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Speaker 1: Way you were listening to Petlifradio dot com.

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Speaker 2: Hey, good morning and have me Sunday to all of

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you pet lovers out there joining me this morning, I

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am your host for the next thirty minutes here and

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Ask the Vets with Doctor Jeff. I am doctor Jeff Werber,

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and we're here for you. We're here for your pets.

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We're here to make your relationship with your pets amazing.

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We want to answer your questions, help you with out

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with your problems, whatever it is we want to hear

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from you. So a couple of ways to get ahold

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of us Number one call us at eight seven seven

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three eight five eight eight eight two. Once again, that's

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eight seven seven three eight five eight eight eight two.

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You can also join in the conversation. Log on to

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Petlife Radio dot com. Go to the Ask the Vets

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with dot org Jeff tap you will see our page

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and there's a nice big box there and it says

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you can just log on and join it in the conversation.

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You can also send me a quick email to Dr Jeff.

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That's doctor Jeff at Petlife Radio dot com and Mark Winter,

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my amazing producer, will send that off to me and

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we will get you Now, there's more than just information here,

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and there's more than just the benefit of getting your

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question answered. But for every caller, anyone who sent us

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an email, anyone who sends us a text, will get

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a free pro Sense pet product and a contoy from

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our sponsors, pro Sense and com. I mean, so you

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can't lose. Well, we could sit and chat, we can

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learn more about you, pick my brain, and at the

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very end of it, you're going to get some freebies

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as well. That's great. So for those of you that

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were tuning in and way too embarrassed to call, which

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is crazy, it's free. We were talking about the last

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several weeks we were doing a series on the variations

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in the presentation of different problems and kind of give

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you some guidelines as to how many different types of vomiting,

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for example, there are, and when you have to worry,

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and when you don't have to worry, When do you

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have to rush to get a hold of your veterinarian

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or rush to an emergency center if it's in the

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middle of the night, and when you don't have to,

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And we're sort of giving you some guidelines. And last

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week and oh, actually kind of the week before that too,

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we started talking about another condition which we see extremely commonly,

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especially in our dogs, but cats as well, and that

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is limping. And we went through the gamut of the

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different types of limping problems, the different problems that would

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cause limping, and which ones are ones again that you

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need to really worry about, like now, like today, make

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an appointment with your veterinarian, if it's in the night,

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When to rush to an emergency center, when you can

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wait till the next morning, etc. And one of the

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things we were talking about that we left last week

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talking about a very very common, often overdiagnosed problem, especially

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in our older pets, and we'll get to that in

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a minute, and that is canine hip dysplasia. Now, anybody

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who has a large breed dog, especially the popular ones,

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whether it's a Golden Retriever, a Labrador Retriever, a German

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shepherd dog, a Rottweiler, these dogs are notorious. And even

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some of our smaller interestingly chondro distfoid break. He's a

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phallic breeds. Those are the really short legged dogs that

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have funny curved legs and long bodies. They too, can,

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believe it or not, have hYP dysplasia as to chow chouse.

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We say a lot of chowchows with hypdysplasia as well.

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And I think I shared a story, but I'm going

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to share it again. How I was at the market

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here in town, and I'm out here in Los Angeles

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and a guy comes over to me that was actually

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in my older sister's class back in elementary school. I

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just don't want to tell you how long ago that was,

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but trust me, it was a long time ago. And

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he obviously knows I'm a veterinarian, and he came up

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with he says, Jeff, I can ask you a question.

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I said, I'm like, yeah, sure. So he's telling me

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about his daughter's dog who was taken to the veterinarian

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and they diagnosed hYP dasplasia, and a couple of kind

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of those flashing red lights went on in my number one.

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I asked him what the breed was, and the breed

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was a kind of a mixed herting dog type of

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dog in about a forty five pound range. And just

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so you know, interestingly, a lot of the hurting dogs,

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the Australian shepherds, the Queensland healers, really don't have huge

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hip problems. Secondly, the dog was seven years old, and

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when did the onset of clinical disease start started fairly suddenly.

