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Speaker 1: You were listening to petlifradio dot com and.

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Speaker 2: Good morning or good afternoon to all. I'm welcome, welcome

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to Askavets with Doctor Jeff. I'm your host for the

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next thirty minutes, doctor Jeff Werber, and we are here

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for you. We're here for your pets, and we don't

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have to have any specific topic. We can talk about

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anything or I just want to hear from you and

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hear about the relationship you have with your pets. I

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have ten amazing I have five dogs, five cats keep

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me very busy and fortunately a large bed. I often

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joke that if they made a bed bigger than a

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California King, I can actually get more. But right now

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it's pretty full house. So I want to first of all,

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we're here, thanks for our sponsors Forstraw. First of all

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pet Life Radio, who we love, and then also Pro

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so at great prices so you can treat your pet

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well for not a whole lot of money.

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Speaker 3: And of course Kong Toys.

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Speaker 2: As a matter of fact, that anyone who calls in

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who rights us who joins in on the conversation here

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on Ask the Vets with Doctor Jeff on pet Life Radio.

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Speaker 3: Just click on that Ask the Vets tab.

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Speaker 2: We will send you out a free pro Sense product

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and a free con product so you can't lose. You

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get information for free. Hopefully it will save you money

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on your pets and your pets care and you'll get

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a free pro Sense and a free cong toy. Not

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a bad deal. And it's very easy to get ahold

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of us. You can either call us, pick up the

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phone toll free eight seven seven three eight five eight

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eight eight two once again that number, write it down

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eight seven seven three eight five eight eight A two.

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Or if you're online listening to us live. By the way,

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we're the only live call in show here on pet

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Life Radio, you can click on the Ask the Vets

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tab and you'll see the big blue box come up.

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You'll see me and you'll see a great picture of

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me and that's the real lasty that's actually last number

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nine in that picture. And then you'll see joining in

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the conversation. Just join in, start typing away. We're monitoring

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that and as a last resort, you can send us

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a quick email to doctor Jeff. That's drgff at petlifradio

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dot com, and Mark, our great producer, will forward that

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to me live on the air and we can answer

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your questions.

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Speaker 3: So really no excuse.

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Speaker 2: You can get a hold of me easy anyway. So,

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because I seem to have some followers that are very

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embarrassed and very shy to join in the conversation to

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give us a call, I have no idea why.

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Speaker 3: I always have kind of a planned topic.

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Speaker 2: And what I've been trying to do is go through

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a lot of the different organ systems, a lot of

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the endocrine diseases.

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Speaker 3: And first of.

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Speaker 2: All, we started with a lot of the symptoms like limping,

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like vomiting. Now we're sort of honing down a little

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bit to specific parts of the body, specific areas, and

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we've been dealing with the endocrine system. And we've talked

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about Cushing's disease, and we've talked about Addison's disease. We've

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talked about the different diabetes diabetes melodists, the sugar diabetes,

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diabetes insipidus, the water drinking diabetes. So what I'm trying

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to do is equip you with knowledge. Knowledge is king.

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It's so difficult to walk into that veteranani's office with

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a complaint and they say, okay, we're going to do

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X Y Z. And you're at their mercy because you

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don't understand.

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Speaker 3: Any of this stuff.

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Speaker 2: And I want you to be able to say, whoa

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time out, doc, Let's let down here.

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Speaker 3: What are you thinking? What do you think the problem.

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Speaker 2: Is based on the history, based on the physical. And

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if you ever get an answer like, well, I have

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no idea. That's why we're doing all.

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Speaker 3: These tests, nix that doctor wrong.

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Speaker 2: Because good history, good physical The doctor should have an

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eighty percent accuracy thoughts of what is going on, and

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then you order up the appropriate tests to rule in

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or rule out the eighty percent likely diagnosis. If all

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that comes back negative, then then you could start doing

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more tests because then you have a more of a difficult,

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challenging case. But a good diagnostician, a good doctor, all

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he or she needs is a really good history. So

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make sure when you go in you give them a

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really good history, accurate, don't leave out any detail because

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you think it's stupid.

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Speaker 3: There's no detail that's too stupid.

