Newsletter

The costs of veterinary health care, much like those of human health care, are rising and many pet owners are turning to pet health insurance to help defray some of those costs. Unlike human health care, you don't need pet health insurance to ensure your vet treats your animal companion. For pets, insurance coverage is a choice, not a necessity. But as the pet insurance industry has changed in recent years, more options are available to pet owners for coverage levels and care options than before.

Pet insurance policies are largely similar to human insurance policies. There are annual premiums and deductibles, and plans are based on age, medical conditions, a pet's lifestyle and species. Some policies provide comprehensive coverage, and will reimburse owners for costs associated with annual wellness exams, vaccinations and other routine visits; other policies will cover only accidents or injuries. Depending on the policy you chose, there may be limits on coverage for pre-existing medical conditions for older pets.

Pet insurance plans differ from human insurance when it comes to filing claims. Following a procedure - a TPLO surgery, for example - the owner will pay the veterinarian directly and then submit a claim to the insurance provider for reimbursement. How much the insurance company pays all depends on the policy and the procedure. Some plans, such as the one offered by PetFirst Healthcare, do not cover "cosmetic or preventative surgeries" such as declawing procedures, anal sac removal and ear cropping and tail docking. Other plans, like the one offered by ShelterCare, cover cancer treatment but do not cover spay/neuter procedures. Other popular providers include Veterinary Pet Insurance and Pet's Best. Even organizations like the ASPCA and the American Kennel Club offer insurance plans.

The costs for pet insurance are small compared to human insurance, with monthly costs averaging about $30 and deductibles averaging about $100. Most plans begin enrolling pets at around 8 weeks of age and limit enrollment to pets under eight to 10 years of age (though if the pet was enrolled before this limit, he or she will remain covered).

What should you watch out for when purchasing pet insurance? First, make sure your veterinarian is approved by your provider. Some providers limit coverage to certain veterinarians in a network or provider list, though most pet insurance companies allow owners to use the veterinarian of their choice. Next, review the exclusions in the policy. Some plans will cover pre-existing medical conditions if they are stabilized, while others may exclude some conditions and procedures all together. Also look at the various caps (maximum amount paid) for each claim. In some cases, a provider will use an annual cap, limiting the amount of reimbursements paid out over a year, while in other cases, a lifetime cap may be applied.

Pet insurance is not the only option when it comes to covering health care costs for your pet. Some veterinary hospitals accept CareCredit, which reimburses veterinarians for expensive procedures and allows clients to set up extended payment plans. Meanwhile, some veterinary hospitals offer wellness packages for new kittens and puppies. These packages offer a combination of services (wellness exams, vaccinations, diagnostic tests, etc.) at a reduced rate for new pet owners.

Looking at the results of laboratory tests done on your pet can be very confusing, overwhelming and at times, even frightening. As your pet's care giver, it is important for you to have a general understanding of laboratory tests and what their results mean. This information can be valuable when it comes to deciding medical treatment options that are important as well as available for your pet.

Generally, in order to conduct a test, a sample of your pet's blood and/or urine is collected. Once collected, it can be stored in various kinds of tubes to help preserve the sample and provide the laboratory technicians with a clean specimen.

Blood Cell Counting

So what does it mean when your veterinarian says she needs to run some blood work on your pet? Blood work (pre-surgical or otherwise) is usually a combination of a complete blood count (CBC) and a blood chemical analysis. Blood work is a basic evaluation tool. It also helps your veterinarian diagnose a pet's disease or monitor the progression of a disease.

The cellular elements of the blood are examined in the CBC. The CBC determines the number of erythrocytes (red blood cells), the number and type of leukocytes (white blood cells), the number of thrombocytes (platelets), the hemoglobin level and the hematocrit (packed cell volume or PCV). Erythrocytes carry oxygen throughout the body. Leukocytes fight infection and are part of the immune system. There are actually five different types of white blood cells: neutrophils, lymphocytes, basophils, eosinophils, and monocytes. Platelets are clotting proteins and can indicated how fast your pet's blood cans; slow clotting can be a serious problem. A CBC can tell your veterinarian if your pet has an unusual number of red blood cells, white cells or platelets. The numerical values for these cells can indicate if your pet's health is improving or deteriorating.

