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Spending the Golden Years with Dogs

Well, it’s happened: I have reached the age where I look forward to Social Security payments arriving in my bank account every month. With that significant milestone comes some new perspectives on life with dogs as a senior citizen. Not the least of these is the sobering realization that I have a finite number of dogs left to share my life with, making each one an even greater treasure.

Just as daunting is the awareness that, if and when my husband and I do add more new canines to our family, we might need to revise our checklist of desirable adoption-dog characteristics. If you, too, are reaching your golden years or have dog-loving family members who are, you may find the following suggestions useful.

Don’t get me wrong! If you’re like me, you’re still quite agile and active. I do barn chores every day, hike with my dogs, and work 12-hour days. Check out any agility competition and you can be reassured that there are plenty of aging dog-lovers who can still get around quite handily. These tips are not just for doddering centenarians – just some of the things you might want to think about as you contemplate your future with your four-legged family members.

dogs for senior citizens

The Good Stuff

Aging with dogs isn’t all accommodations; there are lots of good things about being a senior dog owner:

You will likely be home more. With retirement comes more time to spend with your dogs. They will love this! So will you! If you, like me, have lots of active years ahead, you can do more training, more hiking, more playing, more cuddling, and just have more all-around fun together.

You might travel more together. It’s not uncommon for retirees to travel the country in a motor home, touring national parks and monuments, visiting out-of-the-way places, and crossing off bucket-list adventures.

Motor home travel is ideally suited for dogs; your dogs are cozy in their own home away from home and they get to go everywhere with you. You can even visit relatives without imposing your furry companions on them; if they don’t have dog-friendly homes yours can hang in their own space, parked just outside. You can even live in it full time and forget about those mortgage payments!

You could possibly qualify for a service dog. No, not that we want you to be disabled, but if you are, you could consider this an opportunity to have a super well-trained dog who could go with you virtually anywhere (with just a few very rare, limited exceptions).

Qualified dog training professionals are starting to offer more opportunities for people to train their own service dogs and avoid the high cost of purchasing a well-trained service dog. Of course, your dog has to be appropriate service-dog material – and under no circumstances should you join the sad ranks of those who fraudulently pretend their dogs are service dogs just to gain access for them.

Keeping a canine companion for company is good for you! An increasing number of retirement villages, assisted-living facilities, and managed-care homes now welcome companion animals, recognizing that this can improve both the mental and physical health of their human residents. Having an animal companion helps ease loneliness and stress, and animal-care tasks keep residents more active and social. If and when that time comes, you should be able to find a facility that will welcome you and your dog.

Cautions for Seniors Raising Dogs

So, what’s the down side? Here are some of the not-as-fun things to think about as you approach your golden years with dogs.

dogs for senior citizens

Providing proper care for dogs can be costly. Unless you’re one of the minority of Americans who have planned adequately for luxuries in your retirement years (kudos to you if you are!) the expense of caring for a dog can overwhelm a tight budget.

Top-notch pet insurance programs can help offset some of these costs, but it’s something to keep in mind as you consider how many (or how many more) animal companions you can reasonably provide for. It would be devastating to have to give up your beloved dog because you can’t afford to care for her!

That said, some expenses (such as pet-sitting/walking and doggie daycare) might decrease after retirement and help offset the cost of your dog’s medical needs.

Seniors must be sure, more than ever before in their lives, to make good adoption choices. If you’ve had Labrador Retrievers all your life, and lose your beloved 15-year-old Festus to old age when you are 70, you might automatically think to get another Lab puppy. After all, you’ve always had them!

Remember, however, that you were a spry 55 years old when you adopted Festus, and he ran you ragged then, until he grew up and became perfect. It’s easy to forget how hard Festus pulled on-leash as a youngster, but you likely remember how much your arthritis hurts on some days; that might not be a good combination.

Again, I empathize. When my husband and I were looking to adopt recently, a dog-trainer friend told us about one of her clients who was looking to rehome his large, active German Shepherd. We considered it seriously; my husband loves GSDs. But in the end, we adopted a Pomeranian-mix, Sunny – and we are very happy with him!

If you’ve always been a “big-dog person” it might be time to think smaller. You may have more and more physical limitations – could you still lift an injured big dog into the car if you had to? And if you think an assisted-living facility, or even just a downsized home in a condominium complex, might be in your future, be aware that both often restrict the size of the dogs they will accept.

On the other hand, be aware that very tiny dogs (especially tiny dogs who are very zippy and active) can be a tripping hazard for a slower adult, or one with mobility challenges, so keep that in mind as well.

Dog Training and Equipment Tips for Seniors

Now for more good stuff. Think of all you can teach your dog, with all that time on your hands! Even if you don’t need a service dog, yours can certainly help you around the house – finding, picking up, and bringing you things, closing doors and drawers, and more.

A good trainer can help you with these and other tasks you’d like your dog to learn. Some trainers even offer classes specifically for older humans, where the pace of the class might be a little slower, and the focus is on helping to meet the training needs of seniors!

In-Home Professional Training

If you need help with training and can’t attend a class because getting out of the house is hard, there are many good, positive trainers who will come to your home. Just be sure, as always, to research them carefully to make sure you’re getting a bona fide force-free trainer who will help you train your dog without hurting or scaring him.

dog agility training

Front-Clip Harnesses

Of course, the right equipment can also make life easier for our aging bodies. Front-clip harnesses can ease the pain of leash pulling; even smaller dogs can sometimes pull surprisingly hard!

Waist Belt

Also useful for seniors (or anyone with arthritic hands) is a waist belt that allows you to clip your dog’s leash to the belt. This transfers the dog’s pulling pressure to your hips, which are sometimes sturdier and more stable than your back and shoulders – but only if you are stable enough and your dog isn’t big enough to pull you over.

The High Sierra Walk-A-Belt from White Pine Outfitters is a good choice for a waist belt.

Bungee Leashes

A leash that has some give or stretch can also reduce the impact on you if your dog runs to the end of the leash. One style that tends to work well for absorbing leash shock is the Dog Outdoors Ezy Dog Zero Shock leash.

Waist Belt AND Bungee Leash!

Ruffwear sells a waist belt that comes with a stretchy leash. See our review in the August 2018 issue.

Elevate Your Dog Training

Bring the dog up closer to your level. Here’s another benefit of downsizing to a smaller dog: You can pick her up or invite her to jump up on an elevated surface (such as a sofa, bed, ottoman, or a table provided for this purpose) and do much of your training there! Dog steps and/or ramps can be useful if she can’t jump high enough and you can’t pick her up – or she doesn’t like being picked up.

Deliver Treats on a Stick!

Finally, something as simple as peanut butter or baby food smeared on a long-handled wooden spoon can ease the delivery of treats to a small dog without having to bend over.

Seniors for Seniors

As you look to adopt, consider the mature canine residents at your local shelters and rescue groups. When you adopt an adult dog you get to skip all the crazy-puppy-behavior stuff and often (although not always) get a ready-made companion. Plus the older dogs often have a much harder time finding a forever home, which is just nuts, because many senior dogs fit into their new families seamlessly.

One of the best adoption choices I ever made was an eight-year-old tri-color Rough Collie, surrendered to my local shelter due to urinary incontinence (which was easily treated). I offered to foster Mandy. She walked into our house and lay down on the floor like she’d always lived there, and never put a paw wrong for the remaining six years of her life with us. In contrast, Sunny, adopted at 11 months, still indulges in adolescent high-energy crazies, chews things randomly, and has an occasional house-training lapse.

Helping Senior Family Members

Perhaps you aren’t in the senior category yet, but you have friends and family members who are. There are countless ways you can make life easier for your aging dog-loving friends and relatives:

  • Make a standing offer to help with transport as needed for vet visits, groomer, training classes, etc., or help them find good mobile vet, training and grooming services that will come to their home.
  • Either offer to help exercise their dog, or help them hire (and perhaps pay for) a professional dog walker for at least a few days per week.
  • Do some or all of the training yourself, if appropriate and needed.
  • Assist them with setting up a regular order of pet supplies from companies like Chewy.com that will auto-ship repeat deliveries.
  • Help them make good choices if and when they are contemplating adding new animal companions to their family.
  • When the time comes for assisted living, research facilities that allow animals and help them select an appropriate new living situation.
  • Have the difficult discussion about planning for their dog’s future, and help them make those arrangements.

Caring For Your Dog After You’re Gone

dogs for senior citizens

I’m not sure which is worse: contemplating my final years with no dogs in my life, or having my dogs outlive me. At some point you might decide it’s not fair to adopt any more, either because you’re no longer able to care for one, or your living situation doesn’t allow – or simply because you don’t want your dog to outlive you. I cannot conceive of not having a dog in my life, so fortunately, there are several different ways you can ensure that your dog is cared for after you are gone. You can guarantee this – and give yourself peace of mind while you’re still here – by taking one or more steps to provide for her future:

1. Consult with your retirement advisor.

Pet trusts, pet protection agreements, and provisions in your will can ensure that your dog will be well taken care of after you are gone. Forty-six states (all except Kentucky, Louisiana, Minnesota, and Mississippi) have enacted pet trust laws. Your retirement advisor will have more information regarding the specifics in your state.

2. Provide for your dog in your will.

Who do you want to care for your dog? Check with friends and family members before you designate them for your dog’s care in a will. They need to be willing and able to care for her the way you want her to be cared for. If you plan to leave her in the care of a non-profit animal protection organization, research the group very well first. Some charge a fee for this service, and again, you want to be sure your dog will receive good care. People have been known to take the money and then neglect or even euthanize the dog.

3. Set up a pet trust.

A pet trust is managed by a trustee – someone you select to manage the money you will place in the trust – and a caregiver who is the person selected to care for your dog. The trustee disperses resources to the caregiver who will then use them to care for your dog in the manner you’ve described in the trust. Pet trusts are expensive. You must fund the trust (typically at least tens of thousands of dollars) and pay lawyer’s fees that can easily top one thousand dollars. For more information visit ASPCA.org/PetTrusts.

4. Write an agreement.

In lieu of a will or trust, you identify one or more caregivers and write out an agreement that states that this person will care for your dog upon your death or inability to care for your dog yourself. The biggest advantage of this is affordability. Make sure you discuss the arrangements with your designated person(s) first. You can obtain a standard form Pet Protection Agreement at LegalZoom.com for a cost between $39 and $79, or you can write the letter yourself, and have it signed (by both you and the caregiver) and notarized. Make sure that your vet and close family members have a copy of this agreement, so they will know who to give your dog to if something happens to you.

5. Research continuing pet care programs.

Some animal sanctuaries, humane societies, and veterinary schools offer programs to care for your dog if you can’t. Programs guarantee food, shelter, and state-of-the-art medical care until your dog can be adopted by another family. You will probably pay a one-time fee for your first dog and an additional fee for each additional pet you place in the program. To find a program near you, do an online search for “continuing pet care,” or ask for a referral from your veterinarian or local humane society. A big caveat here – your dog may end up spending the rest of her life in a kennel in a shelter if she doesn’t get adopted. Think carefully about this one.

6. Leave readily available information about your dog.

Carry a wallet card that will tell someone that you have animal companions and who to contact to see that they are cared for. In the case of emergency or sudden illness, make sure family members know where to find the basics:

  • Contact information for your veterinarian.
  • Any special medications or medical issues.
  • Food that your dog eats.
  • Favorite toys and sleeping places.

Enjoyable Age Adjustments

I’m working on the aging thing in my own world. I’ve actually signed up with Sunny for our new program here at Peaceable Paws, to help owners train their own service dogs. Not that I’m anywhere needing one yet (I hope!) but just for some fun and interesting things to train.