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Speaker 2: Then are really good physical and then you piece everything together,

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you piece your findings you piece the history and then

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you come up with your game plan because based on that,

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he or she should have a pretty darn good idea

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of what the problem is. Now he's just got to

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prove it, because you can't treat something based on that hunch.

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But now you choose the appropriate tests. But you beat

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a blood test, what do you including the blood test,

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X rays, ultrasound even in some cases an MRI if

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it's something neurologic.

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Speaker 3: Or a CT scan.

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Speaker 2: But there really should be a game plan based on

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information attained from that history and physical So we've been

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talking about the eye problems. That's the organ system we

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been covering, and we started talking about a condition. The

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lay term is called cherry eye. The reason they call

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it is because it is a prolapsed gland of the

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third eyelid. Now, the third eyelid is if ever watch

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a dog or cat blink, there is a membrane that

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starts on the inside corners and it comes up.

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Speaker 3: Over the eye.

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Speaker 2: And that is a really good protective mechanism for dogs

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and cats that might be hunters, might be going through brush,

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they get a lot of things in their eye, so

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a blink, it's in the eyelids closing. It's that third

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eyelid coming across the eye. Well, inside that third eyelid,

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there is a gland called the gland of the third islet,

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appropriately named, of course, and it is a lymphoid type gland.

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It's a very reactive gland. And as we discussed if

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you were listening last week, there are a number of

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conditions and a number of breeds that will make that

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gland cause.

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Speaker 3: That gland to just become huge.

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Speaker 2: And when it does, it can fit in the pocket anymore.

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It's too big, so it actually pro lapses out. It

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pops out. So you walk home and you have that

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Cocker spaniel or the English bulldog, or the lasso or

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the shiitsu or the Sharpei, the chow chow, and you're

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gonna see this huge, pink round gland just popped right

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sitting in the corner of the eye. And that's why

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they call it a cherry eye because it kind of

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looks like a cherry. And the key is, we don't

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want you to panic. It is not an emergency. And

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as I started mentioning last week that we had a

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I had a case. Interestingly, one of my patients ended

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up going to an emergency clinic at night with a

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cherry eye. Now, mind you, it looks pretty scary to you,

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But any qualified doctor would have looked at that and said,

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missus Smith, I understand, it looks pretty bad, but it's

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not as bad as it looks.

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Speaker 3: It's certainly not an emergency.

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Speaker 2: What I'm gonna do is I may want to do

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an ice stain just to make sure that the cornea

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is fine.

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Speaker 3: That's justified.

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Speaker 2: Then we'll give you some ointment depending on the results

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of the stain.

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Speaker 3: Baby a little cortisone ointment. If the stain was negative, because.

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Speaker 2: We don't like to use corticosteroids on an eye with

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an ulcer or an erosion or a scratch on the corny,

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that would have been all needed to it. And then

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the advice would have been go see your regular doctor

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in the morning.

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Speaker 3: Well what happened was they I.

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Speaker 2: Think I alluded to this that I think their training

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was not one of the USAT schools, and I believe

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I was right. They took the dog into surgery, which

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highly inappropriate, highly inappropriate for an emergency facility.

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Speaker 3: Who is relying on their local.

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Speaker 2: Veterina hospitals to actually feed them nighttime in emergency cases

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to step on those toes.

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Speaker 3: You don't bite the hand that feeds you. That is

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not an emergency.

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Speaker 2: But not only not only did they do the surgery,

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she did the wrong surgery, she actually removed that gland.

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Now let's go back twenty five years where even when

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I was in school and when I grabbed scud, that

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was the treatment of choice. The treatment of choice was,

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oh my god, we have this huge gland. Let's cut

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it out. No problem. And there wasn't a problem, very

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simple surgery.

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Speaker 3: Ah.

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Speaker 2: But how do we find out about the problem is

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that these same dogs as they aged were more prone

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statistically more prone to a condition called KCS corado conjunctivitis SEEKA,

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also known as dry eye. And we then learn, and

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we probably knew, just didn't know the significance, the true importance,

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that the gland itself has a function of accessory tear production.

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So it's not just a gland in there to be

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a reactive lymphoid type land. It actually serves a purpose,

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a purpose that.

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Speaker 3: Most young dogs don't need.

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Speaker 2: But as they get older and their tear dugs start

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to dry up, that land is significant. So when you

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remove it, you're leaving this dog with no choice other

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than to get some really dry eye problems when it's older.

