great expense. I can address the anesthesia component in another post, because it’s worth a discussion all its own, but suffice to say, anesthesia performed to excellent standards of care- that’s the key- while not risk-free, is actually very safe in healthy pets.
The three issues presented above are life-savers for pets. I am not saying this hyperbolically. Done early and with forethought, they are also money-savers, because they stave off much more significant, and expensive, disease down the road. There’s a reason my own insurance has a $ 0 co-pay for preventive care: it works. Same goes for our pets.
And happy Thanksgiving, everyone.
I’ve pitched a tent in so many places I couldn’t recount them all. But everytime it was just before night fall because we didn’t want anyone to know we were there since we were literally trespassing on either private or public land either of which could end us up in the pokey or at the business end of a shotgun.
How often do you vacuum? With two dogs and four cats, all in the house, we vacuum a LOT…and still we know we should vacuum more! Worst of all, we’re just not able to vacuum beneath much…
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Question by breleigh81: What is the best flea prevention medicine for my puppy?
Is the flea medicine you can buy at PetCo and PetSmart just as good as the medication you can get from your vet?
Answer by Karen W
If you are having problems with fleas, your vet is your best source. Especially important if it is a very young pup, as these ARE poisons you are dealing with. Tiny amounts of poison, but poison nevertheless.
One thing you can try is to bathe the pup with Dawn dish soap. This should not be used on a regular basis however as it is harsh on the skin and coat.
There is a pill called Capstar available from vet and vet supplies which will kill every flea on a dog or cat within 24 hours, however that is all the longer it works.
For an infestation you need to clean thoroughly to vacuum up all the eggs, also wash the bedding and dry in a HOT dryer.
Be aware that fleas also carry tapewprms, so your vet will probably want to treat the pup for thoseaswell.
We use Frontline on our dogs and do not have a flea problem, and yes, this is an area where many do.
Add your own answer in the comments!
Little Brittany Spaniel
Little Brittany Spaniel puppy playing in the leaves
Dr. Rod Winchester, Julington Creek Animal Hospital, demonstrates how to apply topical medication to your dog. Visit our channel and our website ( www.jcaw.c…
Video Rating: 3 / 5