And I’ve accepted that my lifetime dream of having an Irish Wolfhound will probably never come to pass. Ah well, with our 30-pound Kelpie (Kai) and the 20-pound Pom/Eskimo-mix (Sunny), I’m happy to settle for smaller these days.

Author Pat Miller, CBCC-KA, CPDT‑KA, is WDJ’s Training Editor. She lives in Fairplay, Maryland, site of her Peaceable Paws training center. Miller’s newest book is Beware of the Dog: Positive Solutions for Aggressive Behavior in Dogs.

Steroids for Dogs: Pros & Cons

Steroids are perhaps one of the most ubiquitous medications in the veterinary world. They can be used for a host of problems ranging from inflammation and allergies to autoimmune disease. While they are incredibly useful and diverse medications, steroids are not without significant side effects. It is important to know why they are used and how they can best be used. It is also critical to realize the possible negative effects and interactions that can occur. Steroids are not benign. Corticosteroids, as they are more correctly called, includes a varied group of medications. Some of the most commonly used in veterinary medicine are prednisone, Temaril-P, Neopredef (topical), dexamethasone, dexamethasone sodium phosphate (“Dex-SP”), methylprednisolone (Depo Medrol), and triamcinolone (Vetalog). They come in many preparations including oral, injectable, ophthalmic (for use in the eye), otic (ear), and topical sprays and powders. Steroids exert their activity in the body in many different ways. They affect every system, which is why it is important to make sure your veterinarian is aware of any medications that you give your dog, including over-the-counter supplements or pain relievers.

Uses for Steroids

Anti-Itch

One of the most general uses of steroids is in fighting “the itch” (pruritus) caused by allergies. Allergies are common in dogs, especially breeds like Boxers, Labradors, Maltese, West Highland White Terriers, Bulldogs, and pit bulls. These allergies can be food- and flea-related, or caused by seasonal allergens – a condition called atopy. The mechanism by which steroids control itching is complicated, but it includes decreasing the number of allergen-fighting cells (mast cells) in circulation and suppressing release of histamine. Histamine is one of the substances that leads to the formation of itchy hives and wheals. For allergies, only short-term doses of steroids are recommended. Itching should be controlled while the inciting cause is identified and secondary infections treated, and then the steroids should be tapered off slowly. Newer drugs such as Apoquel (oral) and Cytopoint (injection) are slowly supplanting the regular use of steroids for itching.

The most commonly used oral steroids for allergies are prednisone and Temaril-P. Some veterinarians use longer-acting injections such as Vetalog, as well. Long-acting steroid injections can cause more pronounced side effects than their oral counterparts. Their use is becoming less common as other methods of itch control and more allergy management options become available. Topical steroids for both the skin and ears have extensive uses and may prove to be a better option than oral medications, as they cause fewer side effects. Topical use can decrease inflammation and itching. This is important within the ear canal, as less inflammation allows ear medications to penetrate deeper. It also damps down itching, so dogs are not continuously self-traumatizing.

steroids for dogs

Anti-Inflammatory

In conditions such as inflammatory bowel disease (IBD), steroid-responsive meningitis, and intervertebral disc disease, inflammatory cells dominate, causing redness, swelling, and pain. Steroids decrease inflammation by lowering white blood cell release from the bone marrow, among several other pathways. This effect is helpful for addressing IBD and steroid-responsive meningitis. Doctors find steroids useful for treating intervertebral disc disease in humans, and anecdotally, some veterinarians report success with steroids for the same condition in their canine patients, but the scientific literature isn’t really clear either way. The anti-inflammatory dose of steroids is generally fairly low, but side effects are still noted. Prednisone is used most often for this problem.

Immunosuppression

Steroids for Dogs

Autoimmune (AI) disease, a general term describing a variety of ways that the body attacks itself, is common in dogs. The triggers for AI disease are poorly understood. Some antibiotics like cephalosporins have been implicated, as well as vaccines. Cancer also can induce autoimmune processes. In most cases, an underlying cause is never identified. The list of autoimmune diseases are too numerous for this article, but they can affect all of the organ systems in the body, including the skin, brain, blood cells, joints, and other internal organs. Some of the more commonly seen disorders in veterinary medicine are immune-mediated hemolytic anemia (IMHA), immune-mediated thrombocytopenia (ITP), brain and spinal cord diseases such as meningitis, and skin diseases like pemphigus foliaceous and lupoid onychodystrophy. ITP is an example of a well-known and frequently seen autoimmune disease, in which the body turns its defenses on its own platelets. Platelets are important in the first step of clotting. As the body attacks and destroys them, the platelet numbers drop rapidly. Bruises become visible on the skin and gums.

dog with pemphigus foliaceous

Steroids treat this and other immune diseases by suppressing the body’s immune system, its natural defense against infection and illness. In these cases, steroids are started at very high levels (as much as 2 to 4 mg/kg body per day). As the symptoms improve, the steroids are slowly tapered to the lowest dose possible. This is to keep the autoimmune disease in check while avoiding the worst side effects of steroids. Most dogs with an autoimmune disease will remain on steroids or other immunosuppressive medication for life.

Steroid Insufficiency

Another common condition in dogs is Addison’s disease. The body of a dog with Addison’s does not produce enough steroids and/or mineralocorticoids (responsible for water and electrolyte balance within the body). Cortisol and mineralocorticoids are essential for life, and when a dog’s body is not producing them, serious illness results. The general symptoms of Addison’s are waxing and waning GI signs: weight loss, vomiting, diarrhea, and picky appetite. Addison’s is often called the “great pretender” because it can look like many other diseases and can be difficult to diagnose. In these cases, steroids are indicated to replace those that the body is not making, as well as supplementation with a medication called Percorten or Florinef to replace the other corticoids. A few rare dogs with Addison’s can be maintained on Percorten alone; however, in times of stress or illness, they would require prednisone as well. Some dogs are affected by atypical Addison’s disease, in which only the cortisol levels are low. These patients can be even more difficult to diagnose, as the characteristic electrolyte changes on bloodwork are absent. Once diagnosed, these dogs must remain on a steroid for the rest of their lives. In this case, the steroids are usually administered on a twice daily to daily basis. The most commonly used steroid for this is prednisone, an inexpensive tablet.

Lymphoma/Cancer Treatment

Several cancers respond to steroids by shrinking. Lymphoma is a frequent cancer of dogs. The earliest symptoms are usually general malaise and enlarged peripheral lymph nodes (found underneath the jaw, in front of the shoulder blade, in the groin area, and behind the knee). Lymphoma is highly sensitive to chemotherapy and carries a good prognosis if treated aggressively. Many owners opt for palliative care however, for a variety of reasons, including cost and concern for quality of life. Prednisone is an excellent palliative agent for lymphoma and can often keep it in remission for weeks to months. However, it is important to know that prednisone will interfere with chemotherapy. If your dog has been diagnosed with lymphoma, and you are considering chemotherapy, prednisone should not be started until speaking with an oncologist. Many other cancers are often treated with oral steroids, as well. These are usually used adjunct to chemotherapy and/or radiation. Doses are higher than with anti-inflammation and anti-pruritus, usually in the range of 2 mg/kg of body weight per day or higher.

When Should Steroids Not Be Used on Dogs?

There are many cases where steroids are not an appropriate treatment. For some of the following examples, steroids remain controversial. Some veterinarians continue to use them based on years of experience (anecdotal), while others have discontinued use based on the same reasoning. Scientific data is somewhat conflicting and lacking on the subject, but these are the most current thoughts on steroid in certain situations:

Shock

Steroids were once a common and well-accepted treatment in cases of shock. For example, if a dog was hit by a car, one of the first ministrations would be a large dose of steroids given by injection. Over the years, it has become apparent in human medicine that steroids during shock are not helpful and are likely detrimental. They can downregulate important enzymes throughout the body, leading to worsening of low oxygen conditions (hypoxia, present during shock).This can lead to kidney and gastrointestinal damage as evidenced by bloody diarrhea and vomiting. Steroids should no longer be used to treat shock. Instead, treatment should focus on oxygen therapy, pain relief, control of hemorrhage, and intravenous (IV) fluids.

In Combination with NSAIDs

Non-steroidal anti-inflammatory drugs are very common in veterinary medicine and have a similar action in certain parts of the body. NSAIDs include meloxicam, carprofen, deracoxib, firocoxib, and several others. Using them with steroids can compound negative side effects and lead to gastrointestinal ulcers, hemorrhage, kidney damage, and in extreme cases, death. They should almost never be administered in tandem. The one exception is in the case of immune-mediated hemolytic anemia (IMHA). Patients with IMHA are prone to blood clot formation, so while steroids are used for immuno-suppression, very low dose aspirin also may be used to prevent clot formation. If a switch is required between these drugs, a wash-out period of at least two to three days is recommended to avoid these interactions. It is also critical to tell your veterinarian if you are administering any medications to your dog, especially over-the-counter pain relievers like canine aspirin (or human aspirin).

Snakebites

Even today, steroids are still used to treat snakebite victims. It has become apparent through research that steroids do not provide much (if any) benefit for these patients. The cases in which they might be useful are upper airway swelling as occurs with a bite to the mouth or neck or during an allergic reaction to antivenin. Otherwise, steroids are not indicated.

Side Effects of Steroids on Dogs

There are many well-known side effects of steroids. In the short term, dogs will drink and urinate excessively. A previously house-trained dog may start having accidents in the house. Dogs also will eat more. Often, heavy panting occurs. Restlessness and pacing are also side effects. Occasionally, dogs will behave in an agitated or aggressive way (the well-known “‘roid rage” syndrome noted in humans). If steroids are used long term, symptoms become more pronounced, and your dog may develop iatrogenic (caused by medication) Cushing’s disease.

Steroids for Dogs

Cushing’s disease occurs naturally when the adrenal glands overproduce cortisol (it is the opposite of Addison’s disease), the body’s natural steroid. This can occur due to either a brain tumor called a pituitary adenoma or an adrenal tumor. The symptoms of Cushing’s are weight gain, hair loss, panting, restlessness, frequent skin and urinary tract infections, and dramatic increases in urination and drinking. If oral or injectable steroids are administered frequently over extended periods of time, this syndrome can occur. Discontinuation of the steroids will reverse this. Steroids should never be stopped abruptly. When steroids are taken orally or by injection, the body’s natural steroid levels drop. If the exogenous (originating from outside the body) source is stopped, the body needs time to recover and resume making its own (endogenous) cortisol. In this gap, patients can develop a steroid insufficiency and exhibit signs of Addison’s disease: vomiting, diarrhea, weight loss, and anorexia. Because of this, steroids should always be tapered slowly. Most courses will go from twice a day, to once a day, to every other day.

Bottom Line

Steroids are very useful and important medications. But, as with any medication, using them correctly is critical to success. They have many side effects. Make sure to work closely with your veterinarian to ensure that steroids are the best option, as many medications are now available to take their place.

STEROIDS FOR DOGS: OVERVIEW

1. If your veterinarian recommends or prescribes a corticosteroid, make sure you have informed her about every drug and supplement you give your dog, to ensure there are no adverse drug reactions caused by incompatible medications. 2. Be sure you understand the dosing amounts and schedule, particularly when it comes to “weaning” your dog off of the medication. 3. Don’t ask or allow your veterinarian to prescribe steroids for the long-term management of allergies; this use in particular can cause the development of other, even more serious health problems. Allergies are better addressed by applying oneself to discovering the offending allergen(s) and managing your dog’s exposure, and using steroids only to control an acute flare-up of a “hot spot,” for example, and just on a short-term basis. Catherine Ashe, DVM, graduated the University of Tennessee College of Veterinary Medicine in 2008. After a small-animal intensive emergency internship, she practiced ER medicine for nine years. She is now working as a relief veterinarian in Asheville, North Carolina, and loves the GP side of medicine. In her spare time, she spends time with her family and reads voraciously.