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So for years, the treatment of choice has been not

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to remove the gland, but to tuck it. So what

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we do is we will create a little pouch on

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the inside of that eyelid and we will make a

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little cut. It's all done on the inside, so you

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see nothing when you pick up nothing on the outside,

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and so we evert That means we turn the gland

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basically the third eyelid inside out, and we make a

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cut almost like a CBSI. We make a little curve

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cut on top of it and a curve cut below it.

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We use little undermining, which means we just open up

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a little space. We then stuff that gland into the

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space we've just created, and we take our two edges

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that we've just created by doing this two cuts, and

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we sow them over that gland, that large prolapsed gland.

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So the gland is still there, the gland is still functioning,

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yet it's out of sight, so we still have and

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are getting the advantage of the tear production that we

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need from that gland. So when these pets get older,

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they have no problem. Now it's also interesting is that

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another technique is to in this one I used to

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do when I first learned it, you know, it kind

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of it was the accepted technique. I find it much

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more difficult and the results are no better than the

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pocket and just tucking the gland inside the pocket that

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you've created. But it's a way to take that gland,

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put a couple of sutures through it, and go through

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the third eyelid, and we actually pick up a piece

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of periostium.

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Speaker 3: Well that means a.

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Speaker 2: Little bone covered membrane that sort of coach all bone,

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called the periostium, and we grab it at the orbital rim,

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which is the bone right here under your eye.

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Speaker 3: You know, you could look.

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Speaker 2: At a skeleton and you see that the socket where

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the eyes were. Okay, that's called the orbital rim. We

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pick up a little piece of periostium, and then when

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we tide our suture, it takes that land and brings

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it right down to the level of the periostium of

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the lower orbital rim. And again that's another way to

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keep it out of sight, out of mind. I just

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find that is a little more challenging, more technically challenging,

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and at the end of the day, it's not worth it.

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The creating the pocket is just as easy as I

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was easier and you get the same results.

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Speaker 3: So anyway, that.

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Speaker 2: Concludes our discussion on Terry. I'm gonna talk about a

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little bit more when we come back. Don't go away,

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and you know, hey, save up your questions once again.

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Give me a call eight seven seven three eight five

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eight eight eighty two, or when I come back. When

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we come back from our break, I want to see

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two or three messages. And I know that there are

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listeners out there that have had problems with their dog's eyes.

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Speaker 3: I want to hear about them. Let's see if we

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can't solve them. So don't go away. We'll be right

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back here on pet Life Radios. Aff's doctor Jeff.

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Speaker 1: We'll be right back right after these messages. Stay tuned.

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I'm my head's cheer now what bring home?

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Speaker 6: Hi, this is Jody Miller Young from Bark and Swagger.

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Tune in for everything pet fashion and more from fashion

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tips and runway trends, products and designs. I love to

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fabulous home decre for your furry friends. You'll find it

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Speaker 1: Be the first to.

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Speaker 2: Discover the new.

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Speaker 6: So what are you waiting for? Find me on pet

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Life Radio and remember when Fierce Fashion calls Bark and Swagger.

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Speaker 1: Every week on demand only on petlife Radio dot com.

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Speaker 6: Let's talk past, Let's done, Peto Headline Radio.

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Speaker 7: Cat Live Radio dot com.

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Speaker 3: And welcome back.

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Speaker 2: You're here live with doctor Jeff Werber, your host. I'll

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ask the best with doctor Jeff here on cut Life Radio.

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So another discussion that we started, I think it was

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two weeks ago, maybe it was last week that we

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wanted to finish up as well, and it was the

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treatment for cataracts. We talked about cataracts that is a

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basically a thickening, a consolidation debris within the lens itself,

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making the lens white, a lens that dogs and cats

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can no longer see through, as opposed to nuclear lenticular sclerosis,

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which is a normal age change. Buy and large, far far,

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far far more dogs and cats will get sclerosis. Then

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they get catarac cataracts. We see secondary off into diabetes.

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We can see juvenile cataracts in some breeds, but most dogs,

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most cats, as they age are going to get something

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called lenticular nuclear sclerosis, which is that kind of that haziness.

