Friday, October 19, 2012

COMPARING THE COST - HUMAN VS. ANIMAL

By Dr. Doug Mader MS, DVM, DIPLOMATE, ABVP (CA)

A lot has been discussed about the cost of veterinary care in my column over the last couple of months.  I have been pushing for preventive health care –it is always less expensive than treating a problem once it happens.  But sometimes, things happen and we may not get a choice when we can seek the care.

I was in a serious auto accident many years ago. I have had more than my share of surgeries as a result of that event. There is nary a body part that hasn’t been cut on, but the record, by far, is my left elbow.  The most recent of the seven surgeries was just last month.

Interestingly, just prior to this last surgery, I performed a similar surgery on one of my patients.  I weigh 175pounds.  My patient was an adult, male golden retriever named Rover weighing in at an even 100 pounds.  He and I are about the same age in dog years.
 
I had an olecranon bursectomy.  I did an elbow hygoma repair on my quadrupedal  counterpart – a very similar surgical procedure.  Note the photo for a comparison.  Boxed is a breakdown of the two parallel procedures.
 
I received fantastic care during my surgery and brief stay at the hospital.  I guarantee that Rover got just as good a quality of care as I did.  I think service and compassion were a wash in this comparison.

I know for a fact that many pet owners think veterinarians charge too much.  I hear that all the time.  Take a look at this side-by-side fee comparison.  The same surgery, one-tenth the cost.

Service or Procedure

Rover Paid
Doug Paid
Initial office exam
$75.
$290.

X-rays
$160
$300.

X-ray reading fee

---
$180.
Estimate given

Yes,($1,750.)
Yes, ($12,000.)
Pre-op Antibiotics

$21.
$205.
Pre-op Meds

$45.
$231.
IV Catheter

$42.
$289.
IV fluids

$35.
$43.
Anesthesia

$224.
$2,860.
Recovery

---
$860.
OR fee

---
$6,915.
Surgeon Fee

$650.
$1,484.
Incision Size
2 cm
2cm

Microbial culture

$123.
$539.
Histopath  (tissue analysis)

$129.
$241.
Bandage

$62.
$302.
Rx Antiobitics

$41.
$205.
Rx Pain medications

$78.
$130.
Miscellaneous fees *

---
$850.
Recheck/Suture Removal

0
$90.

TOTAL


$1,685.

$16,014.
*Anesthetic monitoring, surgery pack, OR and recovery room O2, suture, gauze, drapes, prep, BG, BP cuff, suction, sterile containers, Pulse Ox sensor, headrest pad.


Friday, October 12, 2012

BIRD OWNERS - ZuPreem FOOD RECALL

FOR IMMEDIATE RELEASE – October 2, 2012 – ZuPreem®, under parent company Premium Nutritional Products, Inc. is voluntarily recalling the 11/30/13 and the 11/13 expiration date codes of ZuPreem Medium/Large and Large FruitBlend™ With Natural Fruit Flavors maintenance formula bird foods. This voluntary recall is being initiated because two lots may contain calcium levels higher than the recommended level.

The voluntary recall is limited only to 11/30/13 and 11/13 expiration dates.

Consumers are advised to review the backside of packaging for the "Use By" or "Best By" (expiration date) to determine if the product has been affected by this voluntary recall. All ZuPreem channels, including distributors and retailers, have been notified of the voluntary recall. Each partner has been asked to immediately remove these products from store shelves.
The two voluntarily recalled lots are 598405052 and 598405072.

This voluntary recall has been activated due to elevated calcium levels. The calcium was inadvertently introduced into these lot codes during the manufacturing process. Excessive calcium intake can make birds sick and, in some cases, may be fatal.
Symptoms include decreased activity level, decreased appetite, increased water consumption and loose or watery droppings. If owners notice any of these symptoms, they should immediately contact their veterinarian.
Bird owners should monitor the health of their birds and notify their veterinarian if they notice any unusual symptoms. They should also discard any unused product and return the packaging to the place of purchase for a replacement or full refund.

Consumers may contact the ZuPreem Customer Service line at 1-800-345-4767 where company representatives are responding to inquiries regarding any issues relevant to this voluntary recall.

FAQs

What is being announced?

Premium Nutritional Products has issued a voluntary recall of its ZuPreem® Medium/Large and ZuPreem® Large FruitBlend™ With Natural Fruit Flavors maintenance formula bird foods. The affected lots carry the expiration date codes of "Use by 11/30/13" and "Best by 11/13."

Why are these products being recalled?