Genetic Health Screening for Dogs

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The American Pet Products Association released a report in late March revealing that spending on veterinary care by U.S. pet owners increased 7.0 percent between 2016 and 2017, from $15.95 billion to $17.07 billion. The association estimates a 6.9 percent increase in spending on veterinary care in 2018, exceeding growth estimates among all spending categories assessed.

Genetic health testing is one of the newest additions to this booming industry.

While most owners are familiar with genetic tests to determine the ancestry of mixed-breed dogs, many are not aware that a number of companies have expanded into testing for genetic health disorders. The companies typically advertise these tests as having the potential to both save money and heartache by giving owners an opportunity to prevent or detect diseases in their earliest stages, in order to add health-filled years to our beloved canine companions’ lives. But is this rosy promise even possible?

Early Days

The simplest answer is yes, but…

genetic testing for dogs

© Anton Lunkov | Dreamstime.com

A large and ever-growing number of inherited genetic disease mutations are currently known to exist in dogs and research in this emerging field continues. In a 2016 study published in PLOS One, researchers tested 7,000 dogs representing 230 breeds for 93 disease-associated variants, using a custom-designed genotyping microarray (the MyDogDNA panel test). This research revealed 15 previously undocumented risk variants in 34 breeds, bolstering the case for genetic health screening as an increasingly powerful preventative veterinary medical tool.

It is no surprise, then, that laboratories marketing direct-to-consumer genetic health testing products are popping up around the globe. However, the study’s authors noted, “Careful follow-up studies of any unexpected discoveries are essential to establish genotype-phenotype correlations, as is readiness to provide genetic counseling on their implications for the dog and its breed.” (The correlation between genotype and phenotype is a statistical relationship that predicts a physical trait or abnormality in an individual with a given mutation or a group of similar mutations.)

In a cautionary commentary published in the journal Nature in July 2018, several researchers raised important issues regarding the false hope companies are selling through genetic testing for dogs at this point in time. In this paper, it’s pointed out that no regulating body oversees this testing. In the United States, for example, the FDA plays no role in overseeing how these tests are performed, how results are validated, or the best protocol for conveying this complicated data to consumers.

This lack of oversight proved problematic for 23andMe, a human version of genetic health testing. In 2013, the FDA ordered the company to stop selling these tests, citing concerns that people might take drastic medical measures on the basis of their results or seek unnecessary treatment based on false positives. Regulators demanded evidence of the tests’ accuracy and that consumers were well-informed as to the meaning and usefulness of their results.

Alberto Gutierrez, director of the FDA’s Center for Devices and Radiological Health, said in a letter to the company, “FDA is concerned about the public health consequences of inaccurate results” from the Personal Genome Service (PGS), which is what 23andMe calls its test. Some of the intended uses of PGS were “particularly concerning,” the letter continued, because of the potential health risks that could come from a false positive or false negative. “Assessments for drug responses carry the risks that patients relying on such tests may begin to self-manage their treatments through dose changes or even abandon certain therapies depending on the outcome of the assessment,” Gutierrez wrote.

genetic testing for dogs

While 23andMe was cleared to resume selling their product, albeit under increased regulatory scrutiny, how successful these measures have been in accurately setting consumer expectations still remains to be seen.

Ironically, the website of Embark, one of the most popular companies offering direct-to-consumer genetic health testing for dogs, includes an enthusiastic customer quote exclaiming: “It’s the 23andMe for dogs!”

Yes it is. Promises, pitfalls, and all.

Experts Advise: Owners Use Caution

Just as the FDA recognized with its human counterpart, “pet genetics needs to be reined in,” according to Jessica Heckman, a veterinarian and postdoctoral associate at the Broad Institute of MIT and Harvard, where she studies the genetics of dog behavior. She recently wrote a piece published in Undark Magazine, saying: “If not [reined in], some companies will continue to profit by selling potentially misleading and often inaccurate information; pets and their owners will suffer needlessly; and opportunities to improve pet health and even to leverage studies in dogs and cats to benefit human health might be lost.”

Discussing genetic health testing further with Dr. Heckman, she encourages consumers to explore what they want the information for and what they plan to do with it prior to investing in it. She explains: “I believe there is a bright future for genetic health testing of dogs, but we just aren’t there yet. Before we can trust these tests, the industry will have to start working harder to validate them, and until that happens, I don’t recommend that important decisions be based on them.”

Screening dogs for genetic disorders has strong potential to guide diagnosis, treatment, and breeding, but since the science and technology are currently in its nascence, too many questions remain. For starters, veterinary healthcare practitioners are left to decide when it’s valuable to screen a dog for all known genetic disorders or restrict screening to disorders recognized for a dog’s particular breed. Then, there are myriad problems that arise in the interpretation of these data.

This dilemma gets increasingly muddied when a veterinarian lacks the necessary training in genetics to make the best decision for/with a patient/client and even more so when non-scientist consumers, who are being marketed to directly by companies, are making these choices based on limited or no knowledge whatsoever. Too often, consumers are left to interpret complicated genetic health data, again based on emerging science, on their own. While many of the direct-to-consumer genetics health tests services provide some form of guidance on the results for customers, it is not the kind of in-depth genetic counseling even a highly educated dog owner requires to be able to effectively integrate these data into the veterinary care of their four-legged friend.

As just one (albeit extreme) example of what can go wrong when less-than-certain results are given to an owner with little or no guidance or counseling, the authors of the Nature article shared the story of a 13-year-old Pug who started having trouble walking and controlling her bladder and bowels.

dog jumping in snow

Then a DNA test revealed (among other things) a mutation that can – but does not always – indicate that its carrier will develop degenerative myelopathy (DM). The owners made the decision to euthanize the dog – perhaps convinced the Pug would die slowly and painfully. Sadly, the mutation for DM is far from perfectly predictive; the mutation does not guarantee a dog has the disease. It’s entirely possible that the Pug’s condition could have been successfully treated.

Mud-Free Zones?

The least muddy areas, it would seem, are genetic screens for disorders recognized for a dog’s particular breed or predominant breed if the dog is a mix. Take, for example, the Multi-Drug Resistance Gene (MDR), which codes for a protein that is responsible for protecting the brain by transporting potentially harmful chemicals away. It is currently known to affect 10 herding breeds, two sighthound breeds, and herding-breed mixed dogs.

In these dogs, an MDR1 mutation causes sensitivity to Ivermectin, Imodium, and a growing list of commonly administered drugs. Dogs that are heterozygous, or have one copy of the gene mutation, can still have a negative reaction to these drugs, but typically at higher doses. Dogs that are homozygous, carrying two copies of the mutation, experience buildup of toxins that results in neurological symptoms, such as seizures, ataxia, or even death.

Since this mutation is most concentrated in Collies, with as many as 70 percent affected, when I added a smooth-coated Collie to my crew a few years back, I became keenly aware of this issue and had him tested through Washington State University’s Veterinary Clinical Pharmacology Laboratory.

Turns out he’s heterozygous at MDR1 and as a result, I stay up to date on the list of drugs to steer clear of and remind my vet of his status whenever we discuss treatment options for him to be sure both of us are keeping a lookout for his best health.

Popular Direct-to-Consumer Genetic Health Testing Services

Embark

Embark uses a proprietary SNP-chip (single nucleotide polymorphism) that evaluates 200,000 locations across your dog’s genome, allowing for comprehensive results on disease risks and traits, testing for over 160 mutations associated with genetic diseases from DNA acquired through a cheek swab. The company works directly with consumers and in partnership with veterinarians.

The Good: Each mutation is queried two to eight times and examined by a team of geneticists and veterinarians to ensure accuracy. As a research partner of the Cornell University College of Veterinary Medicine, Embark is committed to the continued development of the emerging science of genetic health information and shares updated information with consumers as it becomes available.

The Questionable: The mapping of genetic variants to the risk of disease is incredibly challenging and currently based on a nascent science with a lot of noise in the interpretation of the data. As a result, when a dog tests positive for a health risk mutation, owners need to receive these data with skepticism and discuss these results with their veterinarian. While Embark communicates this, it takes a lot of digging to find. The upfront marketing by all of the companies providing this service, lends the impression that their results are much stronger than they actually are.

Wisdom Panel

The health panel offered through Wisdom looks for 3,000 genetic markers, incorporating the MyDogDNA test from Genoscoper Laboratories of Finland. Their mail-in cheek swab tests for breed identification while also screening for the mutations associated with multidrug sensitivity and exercise-induced collapse.

Blood tests that provide breed identification and screening for more than 140 mutations and markers associated with various disorders are available through Banfield Pet Hospital, a Mars Petcare subsidiary, and through veterinarians who offer a test from Royal Canin, another Mars Petcare subsidiary.

The Good: The tests for MDR1 are licensed through Washington State University (WSU), which is the only entity licensed to perform stand-alone MDR1 genotyping in the United States. According to WSU: “Unless testing is conducted by Washington State University’s Veterinary Clinical Pharmacology Laboratory or its licensee Wisdom Health, Washington State University cannot control quality and accuracy of results. Consumers may risk receiving inaccurate results.”

This is particularly important because three different mutations have been associated with this deleterious phenotype, but many genetic-testing companies indicate that they may test for only one. “Thus, a dog declared ‘clear’ for a given gene might still harbor other known, clinically relevant mutations in that gene that the company has not tested for,” according to the paper published in Nature.

The Questionable: If an owner chooses to seek more genetic health information via the blood test route, the testing is guided by a veterinarian at Banfield, a Mars Petcare subsidiary. The blood is then sent to be analyzed by Wisdom, a Mars Petcare subsidiary, and the results interpreted for you by that veterinarian at a hospital owned by Banfield – again, a Mars Petcare subsidiary. This represents a possible conflict of interest.

The authors of the paper in Nature highlight the problems that could arise, given the lack of regulation in the industry, saying: “If the test comes back positive, the clinic’s vet might recommend preventive steps, such as specific pet foods (made by the same company), periodic screening tests (performed by the company’s clinical lab), and more-frequent exams (performed at the company’s vet clinics), even though there may be low or no risk of disease in the first place.”

Vet Programs That Offer Genetic Tests for Dogs

Reputable genetics health tests are offered through a variety of veterinary programs,
offering in-depth consulting from experts in veterinary genetics. However, the tests
offered are breed and disease specific, limiting their usefulness to a subset of dog
owners. Note: This is not intended to be an exhaustive list, but were the most often
referenced by veterinarians consulted about genetics laboratories they trusted and
utilized most often.

LABORATORY WEBPAGE AVAILABLE TESTS
University of California at Davis Dog DNA Tests Twenty-two individual tests,
plus 28 breed-specific tests and
groupings
North Carolina State Veterinary Genetics Laboratory Four breed-specific tests for
heart disease and two for
neurologic diseases
Washington State University Multidrug Sensitivity in Dogs Multidrug sensitivity only
Orthopedic Foundation for
Animals (OFA)
Canine Health Information Center Offers testing for 18 genetic
diseases. They also provide a list
of all currently available DNA
tests by breed, including which
laboratories offer each test.

What’s A Concerned Owner to Do?

Figuring out where to get good, reliable genetic health information and how to get the most accurate interpretation of the results that is currently available requires a bit of digging, a fair amount of skepticism, and a willingness to ask questions.

While arguably much of the onus is on science and industry to deliver clear and accurate genetic information to the public, as consumers it is our job to be skeptics and demand products of the highest caliber from companies. We need strong data that we can understand, evaluate, and utilize effectively. That may seem like a tall order, but where the health of my dogs is concerned, I refuse to settle for less.