The results of a chemistry panel can indicate how well your pet's kidney and liver are functioning and the level of electrolytes in the blood. Blood chemistries are run on the fluid portion of the blood sample, not the cells in the blood. The chemistry panel usually includes the following tests, though there can be more: alkaline phosphatase (SAP, ALP), alanine transaminase (ALT), blirubin total (T Bili), blood urea nitrogen (BUN), creatinine and creatinine kinase (CK, CPK), sodium, potassium, glucose, total protein, and albumin. Alkaline phospatase, alanine transaminase, bilirubin, and albumin give your veterinarian information about your pet's liver function. Blood urea nitrogen, creatinine and creatinine kinase give your veterinarian some insight as to how well your pet's kidneys are functioning.

Below are descriptions of each indicator and what an abnormal result could possibly mean. Please note that an isolated abnormal value may not indicate a problem.

Alkaline phosphatase: Used extensively as a tumor marker, it is also present with liver injury, bone injury, pregnancy, or skeletal growth (elevated values). Growing animals have normally higher levels of this enzyme. Low levels are sometimes found in protein deficiency, malnutrition and a number of vitamin deficiencies.

Alanine transaminase: Increased levels are seen in liver damage, kidney infection, chemical pollutants, or myocardial infarction.

Bilirubin (total): Elevated in liver disease, hemolytic anemia, low levels of exposure to the sun and toxic effects to some drugs. Decreased levels are seen in people with an inefficient liver, excessive fat digestion, and possibly a diet low in nitrogen bearing foods.

Blood urea nitrogen: Increases can be caused by excessive protein intake, kidney damage, certain drugs, low fluid intake, intestinal bleeding, exercise, or heart failure. Decreased levels may be due to a poor diet, malabsorption, liver damage, or low nitrogen intake.

Creatinine: Low levels are sometimes seen in kidney damage, protein starvation, liver disease, or pregnancy. Elevated levels are sometimes seen in kidney disease due to the kidneys job of excreting creatinine, muscle degeneration, and some drugs involved in impairment of kidney function.

Glucose: Elevated in diabetes, liver disease, obesity, and pancreatitis due to steroid medications, or during stress. Low levels may be indicative of liver disease, overproduction of insulin, or hypothyroidism.

Total protein: Decreased levels may be due to poor nutrition, liver disease, malabsorption, diarrhea, or severe burns. Increased levels are seen in lupus, liver disease, chronic infections, leukemia, etc.

Albumin: High levels are rarely seen and are primarily due to dehydration. Low levels are seen in poor diets, diarrhea, fever, infection, liver disease, inadequate iron intake, third-degree burns and edemas, and hypocalcemia.

In addition to a blood test, your veterinarian may ask for a urine sample to run a urinalysis. A urinalysis can provide information about several organ systems. The concentration, color, clarity, and mircroscopic examination of the urine sample can help your veterinarian diagnose certain health problems in your pet. Urine may be obtained by catching a sample during normal urination, by passing a catheter into the bladder or by placing a small needle through the body wall into the bladder, a procedure called cystocentesis. Depending upon why the urine sample is being collected, one collection method may be preferred over another.

Color - Urine color will vary between species, but it is normally some shade of yellow depending on the concentration. Abnormal color changes in the urine could be due to drugs, increased urinary pigments or red blood cells. Occasionally, unusual colors may be caused by dyes associated with food or drugs.

Clarity - Urine is normally transparent. In small animals, turbidity or the lack of clarity, suggests the presence of cells, casts, or crystals. Often refrigeration will cause the sedimentation of crystals in the urine, producing a cloudy appearance. This is usually of no significance.

Odor - Urine has a characteristic smell that varies slightly by species and concentration of the sample. A particularly foul odor may occur in the presence of bacteria. Thus, strong smelling urine is common in cases of infection. Sweet smelling urine can also indicate abnormal renal function so it is always important to note any strong odor associated with your pet's urine.

pH - Urine pH will be affected by many things including the diet, handling of the sample, and acid-base balance of your pet. An alkaline pH is most indicative of an infection. Normal pH is between 6 and 8 for most animals depending on their diet.

