1 00:00:02,240 --> 00:00:23,679 Speaker 1: This is pet Life Radio. Let's talk pets and we're ready. 2 00:00:23,719 --> 00:00:27,920 We're here. We are live from where now, Mexico. You're 3 00:00:27,920 --> 00:00:30,120 here with doctor Jeff hosts the next thirty minutes here 4 00:00:30,120 --> 00:00:32,280 in pet Life Radios, asse bets of Doctor Jeff and 5 00:00:32,320 --> 00:00:34,799 of course Instagram live here for you, here for your 6 00:00:34,840 --> 00:00:38,200 pets and just anything you want to talk about is now, 7 00:00:38,200 --> 00:00:40,840 it's the time to do it. Having a wonderful time 8 00:00:40,960 --> 00:00:44,240 this time we're at a family resort because you brought 9 00:00:44,399 --> 00:00:47,039 two of my kids and five of our grandkids and 10 00:00:47,119 --> 00:00:49,719 so they're having a blast there. They're down in a 11 00:00:49,840 --> 00:00:53,000 pool at the beach. I'm up here in my room 12 00:00:53,159 --> 00:00:57,560 studio and uh here just I could not let another 13 00:00:57,640 --> 00:01:00,079 week go by without talking to you guys. So here 14 00:01:00,119 --> 00:01:03,240 we are live, so and you know the drill. Any 15 00:01:03,280 --> 00:01:05,359 questions you have, anything you want to talk about, now 16 00:01:05,400 --> 00:01:07,079 is the time to do it. And you know, we've 17 00:01:07,079 --> 00:01:11,040 had some interesting conversations, you know, over the last several weeks. 18 00:01:11,079 --> 00:01:13,280 I know we talked about insurance last week. We'd love 19 00:01:13,319 --> 00:01:15,000 to know how you feel. We had one of our 20 00:01:15,359 --> 00:01:19,079 followers our callers was definitely four pet insurance and that's great, 21 00:01:19,359 --> 00:01:22,040 you know, anytime, and I hear that, I'm thinking myself, 22 00:01:22,040 --> 00:01:24,560 you know what, that's the person if they go to 23 00:01:24,719 --> 00:01:27,840 Las Vegas, they are going to win. It's fantastic. But 24 00:01:28,239 --> 00:01:31,840 you know, unfortunately the way it is, most people aren't 25 00:01:31,879 --> 00:01:33,840 going to do so well. But you know, as I 26 00:01:33,920 --> 00:01:36,439 said about and we started this last week, is that 27 00:01:37,000 --> 00:01:39,000 whatever you do, you're going to need it the most 28 00:01:39,239 --> 00:01:41,799 when you don't have it. So the key really is 29 00:01:41,799 --> 00:01:43,719 is that you want to make sure that you have 30 00:01:43,799 --> 00:01:48,159 prepared in some way for that rainy day. Hi, staff, 31 00:01:48,640 --> 00:01:51,319 I'm Maris, says hello. And we saw some people playing 32 00:01:51,359 --> 00:01:55,879 cribbage yesterday, so we definitely thought about you guys. So 33 00:01:55,959 --> 00:01:58,000 that another couple that we met at one of our 34 00:01:58,000 --> 00:02:02,120 other vacation spots on the A Vacation Club. And anyway, 35 00:02:02,799 --> 00:02:06,560 so George and Walter I are doing fine, and so 36 00:02:06,920 --> 00:02:09,199 let's get some great questions. Anything you guys want to 37 00:02:09,199 --> 00:02:11,719 talk about, anything that's happening with their own pets. You know, 38 00:02:11,840 --> 00:02:14,759 one of the things that that unfortunately I see and 39 00:02:15,199 --> 00:02:17,000 I'm dealing with it now with a couple of cases 40 00:02:17,479 --> 00:02:20,039 that I wish every case were easy. You know, sometimes 41 00:02:20,039 --> 00:02:21,680 I can I can hear a history and already make 42 00:02:21,719 --> 00:02:24,919 a diagnosis even without exactly I'm in the animal. I mean, 43 00:02:24,919 --> 00:02:26,759 that's not a bed and not a good thing to 44 00:02:26,800 --> 00:02:29,199 say I'm going to make a diagnosis with without examining 45 00:02:29,199 --> 00:02:31,479 the animal. But we know there are certain things that 46 00:02:31,680 --> 00:02:35,159 just pop up so regularly that when I hear the history, 47 00:02:35,520 --> 00:02:37,520 I kind of and I can see, especially if I 48 00:02:37,520 --> 00:02:40,719 do on video, I can actually I know what's going on. 49 00:02:41,439 --> 00:02:43,960 Then you have cases that we've gone