This voluntary recall is being initiated because one lot of ZuPreem® Medium/Large (598405052) and one lot of ZuPreem® Large (598405072) FruitBlend™ With Natural Fruit Flavors maintenance formula bird foods may contain elevated calcium levels.

What product expiration date codes are affected?

The only lots affected by this recall are the ZuPreem® Medium/Large and the ZuPreem® Large FruitBlend™ With Natural Fruit Flavors maintenance formula bird foods with "Use By 11/30/13" and "Best by 11/13" expiration date codes.

Are other ZuPreem® products affected?

No other ZuPreem® products or lots of FruitBlend™ With Natural Fruit Flavors maintenance formula bird food are affected or part of this recall.

How will bird owners or breeders know if they have the recalled product?

The "Use by" and "Best by" expiration date and lot numbers can be found on the back of the package.

What should people do if they have the product?

Consumers who have purchased these products with the lot codes and expiration dates should discontinue using this product, discard the food and return the packaging to the place of purchase for replacement or a full refund.

What if owners fed the product?

They should monitor the health of their birds and notify their veterinarian if they notice any unusual symptoms. They should also discard any unused product and return the packaging to the place of purchase for a replacement or full refund.

What symptoms should they look for?

Symptoms include decreased activity level, decreased appetite, increased water consumption and loose or watery droppings.

What should owners do if they see symptoms?

If owners notice any of these symptoms, they should immediately contact their veterinarian.

What is the risk to birds of excessive calcium intake?

Excessive calcium intake can make birds sick and, in some cases, may be fatal.

Where were the affected products distributed?

The products in question were sold through pet stores, veterinary clinics, mail order and online in North America and other regions of the world.

Friday, September 28, 2012


CAT VACCINES 

 
One of these cats is sick, can you tell which one?

“I vaccinated my cat as a kitten, so it’s protected for life.”  
Once is not enough.  While kitten vaccines offer great initial protection, the effect begins to wear off with time.  Without additional boosters, a cat’s immune system may not be strong enough to ward off certain infectious diseases. 
It is recommended that owners take their older cats – those that are still healthy and those with long-standing but stable disease conditions – to receive ongoing routine vaccines. Your veterinarian can recommend vaccines.


“My cat never looks sick.”
Taking a cue from their wild ancestors, cats are masters at disguising pain and illness as a protective mechanism.  As a result, many owners fail to recognize the telltale signs.  Here are some common symptoms to look for:
  • Excessive sleeping
  •  Urinating and drinking more water than usual
  • Spending more time in the litter box
  • Lack of appetite
  • Limping
  • Hiding
  • Vomiting and diarrhea
  • Excessive vocalization
  • Behavioural changes
“My cat can take care of itself.”
Because of a cat’s reputation for independence, people mistakenly believe that their feline friend can look after itself.  That’s not the case; cats need attention and healthcare from their owners and their veterinarian. 

“My cat is older, it doesn’t need to be vaccinated or examined every year.”
In its senior years, a cat’s immune system may not be as capable of overcoming infectious diseases, so it’s more important to make regular visits.  The AAFP and the AAHA (American Animal Hospital Association) recommend a minimum of one wellness exam per year and even more frequently for senior or geriatric cats, if warranted by their medical condition.  These exams can help detect several chronic ailments particular to senior cats.

“My cat is indoors, why get it vaccinated?”
Indoor cats are often able to sneak out.  In one study, 41% of lost cats were considered by their owners to be indoor-only.  And, according to the American Humane Society, only 2% of lost cats ever find their way back from shelters, often because they lack tag or microchip identification.  Once outside, they can quickly pick up diseases from their neighbourhood.
With its rabies vaccination, your cat will receive an identification tag which allows you to go online and register your pet.  (visit: www.getmehome.ca)

“Veterinary visits and vaccines are expensive.”
Preventive feline healthcare will improve the quality of life for your cat, and that peace-of-mind is priceless.  Plus, you’ll save on expensive veterinary costs through ongoing wellness checks that will detect potential serious problems in the early stages.

“My cat hates going to the veterinarian.”
In a recent study, more than half of all cat owners reported they avoid veterinary visits for their cat because of the stress involved with travel to and from the clinic and the visit itself.  Not to worry, the following information provides comforting ways to transport your cat to the vet and back home again.
 

TIPS ON HOW TO TRANSPORT YOUR CAT TO THE VETERINARY CLINIC CALMLY AND COMFORTABLY.

