Speaker 1: This is pet Life Radio. Let's talk pets. We are
now live here on pet Life Radio and on Instagram.
Here for you, here for your pets. You know the drill.
Get a hold of me pretty much twenty four to seven.
You can always reach me anytimes you have a question,
any problems with your pets. Now is the time? Well,
it's always a time because I've been concierge my entire
career and I'm not stopping now. So anyway, I know
when I lecture interestingly about this about how I am
always available for my clients. Literally, my colleagues think I'm nuts.
You actually give your cell phone to your clients. I go, yeah,
I mean there's no dad. Animals don't have a clock,
and they own and say, well almost good to get
sick between eight and five every day. I mean it
happens all the time, So I am there for them. Bruce,
how are you? How are you? Just talk to Martin
the day we were raving, basically giving you praises, and
I think, is he's doing a good job. So anyway,
how do you get a hold of me? Well, it's
very very easy. Good morning from above the Rose Bowl.
Hello Sharon, that's great, So anyway here on Instagram. You
just you're here, So all you have to do is
just start typing away your questions and I'll be happy
to answer here on pet Life Radio eight seven seven
three eight five eight eight e two once again eight
seven seven three eight five eight eight eight two. Just
you know, punch in your questions or give us a
live call. We'd love to hear from you as well.
And I'm waving and waving hello to everybody. Hope everybody
had a great week. And for those who know what
a sook is, I've been eating in mine and that
might be. I don't know how many of you even
know what that is. But anyway, we're here, so anyway
you want to get hold of me, just please join in.
Steph how are you doing? And loving to say hello
to all these people? Love it up. Now for Raven
Sky and me. You have a request to be live,
which is totally fine, but just a lot of times
hit that button on accidentally. I'm gonna review the request.
I'm gonna okay it, and if you don't get go live,
we'll see if you really want to talk sometimes. Janice
from San Antonio, how you doing? JB So anyway, so
I just wave back at you. If you want to
go ahead and institute that live, I'm fine with that.
And hey, there you go, good morning. How are you?
What is this a mistake button? Anyway, if you if
you want to get since you got me here, go
ahead and answer. Ask you a question, We'll answer, and
then we can say goodbye. What's going on? Okay? So,
so what happens is this for very very interesting And
by the way, for those of you that are potentially
young moms and are have pets first, which of course
I'm a big fan of and planning to actually have kids,
here's a couple of tricks. First of all, you're the
resident dog was kingpin, she was, you know, he or
she was, was the king of the household. And now
all of a sudden you bring another dog in. All right,
and they were going, oh my god, this is competition.
So we often make a big mistake. This is also
when when bringing a new baby in. So we have
to make the new pet basically a positive not a negative.
How do we do it well? For one thing, the
biggest mistake we always make. So what happens is when
the new dog is asleep or is resting or in
it's great whatever you however, you're training. So what do
you do now you feel so guilty for having brought
another pet into the household. You already see the resentment.
So what do you do. You pour on the attention
to the resident dog. So what are you just teaching
the resident dog. You're teaching the resident dog that life
in fact is better without that new pet. Ah. So
we kind of inadvertently create this battle between young and older,
new and not so new, new and old. So here's
what you do. When when they're together in the same
room at the same time, you give more attention to
the resident dog and give treats, good boy, good girl,
whatever the case may be. And then when the new
dog is in its crate or is it separated, kind
of not meanly ignore, but just don't give as much
attention to the resident dog. You save the resident dog
right the new the the the attention for when the
new pet is around, or when the new baby is around.
We make the biggest mistake when it comes to babies
because what happens is the baby is napping, the baby's asleep.
We feel so guilty that we brought a new being
into the house that's taking away the attention. We pour
on the attention and the affection to the resident dog. Well,
that's counterpetuitive. You don't want to do that. Which you
want to do is only give a lot of attention
to the new I mean, to the old the resident
dog when the new dog or the new baby is around.
So try that. Try No, not mean, just don't give
as much attention, but when the new puppy, when the
new poodle is around, you shower a lot of the
affection and attention onto the resident dog. And that way
the dog, the resident dog will not not only will
not feel like this competition, they're gonna want that new
dog around. Oh my god, every time my new dogs around,
I'm getting my favorite treat. I'm getting some time, I'm
getting hugs and kisses. That's how you want to do it.
