Category: Labwork

I Gave the Medications – Now What?

cat_at_vet_examWhile annual exams are crucial to your pet’s health, medical progress exams are also an important part of your furry pal’s health plan. In fact, they are just as important as their annual exams!

Medical Progress exams can help us with keeping track of any changes in your pet’s individual values. Bringing your pets in for regular exams also allows us establish a baseline of what is considered “normal” and “abnormal” for your animal. This leads to better health care because of the consistency, allows us to diagnose conditions sooner, and allows us to better assess and address chronic issues.

Ear Exam Dog 5For example, let’s say your pet comes in for an examination. Her ears are all red, inflamed, have an odor and are painful to your pet. The doctor looks sets up an ear cytology and looks at it carefully under the microscope. She confirms that there is an abundance of yeast and bacteria on the slide. To treat the ear infection, the doctor prescribed ear cleaner/antibiotics, with instructions to see your pet back in 2 weeks for a medical progress exam.

In about a week, you notice that your pet’s ears appear to be better. No more itching or shaking their head, and you’re pleased. The medications must have cleared up the infection! You figure that there’s no need to come back in for that medical progress exam because the ears are better and there’s no need to spend more money.

615473-dog-and-sadA few weeks later, however, you discover her ears have doubled in inflammation, redness, soreness, and she’s in a lot of pain. Not only is the infection back, but it’s worse than before! That’s because the infection was never completely gone before and has flared up with a vengeance.

Now you have to return to the clinic and the veterinarian must repeat the cytology and other necessary tests, which in turn costs you more. Odds are that the infection won’t even respond to the same treatment this time because it is now resistant to the previous course of medications. Your girl is going to need different medications now as well. Animals’ bodies are changing all the time, so it’s important that tests are redone, especially if a medical progress exam was not followed through the first time.

Now your pet’s ears are having double the trouble, and so is your wallet!

moneyHere’s the catch! Your dog or cat could be free of symptoms and still have an underlying infection or other disease that your veterinarian will be able to monitor best with medical progress exams.

This doesn’t just apply to only ear infections. Skin infections, urinary tract infections, eye injuries, wounds, upper respiratory infections…all of these (just to name a few!) are common issues that require following up with your veterinarian. In some cases, especially for reoccurring issues, further diagnostics (such as cultures or blood work) are needed to pinpoint the exact treatment needed for your pet.

It is important to follow through with medical progress exams so that we can ensure that all infections and diseases are being properly controlled and treated. After your pet’s initial visit for whatever issue is causing them discomfort, you’ll be asked to schedule their medical progress exam before you’re invoiced out. That way you don’t have to worry about remembering to schedule something later on, it’s already been taken care of!

All of us at TLC know that your pets are family to you. We want to do everything we can to make sure that they stay healthy and happy!

happy dog

By: Alexus Farr

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Wellness for All Ages

“Until one has loved an animal a part of one’s soul remains unawakened.” -Anatole France

Senior Wellness

At TLC, we recognize that no two animals are the same. We respect their individuality and their

individual needs throughout all stages of their lives. Unfortunately, aging is a fact of life and can take its toll on the body. That’s why we specialize in senior wellness and care. We monitor senior pets closely for age related changes so that we can address developing medical conditions as soon as possible.

We work with you to create and customize a care plan for your pets as they age so that they can remain happy and comfortable in their later years and so that you can spend as many years with them as possible.

Some of the services that we offer and recommend for our senior patients include:

Extensive Bi-Annual Examinations

Pets age at seven times the rate of humans. It is for this reason that we recommend bi-annual examinations for all of our senior patients. The Doctor will check your pet from nose to toes looking for any physical changes that need to be addressed or monitored. This includes monitoring their weight, listening to the heart and lungs, checking their eyes and ears, palpating their abdomen and checking the joints for stiffness or discomfort.

Bloodwork & Urinalysis

While a physical examination is vital to your pet’s healthcare, there are several conditions that simply cannot be diagnosed by just looking, listening, and touching. Chemistry and hematology blood tests and urinalysis provide a detailed look at your pet’s health from the inside.

Radiographs

As pets age they experience many changes internally such as changes in their organs and joints. Radiographs give us a better picture of what is happening inside the body and allow us to address and monitor these changes. All radiographs are reviewed by board certified radiologists who can help identify and diagnose these changes and make additional recommendations for care.

