1 00:00:02,200 --> 00:00:25,039 Speaker 1: You were listening to Petlifradio dot com and. 2 00:00:25,199 --> 00:00:28,800 Speaker 2: Good morning and or afternoon, whichever the correct one may 3 00:00:28,879 --> 00:00:31,960 be for where you are right now, and I want 4 00:00:32,000 --> 00:00:34,000 to welcome you to ask the best with doctor Jeff. 5 00:00:34,359 --> 00:00:36,079 Speaker 3: I am your host for the next thirty minutes, Doctor 6 00:00:36,119 --> 00:00:37,000 Jeff Warber. 7 00:00:36,920 --> 00:00:39,679 Speaker 2: And we are here for you and your pets, and 8 00:00:39,719 --> 00:00:42,359 we want to hear from you because it's free. Send 9 00:00:42,439 --> 00:00:44,479 me your questions, call me call me at eight seven 10 00:00:44,560 --> 00:00:46,719 seven three eight five eight eight A two if you 11 00:00:46,719 --> 00:00:48,880 are more computer savvy and you're sitting right there with 12 00:00:48,960 --> 00:00:52,240 your little laptop, and go ahead and send me a 13 00:00:52,240 --> 00:00:55,679 little note to Dr Jeff at pet Life Radio. That's 14 00:00:55,719 --> 00:00:58,880 doctor Jeff at petlifradio dot com. Or just go in 15 00:00:58,920 --> 00:01:01,520 to pet Life Radio click on asterbats with doctor Jeff. 16 00:01:01,840 --> 00:01:02,960 Speaker 3: My page will come up. 17 00:01:03,039 --> 00:01:04,879 Speaker 2: And you will see a box that says join in 18 00:01:04,920 --> 00:01:08,879 the conversation and just start typing away and we will 19 00:01:08,920 --> 00:01:11,920 get you that way and not just the free advice, 20 00:01:12,239 --> 00:01:15,040 not just to answer your questions, but for any caller. 21 00:01:15,239 --> 00:01:17,560 As a thank you to our sponsors Kong and Pro 22 00:01:17,640 --> 00:01:20,159 Sense Pet Products, we will send you out a Kong 23 00:01:20,560 --> 00:01:24,840 toy and a Pro Sense pet product product and stuff 24 00:01:24,840 --> 00:01:27,040 for your pets, good health. We're here for you, and 25 00:01:27,079 --> 00:01:29,280 I want to thank you once again our retailers, oh, 26 00:01:29,319 --> 00:01:32,560 the good Walmarts and the targets, et cetera, for carrying 27 00:01:32,640 --> 00:01:33,560 the full line of. 28 00:01:33,519 --> 00:01:34,719 Speaker 3: Pro Sense pet products. 29 00:01:34,799 --> 00:01:37,000 Speaker 2: So for those of you that had joined us, and 30 00:01:37,000 --> 00:01:38,519 I wouldn't know because there are so many of you 31 00:01:38,560 --> 00:01:40,480 that are afraid to pick up the phone, I am amazed, 32 00:01:40,760 --> 00:01:43,920 and don't be afraid. It's free and it's easy, and 33 00:01:43,959 --> 00:01:45,480 we want to hear from you. We want to help you. 34 00:01:45,719 --> 00:01:47,959 So just again eight seven seven three eight five eight 35 00:01:48,040 --> 00:01:50,280 eight A two. That's how easy it is to get 36 00:01:50,280 --> 00:01:52,239 to us. So last couple of weeks we've been talking 37 00:01:52,280 --> 00:01:56,359 about skin allergies. We also started talking about vomiting, a 38 00:01:56,439 --> 00:01:59,879 lovely subject. And what I realize is that there are 39 00:02:00,319 --> 00:02:03,159 Veterinary medicine is not a one size fits all. You 40 00:02:03,239 --> 00:02:05,840 can't bring a dog in with the history of vomiting, 41 00:02:05,879 --> 00:02:10,759 for example, and expect that the treatment or the approach 42 00:02:10,840 --> 00:02:13,840 to the case might be the same as when your pet, 43 00:02:14,000 --> 00:02:16,800 saint pet was vomiting a year before, because there are 44 00:02:16,800 --> 00:02:19,159 so many other factors that we have to take it 45 00:02:19,199 --> 00:02:22,080 to consideration, some questions we need to ask, and then 46 00:02:22,120 --> 00:02:25,680 have answered before we can determine is this a serious 47 00:02:25,759 --> 00:02:29,400 vomiting episode or a not so serious And I realize 48 00:02:29,520 --> 00:02:33,439 that there are a number of presenting complaints that we 49 00:02:33,560 --> 00:02:37,599 see that also can vary from oh my gosh, we 50 00:02:37,639 --> 00:02:39,840 have to do something now to something that can actually 51 00:02:39,879 --> 00:02:41,680 handle on the phone with a little history and say, 52 00:02:41,680 --> 00:02:44,840 you know what, this is not a problem, just sort 53 00:02:44,840 --> 00:02:46,759 of like take to a and call me in the morning. 54 00:02:46,960 --> 00:02:49,159 Not quite that, because we don't like to give necessarily 55 00:02:49,199 --> 00:02:52,759 pets aspirin. But the key really is that we have 56 00:02:52,879 --> 00:02:56,360 to evaluate the entire picture. We have to get a 57 00:02:56,400 --> 00:02:59,159 good history. We have to know how the pet is 58 00:02:59,240 --> 00:03:02,000 doing other than the presenting problem. We have to know 59 00:03:02,199 --> 00:03:04,039 how it came on. Was it sudden or was it 60 00:03:04,039 --> 00:03:07,479 a slow, insidious onset? And these are all the very 61 00:03:07,639 --> 00:03:10,960 very important questions that need to be answered before we 62 00:03:11,039 --> 00:03:13,800 can determine how are we going to approach this case. 63 00:03:13,960 --> 00:03:18,360 And if there's one concern I have with you know what, 64 00:03:18,560 --> 00:03:19,719 I'm allowed to say