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That's another red flag because, as we're going to learn,

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hip displasia symptoms in older dogs don't come on suddenly.

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I mean, yeah, there was one or two scenarios, as

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I mentioned, where you can have severe hyptosplasia and then

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free up a little joint, mouse a little piece of bone. Well,

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you become a floater, get into the joint. Yes, that

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might cause some acute sudden pain, but typically it doesn't.

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So and the third thing that bothered me was they

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thought they saw some what they call incongruent on the

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X rays. I said, you know what, Joe, send me

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the X rays. I want to see the X rays

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and then we'll go from there. So of course he

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sends me the X rays and there there is no

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way this dog was limping for hip displaysia. I mean,

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it is true that you can't always gauge and predict

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a dog's clinical arthritic pain based on the X rays

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and others. I've seen dogs with horrendous hips on X rays,

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the worst arthritis I've seen, and yet they're moving around fine.

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And I've also seen dogs that I mean the havocs arthritis.

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It's not terrible on the X ray, but they can

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barely move. So I understand that. But there's no way.

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It didn't fit the breed model, it didn't fit the

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onset of clinical disease, and it certainly didn't fit the

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X rays. So I said, you know what, have your

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daughter making a point with me? So actually, my friend

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Joel brought the dog in and sure enough, in two seconds,

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out of my diagnosis. And clearly it wasn't HIPS, and

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it was another problem. Well we'll get to It's called

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lumbo sacred instability, a very common cause of acute onset

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of pain, even when the condition is chronic. In others,

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the condition could have been there for years, but the

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onset of clinical pain can be sudden. But not so

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much hips. And here's what I often will say to

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a young doctor who you know, dog comes in limping

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on the hind leg, hind end, some tenderness, some pain,

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take X rays you see lousy hips and they want

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to say, oh, here's your answer, hiplasia. And I want

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to say, wait a second, when and how did the

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clinical signs start well they started like pretty suddenly Monday morning.

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Uh okay, then it's not hyptosplasia. Why because had I

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taken five weeks earlier, it would have looked exactly the same.

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Yet two three, five weeks earlier, the dog wasn't limping

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because it wasn't caused by the hyptosplasia. We need to

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look for other things. So when we do talk about dysplasia,

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because it is a common problem, there is this strong

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genetic predisposition. But again, to burst a few bubbles out there,

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only about fifty percent of hyptysplasia is congenital is genetic,

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So what does that mean. That means the other fifty

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percent is environmental. It is how we feed these large breed,

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rapidly growing dogs, how we exercise these large breed, rapidly

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growing dogs. So in other words, I can have a

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dog that genotypically is carrying genes for dysplasia, and depending

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on how I rear them, how I keep them fed,

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and while during their growth phase, I can actually minimize

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or eliminate the actual signs of disease the phenotypical signs

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of disease. Conversely, I can take a dog that does

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not have strong genetic predisposition, yet abuse some of the

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rules of rearing these large breed, rapidly growing dogs, and

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they can develop dysplasia. So one of the things we

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like to do early, first of all, some guidelines when

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you have a dog that fits the breed model of dysplasia.

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We want to not as many of my former rottweiler

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owners would make the mistake of doing. Want to have

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the biggest, baddest, meanest dog on the block and feed

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them like cute and get him by the time he's

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a year old, he's already muscular and tremendous and quite

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the athlete, sometimes even overweight, etc. Keep them lean. Likewise,

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if you're an athlete, and this burns me up when

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I see it, I see a guy who you can

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tell or even a girl that is very fit, loves

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to run, gets on the bike, does the ten mile

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bike ride, does the five and a half ten mile run,

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and they have their young six month old golden or

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labrador trailing behind them. That is one of the worst

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things you can do for a rapidly growing large breed dog.