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You look at the pupil that's normally black, it's more

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of a it's like a hazy gray, a little whitish maybe,

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And as dogs get older and you look at them

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in certain light, you see that reflection and you think,

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oh my god, my dog's going blind.

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Speaker 3: My dog is a cataract. Not the case, not the case.

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Speaker 2: It's an age change, I guess technically, because it is

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a consolidation within the lens itself, you could call it

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a pre counteractus condition. But in order for that to

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turn into a condition a cataract where the pet can

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no longer see, that pet would have probably have to

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live to about thirty or forty, and as we all know,

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ass that's not going to happen sosis age change.

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Speaker 3: Don't worry about it.

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Speaker 2: You might notice it in advanced stages. The pet might

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have a little more difficulty at night, in low light, etc.

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So help them along maybe with stairs, but generally they're fine.

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And as I mentioned, that could be why. Let's face it,

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dog's vision of all the senses, and we mentioned this

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before is probably the weakest. So when you are walking

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into the house or walking down the hallway from your

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bedroom at night and your dog is sleeping somewhere and

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sees you coming and gets up and starts barking, it

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to A, you probably disturb their sleep.

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Speaker 3: B they can't see you.

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Speaker 2: They don't often see you as well in low light,

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especially if they have this condition cause thurosis. So as

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soon as they hear your voice, as soon as they

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get pick up your smell, oh my god, they stop

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right away, and then they're happy. They all starts wagging,

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and so anyway, just be aware. Now let's talk surgery.

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Most general practitioners and I do a lot of eyework,

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and I do not do cataract surgery. So once again,

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if cataract surgery is needed, most likely you will be

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referred to a board certified veterinary ophthalmologist.

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Speaker 3: What does that mean?

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Speaker 2: Just like you're human aphomologist, says a veterinarian who did

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four years of veterinary training and then they did an

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internship for a year, and then they applied to a

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residency either in private practice at some private practice eye

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specialty clinics or at one of the University of Veterinary

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schools and does a three or maybe even four year.

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Speaker 3: Residency in ophthalmology.

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Speaker 2: We're talking highly trained, we're talking great equipment, and we're

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talking a doctor who only does eyes. They'll do more

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all the species typically, but it's only eyes. So don't

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go ask to them to help solve your gogga cats

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skin problem or the vomiting problem or the limping.

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Speaker 3: All they do are eyes.

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Speaker 2: Now to do the surgery again, it's amazing how things change.

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But a surgery is done using a piece of equipment

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called a faco emulsifier. They actually make a little hole

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in the eyeball, go into the lens and it's almost

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like a road ruter.

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Speaker 3: It's like a suction.

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Speaker 2: It's pulverizing all that the material inside a lens and

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it's sucking it out. Okay, a faco lens a mulsifier,

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so it makes it into a liquid and it sucks

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it out. They take the lens out and they actually

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implant a lens, an artificial lens. So after a mulcifying

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making the lens into mush and removing it sucking it out,

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they then sew in another lens. What's so interesting is

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that these lenses that they implant actually have the ability

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to correct the poor vision that dogs typically have, so interestingly,

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a dog after cataract surgery probably will see even better

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than he did before he even developed cataracts, which is

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so cool now some of the things that have changed

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years and years and years ago. The theory was that

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if you had a dog a pet with cataracts, you

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would actually One of the options was to wait let

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the cataract mature, because as the cataract would mature, they

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would form sort of clumps of the material within the lens,

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and then in a mature cataract, the white part the

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clumps would be whiter, meaning more compacted but smaller, and

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sometimes a dog who couldn't see at all with the

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immature cataract might see with the mature cataract. So the

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thought was let's leave them be, and then if the

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second eye starts developing the cataract, let's see how the

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first eye is doing and go from there. Well, that

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theory is now changed. Now the theory is, if you

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are considering surgery, do it right away. Now if you

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have two eyes that have cataracts, meaning bilateral cataracts, and

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they're both immature, they're both fairly young, some might feel.

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And this is where you sit and talk and have

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the discussion, and finances obviously is coming to the picture.