anything I want. 65 00:03:19,759 --> 00:03:20,560 Speaker 3: This is my show. 66 00:03:20,840 --> 00:03:23,560 Speaker 2: But I've actually been in huge forms because I do 67 00:03:23,639 --> 00:03:25,960 a lot of speaking at the conferences. But the biggest 68 00:03:25,960 --> 00:03:31,719 concern I have is the younger veterinarians are so skewed 69 00:03:32,280 --> 00:03:34,759 to the types of cases they see in their teaching 70 00:03:34,800 --> 00:03:37,400 hospitals when by the time they get out and go 71 00:03:37,439 --> 00:03:42,199 into general private practice, they don't really know that there 72 00:03:42,240 --> 00:03:45,639 are many many other types of problems in that same 73 00:03:45,800 --> 00:03:49,120 genre of problems that they might see. Here's what I mean, 74 00:03:49,439 --> 00:03:52,120 just to give you a little history of a teaching hospital. 75 00:03:52,319 --> 00:03:56,199 Teaching hospitals, like university hospitals in medicine, are where all 76 00:03:56,240 --> 00:03:58,800 the research, all the happening stuff is being done. The 77 00:03:58,840 --> 00:04:00,919 typical problem that you might go to your doctor for, 78 00:04:01,120 --> 00:04:02,840 or that you might bring your pet to the veterinarian for, 79 00:04:03,039 --> 00:04:06,199 is going to be handled by your veterinarian. Now, what 80 00:04:06,400 --> 00:04:10,319 happens when your VET is challenged by a case is 81 00:04:10,360 --> 00:04:13,639 presented a case that is beyond the scope of a GP, 82 00:04:14,039 --> 00:04:16,759 that needs that specialist, that needs that extra. 83 00:04:16,480 --> 00:04:19,000 Speaker 3: Bit, or need that team of specialists. So what might 84 00:04:19,000 --> 00:04:19,279 they do. 85 00:04:19,399 --> 00:04:22,639 Speaker 2: They might send your pet to a recall, a referral 86 00:04:22,920 --> 00:04:25,959 to a specialty group in your area, or if there 87 00:04:26,079 --> 00:04:29,480 is a hospital, a university vet school hospital nearby, they 88 00:04:29,519 --> 00:04:31,040 will send it to the hospital. When I was at 89 00:04:31,079 --> 00:04:33,360 UC Davis, we will scale a lot of these cases. 90 00:04:33,399 --> 00:04:36,959 Now understand, these cases are not your norm they're not 91 00:04:37,040 --> 00:04:40,800 your typical. These are the really bizarre, challenging cases that 92 00:04:41,000 --> 00:04:41,560 do happen. 93 00:04:41,920 --> 00:04:43,639 Speaker 3: But it's not something that's Norman. 94 00:04:43,600 --> 00:04:46,399 Speaker 2: It's it's something usually that your general practice veterinarian or 95 00:04:46,439 --> 00:04:48,639 even I sort of hit that roadblock and now we 96 00:04:48,680 --> 00:04:51,800 need the help of the experts in that respective field. 97 00:04:52,079 --> 00:04:55,279 Ah So, now think about the veterinary students going through 98 00:04:55,800 --> 00:04:58,560 the many of our veterinary schools in the US. They 99 00:04:58,600 --> 00:05:03,480 are not seeing the vast majority of the basic cases 100 00:05:03,519 --> 00:05:06,279 because they don't need to get to the university. Your veterinarian, 101 00:05:06,360 --> 00:05:09,040 your private practice vet in your little hometown is able to. 102 00:05:08,959 --> 00:05:10,240 Speaker 3: Take care of it without issue. 103 00:05:10,360 --> 00:05:13,680 Speaker 2: So the cases that they see are actually these very bizarre, 104 00:05:13,800 --> 00:05:17,279 challenging cases that need a tremendous amount of diagnostic workups. 105 00:05:17,480 --> 00:05:18,600 Speaker 3: So what they've forgotten. 106 00:05:18,759 --> 00:05:22,839 Speaker 2: The disservice that we as a profession have created in 107 00:05:22,879 --> 00:05:25,680 our young graduates is that they don't really have a 108 00:05:25,800 --> 00:05:29,199 grasp for your normal, run of the mill, typical, much 109 00:05:29,199 --> 00:05:33,079 more common case and they go bonkers when they see 110 00:05:33,079 --> 00:05:35,839 a case and they think, oh my god, I have 111 00:05:35,920 --> 00:05:37,360 to do this test and this test and this test 112 00:05:37,399 --> 00:05:39,240 and this test and before you know what, A thousand 113 00:05:39,240 --> 00:05:41,959 dollars later, you have five tests that were done, you 114 00:05:42,000 --> 00:05:44,439 only need one and your pet's fine. 115 00:05:44,639 --> 00:05:45,680 Speaker 3: But didn't need all that. 116 00:05:45,959 --> 00:05:50,079 Speaker 2: So I think getting that history is so critical to 117 00:05:50,160 --> 00:05:53,800 find out how something came up and how long it's 118 00:05:53,839 --> 00:05:54,240 been there. 