Blood Pressures

Just like humans, dogs and cats can also suffer from high blood pressure, especially as they get older. Hypertension in pets is often caused by some other underlying disease and thus is a very important wellness screening tool. All senior pets should have a screening blood pressure with every exam.

Ocular Pressures

Glaucoma is a serious condition where the pressure of the eye becomes elevated. It can be extremely painful for dogs and cats and can cause irreversible, rapid blindness. It may not be obvious to pet owners when they eye is only mildly affected so it is recommended that screening pressures be performed twice a year. Medications, when administered regularly, can help to lower eye pressure and slow down vision loss.

Schirmer Tear Tests

As dogs age, they frequently develop a condition called KCS or dry eye. Many breeds such as Shih-Tzus, Pugs and Boston Terriers are pre-disposed to this condition. It can be painful and lead to other damages to the eyes if left untreated. Schirmer Tear Tests allow us to monitor the eyes’ ability to produce tears. Medications can be prescribed if needed to ensure that your pets’ eyes stay properly lubricated.

Laser Therapy

Our Class III Therapeutic Cold Laser is specifically designed to treat pain and inflammation due to arthritis. Low level laser light has both anti-inflammatory and immunostimulate effects. Following a laser session approximately 75-80% of clients that have patients being treated notice improvement in their condition.

Medication Therapy

There are many pet-safe medications available to relieve arthritic discomfort and pain. These medications have been tested for long term use in pets. We can recommend and prescribe these medications based on your pets’ personalized wellness plan.

Geriatric Boarding

As pets age, many require care beyond basic boarding. That’s why we offer Geriatric Boarding for our senior patients. This service is available for pets that are physically restricted and/or have medical conditions that make it difficult for them to stay at general boarding facilities. Our team is specially trained to deliver exceptional care to senior pets including monitoring them closely while here and administering their medications. All senior boarders are walked every hour and we provide hygienic baths as needed to make sure that they remain clean and comfortable.  You can have confidence that your pets’ are receiving the care that they need while you are away.

In addition to beds and mats, we also provide Pet Cots for our boarders. Unlike regular bedding which has been known to clump and become uneven, Pet Cots evenly distribute a pet’s weight and relieve stress on the joints. The raised design protects pets from excessive cold, heat & moisture and yet is low enough to the ground to allow older pets to climb step easily on and off the cot.

Products
In addition to providing senior specific services, we carry a variety of products that address age related changes including:

  • Purina Neuro-Care, a diet designed to promote healthy brain activity and joints in aging dogs
  • Hills J/D, high levels of glucosamine and fatty acids promote healthy joints
  • Therapeutic Diets for medical conditions such as renal disease
  • Planet Dog “Old Soul” Balls  Senior dogs are only as old as the wag of their tail. The Old Soul Ball is designed to address the issues dogs experience as they grow older and wiser: reduced vision and snout strength, weakened jaw muscles, and brittle teeth. High contrast colors make the Old Soul Ball easy to spot, and the extra mint makes it easier to sniff out. The material is given extra pliability to offer a satisfying chew that’s easy on the gums and snout

By: Tara Sansing

MDR… What?!..

Congratulations! You’ve just adopted a new family member! They are cute, furry and already an important part of your life! Naturally you want them to be as healthy as possible. You’ve been to the vet and you’ve talked about vaccines, microchips and spaying / neutering. But what about the MDR1 gene? Has your dog been tested? If not, you will definitely want to discuss this with the Doctor—especially if your dog is one of the affected herding or hound breeds, as it can cause life-threatening complications.

What is MDR1?

Many herding breed dogs have a genetic predisposition to adverse drug reactions involving over a dozen different drugs. Scientists discovered that these dogs lack a protein (P-Glycoprotein), which is responsible for pumping out many drugs and toxins from the brain, and that affected dogs show signs of toxicity because they are unable to stop drugs from permeating their brains. Researchers have identified that this condition is due to a mutation in the multi-drug resistance gene [MDR1].