So try that, see if that works, and then get
back to us and let me know you're welcome. Bye bye.
All right. So those of you who are planning on
having children, this might be a good thing for you.
So you'll you'll learn for these questions because this is,
you know, typically the way it's done. Todd, How you
doing all right? Tin be legendary? I try to make
sure I didn't miss anybody. I have a lot of
people here. Good I want I want some it's some
good questions. So, so what I had a case over
the weekend and I want to just kind of talk
about how the difference between young and old, and I
guess I can qualify as a ladder and that is
that the difference between knowledge and wisdom. So I sent
a client of mine, another physician, actually two emergency. We're
having some issues with his dog and I just wanted
to make sure everything was okay. They were concerned. I said,
you know what, I was first law. I was considered
it was the larger dog, about bloat, just some the behavior.
But they kept telling me, and he's a doc, so
he knows the belly was nice and soft, it wasn't bloated.
So I'm thinking, well, it's probably not bloke. You know what,
it's late at night. Just to be safe, let's get
an X ray. So they take the dog, they take
a little blood test, They take an X ray and
it turns out that there's some issues with the chest.
But also when they did a blood test, there was
low One of the things we look at is phosphorus.
There were low phosphorus, and this young doctor starts talking
about something called Franconi sin and Fanconi syndrome. Is it's
a very rare disease, and the fact that you've brought
it up. I was surprised because I think in my
forty two years of practice, I have never seen a
fan cony dog. So I mean we're talking really rare. No.
We always talk about the difference between the common and
the uncommon, and we talk about the horse versus the zebra,
and any medical doctor knows and we use this as
all the time. And you know something that people can
really understand, And I say that can be running it
along the beach in Malibu and you hear hoof be
chasing you from behind? Are you thinking horses or zebras?
And of course you I'm Malibu, California horses. So doctor young, doctor, young,
experienced doctor with no wisdom, why you why are you
possibly thinking about a zebra? So that's kind of where
it is. So when I when he wrote me after
the visit, he texted me back and you say, they
think it's Fanconi syndrome, I'm going, WHOA, that's out of
left field. And so anyway, we talked this morning, dog
is too much better. It has a mild pneumonia. That's
more likely it was a breathing issue. When it was shaking,
she wasn't doing she was kind of uncomfortable, and that
makes sense. They put her on two really good antibotics.
I agree with both of them. And you know that's it.
I said, I'm not worried about anything so rare. I
mean literally, in my forty years, I don't they've ever
diagnosed it. I mean, and even if you look it
up online, the first thing says a very rare condition.
It's like, what, really, young doctor, you think you're in
practice for six months and you're going to get one.
I remember, this is really funny talking about inexperience. I
you know, I'm guilty of that too. So my early
early years of practice, I see this dog coming in
and it was hairless and had a very kind of
greasy skin, had a bloated belly. Now my mind, oh
my god. If you look up some of the symptoms
of cushions disease, I'm thinking, I'm my god, here, I'm
in practice for a month, not even a month. I'm
getting my first cushions case. So I asked her I said,
how long has this been going on? And she goes,
what's going on? And I said, well, this is the
bloated belly, the hair loss, the skinny the skin She goes,
I'll have you know, this is a Chinese crested. You know,
there are only four in California. And I'm thinking to myself, well, no,
wonder why I never knew what it was. I've never
even seen one. And yeah, you heard about the Mexican hairless,
but a Chinese crested. I mean, this is very early
in my career. Never saw one of Davis in that school. Never,
I mean in the month field. Here I am thinking,
oh my god, this is so cool. I'm seeing this
really unconditional, this unusual and by the way, Cushing says,
way more common than Thancne syndrome. But anyway, the fact
is that it would even cross my mind. And I
don't think she ever life nicks because I didn't know
what one of the four in California Chinese cresteds were.
But anyway, if you know, look up and there's also
the powder puff Chinese crested, which has kind of some hair,
but this this one was classic Chinese. He's crested so anyway,
it does happen. But we learn, you know, That's that's
how we learn. All right, Let's see, I want to wave.