In May 2017, recognizing the increasing numbers of new DNA tests and testing laboratories and the challenge of choosing the best versions of these tests, the International Partnership for Dogs (IPFD) launched an open-access database, the “Harmonization of Genetic Testing for Dogs“. The goal is to make accessing detailed, breed-specific information on genetic traits, including original research and mutation information, less time-consuming and difficult. The new database:

  • Catalogs available genetic tests for hundreds of dog breeds and varieties.
  • Helps consumers make informed choices when buying DNA tests by describing the expertise, quality-assurance activities, and resources of the providers of genetic tests.
  • Describes clinical and genetic information on individual genetic tests and their use.
  • Provides information on the original science and research behind genetic tests.
  • Includes basic guides for consumers on types of tests as well as testing information to aid veterinary professionals in advising clients.

The database is overseen by a multiple-stakeholder steering committee with funding for the prototype of this online resource provided by IPFD Founding Partners, the Orthopedic Foundation for Animals, and the American Kennel Club Canine Health Foundation.

The resource is still in an early prototype stage, however, so consumers are left to wait and see how useful it ultimately becomes.

Genetic health information is an incredibly promising emerging field grounded in a science that is rapidly developing. As the authors of the commentary in Nature aptly stated: “Done right, the use of genetic testing in companion animals could be a powerful way to better connect people to the possibilities of genetics for treating disease. Done wrong, it could erode trust in science for an increasingly skeptical public.”

GENETIC TESTING FOR DOGS: OVERVIEW

1. Genetic health testing is an emerging field. The tests that have been around the longest, such as the multi-drug resistance genetic test (MDR1), tend to be the most reliable.

2. If your dog’s results contain a mutation that suggest the potential for development of a specific disease, contact the company and ask for additional interpretation and guidance about the relative risks indicated, and discuss this with your veterinarian.

Citations

1. Donner J, Kaukonen M, Anderson H, Möller F, Kyöstilä K, Sankari S, et al. (2016)
Genetic Panel Screening of Nearly 100 Mutations Reveals New Insights into the
Breed Distribution of Risk Variants for Canine Hereditary Disorders.” PLOS ONE
11(8): e0161005.
2. Zierath S, Hughes AM, Fretwell N, Dibley M, Ekenstedt KJ. “Frequency of
five disease-causing genetic mutations in a large mixed-breed dog population
(2011-2012).” Wade C, ed. PLOS ONE. 2017;12(11):e0188543.
3. Moses L, Niemi S, and Karlsson E. “Pet genomics medicine runs wild.” Nature,
July 25, 2018.

Kathryn Socie-Dunning lives in Montana with her husband, their newborn baby boy, and three dogs.

Chronic Ear Infections in Dogs: What You Need to Hear

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Healthy pink: A normal canine ear flap should be a healthy pink. A floppy ear or hair on the flap are not primary causes of infection.

Given that “itchiness” is the most common reason for veterinary visits, I suppose it shouldn’t be surprising that dog ear infections run a close second. Ear disease is a symptom that something else is going on in your dog’s body, such as allergies, so it makes perfect sense that ear infections in dogs are a leading cause of veterinary visits.

Otitis – inflammation of the ear – can be a painful condition that always has a root cause. The challenge is to figure out what that is.

Normal Dog Ears vs Infected Dog Ears

The canine ear canal is shaped like a capital letter L, with the opening to the outside located at the top of the vertical section (versus the human ear that’s a straight, horizontal shot). Glands and hair line the dog’s ear; the glands produce wax, and the hair moves it up and out to clean the ear, naturally. A normal dog ear should not require much home cleaning.

A normal, clean ear should be a healthy pink – and not stink! Signs that something is not right in your dog’s ears can include:

  • Head shaking.
  • Frequent head rubbing on the floor.
  • Ear scratching.
  • Other dogs licking or smelling your dog’s ears.
  • An unpleasant odor.
  • A red ear canal.
  • Ear flaps that look like orange peel.
dog ear exam at vet
You can help your veterinarian determine what factors are contributing to your dog’s recurrent ear infections by looking far and sharing behavioral signs of your dog’s discomfort.

How Dog Ear Infections Start

An ear infection (otitis externa) begins when a trigger creates heat and inflammation in the ear. The glands that line the ear kick into overdrive and produce excess wax. Yeast and bacteria, normally present at low levels in your dog’s ear, thrive in that type of environment and grow rapidly out of control. The ear then becomes swollen; if left untended, the ear canal itself can become completely closed and no longer visible.

What Causes Ear Infections in Dogs: The Three P’s

Ear disease is merely a symptom that your dog’s body is dealing with another problem; there is always a reason why an ear infection develops! The challenge is to ferret out what, exactly, is the underlying cause. Start by looking at the three P’s: Primary, Predisposing, and Perpetuating causes. 1. Primary causes lead directly to inflammation of the ear and include:

  • Environmental allergies or adverse food reactions; these account for a whopping 97 percent of primary causes!
  • Parasitic disease such as mites. Mites create a dark discharge, but so does yeast. If your vet doesn’t run a cytology, the conditions can be easily confused. In fact, mites are frequently over-diagnosed, and are less of an issue than we might think.
  • Foreign bodies such as foxtails or other grass awn.
  • Keratinization disorders. These are conditions that affect the skin’s surface appearance and may involve abnormalities in skin cell production, glandular production, and skin cell breakdown. Seborrhea, for example, produces excess sebum and build-up of skin cells. Though seborrhea is more common in certain breeds (such as Cocker Spaniels), on the whole, primary keratinization defects are uncommon.
  • Autoimmune disease, such as pemphigus. A biopsy must be performed to diagnose autoimmune disease.
  • Growths or polyps from glandular tumors such as adenoma and carcinoma.
dog orange peel ear
“Orange peel earflap” – In this case, the dog also displayed excessive waxy, scale consistent with seborrhea. Photo courtesy of Tiffany Tapp, DVM

2. Predisposing factors in your dog that make her more susceptible to ear disease include:

  • Variations in ear conformation. Shar-Pei, for example, may have narrowed ear canals.
  • Moisture in ears, particularly in dogs who frequently swim or dive, often exacerbated by floppy ears. Nonetheless, this, too, is overrated as a reason for ear infections, particularly if the dog is only an occasional swimmer. The design of the dog’s ear – just like ours – is meant to be protective and prevent water from causing a problem.
  • Excess hair in the ear canal.
  • Inappropriate prior treatment. If your dog has had an ear infection that was not properly treated, improper care can accelerate the disease process by negatively altering the environment in your dog’s ears.
severe otitis in dog ear
This is a case of severe otitis, complete with lots of pus. (Cotton-tipped swab present for scale; owners should not use these for ear cleaning.) Photo courtesy of Tiffany Tapp, DVM

3. Perpetuating factors make us ask why the ear infection keeps coming back. It could be that changes in the lining of the ear canal were never addressed. Your dog’s condition may have started out as primary (disease) but developed into a new problem. Recurrent bacterial and yeast infections and infection of the middle ear can fall into this category.

Diagnosing Ear Problems in Dogs

If your dog’s ears seem to bother her – and particularly if she has developed a second and/or recurrent ear infection – your veterinarian or veterinary dermatologist is the best place to start.

Your dog’s general practitioner should:

  • Look in both of your dog’s ears with an otoscope.
  • Take a sample and run an in-house cytology by simply viewing cells under a microscope, looking for yeast and/or bacteria and inflammatory cells.
  • Design short- and long-term treatment plans. After running the cytology, the veterinarian should clean your dog’s ears and prescribe an appropriate course of action based upon what she saw under magnification.

A long-term care plan includes ferreting out the true cause of the infection. If your dog is a frequent swimmer, for example, that might be the sole cause of her issue. But if other symptoms exist, you could well be dealing with an allergy.

Ear mites (Otodectes cynotis)
Ear mites (Otodectes cynotis) produce dark brown gunk in your dog’s ear, but so do yeast infections. Mites are often over-diagnosed, so be sure your vet runs a cytology to confirm the presence of mites. Inappropriate treatment for mites can delay the correct diagnosis. Photo courtesy of Tiffany Tapp, DVM

Don’t just put out fires by treating without understanding what precipitated the problem. Help your veterinarian figure that out by sharing what symptoms and symptomatic behaviors you’ve observed. Excessive licking? Paw chewing? Hot spots? Anal gland issues? It only happens at certain times of the year? Generally speaking, though far from absolute, think “ears and rears” for food sensitivities, and face, paws, and belly for environmental causes!

How to Prevent Ear Infections in Dogs

Prevention is a great place to start, particularly if you have a floppy-eared dog or frequent swimmer – though, again, these issues are often compounded by others. Regular ear checks and gentle wiping can help stave off problems.

Tiffany Tapp, DVM, DACVD, a board-certified veterinary dermatologist at Veterinary Healing Arts in East Greenwich, Rhode Island, likes a simple 50/50 water/white vinegar solution to keep ears clean. Vinegar is naturally antibacterial and anti-yeast; it acidifies the ear canal to make it less hospitable for these interlopers to take root.

Dr. Tapp also suggests using regular saline solution from the drug store; she recommends warming the fluid slightly, stuffing your dog’s ears with rolled cotton, pouring in the liquid, massaging the ears, then removing the cotton.

Additional specialty products are available for cleaning when necessary; some products make the ear more acidic – which is good for knocking back yeast – while others are better for addressing bacteria. Dr. Tapp’s favorite commercial ear cleaners include:

  • Douxo, a gentle, soothing, antibacterial micellar ear cleaner.
  • Acidic, drying, deodorizing products such as Glycozoo Otic, EpiOtic Advanced, and MalAcetic Ultra, which also help maintain the proper ear pH.
  • A topical therapy called Zn4.5Otic with zinc, amino acids, and boric acid (which is anti-yeast) to help heal the microenvironment of the ear and stave off repeat infection.

Keeping the surface hair of your dog’s ear flap clipped short is helpful and preferable to vigorous plucking, particularly in a floppy eared dog. Plucking hair from the ear canal may lead to microtrauma and inflammation in the ear that can predispose your dog’s ears to infection.

How Not To Care for Dogs’ Ears

Q-tips were not designed to accommodate the L-shaped structure of the canine ear canal, so don’t use them to clean your dog’s ears. They irritate the ear canal and push debris further in to unreachable areas, making a small problem much worse.

Don’t use alcohol, mineral oil, and lanolin-based products in your dog’s ears. Alcohol both stings inflamed tissues, which will decrease your dog’s willingness to allow you to examine or handle his ears; it also can dry out the sensitive tissues inside the ear. Mineral oil is heavy and traps dirt, bacteria, and fungi in the ear. And some dogs have an adverse reaction to lanolin-based products, leading to deafness.

When selecting a product, your veterinarian can consider the type of exudate in your dog’s ear; ideally, she should avoid prescribing an oily product if your dog has a lot of oozing liquid or pus in her ear. Oily medications simply sit on this yucky liquid (separating like any oil and water) leading to inadequate treatment.

Recurring Ear Infections in Dogs

If your dog suffers from recurring ear infections and your general veterinary practitioner is out of answers, it could be helpful to seek out the expertise of a veterinary dermatologist. The dermatologist has access to specialized tools such as video otoscopy that allow her to see deep into the dog’s ear canal. She also has many more specialized treatment options at her fingertips.

Even for less serious cases, given their specialization, dermatologists are well equipped to offer a “less is more” approach and may get to the root of the problem more quickly.

Otitis inflammation of the ear may seem like an insignificant issue that will resolve with time, but in most cases, it won’t. Ear infections are not only painful – think back to when you were a kid or one of your children had an ear infection – they also can cause hearing loss if left untreated.

If you see outward signs that something is not right in your dog’s ears – even if it doesn’t seem painful – don’t wait! Seek out veterinary treatment as soon as possible.