119 00:05:54,399 --> 00:05:55,399 Speaker 3: What's the rest of the pet? 120 00:05:55,480 --> 00:05:57,199 Speaker 2: Like try to we always try to do, is I 121 00:05:57,240 --> 00:06:00,879 try to eliminate for a minute the problem even in 122 00:06:00,920 --> 00:06:02,959 my brain, in my eyes that I'm seeing before me, 123 00:06:03,199 --> 00:06:05,360 and I want to evaluate the pet as a whole 124 00:06:05,360 --> 00:06:06,279 the rest of the pet. 125 00:06:06,519 --> 00:06:07,920 Speaker 3: If that rest of the pet. 126 00:06:07,800 --> 00:06:10,639 Speaker 2: Is just fine, and I'm clearly then less worried about 127 00:06:10,680 --> 00:06:13,920 whatever the presenting problem was. If, however, he is as 128 00:06:13,959 --> 00:06:15,959 we use the term a lot, and you know that 129 00:06:16,079 --> 00:06:19,360 ADR ain't doing right, so in general everything else is 130 00:06:19,399 --> 00:06:21,680 kind of off, then obviously we have to take a 131 00:06:21,680 --> 00:06:24,240 different approach. So this week, what I wanted to do, 132 00:06:24,319 --> 00:06:26,160 and I mentioned it last week before the show ended, 133 00:06:26,199 --> 00:06:29,800 We're going to talk about a very very common presenting 134 00:06:29,839 --> 00:06:32,519 complaint that we're going to see all the time, your 135 00:06:32,600 --> 00:06:35,399 veterinarian's going to see all the time, and to help 136 00:06:35,439 --> 00:06:38,720 you determine when this is something that you need to 137 00:06:38,720 --> 00:06:41,560 panic or something that you don't need to panic something 138 00:06:41,720 --> 00:06:43,959 where I'm going to give you some clues where you 139 00:06:43,959 --> 00:06:46,759 could actually say to your veterinarian, really want to I 140 00:06:46,759 --> 00:06:48,680 don't think we need to take an MRI right now. 141 00:06:48,800 --> 00:06:50,560 Why don't we wait and see what the X ray 142 00:06:50,600 --> 00:06:54,040 show is? And this is limping, and limping can vary. 143 00:06:54,480 --> 00:06:57,519 It can present in so many different ways, so many 144 00:06:57,560 --> 00:07:00,879 different onsets. A one year old who comes up limping 145 00:07:01,240 --> 00:07:03,079 lame that was playing at the park the day before, 146 00:07:03,120 --> 00:07:05,839 it's going to be a lot different than the ten 147 00:07:05,920 --> 00:07:08,360 year old who has not going to the park and 148 00:07:08,360 --> 00:07:10,240 then the last couple of days has a little lip 149 00:07:10,279 --> 00:07:12,959 that's getting worse and worse, all right, which one of 150 00:07:12,959 --> 00:07:15,639 my more concerned about the one year old or the 151 00:07:15,680 --> 00:07:18,199 ten year old, and clearly the ten year old because 152 00:07:18,240 --> 00:07:20,480 the one year old who was doing fine and Saturday 153 00:07:20,519 --> 00:07:22,680 and then Sunday goes to the park and comes up 154 00:07:22,720 --> 00:07:25,920 the lame Sunday evening. Obviously, that's like you or I 155 00:07:26,199 --> 00:07:30,000 turning an ankle, twisting, pulling whatever. So is it dog 156 00:07:30,040 --> 00:07:32,920 weight bearing meaning is it able to put weight on 157 00:07:32,920 --> 00:07:34,639 the leg? Is it still happy? 158 00:07:34,680 --> 00:07:35,199 Speaker 3: Is it eating? 159 00:07:35,279 --> 00:07:37,040 Speaker 2: Is it wagging its tail when you come in? Is 160 00:07:37,040 --> 00:07:39,920 it thrilled to see you. Then that's really not much 161 00:07:39,920 --> 00:07:41,839 of a problem. That's one where I might just say 162 00:07:41,879 --> 00:07:43,360 to an owner if they called me on the phone, 163 00:07:43,399 --> 00:07:45,519 you know what, he's able to walk on it. Yeah, 164 00:07:45,560 --> 00:07:49,000 so clearly pretty much. I'm obviously not one hundred percent, 165 00:07:49,160 --> 00:07:50,839 but if they can put weight on it, even though 166 00:07:50,879 --> 00:07:53,240 they're favoring it, it's not broken. Usually if there's a 167 00:07:53,240 --> 00:07:55,480 broken bone, even so much as a broken toe, they 168 00:07:55,519 --> 00:07:58,079 really are protecting it worse. Obviously not every dog is 169 00:07:58,079 --> 00:08:01,480 this way, but certainly to not panic, I will tell you, 170 00:08:01,680 --> 00:08:03,959 don't panic. Give it a day if you have any 171 00:08:04,000 --> 00:08:06,560 certain nonsteroridals around the house, things that we've given before, 172 00:08:06,959 --> 00:08:09,399 even if the case is right, and ask in a 173 00:08:09,600 --> 00:08:12,240 very much lower dose than we take them, and rest. 174 00:08:12,519 --> 00:08:14,120 Speaker 3: If something looks swollen. 175 00:08:13,920 --> 00:08:15,639 Speaker 2: If there may have been what appears to be maybe 176 00:08:15,680 --> 00:08:17,720 a bite stepped on a b I mean, there's so 177 00:08:18,040 --> 00:08:20,839 many different reasons for a dog to come up limping 178 00:08:21,079 --> 00:08:24,319 that is impossible to think that every limping dog needs 179 00:08:24,360 --> 00:08:27,199 an X ray or worse, I mean, or a CT 180 00:08:27,720 --> 00:08:31,360 or bone scan. I mean, that's ridiculous because most don't. 181 00:08:31,759 --> 00:08:34,960 The expression that I've used many a time again it's 182 00:08:35,000 --> 00:08:36,000 a California expression. 183 00:08:36,000 --> 00:08:37,200 Speaker 3: But I'm sure you guys can get it. 184 00:08:37,320 --> 00:08:39,799 Speaker 2: You're running along the beach in Malibu, hear the hoof 185 00:08:39,840 --> 00:08:43,039 beats chasing you from behind. You're not gonna think zebras, 186 00:08:43,039 --> 00:08:45,320 You're gonna think horses. You're gonna go with the obvious. 