In the grand scheme of things, the mutation wouldn’t be a problem at all except for the use of certain therapeutic drugs in veterinary medicine. While these drugs are very beneficial for most dogs, they can be dangerous and even lethal to those with the MDR1 mutation. Affected dogs, when treated with certain common drugs such as Ivermectin and loperamide (Imodium), are unable to pump out these drugs from the brain resulting in poisoning and neurologic symptoms ranging from tremors, anorexia and excess salivation to blindness, coma and even death.

How do I test my dog for the MDR1 Mutation?

Testing for the MDR1 Mutation is simple and non-invasive! All it takes is scheduling time for a technician to draw a blood sample from your dog. The blood can either be sent to Washing State University for testing for the MDR1 Gene or sent to the lab for a full Genetic Health Analysis which identifies both ancestry information and scans for multiple genetic disorders including the MDR1 mutation.

australian-cattle-dog

During January, all Genetic Health Analysis tests are 10% OFF

If you have any questions or would like schedule a time for your dog to come in for testing, contact the clinic at 281-282-9944.

Discover the Secrets of Your Dog’s DNA

mixed-breeds

Have you ever looked at your pup and wondered where they really came from? Are they really part Lab like the shelter predicted? Or are they a German Shepherd mix?

We can help you answer those questions with Royal Canin’s DNA & Genetic Health Analysis!

What makes this test better than a standard breed test?

The test not only identifies your dog’s ancestry information (going back to great-grandparents) but also tests for several inheritable genetic diseases based on their breed composition.

Why is this important?

Genetic testing in dogs enables diagnosis of a disease before the development of its first symptoms. Results of genetic tests are accurate and more reliable than conventional methods for disease detection, especially in case of late onset diseases. DNA tests also enable diagnosis of the disease before reaching mating age, thus allowing prevention of the disease-causing mutation from being transmitted to offspring.

Genetic testing in dogs is the only way of revealing carriers for a disease with an autosomal recessive mode of inheritance. This is the factor that makes DNA tests a valuable weapon in the fight against inherited diseases in dogs, especially since autosomal recessive diseases are the most common.

The Royal Canin DNA Genetic Health Analysis tests for more than 130 genetic mutations including the MDR1 Drug Sensitivity Gene and Cardiac Diseases. Knowing this information about your dog is invaluable and allows us to create a customized health plan that reflects your dog’s individual genetic code and needs.

Dogs can be genetically tested at any age and there is no need for repeated testing which makes genetic tests economically valuable. It should be noted that the test is non-invasive; a simple technician appointment for a blood draw is sufficient for performing a DNA test.

 During December and January, All Genetic Health Tests are 10% OFF!

 For more information or to schedule a time for your pet to come in, please contact the clinic at 281-282-9944.

 

Changes In Underweight And Overweight Cats

By- Erin Fitzpatrick-Wacker

Is your cat experiencing changes in its normal habits? Since our cats can’t tell us what is bothering them, we monitor their everyday behavior for changes to alert us that something may have changed.

In the case of diabetes, some early symptoms you might see are attacking you for food, inappropriate elimination, problems jumping on things, and worn off fur on the bottom of paws. Some late symptoms you might see are increased water consumption and increased urination.

In the case of hyperthyroidism, you might see increased appetite, changes in their coat, and weight loss.

If we are checking their lab work regularly, we are able to monitor many of these changes, and in the case of early diabetes, can even reverse the changes if caught early enough. We recommend screening lab work for every overweight and underweight cat, especially if they are over 10 years old, and every cat over the age of 7, especially if they are being anesthetized. 50% of diabetic and hyperthyroid cats have an underlying gastrointestinal issue (GI) and need additional screening lab, such as a GI panel with their regular lab work. Diabetic patients are also prone to urinary tract infections and require additional testing for their urine.

Properly diagnosed cats with gastrointestinal problems live 2 years longer, since skinny old cats have a reduced ability to digest fats and proteins, which is why we prescribe the special diet we put them on.

We also often like to check the quality of their stool to check and document consistency. Many cats with gastrointestinal problems have normal looking stool from the outside, but the inside will be waxy or liquid-like.

Monitor your cat closely for changes because of the special needs of senior pets and do yearly screening lab work to help evalutate their internal organs and identify underlying medical conditions. The sooner we identify their condition, the faster we can treat it. Bring these noticeable changes to the attention of your veterinarian for proper testing and diagnosis.