through all the 50 00:02:44,000 --> 00:02:47,560 basic tests. We know what's going on. We know the 51 00:02:47,599 --> 00:02:50,759 treatments that are the typical classic treatments, but I often 52 00:02:50,840 --> 00:02:54,840 joke that unfortunately the animal didn't read the book. That 53 00:02:54,919 --> 00:02:56,719 pet didn't read the book, so they don't know how 54 00:02:56,800 --> 00:03:00,599 they are supposed to respond to a particular treatment. We 55 00:03:00,639 --> 00:03:04,439 know textbook wise what's supposed to work, but it doesn't 56 00:03:04,479 --> 00:03:07,080 always work. What happens then till we get to a 57 00:03:07,120 --> 00:03:10,319 point where if we are treating a patient and we 58 00:03:10,360 --> 00:03:13,159 are throwing everything at them, and I'm talking a patient 59 00:03:13,240 --> 00:03:17,680 not just from my humble diagnosis, but also sending them 60 00:03:17,719 --> 00:03:19,919 to a specialist, having that specialist come in and do 61 00:03:20,000 --> 00:03:24,439 some specialized testing, and we have a legitimate diagnosis now 62 00:03:24,479 --> 00:03:28,080 that matches what we suspect it. And yet all the 63 00:03:28,120 --> 00:03:32,000 basic treatments aren't working. So now everyone's scratching their heads, going, well, 64 00:03:32,240 --> 00:03:34,719 what do we do now? So this gets to the 65 00:03:34,759 --> 00:03:37,960 point it's more a matter of being realistic as opposed 66 00:03:38,000 --> 00:03:41,199 to be idealistic. Idealistic wise, we would love to help 67 00:03:41,199 --> 00:03:44,439 them all in do everything, but realistically, and this is 68 00:03:44,479 --> 00:03:47,560 what I say. If we get to the point that 69 00:03:48,120 --> 00:03:52,199 in order to make a diagnosis, we need very specialized 70 00:03:52,240 --> 00:03:57,439 testing for example like a ct CAN, computerized tomography or 71 00:03:57,479 --> 00:04:00,599 an MRI, or we know that the problem is in 72 00:04:00,639 --> 00:04:02,879 the liver or the spleen and we need Now we 73 00:04:02,919 --> 00:04:06,759 need biopsies, and so now we're either talking about laparoscopically 74 00:04:06,960 --> 00:04:09,560 biopsy or surgical biopsy, or we actually open up the 75 00:04:10,199 --> 00:04:14,240 abdomen and take whatever we need. So sometimes we are 76 00:04:14,360 --> 00:04:17,959 forced to do that to get to add to our diagnosis, 77 00:04:18,360 --> 00:04:20,959 to make it more of a specific diagnosis, to then 78 00:04:21,040 --> 00:04:24,399 modify our treatment. But one thing I say, and again 79 00:04:24,680 --> 00:04:26,680 this is where I first of all, I, as you know, 80 00:04:26,759 --> 00:04:28,680 if you know me, I always say, age is not 81 00:04:28,720 --> 00:04:33,079 a diagnosis. Now I'm not gonna make a choice just 82 00:04:33,120 --> 00:04:36,000 based on age, but I will say this, and this 83 00:04:36,040 --> 00:04:40,040 is where the practical hat over the academic hat comes in, 84 00:04:40,279 --> 00:04:42,920 and I'm very proud to say I wear more than not, 85 00:04:43,079 --> 00:04:46,000 often than not, I wear a practical hat. We get 86 00:04:46,040 --> 00:04:48,279 to a point where we have a much older dog 87 00:04:48,759 --> 00:04:51,560 and the only way to get the answer is going 88 00:04:51,639 --> 00:04:55,040 to be through some of these major, very expensive, several 89 00:04:55,040 --> 00:04:58,839 one thousand dollars tests. I often say that if it 90 00:04:58,879 --> 00:05:00,639 takes that much to get that I I can only 91 00:05:00,639 --> 00:05:03,480 tell you one thing, whatever it is, it's not going 92 00:05:03,560 --> 00:05:06,839 to be easy. A slamgung oh to days, let's get 93 00:05:06,920 --> 00:05:09,360 this bill, We're good. No, if we get to the 94 00:05:09,399 --> 00:05:11,360 point where the only way we're going to get a 95 00:05:11,439 --> 00:05:15,879 diagnosis is through very specialized, very expensive testing, then the 96 00:05:15,920 --> 00:05:18,600 reality is the practical part of it is that more 97 00:05:18,720 --> 00:05:21,079 likely than not, it's not going to be an easy 98 00:05:21,199 --> 00:05:25,360 treatment either. So this is where it's important to have 99 00:05:25,399 --> 00:05:29,959 a framework getting into a case that you have in 100 00:05:30,000 --> 00:05:34,000 your mind a button, a stop button that's oh, time 101 00:05:34,040 --> 00:05:36,560 out a second. Let's see what's it going to take 102 00:05:36,680 --> 00:05:40,160 to treat How sure are we that the treatment is 103 00:05:40,199 --> 00:05:42,959 going to help, how much is this treatment going to cost? 104 00:05:43,399 --> 00:05:47,079 And at what odds? What percent of animals getting this treatment? 