I want to wave. Give me some questions, guys, Oh
by risks, you notice so I thought I talked about right. Anyway,
For those of you who weren't here, last week, I
played basketball every Tuesday night. I am, yes, by far,
the oldest guy on the court, you know, seventy almost
seventy one, and I'm playing against guys that are in
the thirties and forties, and anyway, I still love to play.
And I'm running, chasing a sort of a free ball,
right so, and I'm running along with one of my opponents,
and I think in the run we tripped on each
other and I went not falling, I went flying. So anyway,
so I kind of to break my fall. I put
my hand underneath me to help, you know, say, break
the fall, and I guess my wrist was in some
weird way hurt Like hell, my hand got almost instantly swollen.
Of course, I finished playing that night, because heaven forbid
I should stop. And I iced it and ibuprofen and
all that stuff. Anyway, I noticed within a day it
was so swollen that when I made a fist, you
couldn't even see my knuckles. It was all puffy. Anyway,
So I treated for a couple of days. All the
good things, swelling went down, it felt better, and of
course the next Tuesday night I played the tooth ma
after and I played, But one thing I noticed is
that my thumb, when I can hyper extend it, instead
of going back like this, it went back like that,
and a little bone or something popped up right here,
and when I pushed it, my thumb would go back
in the back. I pushed it, and as I did that,
I elson noticed some what we call crepitis, kind of
a bone on bone feeling. Anyway, long story short took
it fell out to my friend who happened to be
a hand surgeon, and he looks at he goes yup,
you tore your volar plate. So I mean, basically, it's
all of the tendons and ligaments right here to keep
the thumb where it's supposed to be. Went in for
surgery to you go this last Friday was two weeks
after surgery. He then rechecked and put this hard cast.
I'll had a soft cast with a plate just to
keep my thumb honest. Anyway, So I'm on this for
another two or three weeks. So anyway, I feel fine.
I know I'm using it way more than I'm supposed to.
I am the worst patient ever.
Speaker 2: Now.
Speaker 1: I know what it's like when I tell my clients,
who I tell them, don't let your dog. We're up
and downstairs, and all of a sudden they come in
and the lip is still there, and I say, well,
you are you to confine it like we wanted? No stairs, no,
no long walks, to short control leash walks. They go, well,
you still go to the backyard. I no, So finally
what I do, I recommend let me let us keep
the dog. We'll board it for five five six days,
where they would call cage rest and I mean now
literally cage rested. Ps what happens, dog gets better. So
I am that kind of patient. I'm the worst ever.
Where I had my shoulder done, same thing. I went
back to work too later doing surgery, so I don't
practice what I preach, let's put it that way. But anyway,
so I'm sure that my friend Robbie the hand surgeon,
is gonna be yelling at me. But so far it
looks pretty good, so I'm good, all right, bulldog against
cysts and her toes. The steroid went away. Now I
get back what they do. Okay, we are talking about
interdigital cysts, and interdigital cysts are very very common. Probably
the two breeds that we most often see it are
going to be your English and your friend's bulldog. It
can happen to any dog, but it's very common in bulldogs.
Sometimes they are fluid filled. Sometimes we can drain them.
Sometimes rarely we actually surgically remove them, and that is
if they keep coming back. So, yes, they are antabotic
and steroid responsive. I do it only. I do the
antabotics too, because I'm worried about secondary infection. Certainly the
steroids help. And what you can do about it not
a whole lot. There are very few things you can do.
It is just the nature of the beast. And I
mean when it comes to bulldogs, I mean the beast literally.
So you know this. Do the stories when you can.
If you have one area particularly that continues to come back,
or they get extremely huge and maybe even somewhat infected,
then you might consider removing it. Otherwise you try to
manage them medically. I prefer medical management anytime of the week,
but I just know that rare cases we will actually
do surgery. I don't like doing the surgery. Sometimes even
with surgery, they can come back, so I like to
be very conservatively and go from there. Anyway, we are
almost twenty past the hour time for my break. When
I get dirty looks from my producer Mark, I know
it's time to run commercials on pet Life Radio. So
don't go away. Back after these short messages from pet
Life and I will stay here on you guys on Instagram,
but we'll be back for everybody in just a minute.