187 00:08:45,679 --> 00:08:48,399 So when we see this a limping dog, the things 188 00:08:48,399 --> 00:08:50,399 that I would have you do at home, first of 189 00:08:50,399 --> 00:08:53,000 all is evaluate the rest of the dog. Forget the 190 00:08:53,039 --> 00:08:54,960 limp for a second. Some questions that I'm going to 191 00:08:55,000 --> 00:08:57,279 ask you, some questions that you should ask yourself that 192 00:08:57,320 --> 00:08:59,519 will help you determine is this something that I need 193 00:08:59,559 --> 00:09:01,440 to panic or is this something that you know what. 194 00:09:01,480 --> 00:09:02,559 Speaker 3: I'm going to give it a day or two and 195 00:09:02,639 --> 00:09:03,399 just see how things go. 196 00:09:03,679 --> 00:09:06,840 Speaker 2: First of all, is there any swelling or pain to 197 00:09:06,879 --> 00:09:09,200 the touch, like and you hit a spot where, oh 198 00:09:09,240 --> 00:09:09,759 my god. 199 00:09:09,960 --> 00:09:11,480 Speaker 3: If so, you have. 200 00:09:11,399 --> 00:09:14,440 Speaker 2: To think of some especially if it's on the foot, 201 00:09:14,679 --> 00:09:18,519 some sort of insect, be a spider, some sort of bite, 202 00:09:18,679 --> 00:09:20,559 a thorn, something actually got in the pad. 203 00:09:20,639 --> 00:09:21,519 Speaker 3: Turn the foot. 204 00:09:21,480 --> 00:09:24,799 Speaker 2: Around, look inside, check in between the toes themselves. 205 00:09:24,799 --> 00:09:25,639 Speaker 3: We call it the webbing. 206 00:09:25,919 --> 00:09:29,080 Speaker 2: Check underneath by the pads, kind of spread the pads. 207 00:09:29,120 --> 00:09:30,720 If there's hair, in the way, try to try to 208 00:09:30,720 --> 00:09:35,080 get the hair and actually inspect the toe, toenails, the foot, 209 00:09:35,480 --> 00:09:36,360 the pads, etc. 210 00:09:36,679 --> 00:09:37,840 Speaker 3: See if you can find something. 211 00:09:38,039 --> 00:09:40,200 Speaker 2: If the area is swollen and tender to the touch 212 00:09:40,360 --> 00:09:42,320 so he doesn't want to really put weight on the 213 00:09:42,320 --> 00:09:44,360 foot because of it. You can also fill up a 214 00:09:44,480 --> 00:09:48,159 baggie with some ice water, stick the foot inside the 215 00:09:48,279 --> 00:09:51,559 baggie and crympt the baggy over the wrist for ten 216 00:09:51,559 --> 00:09:53,679 minutes and let's see if we can help bring down 217 00:09:53,720 --> 00:09:55,559 the swelling. And lastly, and you might want to check 218 00:09:55,559 --> 00:09:58,039 with your veterinarian. I am okay with a script in, 219 00:09:58,039 --> 00:10:00,679 which is an aspirin with an ant apt in it 220 00:10:01,080 --> 00:10:04,240 and at about I usually give one aspirin for fifty 221 00:10:04,240 --> 00:10:06,679 to sixty pounds, So if you have a fifteen pound dog, 222 00:10:06,720 --> 00:10:09,720 it's going to be a quarter of an aspirin only max. 223 00:10:09,799 --> 00:10:12,639 Twice a day every twelve hours. Usually I'll just give 224 00:10:12,679 --> 00:10:16,720 it once. Do not use a cedamnifen or ibuprofen or 225 00:10:16,759 --> 00:10:19,240 any of the others in a dog without first consulting 226 00:10:19,240 --> 00:10:23,000 a veterinarian, and never one more time. Never use a 227 00:10:23,000 --> 00:10:26,200 cedamnifn tail and all in a cat. It will kill 228 00:10:26,279 --> 00:10:29,240 your cat. So If all is well from that perspective, 229 00:10:29,679 --> 00:10:32,559 then what you want to do is think about watch 230 00:10:32,559 --> 00:10:34,960 the dog walk and see is he putting weight on 231 00:10:35,000 --> 00:10:37,080 it or is he not putting weight on it? How 232 00:10:37,320 --> 00:10:40,559 animated is he or she is still running around, still 233 00:10:40,559 --> 00:10:42,759 wanted to play, just has kind of a glitch, you know, 234 00:10:43,120 --> 00:10:45,840 a little limp. Then if that's the case, then again 235 00:10:46,039 --> 00:10:48,360 it's probably nothing to worry about. So now let's look 236 00:10:48,360 --> 00:10:50,759 at to the history. Where was your dog the day before, 237 00:10:50,879 --> 00:10:51,519 the day before that? 238 00:10:51,919 --> 00:10:52,039 Speaker 4: Right? 239 00:10:52,360 --> 00:10:56,399 Speaker 2: Was there exsessive play? We're playing with another dog, doggy, daycare, 240 00:10:56,440 --> 00:10:58,720 dog park. Any did you go to the park and 241 00:10:58,720 --> 00:11:01,679 throw a ball or a frisbee? Any potential that he 242 00:11:02,039 --> 00:11:04,960 twisted something, turned something, etc. And is it a front 243 00:11:05,000 --> 00:11:06,759 leg or back leg? Because if it's a back leg 244 00:11:06,799 --> 00:11:08,679 and give a big dog and there was a lot 245 00:11:08,720 --> 00:11:12,080 of running or pivoting, there might be a concern of 246 00:11:12,120 --> 00:11:15,399 accruciate tear, which is the injury a lot of football 247 00:11:15,399 --> 00:11:17,960 players and the basketball players get called the crane accruciator 248 00:11:18,000 --> 00:11:21,919 or the anterior cruciate ligament. Typically, however, when a dog 249 00:11:22,120 --> 00:11:25,200 will tear a cruciat or tear not even completely. Even 250 00:11:25,240 --> 00:11:29,919 some of the fibers. It's often associated with an acute yelp. 251 00:11:30,320 --> 00:11:31,440 Speaker 3: You will hear. 252 00:11:31,759 --> 00:11:35,200 Speaker 2: Them give a cry, and that is important to note. 253 00:11:35,200 --> 00:11:37,320 And if certainly your veteran's going to ask. 254 00:11:37,159 --> 00:11:40,519 Speaker 3: You did you hear? Were you there? Did you witness 255 00:11:40,679 --> 00:11:41,279 what happened? 