105 00:05:47,279 --> 00:05:51,319 Now that we finally after all these very very expensive 106 00:05:51,439 --> 00:05:55,279 tests have an answer how likely is it that treatment 107 00:05:55,639 --> 00:05:58,439 is going to fix the problem a period, but even 108 00:05:58,480 --> 00:06:01,920 not period? But what cost that I don't mean just 109 00:06:02,000 --> 00:06:05,480 money cost, I mean emotional cost. I mean time cost. 110 00:06:05,680 --> 00:06:07,839 Are we gonna have to put this or pet through 111 00:06:07,879 --> 00:06:11,160 several months of some kind of treatment when he's already 112 00:06:11,279 --> 00:06:14,319 fifteen years old? And again, this is the most difficult 113 00:06:14,360 --> 00:06:16,720 part of what I do as a veterinarian and what 114 00:06:16,759 --> 00:06:18,439 we do and we have to deal with as pet 115 00:06:18,480 --> 00:06:23,399 parents because most people don't think about this until it happens, 116 00:06:23,800 --> 00:06:27,319 and then it becomes a very very difficult concept you 117 00:06:27,319 --> 00:06:30,000 have to deal with. And I wish, as I said, 118 00:06:30,160 --> 00:06:32,120 I wish I had an easy answer. There is no 119 00:06:32,199 --> 00:06:34,879 easy answer. This is where we have to sort of 120 00:06:35,160 --> 00:06:40,319 prepare for sometimes the worst, sometimes to almost like having 121 00:06:40,360 --> 00:06:43,639 that we have to sign that document about DNR do 122 00:06:43,759 --> 00:06:47,079 not resuscitate. At what point do we do that DNR? 123 00:06:47,360 --> 00:06:49,480 And we have to say, Wow, I'm going to spend 124 00:06:49,680 --> 00:06:53,319 ten thousand dollars to get a diagnosis maybe maybe made 125 00:06:53,360 --> 00:06:56,600 him give you full diagnosis, and then it is some 126 00:06:56,759 --> 00:07:00,480 sort of weird problem that's going to require major surgery, 127 00:07:00,720 --> 00:07:04,720 major chemo that's going to last several months with only 128 00:07:05,639 --> 00:07:09,040 thirty percent chance of success. You know, these are dilemmas, 129 00:07:09,360 --> 00:07:13,800 and fortunately these dilemmas don't happen all the time. It's 130 00:07:13,879 --> 00:07:17,560 National Puppy Day. I'm just alerted. That's great. So I'm 131 00:07:17,600 --> 00:07:21,160 really curious to know many of you out there today listening, 132 00:07:21,560 --> 00:07:23,240 how do you feel about this? What would you do? 133 00:07:23,600 --> 00:07:25,800 Have you even thought about it? Have you even spoken 134 00:07:25,800 --> 00:07:29,079 to a veterinarian and say, you know, how can we proceed? 135 00:07:29,199 --> 00:07:31,759 What should we do? Doc? What would you do if 136 00:07:31,759 --> 00:07:33,839 it were your dog? And some of those times I 137 00:07:33,879 --> 00:07:36,319 have to answer, I don't know until I'm faced with it. 138 00:07:36,319 --> 00:07:40,240 It's really hard to in your mind, you know, come 139 00:07:40,319 --> 00:07:42,240 up with this scenario that you have all the answers. 140 00:07:42,519 --> 00:07:44,480 We don't have all the answers. I wish I had 141 00:07:44,480 --> 00:07:46,720 all the answers. I don't think there's any veterinarian on 142 00:07:46,720 --> 00:07:49,720 the planet that is all the answers. Yes, tarn and 143 00:07:49,720 --> 00:07:52,240 I am based in La. I'm in West La. My 144 00:07:52,800 --> 00:07:57,519 practice is in Westwood, just near on Western Boulevard near Wilshire. 