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Go to the park, get out the tennis ball, get

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out the frisbee, do some playing running around ten fifteen

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twenty minutes back and forth, stop and go. That's the

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kind of exercise that these dogs can have. You don't

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want to force them into that persistent running pounding the

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pavement during the growth phase, not until they're at least

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eighteen months, preferably two years. As a matter of fact,

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the organization that will certify hips called the OFA, the

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Orthopedic Foundation for Animals. They also certify elbows. They also

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work with SURF, which is the Canaine I Registry Foundation.

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But the OFA will not even certify a dog's hips

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until they're at least two years of age. So that

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tells you something. That tells you that until they're about two,

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we don't want to make judgments. I've seen dogs that

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have great hips early on and end up with lousy hips,

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and I've seen dogs with very questionable hips, but by

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the time they're done growing, everything fit into place. Those

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hips moved into the nice deep sockets and we have

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beautiful hips. So what should we do when we have

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that dog that we know is potentially a walking time bomb?

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So this is where we want to be very smart.

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And I recommend that if you have or know somebody

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who has a family member, a friend gets that large

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breef puppy, whether it's going to be the labrador, the golden,

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the shepherd, the roddy, you name it. Okay, that you

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should have a scan X ray film done of the

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hips at around nine to ten months of age. Why

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because there is a surgical procedure that can be done.

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It needs to be done if it's appropriate based on

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some other clinical diseases factors. We look out on the

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X rays. But if we have the candidate, the best

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time to do it is before a year of age.

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They like to do it between ten and twelve months

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of age, they being the surgeons. And it's called a TPO,

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a triple pelvic osteotomy, And what it does basically is,

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when you have that bad hit, there's an incongruity between

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the head of the femur called the ball of the

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ball and socket joint and the acetabulum, which is the

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socket of the ball and socket joint. And they're supposed

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to fit nice and tight into each other, but often

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they don't, and the ball is sitting somewhere out here.

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And the general rule of thumb is greater than fifty

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percent of the head of the femur should be tucked

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in deep into the socket less than fifty percent. We

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may have an issue. What the TPO does. It creates

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what's called a hemipelvis, a half of a pelvis. Since

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you can't bring the ball to the socket, let's bring

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the socket to the ball, and so it repositions socket

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to cover the ball appropriately, and then the surgeon will

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put a plate in and reattach the now modified hemi

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pelvis transpositioned hemi pelvis into the actual pelvis into the

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bone itself to create a sort of a differently shapen pelvis.

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But now it's going to cover the hip completely, cover

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the ball of the ball and socket joint. Now, this

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does not mean that if you were thinking, and you

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shouldn't be thinking this anyway, but if you were thinking

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because of whatever papers and lifestyle you had, that you

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wanted to breed your dog, this clearly does not give

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you the green light to breed your dog. As a

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matter of fact, if anything, you should have your dog

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neutered asap or spade asap. This is not a pet

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you should be used for breeding. The reason why we

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are in the situation we're in with the number of

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dogs in America and the world that have hypdysplasia is

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because nobody was paying attention to their dogs condition, hip

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condition and continue to allow this bad fifty percent of

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hypdsplasia genetics into the gene pool. So that's why we

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recommend the early dysplasia X rays to rule out, because

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if we can figure out early, there is something we

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can do to help prevent the onset of arthritis later

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on down the road. So I want to go talk

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about after the break, which will be coming up in

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about ten seconds, some of the other limb problems. A

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big one that we see in dogs, just like we've

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seen people, is called the cranial cruciate ligament rupture, which

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is the ACL of dogs. And again some different treatments,

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different things to look at, and we'll talk about that

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in just a minute. When we get back here at

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pet Life Radio, ask the vets with doctor Jeff. I'm

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your host, Doctor Jeff Werber. We'll be right back. We'll

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be right back right after these messages.

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Speaker 1: Every week only on Petlife Radio dot com.

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Speaker 3: Let's Talk, Let's Done Pets, talk about headline.

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Speaker 1: Radio, pet live Radio dot com.

