cvm2002

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Everything posted by cvm2002

  1. Sweet Itch Is Starting Again... Ugh

    Add omega fatty acids to the diet. Flax seed in particular.
  2. Camera Lens Question..pics Added

    The lens listed above is certainly an "entry level" zoom and is not image stabilized. I had that lens, and it works, but your images may not be as sharp as you'd like. It has a soft focus, low quality glass and will warn you that at the maximum 300mm focus it will get really soft. Ok for small prints and online, but not bigger prints.
  3. As a vet, I can't explain the why, but I've removed all kinds of odd things out of the stomachs and intestines of dogs and cats. For cats, hair scrunchies seem to be the favorite. For dogs, you name it. We had one dog that REPEATEDLY ate the styrofoam "berries" off a Christmas wreath. Saw her 3 times inside of 3 weeks. Thankfully vomitting cured the problem twice, but the third time she ate all the wire that went along with it and required surgery. Rocks, clothing, toys.....Removed a a wad of carpet fiber & hair (trichobezoar) the size--literally--of a softball out of a 7 pound Schnauzer puppy. Had a dog eat the metal lid off a jar of applesauce that PASSED without ill effect. My favorite one however was the dog we took to surgery and removed a pair of ladies thong underwear. I will typically keep the offending object and return it to the owner. In this instance however, the female owner replied, "Those are NOT mine...." Not sure how that one ended up. The dog was fine, the husband however..... LOL
  4. P R P --> I R A P & Reina's Recovery

    Yeah....after hearing about "large amount of fluid on the stifle", I would absolutely encourage ultrasound first and actually find out what's happening there. Feeling "the three ligaments" are simply the external patellar ligaments and are RARELY the cause of stifle issues (other than upward fixation of the patella). Meniscal tears and as I mentioned, cruciate injuries are becoming more and more commonly diagnosed as our capacity TO diagnose them improves. Has degenerative suspensory ligament desmitis been discussed for the right? Easy diagnosis on ultrasound.
  5. P R P --> I R A P & Reina's Recovery

    Sorry for the extensive delay in commenting here, but its the busy time of year for a vet....I'll preface all this by saying I in no means claim to be a lameness guru. I'm not good at it, I don't enjoy trying to do it, so take this for what its worth. Has an ultrasound been done? On either the stifle or the suspensories? Have you actually gotten a diagnosis before all these modalities are being utilized? If there's a meniscus injury or even a cruciate ligament injury on that stifle, IRAP or PRP isn't going to do anything. I personally would want an actual diagnosis before pursuing either treatment. Both modalities have their place, but only if you know what you're treating. Standing MRI on the right would be an awesome idea (and could probably be done quite reasonably priced compared to IRAP), as well as ultrasound of both the stifle and the suspensories. But that's just me.....Like I said, I don't do a lot of lameness, and have never personally used IRAP or PRP, but I do know that neither are cure-alls for every situation.
  6. Do I Dare Say It?

    BP, based on the Olympic Pipeline
  7. Do I Dare Say It?

    Good luck from one Big Oil Bride to another!! :)
  8. Early = prior to puberty (I'd say before 2 years old) Late = after puberty and onset of secondary sexual characteristics
  9. Its well known that testosterone (or estrogen) is necessary for closure of the growth plates. By early castration and denying those hormones, yes, long bone growth will continue longer with the potential for taller, lankier results. Part of the reason why there is such a discussion going on about pre-pubertal castration in large breed dogs currently. Current thought is that it increases the rate of hip dysplasia and cruciate ligament ruptures as the physics of the pelvic limbs are altered. Ultimately, it depends on what body type you want the animal to have. If you want a longer, lankier type, cut 'em early. If you want a stockier build, cut 'em late.
  10. Unspayed Female Dog Questions

    Roughly every 6 months
  11. Unspayed Female Dog Questions

    The heat cycle/bleeding can frequently last 2-3 weeks. Having spayed my share of in heat animals, I would always, always, always recommend waiting until a couple weeks (at least!) after she's done with her cycle. The estrogen influence makes the tissues very delicate and more friable and EVERYTHING bleeds at the slightest touch. That will equate to a larger incision and potentially greater blood loss.
  12. Interesting Study