256 00:11:41,320 --> 00:11:43,039 Speaker 2: And if it's a back leg, especially if it's a 257 00:11:43,159 --> 00:11:46,159 larger dog or any of those short squat dogs like 258 00:11:46,200 --> 00:11:48,679 my friend Chees, then that is something we need to 259 00:11:48,720 --> 00:11:51,120 put on our list of possibilities. And we may want 260 00:11:51,159 --> 00:11:52,720 to obviously take an X ray. There's some things that 261 00:11:52,759 --> 00:11:55,600 we can do and try to evaluate whether or not 262 00:11:55,720 --> 00:11:58,039 that is a problem as well. Anyway, we're going to 263 00:11:58,080 --> 00:12:00,080 come back. We're going to talk about some conditions that 264 00:12:00,120 --> 00:12:03,320 are more serious. But it is that time halfway into 265 00:12:03,399 --> 00:12:06,639 our show and it goes very quickly, so stay tuned, 266 00:12:06,759 --> 00:12:08,840 don't move. If you have any questions about this about 267 00:12:08,840 --> 00:12:10,480 a limping dog, a dog or a cat that's been 268 00:12:10,559 --> 00:12:12,840 limping favoring a leg, I want to hear from you, because, 269 00:12:12,840 --> 00:12:14,840 believe it or not, it might not even be a 270 00:12:14,919 --> 00:12:15,600 leg problem. 271 00:12:15,720 --> 00:12:16,159 Speaker 3: That's right. 272 00:12:16,360 --> 00:12:18,360 Speaker 2: We have to think of the backbone and the neck 273 00:12:18,480 --> 00:12:20,960 as well, So don't go away, get ready to call 274 00:12:21,000 --> 00:12:22,759 me back. Eight seven seven three, eight five eight eight 275 00:12:22,799 --> 00:12:26,559 eight two Look back in just a minute. 276 00:12:28,399 --> 00:12:30,759 Speaker 1: We'll be right back right after these messages. 277 00:12:30,919 --> 00:12:31,559 Speaker 3: Stay tuned. 278 00:12:34,360 --> 00:12:37,519 Speaker 2: This is my tired of itching face. Does your dog 279 00:12:37,559 --> 00:12:40,879 suffer from persistent itching and scratching? Allergies and skin irritation 280 00:12:41,000 --> 00:12:45,120 is caused by environment, including pollens, insects, especially fleas, food 281 00:12:45,159 --> 00:12:48,279 and common household allergens are common problems and dogs. It's 282 00:12:48,320 --> 00:12:50,440 easy to alleviate your dog's is comfort at home with 283 00:12:50,519 --> 00:12:53,759 pro Sense. Pro Sense itch analogy products provide fast relief 284 00:12:53,799 --> 00:12:57,639 from symptoms like it'sy, irritated skin, skin infections like hotspots 285 00:12:57,679 --> 00:13:00,799 and watery eyes. Pro Sense products are veteran formulated and 286 00:13:00,879 --> 00:13:03,639 recommended to ensure the very best for your pet. Try 287 00:13:03,720 --> 00:13:07,000 Prosens today. 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Download the iHeartRadio 306 00:14:01,679 --> 00:14:04,000 app and rock pet Life Radio on your phone and 307 00:14:04,080 --> 00:14:06,679 your tablet, on your Xbox in your car, pt Talk, 308 00:14:06,759 --> 00:14:11,480 pet Tunes and fun pet Times, pet Life Radio and iHeartRadio. 309 00:14:11,879 --> 00:14:14,840 Positively possum. 310 00:14:14,840 --> 00:14:18,360 Speaker 6: Thinking about buying a monkey, how about a fan or 311 00:14:18,360 --> 00:14:20,919 a skunk? Then check out the show that will answer 312 00:14:20,960 --> 00:14:24,279 the burning questions. Where do you get them, what do 313 00:14:24,360 --> 00:14:26,720 you feed them, how do you take care of them? 314 00:14:26,840 --> 00:14:29,600 And most of all, what were you thinking? 315 00:14:30,200 --> 00:14:33,679 Speaker 7: With the exotic pet expert and author Bob Tart Every 316 00:14:33,679 --> 00:14:42,000 week on demand from petlfradio dot com. 317 00:14:42,240 --> 00:14:45,960 Speaker 2: Let's Talk, Let's don Petal Radio, head Life. 318 00:14:45,840 --> 00:14:48,759 Speaker 1: Radio, pet Life Radio dot. 319 00:14:48,480 --> 00:15:09,279 Speaker 2: Com and welcome back to Ask the Vets with doctor 320 00:15:09,360 --> 00:15:12,159 Jeff Here on Pet Life Radio and before the break 321 00:15:12,279 --> 00:15:15,039 we are we were talking about limping just one of 322 00:15:15,120 --> 00:15:18,879 the other conditions problems that you're you might notice in 323 00:15:18,919 --> 00:15:21,000 your pet. And I want to give you some guidelines 324 00:15:21,039 --> 00:15:22,840 just to when is it something you need to really 325 00:15:22,879 --> 00:15:25,519 worry about, worry about just maybe a little, or really 326 00:15:25,559 --> 00:15:28,000 pretty much not worry about it at all. So you know, 327 00:15:28,039 --> 00:15:30,840 we talked about the swelling a dog that comes up 328 00:15:30,879 --> 00:15:34,440 acutely means suddenly lame, usually after an episode of running 329 00:15:34,519 --> 00:15:37,240 or playing, but still walking on it's just kind of limping. 330 00:15:37,399 --> 00:15:39,240 Just before the break, we talked about if it's a 331 00:15:39,240 --> 00:15:42,639 back leg, a knee issue, we might be concerned about 332 00:15:42,919 --> 00:15:45,440 about a cruciate tear. But let's get into some things 333 00:15:45,440 --> 00:15:49,519 that might require some intervention, some veterinary intervention, a call 334 00:15:49,679 --> 00:15:52,720 or at least a visit to your veterinarian. And those 335 00:15:52,759 --> 00:15:55,720 would be either that same minor problem. 