Lisa Rodier, CNWI, lives in southern Rhode Island with her husband and a Bouvier named Atle. When she’s not at the beach, she competes with Atle in scent work trials and teaches K9 Nose Work classes.

Frustration and Heartbreak on the Road to Saving Sick Puppies

1

A friend who mostly keeps up with me through this blog and via my Facebook posts called to ask me the other day, “Nance, I’m afraid to ask: How is Otto? Is he still . . . alive?”

I have had the same instinct when talking to friends who have older dogs. It’s easy to forget exactly how senior one of your friend’s dogs actually is and worry about asking about the dog, in case you are in for an hour of crying together on the phone.

So I thought maybe I should start out this post by saying, Otto is doing great. He had some dental work in November at the veterinary teaching hospital at UC Davis – a broken canine and a cracked carnassial extracted – and came through all that with flying colors. He enjoyed eating canned and soaked dry food for a few weeks afterward, and has looked rather disappointed with me any time I am in a big hurry and only spill “crunchies” (what my husband calls dry food) into his bowl.

whole dog journal otto

But his recovery from those two big extractions was otherwise smooth sailing, and he even trotted with his head up into the hospital, slippery floors and all, for his follow-up visit two weeks later, so he couldn’t have had too much of a traumatic time there. Of course, I primed the veterinary student in charge of him to know that Otto was a celebrity dog, and that thousands of people would be upset if anything bad happened to him. I brought along copies of the 2019 Whole Dog Journal calendar, which has Otto on the cover, and a couple copies of the magazine that feature his photo, too, so that everyone would know that Otto is a supermodel. And of course Otto was his usual friendly-but-dignified, well-behaved self, and the student kept telling me how much he enjoyed taking Otto out for potty walks and what a good boy he was.

But Otto has certainly taken a back seat to all the drama going on related to the Camp Fire and then the latest litter of foster puppies. Otto’s main job when I have foster pups underfoot is to stand stock still, snarling and growling ferociously at them when they come near him. If they don’t heed his warnings, he will give them a mighty roar “AHWOOF!” and send them running for their lives. He’s never hurt one, and this is actually a good thing for puppies to learn – to approach grownups with respect and caution, not careless abandon. But I don’t force these interactions, and Otto increasingly chooses not to enter the fray when puppies are present.

woody and foster puppies

In contrast, Woody always helps with my foster pups. He takes a big interest in their care, often watching with his big head resting on the baby gate as I feed and medicate pups in the kitchen, and only jumping over the gate to lick the bowl and faces clean when I give him the word. He guides the troops out the back door and, when they are old enough, down the stairs into the back yard for potty time and back inside when it’s over. I can give him directions, and the pups all follow; it’s really a great system. (I only have to watch that he doesn’t steal their toys; the most appealing puppy toys don’t last a minute in his jaws and paws.) So Woody ends up in a lot of photos and videos I take of the puppies, whereas Otto does not.

I’m backing into all this.

You guys, this litter of puppies is definitely the most challenging, heart-rending bunch I’ve ever taken on. And some of the most adorable and sweet. Why do those things always seem to go together?

My Current Foster Puppies: Found in a Field, on the Brink of Death, But Getting Better!

dog behind baby gate

A week ago, my biggest concern was their bendy legs. Shortly after I had written that post, I found out that the local orthopedic specialist I had been referred to was booked for weeks on end, so I made an appointment at the UC Davis Veterinary Medical Teaching Hospital (VMTH) for this week, instead. I just wanted someone to look at all those terrible legs and tell me what to do about them: Diet? Exercise? Splints? Casts?

While that is going to be an ongoing concern, yesterday the VMTH vet told me not to worry, that all the bending and bowing and such would very likely resolve with a few dietary considerations and we wouldn’t worry unless there were still significant problems in a month or two.

The bigger concern was the life hanging in the balance of one of the puppies.

Four days earlier, I had the pups outside, soaking up a bit of sunshine. Woody was leading them around the yard, and I was taking pictures and video, trying to capture their gaits and postures. That was the first time that I noticed that one of the pups was walking in an exceptionally weird way, with her head bent downward, as if she had hurt her neck and couldn’t lift up her head. What happened?

I palpated her neck and back and she didn’t make a squeak. It didn’t seem like she had been injured, but suddenly, she could NOT walk or stand or sit normally. I reviewed my videos of the pups playing. Videos from the previous day showed her playing with her usual vigor. She was fine that morning! Now, at midday, she was walking like a dog wearing a neck brace. I thought, perhaps it’s a joint thing like all these other joint things. I sent a text to the vet tech at the shelter and we agreed I would just keep her quiet and see what happened next.

The next day she was a bit worse. Eating, drinking, pooping fine, even trying to play, but with a stiff neck. The shelter vet tech suggested I give her some metacam for pain, to see if that made any difference. It did not.

The next morning, worse. She was uncoordinated and could barely walk. I fed and got the rest of the pups set early in the morning, and was at the 24-hour veterinary clinic with her at 8 am. We were there, running tests, until 6 p.m. (I went home midday, while a three-hour test was being run, to feed/clean up and let out the other pups and then went back.) Everything was inconclusive and the vet was stumped – and the pup was worse; she could no longer sit or even hold her head up. During conversations at some point in the day, I told her I would be taking everyone to the VMTH at Davis the next day, she was relieved. “Oh, they can get to the bottom of this.” We spent nearly $700 and had no answers.

Major Setback: Another Puppy Lost

I wasn’t certain the pup would make it through the night, but she did. And while she had, as the vet put it, “reduced mentation,” not responding like a well puppy, when I spoke to her and praised her, she would wag her tail and brighten. She lapped weakly at water and broth and watered/down canned A/D (food for debilitated dogs) that I syringed into her mouth or held in a spoon on her lips, but would get a little panicky if too much went into her mouth at once.

We left for Davis at 7 a.m., with the five robust pups in the way back of my car and her on the front seat, wrapped up in towels. I sang to her and petted her as we drove and she would wag and follow me with her eyes. I held it together until we got right onto campus, and there was a construction detour that wouldn’t take me where I needed to go and it was two minutes to our appointment time and I could see but could not get to where I needed to be. I had a cursing and crying tantrum for a minute, and wanted to storm through the construction zone. And right then my phone rang, and it was a cheerful student asking if I was close by. I told her, through tears, that I was stuck on the wrong side of some construction and had had a meltdown, and she laughed in an extremely kind way and said, “Don’t worry, I will meet you out front . . . Do you know how to get around all that?” I did know the long way around; I have been bringing animals to this hospital, it seems, all my life. It was only insurmountable for a minute.

I’ll shorten all this. The good news: The vets thought that the legs of the five happy, scampering, playful pups will be just fine without major interventions. As alarming as they look to not just me, but everyone, the doctors said this is common for pups who have been so malnourished and are now on good food. They suggested dialing back the nutrient content of the food slightly for a bit, and checking in again in a month or two. No bracing, casting, or anything else. Sheesh.

The bad news: We have no conclusive diagnosis for the sick pup. Their first thought was distemper, which usually presents with either severe respiratory illness (with purulent goo from their eyes and noses) or severe digestive illness (diarrhea and vomiting) and advances to neurological symptoms, but CAN present with just neurological symptoms.

But to conclusively prove this, only a cerebrospinal fluid sample from a spinal tap can be tested for distemper at this point, not the usual eye, nose, and throat samples (because, like all the pups, she was vaccinated upon intake at the shelter, and would have circulating antigen in her other body fluids from that, giving us a positive result to those other tests no matter what). And the price for this test, including full anesthesia (the only way they will do the test) is over $1,000. AND, even if she HAS distemper, the prognosis is poor. Dogs who recover from distemper can have lifelong neurological deficits and outbreaks of the illness months later.

The other possible diagnosis offered: that she has a serious injury in her neck, one requiring surgery. The neurologist who examined her in a consult said that x-rays would not be enough to diagnose this, either a CT scan or MRI would be needed to diagnose and possibly treat (with surgery). Beginning price tag, $4,000.

And in the meantime, she’s sinking.

The vets’ recommendation: Euthanasia. And yet, that tail-wagging. She is still listening and paying attention to me. I just don’t understand why things have to be this hard.

I consulted with the RVT from my shelter, and she said she had been discussing the pup with one of the vets who does the spay/neuter surgery at our shelter; she practices both Western and Eastern veterinary medicine and uses acupuncture in her practice. The RVT mentioned that the vet would be interested in looking at our girl and trying some acupuncture if we thought it might help. Well, I thought, that beats me losing all my marbles here at the VMTH. So I drove us all home again.

The vet and RVT and even the shelter director came in and we all petted and discussed the very limp puppy. The tail-wagging just broke all of our hearts, and her weak attempts to eat made us agree to try some acupuncture and bone broth and more warmth and love and give her one more night. But, my friends, in the morning she was worse yet. She didn’t seem like she was in pain, but she was definitely checking out more and more. The wags were weaker, and she couldn’t lap at the broth I syringed into her mouth. I took her back to the shelter and we gave her what little we had left to offer: a painless end in the arms of someone who truly loved her.

Five happy, healing puppies left to love and raise.

Thank you to those of you who have made donations to my local shelter, the Northwest SPCA, to help pay for the medical care for these little guys. It has helped SO MUCH and I am so grateful to all of you.

Download the Full January 2019 Issue PDF

  • 2019 Gear Of The Year
  • Spending Your Golden Years With Dogs
  • Steroids: Pros and Cons
  • Genetic Health Screening
  • Ear Infections: You Need To Hear This
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Updates on Dog Food Recalls, the Camp Fire Aftermath, and My Sickly Foster Pups

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First and most importantly, some recalls:

The November 2018 Pet Food Recalls

Columbia River Natural Pet Foods is recalling some frozen raw diets for dogs and cats due to contamination with Listeria monocytogenes.

I mentioned a few weeks ago that several dry dog foods had been recalled due to overages in the amount of vitamin D they contained. Curiously, there have been a number of others. On November 27, Sunshine Mills recalled a number of products for the same reason (potentially dangerously high levels of vitamin D). The products include certain varieties of Evolve, Sportsman’s Pride, and Triumph dry dog foods. (See the link for specific date/codes and varieties).

On November 29, yet one more: Certain lots of ELM Chicken and Chickpea dry dog food have been recalled for excessive vitamin D.

See this link (to my previous post) for more information as to why excessive vitamin D is dangerous.

Volunteer Work in the Aftermath of Camp Fire

In my neck of the woods, we still have a huge ongoing mess to sort out with trying to reunite animals with their people following the devastating Camp Fire. Currently, there are three temporary emergency shelters that are caring for hundreds of dogs and cats (and other animals). It’s hard to get exact figures, but more than half of the animals have not yet been identified by any owners, for many reasons. Some people whose homes burned have had to move out of the area, or went to stay with relatives out of the area. Some people are staying in locations where they can’t have their pets. There may be people who have assumed that their pets perished in the fire, and who haven’t come to look for their pets; there may be pets in the shelters who belong to people who perished in the fire (the human death toll is at 88).

aspca camp fire volunteer work

The job of caring for all these animals has fallen to volunteers. While the facilities are imperfect (understatement) and there has been an incredible amount of confusion and change in protocol on almost a daily basis, the incredible fact is that people keep coming out of the woodwork to help the animals. In the first few weeks, it was largely people who were already part of the North Valley Animal Disaster Group (NVADG, referred to locally as “nav-dag”).

As the thick smoke settles over the whole north half of the state, the volunteer force started to shift to people whose places of work were closed due to the unhealthy air quality. Of course, those people were supposed to stay indoors; that was the official recommendation of state and county public health departments. But teachers from K-12 schools that were closed showed up in great numbers, as did professors from universities and community colleges. It may be that no one realized exactly how many teachers had been showing up to walk dogs and clean cat boxes until the week after Thanksgiving, when many schools reopened – and for a few days, none of the shelters had quite enough people to help.