  • Look for a carrier with proper ventilation, made of sturdy plastic, with a front door and, ideally, with a top that can be lifted off.
  • Place the open carrier in an undisturbed area where your cat likes to spend time.  With time, your cat will get used to it.
  • Place a piece of clothing with your scent in the carrier.  Include soft bedding,  their favourite treats, or familiar toys in the carrier.
  • Gently rub a cloth around your cat’s face.  With the scented cloth, rub it on your cat’s carrier to make it smell like home.
  • To reduce motion sickness, avoid feeding your cat a few hours before the trip.
  • After you’ve placed your cat in the carrier, place a towel over the carrier.  This should help calm your cat.
  • In the car, drive smoothly, reduce the noise (music, honking, etc.)  Instead, talk to your cat, as your voice can be reassuring.  A cat’s sense of hearing is 4 times sharper than ours.
  • While in the clinic waiting room, keep the towel on the carrier and sit as far away as possible from dogs.
  • After returning home (if other cats are around), take a cloth and rub the other cats.  Then rub the returning cat with the same cloth – this can reduce conflicts.
  • Don’t worry if your cat seems unhappy after their visit to the clinic.  The minor stress experienced is not harmful to your cat’s health or to your relationship with it.

Remember, regular visits to veterinary clinics have been proven to extend the life and well-being of our feline friends.  You’ll feel better, and so will your fun, affectionate loving cat.

Crate training is not just for the dogs.  In fact, taking time to adapt a cat to a crate or carrier can have tremendous benefits for the cat, the owner, and the veterinarian.  Cats that are comfortable and secure with their carriers can be more successfully managed during travel, vacation, visits to the veterinarian, or when confinement is necessary post surgery, or in the management of behaviour problems such as aggression or house soiling.
Many cats become fearful and even aggressive when being placed in their carrier, or even at the sight of a carrier.  This is likely to be the case if the cat has been previously forced into the carrier, or the carrier has been associated with unpleasant experiences.  If a cat is fearful of its carrier, this can incite fear even before the car ride or veterinary visit. Cat owners should focus from the outset on making the carrier a positive and secure place for the cat.
Although young kittens are generally less fearful and more exploratory, it should be possible to make the carrier inviting for cats of all ages.  This can best be achieved by locating the carrier with the door open in an area where the cat likes to explore, play, eat, or sleep.  The key to success is to be creative in finding ways to encourage the cat to voluntarily enter and find comfort in the carrier by offering, treats, food, toys, or bedding.
In addition, many cats will be naturally curious to enter to they can spread their body and cheek gland marks on the cat carrier; this should be immediately reinforced with treats.
Cat owners will need to determine what type of carrier is most appealing to their cat.  Some cats are more relaxed when they can see what is going on around them, in which case a wire crate might be better.  Others feel more secure in a carrier with solid sides.  Rigid carriers may be sturdier and easier to keep clean but some cats may more willingly enter a soft-sided carrier.  Carriers can open from the side or top.  Carriers that offer both options allow the cat to enter from either door while the top opening (or removing the top) might provide a less stressful way to work with cats in a veterinary clinic environment.  Once a cat will readily enter the carrier, the owners should practice lifting and moving the carrier, followed by short car rides that incorporate treats and rewards to distract the cat.  Make sure the initial trip is an enjoyable experience.
Every effort should be made to condition the cat to its carrier before any stressful outing.  However, if there is not enough time to introduce the cat to the carrier before the first trip, the owners should work to insure that confinement is as stress-free as possible.  Food or treats and comfortable bedding may help the cat to adapt.  In addition, by spraying a synthetic feline facial pheromone (e.g. Feliway) on the bedding about 30 minutes before placing the cat in the carrier, stress and anxiety may be further reduced.  Medication or other natural products to reduce anxiety might also need to be considered.
Finally, for cats that have had a previous negative experience with a carrier, consider re-training with a carrier that is sufficiently different in size, shape or surface texture that it does not cause fear and the cat is more likely to voluntarily enter. Putting treats, toys or bedding in the carrier can again help to encourage its use.  Another option is to purchase a carrier with a removable top and to give the cat an opportunity to use the bottom half for feeding or resting.  Pet owners should not close the carrier until the cat is comfortable with entering and staying inside. 
This article was co-authored by Dr. Colleen Wilson and Dr. Gary Landsberg.  Dr. Landsberg is a veterinary behaviourist at the North Toronto Animal Clinic in Thornhill.  He is a mentor for the ACVB specialty training program for Dr. Denenberg at the North Toronto location (northtorontovets.com) and Dr. Wilson at Osgoode Veterinary Services (osgoodvet.com) in Ottawa.  It was first published in the OVMA’s January/February 2011 issue of Focus magazine and is reprinted with permission.

