Hard to believe that I have been blogging about pet issues for 9 years. My first blog was July 2016. We had just gotten a new website version for Winterset Veterinary Center. I was told  doing a blog would help our status with google having new material each month. I decided to start sharing information about pets and their health concerns. I have touched on numerous topics over the years. I have shared personal events and experiences on occasion. I have referenced many articles, documents, and topics about a variety of animals. I have even had guest bloggers over the years who have shared their knowledge about a particular subject. I have learned from these blogs right alongside my audience. The wealth of information available at our fingertips is sometimes overwhelming. I have attempted to write blogs for ease of understanding and comprehension. Nothing makes me more excited when people tell me that they appreciate the way in which I explain things to make it easier for them to understand.

I attempted to find some statistics about what blogs have been most popular, but it appears our most recent server update is only giving me information from the last 6 months. It is difficult to make comparisons from 9 years ago with only 6 months of data. Having said that, I decided to just share a few interesting stories that have happened related to our social media presence. Apparently, there is a Winterset Veterinary Hospital in Pennsylvania. More than once in the last 9 years we have had calls from people in Pennsylvania believing they are calling their local veterinarian. The most interesting story was a Friday evening call I got explaining that his dog got hit by a porcupine and needed to come in on Saturday to have them removed. I explained that I would not have time to do that procedure on Saturday.  We could do it now as an emergency visit. He would not agree to that and therefore I explained he would need to go to the emergency facility to have them removed. I had worked in Northern Minnesota and removed porcupine quills before so was familiar with the process. The next day this man never showed up with his dog. I started to think through this scenario realizing that there are no porcupines in central Iowa. I googled Winterset Veterinary facilities and discovered the one in Pennsylvania. I still had his phone number and decided to call him. I explained why I was calling him back and we had a good laugh. He was an over the road trucker and was trying to reach his veterinarian in Pennsylvania at Winterset Veterinary Hospital. He told me if he ever got to Winterset, IA he was going to stop in since I was the only veterinarian he could reach that night. He has never been here, but it was that first call that has prompted me to ask where people are calling from when we cannot find them in our system. It has happened more times than I can count. Guess what? I just had a fax for a prescription and the client was from Johnstown, PA. Crazy!

The blogs that I submit monthly for our website allow us to have a higher rating with social media sites and therefore we pop up often before other practices in this area as well as in other parts of the country with a similar names. I decided to google my name to see what pops up. I have been given an author status for writing these blogs. That was surprising. Affiliation with Winterset Veterinary Center is the first thing that comes up, but it was interesting to see what other things pop up. Times my name was in the newspaper. Times my husband’s name has been printed, and I was mentioned. A college scholarship that I received prior to my 3^rd year of veterinary school. I had not expected to see that. It has also been interesting to see the direct search results for myself and the Winterset Vet. People spell my name in so many ways both first and last name. It is amazing that they still can connect with us through our social media presence. Do not ever attempt use Truthfinder for information….it will cost you something in the end after you have gone through the entire process. Waste of time if you are googling yourself. I already know where I have lived and whom I married. 

I have taken a step back on my hours at Winterset Veterinary Center so I can spend more time with my granddaughters. I am taking the 4 year old to Vacation Bible School in July. I took both of them to Joujou in Des Moines last week so their mom could have some free time. I am also playing pickle ball on my days off. I enjoy helping others and am looking for opportunities to give back. I will be working Tuesday – Thursday consistently going forward. Dr Jim is still available during regular business hours during the week and after hours. If I am gone when you call in to speak with me, leave a message and I will get back to you when I return. I am not retiring but just making opportunities to do more things in my life that bring me joy.

Having said all this today, if you have been reading my blogs for 9 years, thank you. I want to give a huge shout out to Julie Feirer from Winterset Websites for posting these each month. She also finds most of the eye-catching photos to attach to my blogs. She probably has corrected many grammar errors through the year as well. She has been my source of information when it comes to Winterset Veterinary Center’s website.  

Obesity in our furry friends is at an all time high. We continue to talk with clients about the negative side effects associated with excess weight. Yet it seems it takes a medical crisis before owners take this information seriously. I believe I have mentioned this before but for each extra pound of body weight that adds 4 extra lbs. of pressure on the joints. If your pet is 5 lbs. overweight, they carry around a 20 lb. backpack each day. Exercise is not the key. It is helpful to be active, but intake is the only way to achieve weight loss in our furry friends. All food sources must be considered. Royal Canin sent us the following resource to share with clients about feeding pets from our tables. Take a look and decide whether you might be adding to the problem even with those small bites!

Meet our June patient, Java Joe, a cat of unknown age. We first met him in March related to having blood in stool. Discussion about his excess appetite and thirst gave cause for concern for some underlying health issues. She had just received him and was told he was 5 years of age but no records to prove this. On appearance he looked older.  Also was obese based on his body size. She had started to work on weight loss knowing he was heavy.

She agreed to return with him for a wellness exam so we could get some base lines on his bloodwork and urinalysis. Our goal was to see whether we could find cause for his voracious appetite and excessive thirst. Our findings confirmed diabetes since we had glucose in the urine and high levels in the blood. The symptoms matched the diagnosis, so we discussed with the client treatment options. 

In years past this diagnosis was a difficult one for many owners because they had no desire to give their cat or dog injections every 12 hours for the rest of the pet’s life. We coached people using saline on how to give the injections. We would have them give the injections at the time of a feeding to make certain the cat or dog was eating normal amounts of food. No free feeding was allowed, and this often conflicted with every pet in the house. As you can imagine, the success of therapy was unpredictable. So many variables to deal with.