145 00:07:57,759 --> 00:08:00,639 Come on, don't be a maress. Let's chime in see 146 00:08:00,680 --> 00:08:02,639 if you at first of all, have any of you 147 00:08:02,680 --> 00:08:06,040 been faced with this kind of dilemma where you've all 148 00:08:06,079 --> 00:08:09,439 the basic easy tests, the out to sound, the needle biopsy, 149 00:08:09,800 --> 00:08:13,839 all those have come back inconclusive, non diagnostic, and now 150 00:08:13,879 --> 00:08:17,240 you've got to go in too much more extensive, and 151 00:08:17,360 --> 00:08:22,800 of course, sadly with extensive comes expensive. So you just 152 00:08:22,920 --> 00:08:26,240 gotta change how one letter and it could be disastrous 153 00:08:26,560 --> 00:08:29,160 because you know, I don't want people sort of you know, 154 00:08:29,240 --> 00:08:31,279 going up that wrong tree. It's it's something that we 155 00:08:31,279 --> 00:08:35,039 really really need to understand. So come on, some people 156 00:08:35,039 --> 00:08:38,240 here have to have an opinion, have to actually have 157 00:08:38,279 --> 00:08:41,120 been through this at one point or another and maybe 158 00:08:41,159 --> 00:08:43,200 can help us, because I will tell you one thing 159 00:08:43,799 --> 00:08:46,360 I have had many Okay, I do a lot of chemotherapy, 160 00:08:46,799 --> 00:08:48,519 and of course I don't do radiations there, but I 161 00:08:48,559 --> 00:08:51,720 have to send that to radiation, you know, veterinarian who 162 00:08:51,720 --> 00:08:55,639 does radiation oncology. But I've done it many times, and 163 00:08:55,679 --> 00:08:57,440 you know, things change over the years. By the way, 164 00:08:57,600 --> 00:08:59,600 I'll get that back to that in a second. But 165 00:09:00,080 --> 00:09:03,399 how many times have I heard someone who had a 166 00:09:03,440 --> 00:09:07,120 pet that has gone through extensive chemotherapy and then a 167 00:09:07,159 --> 00:09:11,159 future pet is faced with a cancer and the discussion 168 00:09:11,200 --> 00:09:14,080 pops up about chemotherapy and they go, no, No, been there, 169 00:09:14,159 --> 00:09:16,600 done that. It's not pretty. We wouldn't do it again. 170 00:09:16,639 --> 00:09:18,879 We already decided we wouldn't do it again. I'm just 171 00:09:19,000 --> 00:09:21,480 curious how many of you have been through anything like that, 172 00:09:22,039 --> 00:09:25,600 or been through a situation where the basic testing that 173 00:09:25,639 --> 00:09:28,960 your veterinarian has done has basically ruled out a lot 174 00:09:28,960 --> 00:09:31,720 of things, but it still hasn't ruled in what the 175 00:09:31,759 --> 00:09:34,080 problem is. And the doc says, you know, next step 176 00:09:34,159 --> 00:09:35,159 is going to do we have to do a CT 177 00:09:35,480 --> 00:09:37,919 of the brain or the abdomen or the bone, or 178 00:09:37,960 --> 00:09:40,759 an MRI of the brain, you know, whatever it is. 179 00:09:41,360 --> 00:09:44,039 We need to go sort of dig deeper into the problem. 180 00:09:44,320 --> 00:09:48,000 And at what success did that entail? In other words, 181 00:09:48,159 --> 00:09:51,240 did it work? Were you able to make their diagnosis 182 00:09:51,240 --> 00:09:58,039 officially accurately and then and then treat successfully? And I'm 183 00:09:58,080 --> 00:10:01,200 just curious while we think about that, And then, as 184 00:10:01,240 --> 00:10:04,679 I'm sitting here in Mexico, beautiful weather, I'm waiting for 185 00:10:04,720 --> 00:10:07,480 somebody to join in and tell me of their experience, 186 00:10:08,279 --> 00:10:12,960 and so far none of you have. How is that possible? Okay, 187 00:10:13,200 --> 00:10:15,960 X ray USC for a certainly number of pups. Oh God, 188 00:10:16,039 --> 00:10:18,919 good question. So here's a question, do I recommend X 189 00:10:19,000 --> 00:10:22,440 ray or ultrasound to ascertain the number of pups? Okay, 190 00:10:22,480 --> 00:10:25,559 here's how I feel about this, and that's a wonderful question. 