Don't go away. Real people, real stories.
Speaker 3: Our little dog developed this lymph problem at the chemotherapy
lasted for six months, started developing more lymph nose, so
I thought I'd just try carnivre. At the lymph nose
started to go down. Then I took him into the
vet to him and checked out, and then there was
no signs at all. Inside.
Speaker 2: My god had issues that developed in his height. And
three months later my ven airing said this, go ahead
and remove the eye.
Speaker 3: I heard the carnivore on advertising, so I said, you
know what, I'm going to order this product. They did
the procedure, they did all the death and they said,
I don't know when you did this product they had,
I I've got a labrador.
Speaker 1: You could hardly lift yourself up off the door. The
treatment list came to therapy.
Speaker 3: That's when I said this could be the ticket.
Speaker 2: About three weeks you could tell she.
Speaker 3: Was very alert. She was going on five mile lock
and she is.
Speaker 2: Just like crime again.
Speaker 1: Well eight six six eight three six eight seven three five.
Speaker 2: That's eight six six eight three six eight seven three five.
Or visit carnivore dot com.
Speaker 1: That's c r N I v r A dot com.
Use promo code pet Life checkout for fifteen percent off
your order at carnivora dot com. Let's talk past.
Speaker 2: Let's do that on Life Radio, Headline Radio, petline radio
dot com, and we are back here live.
Speaker 1: You had a good question about on that poodle case
we discussed earlier as any way to tell other antique
and there is unfortunately eyes yes, but there's a hand
between like four and seven years. It's just a guess.
If they are trying to get little white, then maybe
they're closer to the seven. As long as their eyes
are still clear. Once the eyes start getting the sclerosis.
Then it kind of tells you they're probably seven or more.
All right, Shannon, talk about tapeworms, so the first time
in foster dog recently they came from the shelter. So
understand something about tapeworms. Tapeworms, unlike the other worms, cannot
be read from dog to dog because of the actual feces.
Very important to know. Tapeworms come from eating a flea. Now,
could the flea from their rescue dog jump on to
the resident dog the resident dog now eats the flea
and gets tapeworms. Yes, that can happen. Now, the tapeworms
who see in dogs, called dipolydium dipolidium, are not like
a catacoccus, not the dreaded African tapeworm that robs the
body of nutrition and makes you very, very sick. When
it comes to dipolydium, Probably the only real issue is aesthetics. Asthetics,
because when you look at the poop, you see these
little white rice flakes on the poop, and if you
lift up the tail you see dried up tapeworm segments.
They look almost like they shrink, They look like sesame seeds.
Those are the ones that we have to worry about.
But and again, it doesn't cause any medical issue. It
causes an issue where it looks pretty gross. So if
you have a resident dog, you take care of the
fleas on your new dog. You don't have to worry
about the tapeworms passing from the new dog, the rescue
dog to the resident dogs. That's not gonna happen. Fleas, yes,
but no. So when you see tapeworms, the first thing
you need to do, interestingly is not just treat the fleas.
I mean, excuse me, treat the worms, which is easy,
but it's also treating the fleas. You got to get
rid of the fleas. Once you get rid of the fleas,
the tapeworms won't come back. Now, the tapeworms a number
of ways there are, you know, some of the like
panicure con treat the has something for the tapeworms. The
drug you're looking for is prasy quanti prazzy quantal is
in drawn sit is in drawn tall and that's the
medication you want to talk to your veterinarian about and
that takes care of the tapeworms. I recommend some season
to say that one treatment is all you need. I
like to follow up just to be sure fourteen to
seventeen days later giving a second dose, and that can
Now if you wait too long lines with other worms,
then they may also reproduce and those take out. Oh
one more thing you have to know that tape. Most
when we make a diagnosis of worms, round worms, hookworms, gripworms,
we do a fecal test. We are looking for the eggs,
the worm eggs, and we make our diagnosis based on that.
With tapeworms, it could be different because tapeworms they have
egg packets and they don't they shed the worms, but
they may not shed the egg packets. So you could
bring your stool sample in of your pet that you see.