336 00:15:55,759 --> 00:15:56,759 Speaker 3: And you've done everything right. 337 00:15:56,799 --> 00:15:59,879 Speaker 2: You rested, you gave some some medication that might help you, 338 00:16:00,080 --> 00:16:03,159 maybe some glucosamine, you checked with the veterinarian, and you 339 00:16:03,200 --> 00:16:06,200 gave a low dose aspirin with ideally with a little 340 00:16:06,519 --> 00:16:10,000 an antacit in it as well. And yet despite all 341 00:16:10,080 --> 00:16:12,799 that two or three days later still limping that now 342 00:16:12,919 --> 00:16:14,799 it says, okay, we now we have to check it out. 343 00:16:15,000 --> 00:16:16,440 Even though the rest of them is fine, even though 344 00:16:16,440 --> 00:16:18,480 he's happy, he's eating, everything else is perfect. By now, 345 00:16:18,480 --> 00:16:20,679 the limp should be slightly getting better every day, and 346 00:16:20,720 --> 00:16:22,679 if it's not, we need to take a look at it. 347 00:16:22,840 --> 00:16:25,919 Or the problem where it's not just limping, it is 348 00:16:26,200 --> 00:16:30,080 non weight bearing, an injury, something that happens suddenly, something 349 00:16:30,080 --> 00:16:33,279 that's insidiously day by day not getting better but actually 350 00:16:33,279 --> 00:16:36,399 getting worse. And you really can't pick a time or 351 00:16:36,480 --> 00:16:39,360 an episode that happened that brought this on. It just 352 00:16:39,399 --> 00:16:41,399 all of a sudden it started happening, and you notice it, 353 00:16:41,440 --> 00:16:43,240 and every day it's getting worse. A few days it's 354 00:16:43,240 --> 00:16:45,600 getting worse, and now it's gotten to the point where 355 00:16:45,679 --> 00:16:47,480 they don't want to walk it all on a leg 356 00:16:47,679 --> 00:16:51,200 or more than one leg, or how about a dog 357 00:16:51,440 --> 00:16:55,120 that you're noticing the leg is just getting large, more 358 00:16:55,159 --> 00:16:57,360 and more swollen, and when you touch it it's either 359 00:16:57,600 --> 00:17:00,120 hot or you know, like firm to the touch. These 360 00:17:00,159 --> 00:17:03,000 are all the different scenarios that this could happen and 361 00:17:03,039 --> 00:17:05,319 we need to go through because obviously they're even still 362 00:17:05,359 --> 00:17:08,400 a little bit different. Now when you have any of 363 00:17:08,440 --> 00:17:12,119 these situations, you definitely want to see a veterinarian. And 364 00:17:12,599 --> 00:17:16,000 this is where some sort of study is going to 365 00:17:16,000 --> 00:17:18,519 be in order, depending on again the rest of the pet. 366 00:17:18,759 --> 00:17:22,960 If the pet is otherwise fine despite the leg issue, 367 00:17:23,039 --> 00:17:25,880 the limb issue itself, then at least the X ray 368 00:17:26,079 --> 00:17:29,519 and a good thorough manipulation palpation is in order. 369 00:17:29,720 --> 00:17:30,880 Speaker 3: Blood work may not be in order. 370 00:17:31,240 --> 00:17:33,880 Speaker 2: Let's take a cat, however, for example, or a dog 371 00:17:33,920 --> 00:17:36,240 that you can see actually a wound, you can see 372 00:17:36,240 --> 00:17:39,000 a puncture, you can see a bite, and the leg 373 00:17:39,079 --> 00:17:40,920 is not only getting firm, but it's almost getting hot 374 00:17:40,960 --> 00:17:44,119 to the touch. Temperature is elevated, so now you have 375 00:17:44,200 --> 00:17:46,599 to think, oh my god, we have either a cellulitis 376 00:17:46,680 --> 00:17:49,480 or an abscess. These animals one hundred percent need to 377 00:17:49,519 --> 00:17:51,519 have blood work done as well. We need to see 378 00:17:51,640 --> 00:17:53,960 if there's an elevated white cell count, do we have 379 00:17:54,000 --> 00:17:57,720 an infection brewing? And if so, has anything else been 380 00:17:57,799 --> 00:18:01,079 affected by this? And that where it's going to require 381 00:18:01,079 --> 00:18:04,759 obviously veteran intervention. If you have the injury, for example, 382 00:18:05,000 --> 00:18:07,480 the most obvious it hit by car, and not only 383 00:18:07,680 --> 00:18:09,119 is the dog I'm. 384 00:18:08,920 --> 00:18:12,559 Speaker 3: In pain, not bearing weight at all, and even. 385 00:18:12,359 --> 00:18:14,200 Speaker 2: If you looked at the leg, or especially if you 386 00:18:14,240 --> 00:18:16,519 looked at the leg and saw, oh my god, this 387 00:18:16,599 --> 00:18:16,880 is not. 388 00:18:16,839 --> 00:18:17,519 Speaker 3: A normal leg. 389 00:18:17,799 --> 00:18:20,359 Speaker 2: Of course, straight to your vet, straight on the X 390 00:18:20,440 --> 00:18:23,920 ray table. We have to evaluate for any kind of fractures. Now, 391 00:18:24,000 --> 00:18:27,440 what about a case where you have an insidious onset 392 00:18:27,480 --> 00:18:31,000 that seems to be getting worse. And again an absessed 393 00:18:31,000 --> 00:18:33,200 brewing or cellulitis that's not being treated could be one 394 00:18:33,200 --> 00:18:35,559 of them. But if you have an older dog, a 395 00:18:35,680 --> 00:18:38,480 large breed especially and you could feel it's not necessarily 396 00:18:38,480 --> 00:18:40,720 that it feels warm to the touch, but the bone, 397 00:18:40,839 --> 00:18:44,000 especially near the joint, is starting to feel very firm 398 00:18:44,200 --> 00:18:49,680 and clearly larger than the opposite end, the opposite bone 399 00:18:49,759 --> 00:18:52,759 on the other side. Well, now we have to start thinking, 400 00:18:52,839 --> 00:18:54,839 and I hate to say it, it does happen. It's 401 00:18:54,839 --> 00:18:58,599 a drag and that is bone cancer or joint cancer, 402 00:18:58,680 --> 00:19:03,359 something called osteosarcoma or chondrosarcoma. And we see this a 403 00:19:03,400 --> 00:19:06,039 lot in larger dogs. 404 00:19:05,960 --> 00:19:06,799 Speaker 3: As they get older. 