But the cavalry arrived in the form of volunteers and trained animal emergency responders from national animal welfare organizations. Consultants and hands-on help came from the Humane Society of the United States, Red Rover, the International Fund for Animal Welfare, American Humane Association, and the ASPCA. Employees and volunteers from other animal shelters in the north state have been arriving in twos and threes and have been sleeping in tents and cars and working 12-hour days.

I’ve worked alongside folks from the Humane Society of Silicon Valley and the San Francisco SPCA, who were here on their own dime and receiving no compensation, and barely any thanks or recognition. “It’s for the animals,” I heard again and again as I thanked people for their help.

It’s been an emotional roller coaster of frustration and sadness and exhaustion, occasionally punctuated with utter joy when someone shows up to recover their dog or cat. We even experience the joy third-hand; we can start crying tears of happiness if we hear about a reunion from another volunteer who witnessed it. The happy stories make it all worthwhile; we all just want to see these stressed animals get back into the hands of people who love them.

My Mange-Ridden Foster Puppies

Last week, I introduced you to my latest foster puppies, who I took on against all my better judgment. I have been depleted – financially, emotionally, and in terms of time, but I just knew these helpless, pathetic little pups would not get all the help they needed to recover in the shelter. They especially wouldn’t get what they needed in the middle of the fire crisis.

I’m happy to report that the remaining six puppies are recovering super nicely from their kennel cough; we have just a few more days of doxycycline to get through.

Their demodectic mange has taken the puppies through the red and irritated stage, the stinky and yeasty and infected stage, the scabby and crusty first stage of recovery, the smooth and hairless stage, and now they are just starting the hair regrowth stage. A couple of puppies are still bald; a couple more are starting to regrow hair in funny spots and patches. They finally are acting like actual puppies, playing and chewing on everything they can reach, and eating actual dog food (as opposed to the tuna and scrambled eggs and cooked hamburger and Thanksgiving turkey and anything else I could get them to eat when they were so sick).

mange puppies with bowed legs

We’re not completely out of the woods, though. As I mentioned last week, four of the six puppies display a hyperflexed stance, walking on their “wrists” rather than standing upright on their feet. Given the state of severe malnourishment they were in when they were brought into the shelter, it was no surprise that they had almost no muscle, and their bones, tendons, and ligaments are weak. Most shelters have seen this in many malnourished animals; the animals usually recover over time with good nutrition and appropriate exercise (not too much, not too little).

One day, though, as I was preparing their lunch, I noticed something new: one of the pups had a front leg that was bowing laterally to the outside at the wrist. He looked bowlegged in the front! When he sat, his front legs looked fine. When he stood, even though he is still a slim pup, the weight of his shoulders, neck, and head was apparently too much for those weak carpal joints, and the instability started causing first one foreleg, and then the other, to bend like Gumby.

I took this pup to the shelter to consult with the RVT. We decided to splint his front legs as a protective measure, to keep the bending and bowing from permanently damaging his joints and deforming his leg bones, until they are strong enough to carry him without bending.

A few days later, a second pup’s legs started bowing and knuckling to the outside at the wrist, so she has joined her brother in braces.

I’m trying to find a veterinarian who will help us with the overall medical management of the whole litter. I would like to find someone, or a practice with several doctors, who will help advise us on the best diet and exercise plan for these vulnerable pups, as well as a plan for protecting those legs. I’ve reached out to people at the vet school at the University of California at Davis, about 70 miles away, and a few other people who might know where we can get this unfortunate little bunch some help as a group.

Some of you have sent donations to help with their medical care, and the Northwest SPCA and I are very grateful. The support will help ensure that we will be able to do everything we can to see them recover fully from the terrible start they got in life. For all they’ve been through, they are sweet and sassy little things, and when they have a little more hair, they are going to be darn cute. I know we will find them terrific homes, as soon as they are well on the path to health.

Camp Fire: More Notes from a Disaster Area

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Life won’t be the same for a long, long time in this county. The death toll (88 as of this writing, and counting) is staggering, the number of missing people is still high, the number of homes burned (nearly 14,000) is unprecedented, and many of the businesses in the towns that burned won’t be able to recover.

Camp Fire Notes #1

Camp Fire Notes #2

Given that this is a rural area, the impact on the large animal population was quite severe. Many animals, wild and domestic, small and large, were killed in the fire.  Quite a few pets were saved by their owners in the mass evacuation, and many more were saved by first responders of all kinds: firefighters, police, and even utility workers. Three weeks later, animal rescue teams are still finding, catching, and evacuating animals from the fire zone. Where possible, some animals are being “sheltered in place” and provided with food and water by volunteer feeding teams.

Tens of thousands of people and animals have been affected by the fire, and thousands of people are helping those displaced. Several emergency shelters were hastily set up to contain pets. Some of the pets were left at the shelters by owners who were themselves homeless and staying in shelters; many more were rescued and brought to the shelters with either an address or rough estimate of where they had been rescued from.

The good news: The animals were alive, rescued from the fire, starvation, and lack of shelter. The bad news: Conditions in the emergency shelters are crowded and stressful. All of the animals are being kept in wire cages– you know, the kind of wire crate that folds flat when not in use. There are no kennels or runs for the dogs; the cats barely have room for themselves, their litter pans, and food and water bowls. Despite an army of volunteers arriving throughout the day to walk dogs (and clean cages and bowls, and feed and water), there are so many animals being held in these “temporary” shelters that the dogs are not getting out of those cramped cages for more than 20 minutes or so a day (and of course, the cats don’t get out of their cages at all). And we’re going on three weeks of this, with no end in sight for many of the animals.

Why? Because some of the animals’ owners are deceased or at least missing. Some animals’ owners are staying in shelters or hotels (or campgrounds or in their cars) where they can’t have their pets. Many animals have not yet been identified by their owners for any number of reasons.

Hundreds of burned animals (mostly cats) were transported to quite a number of veterinary clinics and shelters whose managers were willing to take on the care of these unfortunate victims. Again, this is great, because the animals are alive and receiving much better care than they would in the emergency shelters, but their distance from the area makes it that much more difficult for owners who have lots of other basic survival challenges now to track them down and get them back.

When I first heard about van-loads of injured animals being transported out of the area, I was beside myself; all I could think of was how distraught I would be if I could not immediately find my injured pet after a catastrophe. But a friend who was on the front lines of animal rescue following the gigantic Tubbs Fire in Sonoma and Napa Counties last year checked my outrage with a sobering fact: Many of the animals rescued from that fire were never claimed by their owners, and many were held for months by animal control agencies before ultimately being put up for adoption.

Here in Butte County, we have several times the number of rescued/evacuated animals from the 2017 Tubbs Fire being housed in temporary shelters and being cared for by volunteers. I just don’t know how long this effort can be maintained. It rends the hearts of all the volunteers.

mange puppies in fleece coats

A More Ordinary Animal Emergency, Still Tragic

After volunteering for hours every day for a week, I was in this emotionally bruised state when I answered a different call for volunteers, issued by the shelter where I usually volunteer.

The Northwest SPCA is the open-admission shelter that serves all the unincorporated areas in Butte County and the city of Oroville, where I live. The shelter was serving as a collection site for donations of pet food, towels, blankets, and other supplies, and the piles of donated goods quickly overflowed the shelter’s storage space.

mange puppies

Some shipping containers were ordered and delivered to the shelter about 12 hours before rain was forecast to begin – on the day before Thanksgiving – but volunteers were needed to sort through the donations and help move them to and neatly stack them in the shipping containers: Dog food and cat food in one (separated by canned and dry, adult and puppy/kitten), and bedding in the other (separated by towels, sheets, blankets, and pet beds). My husband and I and some friends worked at this task well into the night.

Afterward, I entered the shelter to use the restroom – and that’s when I saw the most pathetic bunch of puppies I have ever seen in my life. Seven emaciated, nearly hairless puppies with skin like raw hamburger huddled in a pet bed in a kennel, staring blankly up at me. I was frozen in place; I could not believe what I was seeing – or smelling. They absolutely reeked like yeast, just seared with skin infections. I asked one of the shelter workers (who was there working incredibly late), “What the…?”

“Oh gosh, aren’t they just sad? Someone found them in a field and brought them in last night,” I was told. “Tomorrow we’ll get a skin scraping and find out what sort of mange they have.”

“And what then?” I asked. What I know about mange could fit in a teaspoon.

“Well…” the shelter worker reluctantly told me, “if it’s one kind of mange, they will get treated for it. If it’s the other…” She shrugged.

I didn’t know this before, but like many open-admission shelters, particularly in an economically impoverished area, my shelter often euthanizes dogs who come in, like these puppies, with severe, all-body mange caused by Demodex canis, a type of mite. That’s because treatment for the condition can often take a lot of time and health complications can arise. In a home setting, treatment is quicker and more successful; in the stressful environment of a shelter, it can take far longer for the dog to recover completely and regrow his coat.

Of course, the mange these puppies had turned out to be demodectic. And of course, despite my vows to abstain from any further fostering for a few months, I had to take the puppies home. I just could NOT live with myself if I allowed their lives to end after such a short and miserable span when I knew I could do something, anything, to help them. Those blank little faces and that angry-looking skin just haunted me – and I was afraid that with all the focus on the fire victims and evacuated pets, and the shelter short-staffed as they were pulled into the rescue and emergency animal-housing efforts, the pups had no other chance.

carpal hyperflexion in manged puppy

So, for the past week, while I’ve been trying to finish work on the January issue of WDJ, I’ve been caring for this sad little litter of who-knows-what puppies. (It’s surprisingly hard to guess the breed of pups who lack hair.) Their infections are obviously linked to immune system failure, at least in part due to their malnutrition. They are skinny and yet bloated, and half of them have what’s called “carpal hyperextension” – a weakness of the carpal joints causing them to walk on their “wrists” rather than their feet, which is, we hope, a temporary condition that will improve with a good diet and better health.

But they are so depleted and weak. The largest pup in the litter, who is also the one with the most hair, is the only one who wags his tail and gets out of their bed to greet me; the rest will get up to eat, drink, and potty, and then they go right back into the bed and curl up, miserable.

I took them to a veterinary clinic and got medicine to treat the demodex mites, as well as an antibiotic and an antifungal medication to treat their skin infections. Several days into those medications, we had to abruptly stop those medicines and switch to a different antibiotic to treat the kennel cough they picked up at the shelter. The kennel cough made them feel crappy enough to lose their appetites, and I was beside myself trying to get them to eat something, anything.

manged puppy

And then the worst thing happened: The smallest, sickest puppy just tanked. On Sunday night, she would neither eat nor drink. Before dawn the next morning, she vomited and then had a bloody stool. I took her to the shelter, and the shelter’s vet tech ran a test for parvovirus – and the test was positive.

Puppies can be pulled through a parvo infection with aggressive supportive care, but this puppy was so weak, and had so many health challenges. The vet tech was sympathetic but grim. I was heartbroken, but didn’t want her to suffer any longer, with just a poor prognosis and no indication she had the strength to fight. She was euthanized, and I went home to both cry and redouble my efforts to get the rest of the puppies to eat.  Since the whole litter was probably exposed to parvovirus – the part of town where they were found is historically rife with parvo cases – all I can do is try to keep them warm, fed, and unstressed, and pray that their immune systems do what immune systems are supposed to do, and that the virus doesn’t get the upper hand with any of the rest.