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Speaker 2: And welcome back. You're here with doctor Jeff Weerber, host

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of Askabats with doctor Jeff here on pet Life Radio,

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and before the break we were talking about hips and

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hip dysplasia and the poor likelihood that any in an

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adult dog that has hip dysplasia that is moving around

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just fine, that onset of clinical disease is going to

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be sudden, so in that your doctor takes those X

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rays and comes back to you and says, oh, it's

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the hyptosplasia. You need to question it because it's most

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likely not the hyptosplasia that's causing Today's probably not to

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say that it doesn't cause chronic arthritis, but the classic

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presentation is a dog who's just really starting to slow down,

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having that trouble getting up and downstairs, doesn't want to

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get up and lying down, takes a while to sit

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down or to get up, and when you take pictures

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then you see either spondylosis along the spine, you see

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lousy hips that's kind of more like it just kind

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of stiff and sore and adr just ain't doing right.

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But when they're doing kind of just fine, and they're

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going and they're chasing that ball, and all of a

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sudden they come up lame one day and the X

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00:16:32,840 --> 00:16:35,799
rays show bad hips. You keep looking, keep looking. Speaking

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of before we leave the hip thing and hip dysplasia,

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I had a case this week and reminding me that

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00:16:40,559 --> 00:16:43,399
there are some other things that pet parents need to know,

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especially with young small breed dogs and hips. You know,

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typically we always say that we don't see hypt displays

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in the small breeds, and we don't, except we talked

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about some of the contragysfroid breeds. I know, I have Frenchies.

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Frenchies could show hyptosplasia. Peaks can show up with hip

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displays of pugs can show up. It'splasia. But this is

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a different kind of condition. I had a dog in

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It was a rescue. He was in. They pretty much,

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you know, bring one of those carriers, We put them

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into our cages, we examined, we check them out. Usually

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does not include take them out for a run. And

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these little little guys, they're always going from arm to

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arm to arm from the rescue group's arms, you know,

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one of the volunteers to our arms into the cage,

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back into arms to again anesthetized to get the surgery done,

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et cetera. So we had one such dog and it

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was like a little pooh cross. I think it was

328
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a sheet poo sheets, a pool sheet too, poodle, one

329
00:17:28,319 --> 00:17:29,920
of those. We see a lot of these, you know.

330
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You know, it was just years ago. We used to

331
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call these dogs mutts and they had zero value other than,

332
00:17:35,960 --> 00:17:37,960
of course, the value to the home. But you wouldn't

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sell them mutt. You were just happy to get rid

334
00:17:39,920 --> 00:17:41,880
of it, right, to find a home for it was

335
00:17:41,920 --> 00:17:43,799
you know, if your dog there was an accidental breeding,

336
00:17:43,920 --> 00:17:45,799
or you know, whatever the case may have been. And

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00:17:45,920 --> 00:17:48,160
you had these puppies behind fifty seven. You had no

338
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idea what they were. You were just calling all your

339
00:17:50,200 --> 00:17:52,480
friends trying to find, you know, homes for them. Now

340
00:17:52,839 --> 00:17:54,640
there's the multi poo and the sheep poo, and the

341
00:17:54,920 --> 00:17:57,039
and the buggle and the puggle, and I mean they've

342
00:17:57,079 --> 00:17:59,720
come up with all these designer dogs and actually selling them,

343
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which I just find so amusing. But anyway, so after

344
00:18:03,319 --> 00:18:06,200
the surgery that afternoon, the volunteer can't pick the dog up.

345
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It was fine, the dog was cute, did great for

346
00:18:08,880 --> 00:18:10,519
the surgery. And they call me the next day and

347
00:18:10,519 --> 00:18:13,079
the dog is limping. What did we do? Now? How

348
00:18:13,119 --> 00:18:15,240
funny is that that the assumption is, oh, we must

349
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have done something, and I asked, I said, start a

350
00:18:18,000 --> 00:18:19,839
question and I said, well, do you really know what

351
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the dog was like beforehand, because usually you bring them

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right to us as we have to get them a

353
00:18:23,519 --> 00:18:25,680
spadeer neuter. And she says, well, not really. I said, well,

354
00:18:25,920 --> 00:18:27,480
so we don't know what the dog was like beforehand.