    Corticosteroids are a family of drugs that resemble those hormones produced by the cortical region of the adrenal gland. For brief overview: http://en.wikipedia.org/wiki/Corticosteroid It includes drugs like dexamethasone, triamcinalone, prednisone (to some degree) and betamethasone. They are used primarily as potent anti-inflammatory agents, hence the use for joint injections. The bigger problem is that corticosteroids tend to be catabolic (which break down proteins) as opposed to ANAbolic steroids which build up proteins. Classic example is the Dachshund with Cushing's disease (over secretion of cortisol, which is a natural corticosteroid) with the distended pot-belly as a result of weakened abdominal muscles. They also will suppress immunity, hence the use for allergic conditions (giving dexamethasone for allergic airway disease for example). There's an extremely long list of indications for use of steroids. Joint injections are probably highlighted in the study mainly because it tends to isolate the joint from systemic use and the frequency at which joint injections are historically used. Its long been known that some steroids are worse than others as far as cartilage suppression and degradation with injections (triamcinalone versus Depo Medrol). Its the classic case of cost to benefit analysis and typically is an ethical discussion. Inject the joints to the point the animal is usable, but at long term risk.
  13. Water Fountains For Pets

    Wholeheartedly recommend fountains. Both dogs & cats will drink more when motion is associated with the water. For cats in particular and their tendency towards urinary and kidney disease, that is critical. This is the one I have for the 4 cats. http://www.amazon.com/Drinkwell-DOGW-RE-Big-Dog-Pet-Fountain/dp/B000FGIUV0 I'm sure "pretty" fountains are out there. Only concern I would have with decorative fountains being used would be 1. if the paints, glues and other materials are safe for drinking water and 2. if there is actually filtration on decorative fountains and not just cycling the water.
  14. Ddsp Or Horse "roaring"

    Just clarifying for those reading, DDSP and "Roaring" are not the same thing. Roaring is laryngeal hemiplegia (paralysis of the vocal folds). Roarers would not necessarily qualify for this study. For the OP, have you contacted Hagyard's or Rood & Riddle? Seems like it would be easier to find participants through either of those (especially being in the heart of Thoroughbred country) avenues.
  15. Any Experience With Head Shakers Syndrome?

    Allergy shots. Do interdermal skin testing with a dermatologist and see if there are underlying allergies, then allergy shots (desensitization injections) against what is allergic to.
  16. Cherry Eye In A Corso

    As I mentioned, surgery is the only effective treatment. Medication will not make the gland go back to its normal position. The ointments will help reduce inflammation and eliminate infection if the gland is ulcerated. Ultimately it depends on what its doing. If its small and non-ulcerated, its a cosmetic issue and no treatment of any kind is "needed". If its getting bigger, becoming ulcerated or is irritating the cornea, it will need surgical correction.
  17. Any Experience With Head Shakers Syndrome?

    I've had limited success with medical management of these horses. Have used cyproheptidine and was completely unimpressed with the results. Seemed to get better response with nostril "masks" that hang off the cavesson and diminish air turbulence and stimulation. Will also help filter allergens, which in my experience plays a big role as well. The only case I successfully managed with photic headshaking went from almost euthanized due to the violence of her headshaking to completely usable in about 8 months after allergy testing and desensitization injections.
  18. Cherry Eye In A Corso

    Cherry eye is properly termed "prolapse of the gland of the third eyelid". Its a genetic problem due to a defect in the cartilage of the third eyelid and affected animals shouldn't be used for breeding stock. Excision of the gland (it has nothing to do with the tear ducts) used to be the treatment of choice, as it was thought to be only a cosmetic issue. The gland is responsible for secretion of parts of the tear film and excision can lead to developing dry eye (KCS). Excision is never an acceptable treatment, as it can turn a cosmetic issue into a medical problem. The gold standard is a surgical procedure known as "The Pocket", where the gland is inverted, sutured and often times tacked to the rim of the orbit. The tacking suture will effectively prevent normal function of the third eyelid however. Antibiotic ointments and steroids are often initially used to reduce the size of the gland and prevent secondary infection, but are not a treatment for the condition.
  19. Tooth Problem