405 00:19:06,960 --> 00:19:09,400 Speaker 2: So again, this is something that's going to need work up. 406 00:19:09,640 --> 00:19:11,599 It's going to need full panel of bloods and a 407 00:19:11,920 --> 00:19:15,119 major discussion with you and your veterinarian to determine, Oh 408 00:19:15,160 --> 00:19:16,680 my god, what are my chances? 409 00:19:16,759 --> 00:19:17,839 Speaker 3: What are the options here? 410 00:19:18,079 --> 00:19:20,839 Speaker 2: Because there are many, and most importantly, what is the 411 00:19:20,839 --> 00:19:23,720 prognosis again depending on all these factors. I know some 412 00:19:23,759 --> 00:19:26,720 people that just refuse to put a dog on chemon radiation. 413 00:19:27,000 --> 00:19:30,000 I've had clients that refuse to amputate, even though they're 414 00:19:30,039 --> 00:19:32,000 catching it early in the course of the disease. The 415 00:19:32,039 --> 00:19:35,480 dog is doing great. Otherwise to them, to the dog itself, 416 00:19:35,519 --> 00:19:38,559 three legs means nothing. They do it so easily, and 417 00:19:38,680 --> 00:19:41,319 yet owners have this thing in their own head that 418 00:19:41,640 --> 00:19:43,880 I'm not going to amputate. So but that's something a 419 00:19:43,880 --> 00:19:45,400 discussion you have to have with your family and you 420 00:19:45,400 --> 00:19:48,000 have to have with your veterinarian. But options are out 421 00:19:48,039 --> 00:19:53,480 there if you have the dog that has a continued 422 00:19:53,960 --> 00:19:57,519 lameness and it can't be pinpointed. Everything on the X 423 00:19:57,599 --> 00:20:00,200 ray is normal right as far as the limbs. Now, 424 00:20:00,400 --> 00:20:02,920 as they mentioned just before the break, believe it or not, 425 00:20:03,160 --> 00:20:07,519 there are disc episodes in the neck, the cervical spine 426 00:20:07,559 --> 00:20:12,000 creating for limb lameness at the very end, creating hind 427 00:20:12,079 --> 00:20:15,160 limb lameness that has nothing to do with the foot, 428 00:20:15,440 --> 00:20:19,440 the hawk, the knee, the hip, it's all in the 429 00:20:19,559 --> 00:20:23,559 nerve supply to the back leg in that case, or 430 00:20:23,640 --> 00:20:25,920 has nothing to do with the shoulder or the elbow 431 00:20:26,160 --> 00:20:29,200 or the carpass or the toes. In the case of 432 00:20:29,359 --> 00:20:31,920 a fore limb lameness, it might be all because of 433 00:20:31,920 --> 00:20:34,559 a pinch nerve or a disc something going on in 434 00:20:34,599 --> 00:20:37,279 the neck. So this too, obviously is going to need 435 00:20:37,400 --> 00:20:41,599 a certain amount of diagnostics to determine what the problem is. Now, 436 00:20:41,880 --> 00:20:44,440 another area that we didn't discuss that we need to 437 00:20:44,440 --> 00:20:46,480 bring apart. We talked about the older dogs, We talked 438 00:20:46,480 --> 00:20:48,720 about the cancer, We talked about the knee, the stifle 439 00:20:48,799 --> 00:20:51,839 injuries in some of these breeds. But what about the 440 00:20:51,960 --> 00:20:56,039 ten or twelve month old golden retriever. No history necessarily 441 00:20:56,240 --> 00:20:58,960 of any kind of injury, It wasn't running like crazy 442 00:20:59,000 --> 00:21:01,319 at the park, and all of a sudden, it's really 443 00:21:01,359 --> 00:21:04,359 favoring let's say a four limb, a front leg. Now, what, 444 00:21:04,359 --> 00:21:06,720 what are some of the possibilities. Well, this is where 445 00:21:06,720 --> 00:21:09,640 we get to talk about some of the growth related 446 00:21:09,640 --> 00:21:13,680 diseases that we can see commonly in especially large breed dogs. 447 00:21:13,920 --> 00:21:17,440 Large breed, rapidly growing dogs up until they're about two 448 00:21:17,480 --> 00:21:20,400 years of age, and yes, it's going to need X 449 00:21:20,480 --> 00:21:23,119 rays to determine the problem. And when you see a 450 00:21:23,160 --> 00:21:26,799 dog presenting like this, this is what we need to evaluate. 451 00:21:27,079 --> 00:21:30,039 And there are three major issues that we see on 452 00:21:30,079 --> 00:21:32,640 a front lamp and pretty much two on the back. 453 00:21:32,680 --> 00:21:34,640 But the three on the front of them are something 454 00:21:34,720 --> 00:21:38,400 called pan osteitis that is an inflammation. 455 00:21:38,119 --> 00:21:40,559 Speaker 3: Of growing bone. The bone hurts. 