191 00:10:26,279 --> 00:10:30,759 X rays do a better job at counting the either 192 00:10:30,799 --> 00:10:34,720 the skulls or the backbones. So as far as counting 193 00:10:34,759 --> 00:10:39,080 the number of pups and what side they're on, you 194 00:10:39,120 --> 00:10:41,600 have the lateral and you take two views. You always 195 00:10:41,639 --> 00:10:43,679 do a lateral view and you do what's called the 196 00:10:43,759 --> 00:10:46,639 VD ventro dorsal view that will split right and left. 197 00:10:46,840 --> 00:10:48,759 They have an idea of what's right and left, and 198 00:10:48,799 --> 00:10:52,000 then the lateral view can also help discount counting all 199 00:10:52,039 --> 00:10:56,879 the heads, but it gives us no information about movement, 200 00:10:57,399 --> 00:11:03,279 about heart rate, about even heartbeat. So there you need 201 00:11:03,320 --> 00:11:08,200 the ultra sound. So the ultrasound will tell us viability. 202 00:11:08,240 --> 00:11:10,919 But it's very difficult to do account because sometimes they're 203 00:11:10,960 --> 00:11:13,200 overlapped and they're sending yourself, but did we count this 204 00:11:13,200 --> 00:11:14,960 one or this one? Maybe from the other side we 205 00:11:15,039 --> 00:11:18,320 did already. It is more of a challenge to count 206 00:11:18,559 --> 00:11:21,840 when you're on ultrasound. I actually do both if I'm 207 00:11:21,960 --> 00:11:26,960 worried about positioning in the uterus and the body of 208 00:11:27,120 --> 00:11:30,759 uterus as far as to determine how easy it will 209 00:11:30,759 --> 00:11:34,480 be or what size of the birth canal versus and 210 00:11:34,519 --> 00:11:36,519 I do a lot of French bulldogs the size of 211 00:11:36,600 --> 00:11:39,840 the skull to be able to say, sorry, this one's 212 00:11:39,879 --> 00:11:42,519 going to need a C section, or you see the 213 00:11:42,559 --> 00:11:46,120 positioning is right right, so there's no breach, they're going 214 00:11:46,200 --> 00:11:49,240 to come out. Everything seems to be moving smoothly. I 215 00:11:49,279 --> 00:11:52,360 can see I counted six pups or eight pups. I'm 216 00:11:52,360 --> 00:11:55,279 seeing six r eight heart beats. Everyone I robe has 217 00:11:55,320 --> 00:11:58,519 a nice heart rate going. So I'm one of those 218 00:11:58,559 --> 00:12:01,200 guys that like to do both. One is for positioning 219 00:12:01,519 --> 00:12:05,440 and number and side left side, right side, and the 220 00:12:05,480 --> 00:12:08,720 other one is for viability. So I hope you answer 221 00:12:08,720 --> 00:12:11,639 the question. Also, an X ray is better at telling 222 00:12:11,720 --> 00:12:15,279 us the potential age of the pups because you'll be 223 00:12:15,320 --> 00:12:18,200 able to see skeletons. If you can't see skeletons, then 224 00:12:18,200 --> 00:12:20,720 they're too young. They usually kip skinning around five six 225 00:12:20,759 --> 00:12:22,600 weeks of age. Just start seeing some skeleton. Remember that 226 00:12:23,120 --> 00:12:28,960 normal pregnancy goes for it called gestation goes for sixty 227 00:12:29,360 --> 00:12:32,720 three plush and minus five. That means from fifty eight 228 00:12:32,840 --> 00:12:35,639 to sixty eight days, so it gives you an idea 229 00:12:36,000 --> 00:12:39,279 based on the skeletons about how far along we are, 230 00:12:39,320 --> 00:12:41,279 because sometimes people don't know whether they say, well, gotta, 231 00:12:41,440 --> 00:12:44,759 I didn't know she's pregnant, Well, then you're really out 232 00:12:44,799 --> 00:12:48,159 of luck now, or it was an arranged pregnancy, but 233 00:12:48,240 --> 00:12:50,799 they've read three times, you don't know which one took. 234 00:12:51,039 --> 00:12:53,679 So sometimes I think it's good to do both. Now, 235 00:12:53,840 --> 00:12:55,840 having said that had to make it in to stop 236 00:12:55,919 --> 00:12:57,639 chemo with their bernice and hopes of a better parbat 237 00:12:57,720 --> 00:12:59,799 of life, even for a shorter time, and we get 238 00:12:59,799 --> 00:13:03,000 this a lot as well, so I would I would 239 00:13:03,039 --> 00:13:07,559 say here that that is it's also typically I should 240 00:13:07,559 --> 00:13:12,039 say this, typically when it comes to chemotherapy and dogs, 241 00:13:12,399 --> 00:13:15,399 we don't hit them as hard as people. Oh, we 242 