Glucose - In the normal animal there should not be glucose in the urine. If glucose is present, it is a classic response to hyperglycemia and should instigate an investigation into the possibility of diabetes in the patient.

Ketones - In the normal animal there will be no ketones in the urine. An animal that is undergoing fat metabolism or is deficient in carbohydrates will have ketones in the urine. Ketones may also be found in the urine of malnourished animals or those with diabetes.

Sedimentation - Urine sedimentation may contain cells, casts and crystals and is examined microscopically after centrifugation of the urine sample. A very small amount of all of the above mentioned sediments is normal. Concern begins when any of these components is significantly elevated.

Protein - Finding protein in the urine can be a difficult assessment. Concentrated urine can contain small amounts of proteins. Protein in your pet's urine is generally caused by inflammation, hemorrhage or protein losing kidney disease.

Blood - There should never be blood in the urine of a normal animal. Collection methods could cause blood to appear in the urine but other causes include infection, neoplasia, or trauma.

Springtime is fast approaching and your thoughts may be turning toward landscaping your yard and planting a new garden. Whatever your plans, take care when using cocoa mulch for your garden and landscaping needs. Cocoa mulch contains cocoa bean shells that are toxic to your pet.

Cocoa mulch is hazardous to your pet in the same way that chocolate and chocolate-containing products are dangerous to your four-legged friend. Like candies and other chocolate treats, cocoa bean shells contain theobromine, a naturally occurring chemical, similar to caffeine. Because dogs metabolize theobromine slowly, it can have a serious effect on your dog’s heart, kidneys and central nervous system. (Cats are also susceptible to theobromine poisoning; however, cats are less likely to eat chocolate because they lack sweet taste receptors on their tongues.)

Cocoa mulch has a strong chocolate smell - just the sort of odor that attracts curious canine noses and appetites. Because of this, dogs may eagerly ingest cocoa mulch. The results are similar to the poisoning experienced when dogs each chocolate products; however, because cocoa mulch contains a higher concentration of theobromine, a small quantity of mulch can mean big problems for your pet.

In small quantities, a dog may experience upset stomach, vomiting and diarrhea. However, dogs eating a large quantity of cocoa mulch can experience tachycardia (rapid heart rate), muscle tremors, seizures and, in rare cases, death. The severity of the reaction depends on the size and weight of the dog and the quantity of mulch eaten. According to the ASPCA Animal Poison Control Center, 2 ounces of mulch eaten by a 50-pound dog will cause upset stomach; 4.5 ounces of mulch will cause increased heart rate and 5.3 ounces will cause seizures. Any quantity of mulch more than 9 ounces can cause death, according to the ASPCA.

The ASPCA Animal Poison Control Center collected data on 16 cases of cocoa mulch poisoning between January 2002 and April 2003. The ASPCA Animal Poison Control Center studied six of those cases and found that vomiting occurred in half the cases. In 33 percent of the cases, tremors were reported and in 17 percent of the cases, rapid heartbeat, hyperactivity and diarrhea were reported. The results of the ASPCA study are located here.

Pet owners are encouraged to use other varieties of mulch for their garden and landscaping needs. Cedar chips and straw are less toxic to dogs than cocoa mulch, though some brands may contain oils and resins that can cause upset stomach in pets. If your dog has eaten cocoa bean mulch, contact your veterinarian immediately or call the ASPCA Animal Poison Control Center at 1-888-426-4435. Treatment will depend on the quantity of mulch eaten, when it was eaten and the symptoms your dog is showing.

You may have heard the saying, "You own a dog but you feed a cat." It is true that cats value their independence a bit more than their canine counterparts. If you've ever been around cats, you already know they crave and require love and companionship. Cats make wonderful pets and most easily adjust to a variety of lifestyles and living spaces. Every cat is a true individual though, so it's important to take the time to choose a four-footed friend who's right for you. A cat's personality, age and appearance, as well as the kinds of pets you already have at home, are all things you should keep in mind when making your selection.

Consider Adopting A Cat

If you've ever been to a shelter, you have probably noticed that some cats meow and head butt the cage door while others simply lie back and gaze at you with a look of total ambiguity. There are as many different personalities of cats as there are cats in the shelter. Which disposition is best for you? YOU have to decide.