Wednesday, September 12, 2012

Happy Endings for a Hawk

Nylon netting around feet
This is a story about an injured female Red Tailed Hawk, who was successfully released back to the wild, 3 months after her injuries.

On June 5, 2012, the Bowmanville Veterinary Clinic received a call from Clarington Animal Services that a Red Tailed Hawk had been found by the Durham Regional Police dangling from a tree, completely trussed up in nylon netting on Port Darlington Rd. As part of their community services programs, the Bowmanville Veterinary Clinic will take in injured wildlife for assessment and treatment. Once the animals are stable, arrangements are then made to have the animal transferred to a licensed wildlife rehabilitation centre.

This hawk was suspended in the netting approximately 10 feet above the ground, and with the assistance of the Durham Regional Police the bird was carefully cut down from the tree. Animal Services then quickly transported the bird to the Bowmanville Veterinary Clinic. 
On the initial assessment at the vet clinic the bird was found to be profoundly dehydrated and in shock. Under her feather coverage, she was completely ensconced in nylon netting, that was wrapped around both wings and legs, and across her back, cutting into the skin there. The left foot was so wrapped up that it was swelling up from having the circulation cut off. Flies had laid eggs in the wounds and maggots were starting to hatch. If the bird had not been found at the time that she was, there is no doubt that she would have died by the next day.

The bird was assessed for permanent tendon damage which would have made her unreleaseable back to the wild. The Ministry of Natural Resources does not allow for native wildlife to be kept in captivity, except by special dispensation, and if damage to the bird had been permanent, then the only choice would have been euthanasia. Luckily, although seriously injured, this hawk appeared to have wing and leg function still intact.

The bird was carefully untangled from the netting, her wounds were flushed and she was treated with pain management medication, antibiotics and fluids at the Bowmanville Veterinary Clinic. By the next day the bird was starting to stand on her own, and was showing a remarkable improvement. She was then transported by a volunteer to the Sandy Pines Wildlife Rehabilitation Centre in Napanee for further care. Here the bird had several setbacks during the healing process, but due to the dedication of the veterinarians and volunteers there, she managed to make a full, if somewhat slow recovery. She also received a vaccine to protect her against West Nile Virus while at the centre since numerous crows and birds of prey had died from this virus over the summer.

 

Release

Taking flight
 










Now, three months later, this Red Tailed Hawk has been released back into the wild. She was picked up from Sandy Pines by another volunteer and was brought back to Bowmanville Veterinary Clinic in order that she would be released at the same location where she was found. This allowed her to orient herself more readily within her original territory.

Although a careless human allowed a stray piece of nylon netting to almost cause the demise of this bird, it is heartwarming to see how so many different caring humans worked together to be able to successfully release this magnificent hawk back into the wild.

The release took place on Port Darlington Rd. on Tuesday September 11, 2012.


Monday, August 27, 2012

Itchy Pet Seminar

Bowmanville Veterinary Clinic invites you to attend our complimentary "Itchy Pet" seminar.  The seminar will be held here at the clinic 2826 Hwy 2 Bowmanville on Friday September 28th from 7:30 - 9:00pm.
Dr. Koseck will be discussing causes and treatments for your itchy pet.
If you are interested in attedning please call the clinic to sign up - seating is limited.  905-623-4431

Friday, August 17, 2012

Helping Cat Overpopulation in Durham



Commencing August 2, 2012 forty-two veterinary offices in Durham, including Bowmanville Veterinary Clinic, are going to begin partnering with the Durham Humane Society in hopes to help reduce the cat overpopulation issues.

The project will be run through the Humane Society of Durham Region.  Low income families will be able to apply to receive a voucher that they can take to any of the participating clinics to have their cats spayed or neutered at a reduced cost.  Female cats will be spayed at the cost of $100 and male cats will be neutered at $80.

In order to be eligible to receive a voucher, you must meet the following criteria:

  • Seniors receiving the Federal Guaranteed Income Supplement (GIS).
  • Disabled individuals receiving the Ontario Disablility Support Payment (ODSP) or the Canada Pension Plan Disability payment (CPP Disability)
  • Individuals receiving financial assistance through the Ontario Works program.

We are pleased to be a part of this program and hope it will help our feline friends.  Press release statement can be found on the Ontario Veterinary Medical Association webpage. 
Also contact the Humane Society where you can apply for a voucher.

Thursday, June 21, 2012

Lyme Disease Explosion

CTV News aired a very informative and interesting segment on Lyme Disease.   

Check out the link below and know the risks for your family and your pets.

http://www.ctv.ca/CTVNews/Health/20120619/lymedisease-tick-season-120619/