You're actually seeing these worms, and the doctor says, well,
take the fecal's negative because they don't shed eggs readily.
There's egg packets. So the fecal test could be negative.
But you're seeing the worms. You're seeing them. So the
or comes in and said, what do you mean negative?
They are worms? I see them, so understand when it
comes your diagnosis is I always tell people you can
make the diagnosis better than I can, because you are
seeing the the tapeworm larva on the on the body,
coming out on the stool, drying up on the butt.
You treat for tapeworms regardless of what the fecal test shows,
So keep that in mind, so don't get don't get
mad at your doctor who you spend money on it.
I honestly, if you have an adult dog where it's
unlikely for them to have any other worms, not impossible,
but unlikely, especially if the stool is totally normal except
for seeing the tapeworm larva segments. Okay, when you see
the segments, I will treat for tape worms. I won't
even do a fecal test. Yeah, there's other things going
on with the stool. If it's soft, it's much of
it's persistent, then yes, I might do a test just
to make sure we don't have gara or another world.
If it's a brand new puppy coming from a shelter,
then yeah I will. But if it's a resident dog,
been there for a while, and all of it shows
up is with tapeworms, I'm gonna treat the tape worms.
Don't waste your money on the fecal I know my
opponents are gonna be yelling at me because they want
the money now you don't need it. I would where
I would do is the opposite. I would treat the
tapeworms first, and when they go away and there's no
other problem, you're good. If they go away and you're
still having other issues, yes, then run a fecal test.
All right, boy. I love being controversial, I really do.
My goal is to bring in a wisdom, bring in
the common sense, and stop I mean for coming in
and testing for you. That's why I get so angry
at these emergency clinics. It's one thing to come in
and treat the emergency, but to start running these tests
for things that are so esoteric, things that are probably
a young doctor would see once in their career.
Speaker 2: What are you doing?
Speaker 1: Why are you wasting the money? Do one thing at
a time, Have a game plan first, rule out, can
put your most common things first, test for those and
only those. Another thing that always bothers me, and I'm
very vocal about it, as you can tell, and that
is veterinarians that are collecting a your analysis for a
urine tests and they automatically automatically add on a culture
which is more expensive than the our neurine test, and
I'm thinking, why they run the culture. They haven't even
got urine test back yet. Are there white cells? Are
the bacteria? So traditionally what happens is you spend that
extra two hundred plus dollars on a culture and severn
co urine mi C to test for bacteria and what
antibotic is best, until you find out that there were
no bacteria, there are no white cells now there. What's
the difference really, what's the difference between waiting to get
your basic UA your analysis first looking to see is
it normal or not normal, and then say yes, there
are greater than four white cells for high power field
that's a significant diagnostic, or there are bacteria and the
urine was collected through what we call cystos tatisis then
you call the lab and always draw two tubes, one
for immediate and one we call it culture. If if
we see greater than four white cell from higher powerfield,
if we see bacteria, we call app and say I
remember that second tube, go ahead and run the MIIC.
The owner already knows that that's going to be the plan,
and they're prepared to pay extra if we need it,
but to do it automatically without even getting urine results back.
Yet that's highway robbery. So and I see places doing
this all the time, and guess what. Guess what comes
back on the urine culture. No growth after twenty four hours,
no growth after forty eight hours. Duh. I could have
told you that there were no bacteria in the urine.
There were no white cells, there's no there's no infection.
So this is what drives me crazy. And this is
why I don't know, maybe this is why some of
my colleagues hate my guts. But I'm just telling you,
you gotta be practical. As I said, there's a difference
between academic medicine and practical medicine. And I'm very very
happy to say my approach is always practical. I'm not
going to start doing stuff just because the textbook says, oh,
this could be now if I have a urine specific
This is coming from my friend who's an internist who
I admire tremendously. He's a genius. That is, if you
are suspecting some short of urinary problem, but the urine
comes back with a very low specific gravity, meaning it's
very very very dilute, and it's very possible that you
might have a bacteria even though the urine was so dilute,
you just didn't see any. Or the same thing with
white budd Sells. Then if you still are having issues, yeah,
you might want to do the urine. M I see,
you might want to look for bacteria. You might find some.