So I’m a little behind at work, and with the formidable job of keeping these guys warm, clean, medicated, and fed, I’m not able to help at the emergency shelters – at least not until the next issue is at the printer and the puppies are out of the woods. As I write this, three of the pups now feel well enough to play, and the other three remaining pups are starting to show an interest in playing. It’s a start; I’ll take it. Keep them (and all the rest of the souls displaced by this disaster) in your thoughts, won’t you?

If you would you like to support the efforts of the animal rescue and emergency sheltering of the animals evacuated from the Camp Fire, donations are gladly accepted by the North Valley Animal Disaster Group.

Here is a linkif you would like to contribute to the medical fund for the sick puppies (or go directly to www.nwspca.org and click on the donate button).

How Much Sleep Do Dogs Need?

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How much sleep does a dog need? It can vary by age and health.
Getty Images Plus / danaibe12

Sleep. We all need it, humans and animals alike. Humans need between 6-8 hours per night. But have you ever thought about dogs? How much sleep DOES a dog need? Do they have the same type of sleep as a human or is it different?

Believe it or not, sleep remains a neurological mystery. No one knows exactly why mammals sleep. What we do know is that sleep is consistent across the mammalian and avian species. Though there are approximately 5,400 mammal species on earth, the patterns of sleep, including rapid eye movement (REM) and slow-phase, are markedly similar amongst them. So too are the patterns noted on an EEG (electroencephalogram)—a machine that records brainwaves.

sleeping daschund
Getty Images Plus / gnome24

Sleep needs change throughout life. This is true for our canine friends, as well. Puppies sleep more than adult dogs. Elderly dogs will also tend to sleep more. Why do these changes occur?

Puppies are growing rapidly. Growth requires intense bursts of energy, after which the body needs to recover. It is normal for puppies to sleep up to 20 hours a day. On the converse, elderly dogs sleep more because of a slowing metabolic rate. This is a normal part of age. However, it is important to note that “slowing down” with old age can also be a sign of underlying conditions like arthritis or cancer. This is why it’s a good idea to have annual examinations (or even every 6 months) with your veterinarian to ensure that your dog doesn’t have any physical problems. Early management of arthritis and other conditions can dramatically improve quality of life for senior dogs.

Activity can also affect sleep time for dogs. Working dogs sleep less than inactive dogs. Inactive dogs also may have unusual sleep/wake cycles. This might be because many dogs are home alone during the daytime, and thus, they sleep. When owners come home, the dog becomes active. This daytime inactivity can lead to wakefulness at night, when the rest of the house is asleep. It’s a good idea to leave interesting toys for your dogs when you are gone for the day. Daily exercise for at least 15-30 minutes also promotes healthy sleep patterns…in everyone!

mastiff sleeping in bed
Getty Images Plus / vitalytitov

Breed and size can affect sleep too, but the reasons are less clear. Large and giant breed dogs in general seem to sleep more than their smaller counterparts (think Chihuahua versus Mastiff). This might be due to higher energy demands for bigger muscles and internal organs.

Much about sleep remains shrouded in mystery, but one thing is clear: we all need it!

Does my dog need a bedtime?

We all know that as humans, if we don’t get enough sleep, our cognition suffers. Here’s the beauty about being a dog—you can sleep anywhere, anytime! Like all animals, dogs do require a certain amount of sleep, but since they aren’t reading, writing, driving, or otherwise operating heavy machinery, you don’t need to worry about setting a bedtime for your canine companion. He will do that for himself. Maybe us humans should take a page from our dog’s playbook and rest when our body demands it!

My dog sleeps all day. Is this normal?

The truth is, sleep varies dramatically between individual canines, just as in humans. There may be correlations between breed and size, but in the end, each dog is unique. Dr William Thomas, a veterinary neurologist at the University of Tennessee, estimates that dogs sleep anywhere from 48-58% of the time. If your dog is active and alert when awake, has a good appetite, and seems otherwise normal, then perhaps your dog just needs the extra Zzzzzzs. On the other hand, if your pup is exhibiting lethargy, decreased appetite, or any other unusual signs, it is time for a check-up.

Here are some recent survey results on over 10,000 dogs’ sleeping habits.

Dog Drooling: The Juicy Truth About Why Dogs Slobber

What is drool and why do dogs do it?

Drool is saliva. It is produced in glands of which there are 3 sets—parotid, mandibular, and sublingual. Each produces a slightly different type of saliva with an individual purpose. This secretion can differ depending on the type of meal a dog eats. If the meal is dry food, the secretion tends to be more watery to soften the food, whereas if it is canned, softening is not needed. The secretion is often thicker in this case.

Saliva is constantly being made and swallowed. It keeps the mouth moist and free of food, as well as carrying away “bad” bacteria from the teeth. It contains tons of interesting enzymes, as well as electrolytes like sodium and bicarbonate. Saliva has multiple functions within the mouth including protecting the oral mucosa and the teeth, packing the food into a soft ball for easy swallowing, starting the starch digestive process, and destroying bacteria. Drooling can also serve to a cool a dog, since they have very few sweat glands. It’s a truly amazing fluid.

Is drooling ever normal?

It is not abnormal for your dog to drool sometimes. Pavlov showed in his famous bell experiments that anticipating a meal can make a dog salivate. Fear can also cause dogs to drool, as you will see in a storm-phobic dog. Drooling is a form of heat control for dogs called evaporative cooling. So, the answer is yes! Drooling can be normal and in response to the dog’s emotions or environment.

But there are times when drool is not normal. When excessive salivation occurs, the condition is called ptyalism. For instance, a dog with an infected tooth or gums can drool as a sign of dental disease. Nausea can cause drooling, as well. You may notice this particularly in dogs that become carsick. Tumors in the mouth—both benign and malignant, lodged foreign objects (such as a stick across the palate), trauma to the tongue or gums (notably electrical cord burns and caustic substance exposure), warts, and even metabolic diseases such as a liver shunt can cause drooling.

Certain drugs when administered orally have a noxious taste. Tramadol tablets, a pain medication, are known for this. More surprisingly, sometimes eye drops can be the culprit. Atropine is a common ophthalmic medication used to dilate the eye. It is extremely bitter and can cause frothing at the mouth.

st bernard drooling out car window
E+ / jtyler

There are even infectious diseases that can cause drooling. The most notable of these is rabies. This is very rare to see in a dog with proper vaccinations, but it is possible. Distemper is another uncommon infection that may present with excessive salivation. Again, vaccinations generally protect against this viral infection.

Large and giant breed dogs like Mastiffs, St Bernards, and Great Danes usually drool frequently. In these breeds, it is “normal” in that the extravagant dripping saliva arises from the conformation of their lips, which are thick and droopy with many folds. Saliva tends to pool and drip, as a result.

When should I seek medical attention?

Unfortunately, if you’ve adopted a large or giant breed dog with floppy lips, slobber is going to be a regular part of the day. On the other hand, if your previously healthy dog with no history of significant salivation starts to drool, a visit to the veterinarian is definitely in order. The veterinarian will do a thorough physical exam to rule out illness. This should include a close examination of the oral cavity including gums, teeth, tongue, and the back of the throat (called the oropharynx). In some cases, depending on your dog’s temperament, this should be done under sedation. Even with an excellently behaved dog, it is difficult to fully examine the back of the mouth and throat, so sedation may be recommended. Even the best dog might not appreciate hands in his mouth.

Once the oral examination is complete, depending on what is found, the veterinarian may recommend more diagnostics such as xrays of the skull, infectious disease testing, or biopsy if a tumor is present. If a cause is readily apparent, a treatment plan will be proposed based on the this. Some examples of possible treatments include a dental for tooth decay and gingivitis or mass removal and biopsy if a tumor is found.

As with all questions of dog health, when in doubt, a phone call to your veterinarian is never a bad idea.

Camp Fire: Notes from a Disaster Zone, Part Two

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I stopped that account on the night before my first day volunteering at one of the two sites established for animals who were being evacuated from the fire zone. I had actually been at one of the sites all day, but it was too fresh; I couldn’t have written about that day on that night if I had to.

There are animals at these sites for two reasons: either they were brought to the emergency shelter by owners who fled the fire and who have no place to stay where they can have their animals with them, or they were rescued by law enforcement officers and volunteers who are allowed behind the mandatory evacuation lines and brought to the shelter.

Animals who were burned and in need of medical care are being taken to veterinary hospitals. I haven’t seen any of those animals in person.

One of the two emergency shelters was established at the old airport in Chico, about 30 miles north and west of me, and one was established in an old county hospital building here in Oroville, the town where I live. The fire zone is triangulated right between these two sites.

There is a local organization that was activated within minutes of the first sign of smoke from Camp Fire: the North Valley Animal Disaster Group (NVADG, which is pronounced locally as “nav-dag”). It’s an all-volunteer group that provides ongoing training for people who are interested in helping with all types and sizes of animal rescues in this part of the state, from overturned horse or cattle trailers to all-too-common wildfires.

NVADG volunteers immediately started working with law enforcement to rescue animals in the fire zone and were setting up the emergency shelters within hours. The first started early in the morning on November 8, and the shelters filled very quickly with animals. The call went out for more cages, more cages, and more cages.

Within a day, there were more than 1,000 dogs, cats, chickens, ducks, pet birds, snakes, and more at these shelters. Large animals including horses, cows, goats, sheep, and pigs were taken to other shelters. Care and feeding of the animals – not an insignificant task that involved taking dogs out of their cages to potty, and cleaning cat boxes – fell to NVADG volunteers. (As of today, more than 2,000 animals who have been rescued or evacuated from the fire are currently being housed and cared for in NVADG shelters and in veterinary hospitals.)

Ordinarily, NVADG allows only people who have attended one of its training sessions to participate in one of its emergency response events. But within a week, its volunteer network was very strained. Caged animals need lots of care, and there were LOTS of them, and more arriving from the fire zone every day.

My friend Sarah Richardson was contacted by someone in NVADG and asked for help. Because Sarah has been training dogs in Chico for more than a decade, and runs a boarding and daycare facility, she has an extensive network of clients and employees that she can ask to help in an emergency. In fact, many of them did so when Sarah took in a bunch of dogs from the evacuation of my local shelter during the Oroville Dam crisis two years ago! So that’s how I, Sarah, and a half dozen or so of her employees and clients ended up reporting for volunteer service at NVADG’s Oroville emergency shelter site, at 7 am on day seven of the fire.

NVADG warehouse headquarters

Dog Disaster Relief

I’m glad someone called Sarah, because when we got there, only one other volunteer was on the grounds, although more kept trickling in as we got to work. We were briefed on what was where and what to do – and I mean, briefed. Leashes are here, poop bags are there, go that way… Two or three of you take dogs out to walk and one person will clean its cage while the walkers are outside. Dump the water bowl, wipe it out with paper towels. Check the bedding (if any). If it’s soiled, take it out, and put it in that barrel. Fresh bedding is over there. Put some food in a paper bowl. That’s that. And write on the chart whether the dog had finished its food from the previous feeding. The walkers will indicate whether the dog pooped or peed, and note whether each dog seems to have any health issues that the vets should look at.

Problems cropped up and we solved them as we went. We ran out of large plastic garbage bags; someone found more. The poop barrels filled; someone stepped up and found a cart to haul the large garbage bags full of poop bags to a dumpster. This dog was going berserk and kept getting trapped halfway in and halfway out of its cage, bending the bars with superdog strength; we arranged for that one to be transported to the local shelter, which has a far more secure facility. That dog has a terrible case of fleas and tapeworms in her poop; she got put on the vets’ list for treatment for both issues. And on and on.

By about 2 pm, about 20 volunteers were present, and all the dogs had been outside at least once, and all the cat boxes and cat cages had been cleaned – and it was time to start over at the beginning. I could easily see why the NVADG volunteers were exhausted. And this was the smaller of the two shelters being operated by NVADG!