456 00:21:41,039 --> 00:21:46,680 Speaker 2: Next is FCP fragmented coronoid process, which is a developmental 457 00:21:46,720 --> 00:21:50,640 anomaly in the elbow we call elbow dysplasia. And lastly 458 00:21:50,960 --> 00:21:56,640 is OCD and not obsessive compulsive disorder, but osteo chondritis desiccans. 459 00:21:56,839 --> 00:22:00,960 It's a cartilage flap defect, typically present in the shoulder. 460 00:22:01,200 --> 00:22:04,559 So fortunately, the panastitis is. 461 00:22:04,559 --> 00:22:05,799 Speaker 3: The most common of the three. 462 00:22:05,920 --> 00:22:07,920 Speaker 2: And the reason I say that is that it is 463 00:22:08,000 --> 00:22:13,079 a non surgical condition. It is a medical Let's wait, 464 00:22:13,279 --> 00:22:16,640 let's provide some pain relief, let's provide some anti inflammatories, 465 00:22:16,680 --> 00:22:20,200 and we're gonna be fine. Versus the osteochondritis and the 466 00:22:20,200 --> 00:22:23,680 fragmented cornoid which turned out to be surgical diseases. Now 467 00:22:23,839 --> 00:22:26,799 they do great after surgery, but still you got to 468 00:22:26,799 --> 00:22:30,559 subject your young, happy, healthy goofy retriever or whatever the 469 00:22:30,640 --> 00:22:33,440 large breed may be to a surgery. Now I mentioned 470 00:22:33,440 --> 00:22:36,680 the elbow displasia, obviously it brings to mind hyptasplasia. And 471 00:22:36,759 --> 00:22:39,799 let's talk for a second. Because of hyptasplasia, it's extremely 472 00:22:40,079 --> 00:22:42,240 it's a huge subject. As a matter of fact, I 473 00:22:42,279 --> 00:22:45,000 see that our time is such that I don't even 474 00:22:45,000 --> 00:22:47,319 want to start the subject of hypdasplasia because it's a 475 00:22:47,319 --> 00:22:50,319 big I can give a whole show to hypdasplasia. And 476 00:22:50,359 --> 00:22:53,079 as a matter of fact, I may next week, well, 477 00:22:53,119 --> 00:22:54,880 actually next week, I'm going to be at the Central 478 00:22:55,000 --> 00:22:58,359 Veterinari Conference and will most likely have a guest on 479 00:22:58,640 --> 00:23:01,160 with me. Who that guest might be, I'm not so 480 00:23:01,240 --> 00:23:02,880 sure yet, because I have to see who will be 481 00:23:02,920 --> 00:23:06,680 the most interesting colleague to bring on our show next week. 482 00:23:06,880 --> 00:23:10,759 From the conference itself, it's a great conference in Kansas City. 483 00:23:10,920 --> 00:23:12,839 If you've never been to Kansas City, not a fun 484 00:23:12,880 --> 00:23:15,160 place to be during the winter, but man, during the summer, 485 00:23:15,200 --> 00:23:17,440 it is a great town, a lot of fun, a 486 00:23:17,440 --> 00:23:18,200 lot of great. 487 00:23:17,960 --> 00:23:19,000 Speaker 3: Places to go and eat. 488 00:23:19,119 --> 00:23:21,960 Speaker 2: And this conference, called the Central Veternight Conference, has been 489 00:23:22,079 --> 00:23:24,480 growing by leaps and bounds over the years. It's become 490 00:23:24,960 --> 00:23:26,680 one of the Big three or four and it's a 491 00:23:26,720 --> 00:23:29,960 great conference. So we're gonna be live broadcasting live from 492 00:23:30,000 --> 00:23:32,880 the Central Veternight Conference next week next Sunday, but I'm 493 00:23:32,920 --> 00:23:38,079 going to work on We'll do this piece on hip displasia, 494 00:23:38,279 --> 00:23:42,200 hip problems and the wide gamut. It's one of those 495 00:23:42,240 --> 00:23:44,519 things that to me is a practitioner, it's so frustrating 496 00:23:44,720 --> 00:23:47,920 how much misinformation is out there about hips. 497 00:23:47,960 --> 00:23:49,200 Speaker 3: So we're gonna have to clear that up. 498 00:23:49,359 --> 00:23:51,680 Speaker 2: So anyway, for those of you that didn't call, the 499 00:23:51,799 --> 00:23:54,079 number that you forgot was eight seven seven three eight 500 00:23:54,160 --> 00:23:55,960 five eight eight eighty two. That's the number you can 501 00:23:56,000 --> 00:23:58,000 actually call us the next week. We did get an 502 00:23:58,039 --> 00:24:00,920 email which we will also deal with next week. 503 00:24:01,079 --> 00:24:02,039 Speaker 3: A sort of a. 504 00:24:02,039 --> 00:24:06,359 Speaker 2: Common problem about a woman who's neutered. Male cat seems 505 00:24:06,400 --> 00:24:08,880 to get a little bit over aggressive out of the blue, 506 00:24:08,960 --> 00:24:11,960 often when she's just lying in bed and starts to bite. 507 00:24:12,079 --> 00:24:15,640 This could be an issue a displaced aggression. So we'll 508 00:24:15,640 --> 00:24:18,400 talk about that as well. And other than that, we 509 00:24:18,480 --> 00:24:21,480 get to see you next week, same bat time and 510 00:24:21,680 --> 00:24:24,160 right here at Ask the Vets with doctor Jeff here 511 00:24:24,200 --> 00:24:27,440 on Petlight Radio. And want to thank once again our sponsors. 512 00:24:27,000 --> 00:24:29,519 Speaker 3: Pro Sense and Kong who are off the hook this week. 513 00:24:29,640 --> 00:24:31,880 Speaker 2: Is none of you chose to call, And of course 514 00:24:32,079 --> 00:24:35,680 Mark Winter my fantastic producer, and we will see you 515 00:24:36,160 --> 00:24:38,599 live from the Central Vet Conference next Sunday. 516 00:24:39,200 --> 00:24:43,799 Speaker 1: Let's talk pets every week on demand only on petlight 517 00:24:43,920 --> 00:24:55,160 radio dot com.