00:13:15,440 --> 00:13:17,519 have some people waiting in the room, maybe want to 243 00:13:17,559 --> 00:13:20,080 join us. Hey on one second, So you know, it's 244 00:13:20,080 --> 00:13:23,240 a great comment, and some people op they say, you know, 245 00:13:23,440 --> 00:13:25,440 I always say, let's try chemo at least for the 246 00:13:25,440 --> 00:13:27,639 first time, at least for the first go round. When 247 00:13:27,679 --> 00:13:30,360 we come out of remission and it's now you're faced 248 00:13:30,440 --> 00:13:32,399 with a time to maybe have to go back in 249 00:13:32,440 --> 00:13:35,639 and do a different type called a rescue remedy something else. 250 00:13:35,639 --> 00:13:39,320 That's going to rescue. It's oftentimes more aggressive. It's a 251 00:13:39,360 --> 00:13:43,879 different action. People will saying they're kind of weakening. I'd 252 00:13:43,960 --> 00:13:46,159 rather have a good quality of life now. Usually we 253 00:13:46,240 --> 00:13:49,679 don't use doses high enough to leave them like people 254 00:13:49,960 --> 00:13:53,360 you know sitting in hospital beds severe nausea. Fortunately we 255 00:13:53,399 --> 00:13:56,519 don't do that. Again, I always would recommend it. Well, 256 00:13:56,600 --> 00:13:59,399 also depends on what type of cancer. At least let's 257 00:13:59,440 --> 00:14:01,840 try the first go round. Let's see how we do. 258 00:14:02,080 --> 00:14:04,080 And that's how I feel. All right, Mark, we have 259 00:14:04,120 --> 00:14:06,519 people in the waiting room. All right, let's do this. 260 00:14:06,639 --> 00:14:08,879 Why did you take the break on pet Life Radio 261 00:14:09,320 --> 00:14:11,519 and we'll come back. We'll answer some of those called. 262 00:14:14,519 --> 00:14:18,200 Speaker 2: Take a bite out of your competition, advertise your business 263 00:14:18,240 --> 00:14:21,480 with an ad In pet Life Radio podcasts and radio shows, 264 00:14:21,799 --> 00:14:24,480 there is no other pet related media that is as 265 00:14:24,559 --> 00:14:27,600 large and reaches more pet parents and pet lovers than 266 00:14:27,679 --> 00:14:31,600 pet Life Radio with over seven million monthly listeners. 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Yeah, and by the way, 278 00:15:19,960 --> 00:15:22,720 certainly Brittie's Mountain Dog, you don't have a shorter light. 279 00:15:22,919 --> 00:15:26,799 Now let me say, okay, let's go, we have hold. 280 00:15:26,879 --> 00:15:28,559 I would rather discuss this. It's so much cancer in 281 00:15:28,559 --> 00:15:31,039 our past now with the vaccines were never gigsman. You know, 282 00:15:31,279 --> 00:15:35,120 that's a really interesting comment. And again that's why I am. 283 00:15:35,480 --> 00:15:40,240 I am a fan interestingly of what we call core vaccines. 284 00:15:40,399 --> 00:15:41,759 Maybe we'll get to that. Let's get to some of 285 00:15:41,759 --> 00:15:43,279 these calls. Go ahead, and you want to put it 286 00:15:43,279 --> 00:15:47,960 through Tyresee what's up? My dog keeps popping anal glands everywhere. 287 00:15:48,000 --> 00:15:50,559 I was wondering what I can do to help with that. Ah, Okay, yeah, 288 00:15:50,799 --> 00:15:52,480 you guys should probably hear that too, because it's coming 289 00:15:52,519 --> 00:15:55,759 through my speaker. A dog who has persistent anal gland problems. Well, 290 00:15:55,919 --> 00:15:58,200 first of all, make sure if when they're being expressed, 291 00:15:58,399 --> 00:16:02,080 make sure of a good groom or or a veterinarian 292 00:16:02,159 --> 00:16:05,360 or veteran nurse is doing it. Because there are two techniques. 293 00:16:05,559 --> 00:16:08,279 One is easier technique most groomers do, and that's you 294 00:16:08,320 --> 00:16:11,799 just squeeze one gland against the other. You don't actually 295 00:16:11,919 --> 00:16:13,600 put a glove on. Well you should put a glove 296 00:16:13,639 --> 00:16:15,320 on anyway, but I mean, you're not going to go 297 00:16:15,480 --> 00:16:18,440 inside the rectum. And do you know one gland at 298 00:16:18,480 --> 00:16:21,559 a time using your index finger and your thumb and 299 00:16:21,679 --> 00:16:24,799 actually expressing them really well, if that has been done 300 00:16:25,159 --> 00:16:28,679 and the dog is still going through frequent anal gland 301 00:16:29,159 --> 00:16:32,960 need for anal gland expression, then I would consider removing 302 00:16:32,960 --> 00:16:35,600 the anal glands. How old is your dog and two 303 00:16:35,639 --> 00:16:38,399 and a half? Now, who has been expressing the analglands? 