In addition, the work was not just physically tiring – it was emotionally challenging. It was cold outside, with the sun being completely blotted out by all the smoke in the sky. Many of us were wearing masks in an effort to filter the air, but we had headaches and raw throats and runny noses anyway. Most of the dogs were frantic to get out of their cages (wire crates) and get out of the rooms in the building that NVADG has been allowed to use. All the spaces were quite small and have poor ventilation; the room with the best ventilation and most open space was up a flight of narrow stairs! A bit of a hazard when being pulled downstairs by large, stressed dogs.


SEE ALSO: Smoke Inhalation in Dogs


Some of the dogs are dealing with the stress by nonstop barking; others are terrified and shaking at the proximity and noise being made by all the others; others are just shut-down and depressed. A Pug puppy quickly became a volunteer favorite for being neither barky nor upset, but rather, playing in his small cage all day every day, happy to leave his cage and just as happy to return to it and entertain himself by tossing his stuffed toy around in his cage. He was definitely in the minority.

The condition of many of the dogs made many of us sad. The population in the shelters includes very thin dogs, dogs with tumors that ought to be removed, dogs with coughs that sound like they are heartworm-positive, dogs who are grossly obese and sporting super-long nails, dogs who are so flea-infested that they can’t stop scratching (and whose poop is full of tapeworm segments), dogs with mange, and more.

There are also dogs who are in good condition, but of course, the ones who are in rough shape just really stick in the mind and heart of dog owners who have the luxury of helping at a time like this. I don’t say these things to criticize victims of the fire for their pet care, just that this is a concentrated population of dogs belonging to people who likely lack the resources and/or knowledge to provide top-notch care to their pets.

To many of us volunteers (a population that largely has the resources and ability to spend time volunteering instead of at work), the sudden immersion in this other world of dog guardianship in a highly depressing setting was stressful.

Not that we expected it to be sunshine and rainbows.

And yet, time spent in these shelters is far less upsetting than it is for the people who work in all the animal hospitals where burned animals have been taken. I can’t even imagine how traumatizing that is for the people who work there.

So many burned animals have been brought in that local veterinary hospitals have had to send many animals to hospitals and shelters that are hours away. This is good for the animals, many of whom would not survive without serious medical intervention, but many of us are worried about how or whether the animals will ever be reunited with their families.

A website has been created with photos of the unclaimed animals at the emergency shelters, and links provided to all the veterinary hospitals that are hosting and treating burned animals. Those hospitals have created their own online photo albums of their patients. Click through to any one of those albums, and try to imagine you are looking for the beloved pet you were separated from when the fire broke out. See how many photos of burned and bandaged animals you can look at before you start to cry. Imagine caring for those animals all day long. I have so much respect for the people who are doing so.

As I write this, a full week after my last post, things are not yet much better, but there are a few signs of hope. Some animals are getting picked up by their owners – but more continue to be brought into the shelters by rescue workers in the burned zone. I’m not sure if any standards are being used to screen volunteers at this point; but if people show up at the shelters and they don’t seem to know what they are doing with the animals at all, we ask if they can help find more towels, or wash bowls, or take the trash out. Everyone who can do anything can help – and many more people are showing up every day.

We’re getting some highly qualified help, too. The California Veterinary Medical Foundation (CVMF) has sent veterinarians and registered veterinary technicians who are also volunteering, and who are helping to triage injured and burned animals brought in by rescuers, while also providing examinations and treatment for all the animals in the shelters. They arrive each day in teams of two and administer medication, change bandages, check and recheck the condition of animals with chronic health problems, and provide the sort of ordinary care than many of the animals seem to lack: the application of flea treatments, medication for mange, de-wormers, eye ointment, ear cleaning, and more. I don’t know where all the drugs they are using have come from, but I’m incredibly grateful for them.

International Fund for Animal Welfare

The International Fund for Animal Welfare (IFAW) was asked by someone to come in, and their advisors were a great and calming influence. They helped create order at the larger emergency shelter in Chico, and established routines and schedules that will greatly benefit the animals. There are plans to set up two entirely new locations for the ongoing management of these shelters; all the “owned” animals will be moved to one shelter, and the as-yet unclaimed animals will be moved to the other. A rumor is going around that the Humane Society of the United States (HSUS) will be running one of the shelters, which, if they run it like IFAW, will be supremely welcome.

I took a break from the shelter one day and, instead, allowed myself to be recruited by a friend who was volunteering at NVADG’s warehouse-based headquarters, where a room full of laptops – lent to the group by some office in the county government – had been set up by volunteers.

camp fire NVADG volunteers

Someone had built a custom file for NVADG so that volunteers could enter data regarding animals and requests for service so the group could, among other things, generate a “feeding report” each day – a list of addresses where the NVADG volunteers would be dispatched to feed livestock (and quite a few cats) who are being “sheltered in place” behind the evacuation lines (but out of danger from the still-burning fire). About 15 of us spent the day (and others spent more days than me) typing in information from forms that had been filled out by the more highly trained and experienced NVADG volunteers who were going into the evacuation zone each day and continuing to rescue some animals and simply feed and water others.

Also at NVADG’s hub of activity: volunteers answering the phones from people with requests for service; volunteers who were helping unload giant truckloads of hay, grain, chicken food, dog and cat food, bowls, beds, blankets etc. that have been donated by people from all over; volunteers loading this donated feed into the trucks of the people who were going out to feed and rescue animals; volunteers who were feeding all the other volunteers! And all this a week into the fire disaster. It was incredibly moving to see this amount of support for the community’s animals, pets and livestock alike.

It’s Thanksgiving, and if there is one thing in all this darkness that I am grateful for, it’s how amazingly generous, kind, and helpful the people in my community are being to each other right now.

 

Smoke Inhalation and Dogs

I have been watching in horror all the heartbreaking news reports of people and animals rescued and missing in the California wildfires. As firefighters battle the blaze (which at the time of writing is still not contained), animal welfare groups are working around the clock to rescue dogs from the fire. Meanwhile, across parts of California including areas not in the path of the wild fires, air quality is being ranked as some of the worst in the world. Smoke inhalation is not only dangerous for people – it can also have very serious consequences for dogs.

Visible Symptoms of Damage from Smoke Inhalation in Dogs

Dr. Tina Wismer the Medical Director of the ASPCA Animal Poison Control Center explains that, “With smoke inhalation, the amount of smoke a dog is exposed to will affect the symptoms.  Animals that are caught in a fire can have difficulty breathing, inflammation and burns in the airways, and weakness. In some cases, dogs may initially appear normal and then develop a buildup of fluid in the lungs (pulmonary edema) up to 24 hours later.”

She further explains that dogs living near wildfires and breathing smoke may also experience eye irritation. Your dog may experience watery or red eyes, coughing, runny noses and panting if exposed to wildfire smoke.

Dr. Heather B. Loenser, DVM Senior Veterinary Officer of the American Animal Hospital Association, also encourages dog guardians in smoke impacted areas to be on the lookout for the following symptoms:

  • Rapid respiratory rate (breathing more than 20-30 breaths per minute a rest)
  • Coughing; strained or noisy breathing
  • Bright red gums
  • Lethargy, seizures
suburban wildfire

Long Term Impacts of Smoke Inhalation in Dogs

Although some symptoms of smoke inhalation are visible right away, dogs who have been exposed to smoke may get sick some time after the exposure.

Jordan Holliday from Embrace Pet Insurance explains that, “once your pet has been rescued from a fire, he or she may appear pretty normal. Unfortunately, initial appearances can be deceiving. Even if your dogs didn’t come into contact with fire and get burned, they may have severe internal issues that need to be addressed.”

Holliday cautions, “The most common cause of fire-related deaths in pets is not skin damage from burns, but organ damage from carbon monoxide toxicity. During a fire, carbon monoxide replaces the oxygen in the air. When a pet breathes carbon monoxide instead of oxygen, his organs will not be able to function correctly.” This is why it’s so important any dogs being rescued from wild fire impacted areas are seen by veterinarians.

Smoke Exposure in Dogs: Minimizing Risk

The most important thing you can do if your dog has been exposed to smoke is to get them out of the situation as soon as possible. If your dog has any of the above symptoms of smoke toxicity, Dr. Loenser advises you to get your dog seen by a veterinarian to receive oxygen therapy.

Dr. Loesner explains that veterinary hospitals have oxygen cages that allow (all but the largest) dogs to rest in an oxygen-rich environment. Giant dogs that are too large for the oxygen cages can be provided oxygen therapy through a nasal cannula with allows oxygen to flow into a dog’s nose.

“Treating a dog with oxygen is one of my favorite treatments because I love seeing the look of relief when they realize they can breathe easier,” says Dr. Loesner.

Here is a video example of a dog receiving oxygen therapy from the Castlegar Fire Department in British Columbia, Canada.

animal medical center ny oxygen therapy

Dogs being rescued by first responders are increasingly being treated with oxygen therapy on the scene, but Dr. Loenser advises that any dogs rescued from wildfires or any other fire should be directed to a veterinarian within an hour of being rescued.

How to Care for Dogs in Poor Air Quality Conditions

If you are living in an area where air quality conditions are poor, the best thing you can do is to keep your dog inside as much as possible. Limiting the length and frequency of walks and staying out of outdoor spaces like dog parks is advised until air quality improves. Trick training or Scent Work games are a great way to keep your dog mentally and physically exercised in your house or apartment.

Humans in areas impacted by wildfires are being encouraged to wear face masks or respirators to minimize the risks associated with breathing smoke. There are a few different masks on the market for dogs such as Dog Pollution Mask, and goggles like these from Doggles that may  reduce eye irritation from the smoke.

Unfortunately, unlike masks for people these masks are less readily available. Having just moved with my dogs from New York to Oregon (which in recent years has had more issues with wildfires like neighboring Northern California), I am considering buying air pollution masks for my dogs.

walking in countryside
iStock/Getty Images Plus/Duncan_Andison

Of course, this means once I have the dog pollution masks, I’ll need to begin slowly desensitizing my dogs to wearing them. If an air quality emergency were to occur, my dogs need to already comfortable with wearing and breathing through something on their faces – a sensation that might feel strange to anyone.

Dogs Most at Risk for Complications from Smoke Exposure

Smoke inhalation is dangerous for all dogs regardless of breed or age, but there are specific concerns with some breeds. Dr. Loenser explains that dogs with short noses – bulldogs, pugs and Boston terriers, to name a few – are especially at risk.

Additionally, Loesner explains that very young and very old dogs of any breed can be more fragile and at risk for medical complications from smoke inhalation.

sitting boston terrier
iStock/Getty Images Plus/Carmelka

Take Precautions

The wildfires in California are a good reminder about the importance of having an evacuation plan for your family including all your dogs.

Natural disasters can strike at any time and it’s important to be prepared. Make sure your dog is wearing a collar with updated identification tags. In your vehicle it’s a good idea to have easily accessible digital copies of proof of vaccination, photos of your dog (in case they become lost), spare leashes, food, and any prescriptions your dog might need.

Jordan Holliday advises to, when developing an evacuation plan, have a designated person in your household responsible for evacuating the dog. If no one is able to get your dog(s) out, this person needs to, “let the fire department personnel know that he or she is still inside the home. Have your pet microchipped so that in the event your pet is able to escape, you can find him or her after the fire. Place a sticker or identification in the window of your home so that fire department personnel know there is a pet in the home if a fire breaks out when you aren’t there.”

Sassafras Lowrey is an award-winning author and Certified Trick Dog Instructor. Sassafras lives and writes in Portland, Oregon, with her partner, a senior Chihuahua mix, rescued Cattle Dog mix, Newfoundland puppy, two bossy cats, and a formerly semi-feral kitten.

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