But that is the exception. But am I going to
treat every cat and dog that I see with that exception?
Heck no, it's you. I'm not paying for it. You're
paying for it. So I'm going to do is say,
you know what, I hear it, and this is why
I want to make sure that we're dealing with a
problem that needs to be addressed. But I'm not going
to search for a problem where the clinical signs aren't
there or even the tests aren't supporting it yet. So
you know, as you said, can you tell how agitated
I get with this? And I see it all the time,
and it drives me bonkers. I've had cases where I'm
actually challenged a veterinarians I call them, especially if they're young.
I try to be nice. I try to say, now,
what were you thinking? Why did you do that test? Well?
I say, no, that test is something you do after
so and so after you don't just jump to take
that test is the only You'd gain nothing except money.
And the client wasted money and still got no answers.
So why did you do that? And I'm trying to
get veterinarians to think the way they would want, to
think they would want if they were novice, if they
were not veterinarians and they were just pet parents and
their vet did that to them. Don't you think they'd
be a little pissed. I think so I'd be pissed.
So anyway, thank you, thank you, Sharon, She drives on
Pasadena to Westwood to see me. No, I do appreciate
trust me for all of you. And I got to
tell you. The nicest thing is I will have clients
that complain about my weight. Yes, there is a very
long wait in my office, and not because I always.
The first thing I say is trust me. I wouldn't
be this busy if I was terrible. That's one thing.
And secondly, I said, I also suffer from a disease
that's called I can't say no disease, So when someone
calls and needs to be seen, I am not one
of those vets. They said, well, God, you know, and
he's booked solid. But so we can see you next Monday, Monday,
that's a week away. I can't wait till Monday. If
they come to I say, bring them in, Thomas gonna
be wait, bring your laptop, bring a book. But I
will not go home until I see you. And that's
the culture that's in my hospital and therefore, so even clients,
new clients will I've had a couple of times this happened,
which has got a kind of great. It's like a
good pat on the back. But so they finally come
and see me and they complain a little bad and
says always this way, Yes I do. I am sorry,
but it's I'm pretty busy anyway, Go through my exam,
go through my questions. I give them the time that
they need, and as they're getting ready to go, she'll
turn around and say to me, just please tell me
you'll never retire. So I guess, I guess it works.
But my goal is I want to make sure that
everybody gets to help they need, the pets are cared for.
And I'm not one of the taybe. I'm not one
of those how Steve doing I you know, I find
out from somebody else. I'm a little mad at my sister,
who a friend of mine, says, oh, you know, Steve
has his knee surgery. I go, wait a second. I
never hear from my sister or from Steve, who's my
high school classmate and friend. So anyway, so yeah, how's
he doing, Beth? Tell me, tell me, tell me so anyway.
So there you have it. My opinions, sometimes good, sometimes
a little controversial. Sometimes you're not going to like. But
I can tell you that that's what you get. You
get what you're paid for it, and you're not paying
anything with this, so it is what it is. So anyway,
here next week, save bad time, same back channel during
the week. If you need to get a hold of me,
easy to do. You can catch me here on Instagram.
You can catch me on pet Life Radio, doctor Jeffipetler,
Faida dot com. You get me a doctor Jeff, doctor
Jeff dot com. Many of you, I'm sure have my
cell phone because I hear from you, so you can
always send me a text or a call. Anyway. Love
being here with you, helping you, answering your questions. And again,
you don't have to wait till a Sunday on during
my show to ask me questions. You can reach me anytime.
Would love to have a conversation Missy. Hello, sorry you're
late or else I would have But Missy, if you
have any questions, you can always get a hold of me.
As they said, Cell Life Radio, doctor Jeffipelerfraider dot com,
Doctor jeffid, doctor Jeff dot com, jeffet airbat dot com. Whatever,
we're here for you and anytime you need to get
a hold of me, do so. And yes, my wife
with corgis, thank you so much. Have a good Sunday
to everybody, have a great week and we'll see you
next time. Next Sunday, you're on pet Life Radio and
Instagram Live. I have a wonderful week by
Speaker 2: Let's talk pets every week on demand only on petlife
Radio dot com.