355
00:18:27,480 --> 00:18:29,200
I said, you know what, Well, look, no problem, bring

356
00:18:29,279 --> 00:18:31,640
the dog in. Let me feel so feeling the dog

357
00:18:31,720 --> 00:18:34,000
and I feel an incongruity, a little of what we

358
00:18:34,079 --> 00:18:37,839
call crepitis, something going on in the left hip. So

359
00:18:38,319 --> 00:18:40,839
take an X ray and I got my diagnosis in

360
00:18:41,079 --> 00:18:43,720
two seconds. There is another disease that you need to

361
00:18:43,839 --> 00:18:46,519
know about that I wouldn't tell you is common. But

362
00:18:46,960 --> 00:18:49,359
in medical leads we get to use the word it's

363
00:18:49,480 --> 00:18:53,680
not uncommon, and not uncommon doesn't mean common. It's like

364
00:18:53,720 --> 00:18:56,200
that double negative. But when it comes to medicine and

365
00:18:56,359 --> 00:18:59,839
medical terms, it's not always the same because when something's

366
00:18:59,839 --> 00:19:03,519
on common, it hardly ever happens. It's uncommon. If you

367
00:19:03,559 --> 00:19:06,359
say it's not uncommon, it just means it doesn't never happen.

368
00:19:06,599 --> 00:19:08,640
It doesn't mean it happens all the time. It's not common.

369
00:19:08,759 --> 00:19:10,839
It just when you say it's not uncommon to see.

370
00:19:11,319 --> 00:19:12,640
It's one of those things that you could see it.

371
00:19:12,720 --> 00:19:15,839
It fits the history. It's not uncommon. But no, don't

372
00:19:15,839 --> 00:19:18,079
get me wrong to say, well, if it's not uncommon,

373
00:19:18,119 --> 00:19:20,079
that means it's common, because no, it's not common either.

374
00:19:20,079 --> 00:19:25,680
It's just not uncommon. And it's called leg calve Perths disease.

375
00:19:26,079 --> 00:19:28,599
How funny that we're talking about a leg problem and

376
00:19:28,720 --> 00:19:31,799
one of the guys that discovered this condition his name

377
00:19:32,000 --> 00:19:35,759
was doctor leg LGG. So it's leg calve or caveat

378
00:19:36,119 --> 00:19:39,680
perth is pr ths disease. Basically, what it is, it

379
00:19:39,839 --> 00:19:44,640
is an osteoonecrosis of the themeral head and neck. In English,

380
00:19:45,000 --> 00:19:49,000
that means the bone has lost its blood supply. And

381
00:19:49,160 --> 00:19:52,640
because of the loss of blood supply, it is basically

382
00:19:52,759 --> 00:19:56,200
the bone is dying. So when you have a loss

383
00:19:56,240 --> 00:19:58,839
of blood supply and the bone dies, the femoral head

384
00:19:58,839 --> 00:20:01,480
and neck, it literally it starts to disintegrate, I mean

385
00:20:01,599 --> 00:20:04,519
literally disintegrate. So on the X ray you see what's

386
00:20:04,640 --> 00:20:06,720
left of this fermoral head and neck. It looked like

387
00:20:06,759 --> 00:20:08,480
it also had to slip the piphesis, which is a

388
00:20:08,519 --> 00:20:11,279
growth plate issue. But you could see the bony destruction

389
00:20:11,960 --> 00:20:15,440
was clear, so showed it to them, explained the disease.

390
00:20:15,720 --> 00:20:18,720
It's a pretty easy surgical fix. We do what's called

391
00:20:18,759 --> 00:20:24,160
an excision arthroplasty, also known as FHO ephemeral head ostectomy,

392
00:20:24,400 --> 00:20:26,839
and basically what we do is we just take a

393
00:20:27,200 --> 00:20:30,720
basically a bone chuck like like a little hammer and

394
00:20:30,799 --> 00:20:34,200
a bone chisel, and we remove the femoral head and neck.