About 3 years ago a new treatment came on the market for cats only. It is called Bexacat by Elanco. This medication is not offered to any cats that are currently on insulin or have been on insulin. It can only be used with cats that are newly diagnosed with Diabetes. The medication is a once-a-day CHEWABLE FLAVORED tablet. Owners break it up with their food and cats eat it.  No force feeding or hiding required to get cats to eat this medication.

We are excited to report that Java Joe recently returned for a recheck and his values had improved. His owner indicated she is seeing less drinking and peeing at this time. He has gained some weight back so we will need to adjust his feeding schedule to prevent further weight gain. We highly recommended they feed Royal Canin Glycobalance and monitor the volume fed and output. We do not want the cats to get heavy again but are willing to allow them to regain the weight and muscle mass they have lost since showing clinical symptoms of Diabetes. The following contradictions are listed on the Elanco website.

CONTRAINDICATIONS:

• Do not use Bexacat in cats with diabetes mellitus who have previously been treated with insulin, who are receiving insulin, or in cats with insulin-dependent diabetes mellitus. The use of Bexacat in cats with insulin-dependent diabetes mellitus, or the withdrawal of insulin and initiation of Bexacat, is associated with an increased risk of diabetic ketoacidosis or euglycemic diabetic ketoacidosis and death.
• Due to risk of severe adverse reactions, do not use Bexacat in cats with evidence of hepatic disease or reduced renal function.

A second drug called Senvelgo has recently come to the market for diabetic cats. This product is a liquid formulated by Boehiringer Ingelheim (BI).  It is for cats only that have not been on insulin. It has similar restrictions as Bexacat but certainly simplifies treatment for owners and their cats.

CONTRAINDICATIONS: 

• Senvelgo should not be used in cats with diabetes mellitus who have previously been treated with insulin, who are receiving insulin, or in cats with insulin-dependent diabetes mellitus. The use of Senvelgo in cats with insulin-dependent diabetes mellitus, or the withdrawal of insulin and initiation of Senvelgo, is associated with an increased risk of diabetic ketoacidosis (DKA) or euglycemic diabetic ketoacidosis (DKA with a normal blood glucose concentration) and death.

It is exciting to be able to offer different options for cats with diabetes that will make treatment easier for their owners. Our focus would be to keep the cats lean and not allow obesity as a prevention for diabetes in the first place. Obese cats have risks of heart and joint issues as well as diabetes. Sound familiar.  Amazing how our furry friends can be impacted by excess weight in the same way as ourselves. Monitor the volume of food offered to your pets daily. Adjust the diet up and down to regulate their weight. Talk with your veterinarian if you feel your furry friend is overweight and at risk for diabetes. This disease is preventable. Weight loss can be achieved if an owner is committed to helping their cat or dog live a longer healthier life. Now who isn’t committed to that!

Years ago, when I began practice, we would see cats with Feline Urologic Syndrome(FUS) multiple times a month. The cats were always in distress and owners reported multiple trips to the litter box with no urine being produced. These cats are usually males since they have a predisposition to urinary blockages based on the smaller size of their urethra. Females can be diagnosed with FUS but they usually are always able to pee but take multiple trips to litter box with small amounts of urine output.

Panda is a 3-year-old-long haired indoor only cat. He started showing signs of discomfort with frequent trips to the litter box. Owners noted that he was not having any urine output. His diet had been switched about 3 weeks earlier which may have led to the change in urine consistency and pH. In recent years many cat food companies aware of this life-threatening condition have altered the ash content of their cat foods to reduce the incidence of FUS. For some cats this is not enough of a change to prevent FUS. This condition takes into consideration many different factors and reduced ash is only one of them. 

At presentation many of these cats are in extreme pain. Some have stopped eating and drinking. Some may be vomiting and lethargic. Abdominal palpation is painful, and the bladder is hard and enlarged. The blood work shows pre-renal azotemia with elevated Blood Urea Nitrogen (BUN) and Creatinine along with other various changes. Many of the laboratory results will be resolved after the crisis is over.

Anesthesia is required to relieve the blockage by placing a urinary catheter to allow continual drainage as the mineralized crystals are flushed from the bladder. Initially the urine is blood red and gritty in appearance. An intravenous (IV) catheter is placed and Lactated Ringers Solution given in a constant drip to facilitate resolution of the high levels of BUN and creatinine. This also becomes a way to rehydrate the patient. Many of the cats will be vomiting along with not eating or drinking so dehydration is a crucial factor. Panda was hospitalized during this crisis. Many patients can go home within 24-48 hours if the condition is discovered quickly. The tragedy comes when left undiscovered and the bladder ruptures related to the inability to empty. Those cases are complicated and can end in death.

Once Panda was feeling better and had recovered from his anesthesia, he was offered a prescription diet called Royal Canin urinary s/o designed to prevent FUS. There are a few diets commercially available for urinary health as well as multiple veterinary prescription diets. Prescription diets offer other positive aspects for prevention of FUS.  What diet you feed your cats can impact them in ways that can lead to medical issues. Researching your cats’ diets is highly encouraged. Keeping the diet the same and not switching is often recommended as those subtle changes can lead to not only weight gain but also other health issues. Talk with your veterinarian about what would be a good diet for your cat. They are knowledgeable about nutrition and the health issues that come with feeding the wrong diets to your cat. As pet owners you can no longer use the cost of food to determine the quality of the diet. Everything that pertains to pets has a price tag since marketers are aware that these furry friends are now family. We will do whatever it takes to make them live longer. 

Have a great spring. Get out and enjoy the weather but hang on to your hat! It seems the wind is here to stay!