Regardless of individual personality, look for a cat that is playful, active, alert, and comfortable while being held. At the shelter, ask an adoption counselor for assistance when you wish to spend some time with individual cats. Because they are in an unfamiliar environment, some cats that are usually quite social may be frightened or passive while in the shelter.

As a general rule, kittens are curious, playful, and full of energy, while adult cats are more relaxed and less mischievous. Kittens also require more time to train and feed. Cats are only kittens for a few months, though, so the age of the cat you adopt should really depend on the level of maturity you are looking for. Young children usually don't have the maturity to handle kittens responsibly, so a cat that is at least four months old is probably the best choice for homes with young children.

They All May Be Cute, But Which Is Right For You?

Though dogs also have differences in coat, choosing the length of coat on a cat is a little different. Because the hair is generally finer and cats generally shed more, hair length can be an important part of your decision. Cats can have long, fluffy coats or short, dense fur, and the choice between the two is chiefly a matter of preference, availability, and your willingness to devote time to regular grooming. Short-haired cats are generally easier to come by since they're the most popular and the most common. Keep in mind that long-haired cats require frequent grooming to remain mat-free. Felines with short coats also require brushing, though less frequently. Most cats enjoy a regular brushing and look forward to this daily ritual.

If you already own a cat or dog, you're probably wondering how easy it is to add a cat to the family. The good news is that cats can get along with other cats, and despite the common stereotype, most dogs can get along with cats too! Unfortunately, introducing a new cat to a home with other pets can be time consuming and require patience on your part.

The best way to handle adding a new cat to the home is to provide time for a period of adjustment. You can do this effectively by isolating your new feline in a room of his own for a while, something that is a good idea for a new cat anyway. After several days, supervise meetings between the animals for periods of increasing length. Most cats will soon learn to accept each other. Some dogs simply won't tolerate the presence of a cat, but by carefully introducing them, most problems can be solved.

Most Pets Will Accept Each Other Over Time With Supervised Meetings

No matter which kind of cat you choose, remember that you're making a commitment to love and care for your new feline friend for his or her lifetime. That could mean 10, 15 or even 20 years! So choose you new companion carefully and be a responsible pet owner. In no time at all you'll know how wonderful sharing your home with a cat can be.

About two weeks before the puppies are due, a nesting box should be introduced to the expectant mother. The box should be made from a washable material and located in a warm and secluded area. The bottom of the box should be lined with an absorbent material that can be changed frequently. Newspapers, towels, or clean rags make excellent bed liners.

Late Stage of Pregnancy

The first stage of labor is marked by uterine contractions. The expectant mother appears restless and may pace about the house. She refuses to eat and sometimes vomits. The bitch may isolate herself and exhibit nesting behavior. (Hopefully, nesting will occur in the whelping box.) This behavior is normal and there is little that the owner can do. This stage generally lasts 8-24 hours.

The second stage of labor begins when the cervix is completely dilated. The delivery of the puppy occurs during this phase. Phase three of labor refers to the expulsion of the placenta and the afterbirth.

After several contractions, the first puppy is born. If the first puppy is not born within 45 minutes after the beginning of contractions, a veterinarian should be called. The time interval between successive puppies is extremely variable and can range anywhere from 30 minutes to several hours. It is not unusual for a mother to rest between groups of puppies.

Generally when each puppy is born, it is enclosed in a membrane or sac. The mother usually licks the puppy's face and rips open the sac. If this sac is not immediately broken by the mother, human intervention is required. The sac must be opened, and the puppy's face must be rubbed. Rubbing the puppy's face with a clean cloth is an excellent method to stimulate breathing.

A placentas is usually passed within 15 minutes after the birth of a puppy. Occasionally, two placentas may follow two puppies.

There are two normal positions for delivery. The puppies may come out "head first" or "rear first". A "head first" delivery is generally easier than a "rear first" delivery.

Human intervention is required when a puppy is lodged in the birth canal. When this occurs (and the mother is not able to expel the puppy herself), the mother must be restrained and gentle traction applied to the puppy. The puppy is grasped with a clean dry towel and pulled in a downward position, toward the mother's feet. When a puppy is lodged in the birth canal for a considerable amount of time, it is usually born dead.