395
00:20:34,480 --> 00:20:37,200
We stuff the area with some fat or some fascia,

396
00:20:37,640 --> 00:20:42,160
and these dogs do just amazingly well. We're just eliminating

397
00:20:42,200 --> 00:20:44,319
the joint really, so they can't get our ritis because

398
00:20:44,319 --> 00:20:47,079
there's no bone on bone. We're removing the potential bone

399
00:20:47,119 --> 00:20:50,160
on bone. They do very well, So that is probably,

400
00:20:50,200 --> 00:20:52,880
you know, the last thing we see. And also just

401
00:20:52,960 --> 00:20:55,359
to be to talk about this other dog from my

402
00:20:55,599 --> 00:20:57,759
guy that I saw at the market and the fact

403
00:20:57,799 --> 00:21:02,200
that it was not hypposplasia. It basically was a condition

404
00:21:02,839 --> 00:21:06,200
that we see often, way more often, and it's one

405
00:21:06,200 --> 00:21:09,400
of more underdiagnosed conditions and the reason for that is

406
00:21:09,440 --> 00:21:11,640
a lot of veterinarians don't know what to look for.

407
00:21:12,079 --> 00:21:15,759
And until interestingly I started working with a board certified

408
00:21:15,920 --> 00:21:18,519
veterinary surgeon and I practice, we learn nothing really I

409
00:21:18,559 --> 00:21:21,000
wouldn't say nothing but very little about this in veterinary school,

410
00:21:21,079 --> 00:21:22,680
and you know that was over thirty years ago, so

411
00:21:22,799 --> 00:21:26,640
it's kind of like a newer diagnosis that's being made often,

412
00:21:26,960 --> 00:21:30,319
and it is very similar to the diagnosis that many

413
00:21:30,440 --> 00:21:33,359
of us have. And if you have any lower back pain,

414
00:21:33,519 --> 00:21:38,160
you probably know of LS disease. I have lumbo sacral disease.

415
00:21:38,519 --> 00:21:42,119
And basically what it is it is an excessive movement

416
00:21:42,599 --> 00:21:45,880
between the last lumbar vertebrae. In dogs it's L seven,

417
00:21:45,920 --> 00:21:48,200
and people it's L five that meets up with the

418
00:21:48,279 --> 00:21:52,319
first sacral vertebrae called S one. Therefore l S disease

419
00:21:52,440 --> 00:21:56,079
lumbo sacral disease. Because of this excessive movement between these

420
00:21:56,119 --> 00:22:01,359
two adjacent vertebrae, the nerves that exit through the foramen

421
00:22:01,519 --> 00:22:06,559
of the opening between these two adjacent vertebrae are often pinched,

422
00:22:07,279 --> 00:22:11,119
and when they're pinched, it arts and these dogs will

423
00:22:11,200 --> 00:22:14,839
come up sudden suddenly with pain favoring a limb, not

424
00:22:15,000 --> 00:22:17,359
wanting to get up. And the typical presentation is a

425
00:22:17,440 --> 00:22:20,240
dog that is hesitant jumping up onto the couch or

426
00:22:20,240 --> 00:22:22,440
the bed of the chair, but no trouble jumping off

427
00:22:22,720 --> 00:22:26,200
hesitant to go up the stairs, but no hesitancy going

428
00:22:26,400 --> 00:22:28,359
down the stairs. You know, those dogs will even say

429
00:22:28,440 --> 00:22:29,680
up up, you know you want them to jump up

430
00:22:29,680 --> 00:22:32,240
on you. They won't do that anymore. So that, from

431
00:22:32,279 --> 00:22:34,240
a clinical perspective is what we're going to see, which

432
00:22:34,279 --> 00:22:38,000
is interestingly, when I started questioning my friend Joel when

433
00:22:38,039 --> 00:22:40,160
he saw me at the market, that's how I knew

434
00:22:40,480 --> 00:22:42,039
that we were not dealing with hYP displays.