304 00:16:38,399 --> 00:16:40,360 And do you know which technique they've been using? I'll 305 00:16:40,360 --> 00:16:42,799 do not you know, Okay, I would check who's been 306 00:16:42,840 --> 00:16:45,919 expressing them. Is it a groomer or is it the knockers? 307 00:16:46,840 --> 00:16:50,039 The vets are doing it well, if they're doing the 308 00:16:50,080 --> 00:16:52,600 digital technique, they know what I mean. And we're still 309 00:16:52,919 --> 00:16:55,960 having such persistent problems and you have a dog who's 310 00:16:56,000 --> 00:16:59,799 only two, which means you got a long year's head hopefully, 311 00:17:00,519 --> 00:17:05,039 then you may think about having the ineglange mooved if 312 00:17:05,079 --> 00:17:07,759 it's become that much of a nuisance, because you know 313 00:17:07,839 --> 00:17:10,480 dogs that are getting these innox problems, they're not comfortable, 314 00:17:10,480 --> 00:17:13,759 they're scooting, they're turning around, they're licking their behinds. So 315 00:17:14,240 --> 00:17:18,640 if it stinks and it's still that goes without saying, 316 00:17:18,920 --> 00:17:22,480 and they always have that fishy smell, that that metallic smell, no, no, 317 00:17:22,599 --> 00:17:25,240 one hundred percent. So if it's an older dog and 318 00:17:25,759 --> 00:17:27,839 it's easy for you to express and you don't mind 319 00:17:27,880 --> 00:17:30,920 doing it, that's your choice. But a young dog who's 320 00:17:31,079 --> 00:17:34,519 already having such problems and you can only hopefully think 321 00:17:34,559 --> 00:17:38,119 of the many good years ahead, you might talk to 322 00:17:38,119 --> 00:17:40,799 your veterinarian about having the ineglange. At least it's worth 323 00:17:40,799 --> 00:17:43,440 the conversation. Thank you, all right, you're welcome. Thanks for 324 00:17:43,519 --> 00:17:46,440 joining us. Mark, anybody else? Oh Steve m is waiting, 325 00:17:46,440 --> 00:17:47,960 Steve em are you there? 326 00:17:48,200 --> 00:17:48,720 Speaker 4: Can you hear me? 327 00:17:49,240 --> 00:17:49,920 Speaker 1: I can hear you? 328 00:17:50,079 --> 00:17:53,119 Speaker 4: Oh, yes, So I have a German shepherd. Okay, it's 329 00:17:53,160 --> 00:17:55,559 about I think it's six years old. But that's really 330 00:17:55,599 --> 00:17:58,839 bad skin problems and any lot shampoos or anything off 331 00:17:58,880 --> 00:18:01,279 trot to use to help it just nothing the same. 332 00:18:01,680 --> 00:18:03,160 Speaker 1: A six year old German shepherd with a lot of 333 00:18:03,160 --> 00:18:06,039 skin problems. So yeah, first of all, a couple of things. 334 00:18:06,279 --> 00:18:10,279 Many dogs have skin allergy. And when dogs manifest their allergy, 335 00:18:10,559 --> 00:18:14,519 it's not even inhaled allergens we call atopy. It's not 336 00:18:14,839 --> 00:18:18,680 seizing and rupper respiratory and whatever. It's scratching. Then once 337 00:18:18,720 --> 00:18:21,720 dogs start to scratch, then they break their skin and 338 00:18:21,759 --> 00:18:25,319 they get secondary skin infection called secondary pioderma, that in 339 00:18:25,440 --> 00:18:28,240 of itself is really itchy as well. So now you 340 00:18:28,319 --> 00:18:30,640 have a dog it may started have a started to 341 00:18:30,680 --> 00:18:33,400 scratch because of allergy, but then when they get infected, 342 00:18:33,640 --> 00:18:38,039 it continues because the secondary infection hasn't been treated. So 343 00:18:38,359 --> 00:18:41,400 if it's persistent, depending on where on the body, you 344 00:18:41,440 --> 00:18:43,279 have to make sure we don't have fleas, you have 345 00:18:43,319 --> 00:18:46,400 to think about maybe if it's persistent, getting allergy tested. 