Following each birth, the remaining portion of the sac should be removed from the puppy's face. Any mucus surrounding the nostrils should be cleared away. Puppies should be placed on a dry clean towel and rubbed. Vigorously rubbing of the puppy stimulates breathing. Using a fine-diameter thread, each umbilical cord should be tied about one inch from the puppy's belly. The cord is cut on the far side of the knot, and the remaining stump (with the cord) is dipped into a white iodine or Betadine solution. If the puppies are similar looking, it is best to number each one with a permanent marker.

Recently Born Puppy

When the mother is relaxed and she settles down with her puppies, it is safe to assume that the birthing process is over. Within 12-18 hours after all puppies are delivered, the mother should be examined by a veterinarian.

Normal vaginal discharge is brown, green or red in color. A significant amount of discharge is present following birth. This discharge tapers off and gradually subsides in 4-8 weeks. If the discharge is abundant, foul-smelling, pussy, or extremely bloody, a veterinarian should be consulted.

Cancer is an often life-threatening disease that many people think affects only humans. So, it often comes as a shock to many pet owners when their pet is diagnosed with cancer.

Cancer in animals is unfortunately not uncommon and is very similar to cancer in humans. Like humans, the causes of cancer can either be genetic or environmental. The common types of cancer seen in companion animals are diagnosed more frequently only because we can detect them more easily. These cancers involve the lymph nodes, limbs or skin tumors. Tumors located in organs or inside body cavities are more difficult to diagnose and are often not detected until the animal develops clinical symptoms.

Know the Signs of Cancer in Pets

There are a number of indications that an animal may have cancer. The best way to detect the commonly diagnosed types of cancer is for owners to carefully feel their animals all over once a week. It is also a good idea for owners to try and look inside their pets mouths once a week. Owners should pet their animals thoroughly once a week and feel for abnormal lumps, bumps, swellings, and any area that's just plain painful. Open, ulcerated wounds that take a long time to heal (or not heal at all) might be another potential sign of cancer.

Some non-specific symptoms of cancer include a lack of appetite, weight loss, vomiting, or diarrhea. Also, certain breeds are more prone to cancer than others. Breeds such as boxers, Bernese mountain dogs, and golden retrievers are overrepresented in the development of cancer. There have even been studies that have traced the family trees of dogs. These studies have suggested a genetic predisposition in certain families.

Bernese Mountain Dog

In order to identify the exact type of cancer, aspirates and biopsies are performed. Once the cancer is identified, it is "staged". This is accomplished by performing additional diagnostic tests such as lymph node sampling, ultrasonography and / or radiology examination.

Often, the diagnosis of cancer leaves owners feeling that there is no hope for their pet. However, many types of cancer can be successfully treated and these pets can return to a normal life.

Treatment depends on the type and location of the cancer. If possible, surgical removal of the tumor is performed. Some types of cancer are responsive to chemotherapy, which include a variety of oral and intravenous medications. Dogs and cats tend to tolerate chemotherapy well and rarely develop the same side effects that are seen in humans. Prior to treatment, blood and urine tests are performed to asses the overall health of the pet to be sure they are good candidates for treatment.

Before beginning a cancer treatment, many things need to be taken into consideration. Most important is the animal's quality of life verses the aggressiveness of the treatment. The same types of drugs that are used in human cancer therapy are used in veterinary cancer therapy. The chief difference is that we tend to use lower doses at less frequent intervals.

Chemotherapy is one form of cancer therapy offered at Veterinary Specialists of Rochester. Our primary goal is to obtain a cure. If a cure is not possible, the goal of chemotherapy is to provide a better quality of life for your pet. We recommend treatment only if it is appropriate for your pet.

Our chemotherapy protocols are designed so pets don't become terribly ill. In fact, many pet owners don't even realize that their pet has had chemotherapy. Less than 5 percent of the animals develop severe vomiting, diarrhea or a severe drop in their blood counts. Compared to the side effects of chemotherapy in humans, hair loss is very uncommon in pets.

For many people, their pets are more than just animals; they are members of their family. Usually pet owners want to do everything that they can to prolong their pets' lives and keep them feeling healthy. Chemotherapy is an excellent method for treating many types of cancer in pets.