435
00:22:42,079 --> 00:22:42,200
Speaker 1: Yup.

436
00:22:42,359 --> 00:22:44,480
Speaker 2: I don't care what the x ray yet said, but

437
00:22:45,039 --> 00:22:49,200
he was answering all my questions appropriately. So what happens

438
00:22:49,319 --> 00:22:52,640
is when the dog's legs are pulled back in what

439
00:22:52,720 --> 00:22:56,319
we call extension, the vertebrae come together like this at

440
00:22:56,359 --> 00:22:57,880
the top. I don't know if you can see my fists,

441
00:22:58,279 --> 00:23:02,160
my knuckles, and they shark touching and pinching. Sometimes even

442
00:23:02,359 --> 00:23:06,359
it slides up and this piece goes actually into the

443
00:23:06,599 --> 00:23:10,160
vertierral canal. However, when their legs are tucked under them,

444
00:23:10,599 --> 00:23:13,440
so picture dog about to jump off the way their

445
00:23:13,519 --> 00:23:16,200
curved body is when they're jumping off that couch, when

446
00:23:16,400 --> 00:23:20,799
they're going downstairs, then it opens up that space. It's like, oh,

447
00:23:21,119 --> 00:23:25,119
it's relief. They feel actually feel good and that's the difference.

448
00:23:25,599 --> 00:23:29,160
And therefore LS disease is very common usually can be

449
00:23:29,240 --> 00:23:32,079
treated medically on occasion. If it's really bad, it needs

450
00:23:32,119 --> 00:23:34,599
to be treated surgically. But I will tell you when

451
00:23:34,640 --> 00:23:38,480
you have that large dog arthritic dog that has clinical

452
00:23:38,559 --> 00:23:41,920
onset of signs rapidly. In other words, it's a sudden

453
00:23:41,960 --> 00:23:44,759
onset regardless of what the X rays may show about

454
00:23:44,759 --> 00:23:46,920
the hips, you need to start looking at other things,

455
00:23:47,160 --> 00:23:49,960
and LS disease, lumbo sacle instability is going to be

456
00:23:50,039 --> 00:23:53,200
one of the highest things on my list. So once again,

457
00:23:53,440 --> 00:23:55,039
there's so much to talk about when it comes to

458
00:23:55,119 --> 00:23:57,559
these problems. I really want you to understand your pets better.

459
00:23:57,920 --> 00:24:00,200
So we're going to as I'm gonna make a note

460
00:24:00,240 --> 00:24:03,440
to myself next week, we are going to cover the knees.

461
00:24:03,720 --> 00:24:06,400
We're going to cover the meniscus. We're gonna cover the

462
00:24:06,440 --> 00:24:09,480
cruciate ligament, which is a really common problem and one

463
00:24:09,519 --> 00:24:12,160
of the few that no matter how conservative you want

464
00:24:12,200 --> 00:24:14,240
to be and how much you want to avoid surgery,

465
00:24:14,279 --> 00:24:16,240
and I don't blame you, it's one of those injuries

466
00:24:16,279 --> 00:24:18,599
when it comes to the cruciate ligament that you're going

467
00:24:18,640 --> 00:24:20,960
to have a tough time avoiding surgery. We'll give you

468
00:24:20,960 --> 00:24:23,680
all the pros and cons next week when we're here.

469
00:24:23,759 --> 00:24:26,039
When you join me here ask the best of doctor

470
00:24:26,079 --> 00:24:30,400
Jeff here on pet Life Radios. And we will once

471
00:24:30,400 --> 00:24:32,680
again want to thank our sponsors, which are process pet

472
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products and cong and again none of you gave us

473
00:24:35,640 --> 00:24:37,839
a call at the very easy phone number eight seven

474
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seven three eight five eight eight eighty two. Write it down.

475
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Join us next week nine o'clock sipit time noon Eastern time.

476
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We'll see you next week.

477
00:24:46,440 --> 00:24:51,480
Speaker 1: Let's talk pets every week on demand only on petlfradio

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dot com