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Do you do both eyes at once, which is obviously

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more expensive, hoping that at least one of them will

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take and that you have only one anthesia from a

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safety standpoint, but it's going to cost you more because

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00:19:56,039 --> 00:19:58,799
you're doing two eyes. Or do the one ant of

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sesa and one eye. See how that pet does. And

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00:20:02,960 --> 00:20:05,599
if that pet does fine, you can see well, Remember

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they have an implanted lens. The lens is going to

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make them see even better than they did before the

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cataract developed in the first place.

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Speaker 3: And then stop right there.

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Speaker 2: But if that I didn't do well after surgery for

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some reason, and there are always complications with cataract surgery,

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then do the second eye, so you're only spending the

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more money if needed. But remember that's now two anethesis

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instead of one, so you can argue back and forth.

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You can make a great case for either. Dogs, especially

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00:20:32,799 --> 00:20:35,759
dogs that get the cataracts, really only need one eye.

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Their depth perception is not that great anyway. Secondly, even

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00:20:39,359 --> 00:20:41,000
if you do both at the same time, there's no

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guarantee that both will take. So then you said, well,

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00:20:43,559 --> 00:20:45,839
I just spent money on two and didn't need it

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all only one took, I may as well just on

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00:20:47,759 --> 00:20:49,799
the one. Certainly, if you did the one, you wouldn't

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be sure which one is the one that would take

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and which one wouldn't take.

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Speaker 3: So there's no easy answer.

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Speaker 2: It's just something you have to sit down and decide

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from a financial standpoint, from a practicality standpoint, from an

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00:21:02,240 --> 00:21:04,759
aide standpoint, and do you want to subject this dog

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or cat to two aneseses when that's probably the riskiest

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part of the surgery in the first place. And that's

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what you kind of have to think about, and it's

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sort of that the mental strategy. But the truth is

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that it is a surgically correctable disease. Dogs with post

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surgery having the lens implanted seem to do very well,

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and I've known both. I've known many of my clients

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have opted to just get it doun all at once,

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one anesthesia, pay the extra money, and if you get two,

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00:21:32,799 --> 00:21:35,039
that's great. If you get one, that's okay. Others have

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00:21:35,119 --> 00:21:38,079
opted to just go for one. I would say most

428
00:21:38,079 --> 00:21:41,200
of them have worked out fine and only needed one surgery.

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00:21:41,440 --> 00:21:43,079
Some of them had to go back in for the

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00:21:43,119 --> 00:21:46,160
second eye because the first one didn't do well. But regardless,

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00:21:46,240 --> 00:21:48,559
it is a treatable thing. But the key is from

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00:21:48,640 --> 00:21:52,160
the surgical standpoint now it is easier for the surgeon

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and it's better for the pet to do the surgery

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when the cataract is younger. So therefore, I would advise

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that if you're considering it, don't wait the way we

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00:22:01,119 --> 00:22:04,079
used to for that cataract to become super mature. If

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00:22:04,119 --> 00:22:07,640
it develops it's a true cataract. The funding exam shows

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that we cannot get through the lens, or the ophthalmologist

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concurs that it is a cataract, then I would say

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just go ahead and do the surgery sooner than later.

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So I am off in about an hour for Las

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Vegas for the Western Venini Conference, and I will report

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back to you when I get back, and then from there,

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I may be going to New York. I'll be doing

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the Better Show and maybe even Fox and Friends next Sunday,

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so I will keep you apbreast.

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Speaker 3: And let you know what's going on.

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Speaker 2: Anyway, thanks for joining me here on pet Life Radio's

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Aspets with Doctor Jeff. I want to thank our sponsors

450
00:22:41,319 --> 00:22:45,440
once again, pro Sense and Calm. I'm bummed that none

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00:22:45,480 --> 00:22:47,319
of you had the guts to call in. I know

452
00:22:47,480 --> 00:22:49,440
you have pets out there. You wouldn't be listening to

453
00:22:49,480 --> 00:22:52,799
pet Life Radio if you didn't have pets, So kind

454
00:22:52,799 --> 00:22:54,640
of get the courage to give a call in, even

455
00:22:54,680 --> 00:22:56,920
if you just want to talk about your pet. I

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00:22:57,200 --> 00:23:01,279
love talking pets anyway. Thanks for joining me, have a

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00:23:01,319 --> 00:23:03,319
great week, and we'll see you next Sunday.

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Speaker 1: Let's Talk Pets every week on demand only on petlight

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Radio dot com.