    I will put money on the fact that the current vet doesn't have the appropriate equipment to pull a young, long-rooted tooth but got in too far over his/her head to admit it. Take the horse to a veterinary college or large referral center and have the original series of x-rays along for comparison. As long standing as it is, you'll (they) will likely be facing tooth extraction, bone biopsy, curetting the diseased bone and tract culture. The roots on these teeth are substantial at such a young age. Remember that equine teeth are constantly erupting and wearing, which is why floating needs to be done with some frequency. That 2-year old filly has all the tooth she'll need for the rest of her life embedded in her jaw currently, so its not a quick and easy proposition to just pull it. You're looking at a very difficult process, with the potential to damage adjacent teeth (not knowing which tooth is involved...) or potentially even a mandibular fracture. At this point, even having the x-rays sent for a radiologist and surgeon evaluation would be a good place to start as well.
  20. Drool Worthy Arab Lovers And Sport Horse People

    He and Antham were buddies & stall neighbors when they were both in California. Great horse with a great owner.
  21. Cat Spay Questions..new Pics 1/24

    Dilute the Chlorhex 1:4
  22. Cat Spay Questions..new Pics 1/24

    The last 2 pictures posted are actually looking favorable. I honestly can't comment on what the grey areas, but I would agree it doesn't look like bruising. Hair regrowth was admittedly my first thought. The actual incision is actually looking better in these 2 pictures than previous; right now its healing as an open wound in an appropriate manner. I would have to physically feel the skin in the grey areas to say if that's tissue necrosis or not. I'd be a little concerned at the very top; there's an area of grey surrounding an area of white and that is not an uncommon presentation for tissue necrosis. The other thought would be if there was a paramedian muscle incision that bruising from that is just now becoming apparent. How far out from surgery is she now? All I know is that I as a veterinarian would be embarrassed as heck having one of my incisions look like that. Until she can be seen, scrub the incision up with ideally dilute Chlorhexidine (Nolvasan) solution and you can apply some Neosporin if desired. At this point, its unlikely that its going to be resutured without substantial debridement.
  23. Cat Spay Questions..new Pics 1/24

    OK, I'm on a better computer monitor now and Ick..... The issues I see here: 1. External skin sutures were done in a simple continuous (running) suture, which is now pulling through the skin at the nipple that was incorporated into things. Since this was a continuous suture, since its pulled through, its given extra slack to the rest of the sutures and nothing is holding opposed. That's why you don't do simple continuous sutures on skin. One fails and that leads to failure of the entire suture line. 2. The entire incision is off midline. Now that I can see with better resolution, you can see her belly button and the incision should be in line with that. My own incision would've been in line with the top suture knot. That begs the question of if the body wall incision was done on the linea alba or paramedian. The linea is the fibrous band you're SUPPOSED to incise through. If you're paramedian, you're cutting through muscle, which equals more pain and inflammation. 3. On the right side of the incision (as pictured, would be the cat's left side) at the level of the third suture from the top, there is a white line of tissue. To my eyes, that looks like exposed or necrotic subcutaneous tissue. Since the skin isn't opposed properly, the underlying tissue is exposed. I'm not sure what's being referred to with the "grey dots". If this were my cat, I'd have her in getting this properly repaired, which will likely involve additional (proper!) anesthesia, debridement of the wound edges and antibiotics. Right now you have an open wound.
  24. Cat Spay Questions..new Pics 1/24

    I'm on a crappy resolution computer monitor currently, so I can't see detail in the pictures very well. But this last photo would worry me too. Its way too gapped for this far out from surgery and from what I can see the red zone is expanding. My own spays have incisions about 1/3 as long as this (unless individual anatomy dictates otherwise) but the typical one runs about 1cm long, with 3 layers of internal sutures. I'd be getting this cat seen elsewhere, likely with antibiotics, and present the original vet with the bill. ETA: injectable anesthesia for abdominal surgery is most definitely not standard of care. Regardless of what happens in this situation, I would not be going back to this facility. If they're skimping on anesthesia, what ELSE are they skimping on??
  25. Cat Spay Questions..new Pics 1/24

    I'm late getting into the conversation but a couple things to bear in mind. First off, Torbutrol (torbugesic) is a very short duration pain control product. Its in and gone within 4 hours maximum. A far better alternative is oral Buprenex or the non-steroidal drug Onsior (only NSAID approved for cats). The pictures posted look completely normal for a few days post-op. The lump is subcutaneous swelling and as long as its not oozing or overly red, I would not be alarmed. I don't have an answer for why a nipple was sutured into the incision. Given that the skin incision should be on midline.....