346 00:18:46,440 --> 00:18:49,559 You want to talk to your veterinarian about getting allergy testing, 347 00:18:49,799 --> 00:18:54,359 treating the allergy testing with allergy shots, and of course 348 00:18:54,480 --> 00:18:57,039 treating the secondary infection at the same time. If you 349 00:18:57,240 --> 00:19:00,440 only treat one and not the other, then you're still 350 00:19:00,480 --> 00:19:03,880 be at a loss. Now, Secondly, the body doesn't lie, 351 00:19:04,000 --> 00:19:06,720 especially in dogs. Many different parts of the body can 352 00:19:06,759 --> 00:19:11,160 indicate what the culprit is. If it is face, ears, 353 00:19:11,200 --> 00:19:14,920 and feet, you gotta think food food allergy. That's the 354 00:19:15,119 --> 00:19:19,640 classic presentation. Now dogs if they're on their abdomens, inside 355 00:19:19,680 --> 00:19:23,079 their thighs. Also ears ears are overlap, then we think 356 00:19:23,119 --> 00:19:27,079 atopede that is inhaled allergens, grass as, weeds, trees, things 357 00:19:27,079 --> 00:19:31,000 that they inhale pollens. Then we have the lower back 358 00:19:31,319 --> 00:19:33,519 up above the base of the tail. If we see 359 00:19:33,559 --> 00:19:37,799 that that's fleas screaming. I have flea allergy called FAD 360 00:19:38,000 --> 00:19:43,279 flea allergy dermatitis. So it always helps when deciding on 361 00:19:43,319 --> 00:19:46,640 a treatment plan to know what the culprits are or 362 00:19:46,680 --> 00:19:49,799 if it's a single culprit. Oftentimes dogs that are allergic 363 00:19:49,880 --> 00:19:52,319 are allergic, so it may be more than one thing. 364 00:19:52,920 --> 00:19:55,839 So you have to see where on the body are 365 00:19:55,880 --> 00:19:58,519 the tell tales and then what treatments have been done. 366 00:19:58,759 --> 00:20:00,359 And a lot of times I will say I'm a 367 00:20:00,359 --> 00:20:03,720 big fan of cider point, which is the injection that's 368 00:20:03,759 --> 00:20:07,240 an anti allergy injection. It attacks ile thirty one inter 369 00:20:07,319 --> 00:20:10,480 luken thirty one, which is one of the It's released 370 00:20:10,599 --> 00:20:16,319 from t helper cells in response to allergens, and the 371 00:20:16,319 --> 00:20:20,000 cider point shot attacks it. There's also an oral medication 372 00:20:20,079 --> 00:20:22,799 called apple quil and appicle works a little bit differently 373 00:20:23,160 --> 00:20:27,039 and that attacks and blocks janis kinase one, janus kyase 374 00:20:27,079 --> 00:20:30,160 three Jack one Jack three which work with interluken thirty 375 00:20:30,200 --> 00:20:33,559 one to create the havoc in the skin. So without 376 00:20:33,759 --> 00:20:37,079 Jack one and Jack three, Il thirty one is neutralized. 377 00:20:37,279 --> 00:20:39,680 So either you can neutralize the aisle thirty one directly 378 00:20:39,759 --> 00:20:42,759 that's the sided point shot, or you block Jack one 379 00:20:42,799 --> 00:20:46,119 and Jack three, which is the ocliscinative, which is the 380 00:20:46,680 --> 00:20:50,200 apple quill and pill. So talk to veterinarian, but make 381 00:20:50,279 --> 00:20:53,279 sure that if they have scabs on there on their body, 382 00:20:53,400 --> 00:20:55,759 if they have little sores, if the tissue is red 383 00:20:55,799 --> 00:20:59,920 and inflame, make sure you also talk about antibiotics protecting 384 00:21:00,000 --> 00:21:01,160 against secondary skin infection. 385 00:21:01,400 --> 00:21:03,000 Speaker 4: And but luck thank you very much. 386 00:21:03,079 --> 00:21:05,839 Speaker 1: They're very welcome and also feed in the ears and face. 387 00:21:05,920 --> 00:21:08,559 Think about diet. Okay, annual vaccination helps send me for 388 00:21:08,559 --> 00:21:10,759 indoor cats. Ah, it's a good question. So now it 389 00:21:10,759 --> 00:21:13,039 looks like we are an order older cat. We sees 390 00:21:13,200 --> 00:21:14,599 brain and brain and grease. He's peed in the home 391 00:21:14,640 --> 00:21:17,480 wild now and started peeing and put me on our furniture. Okay, 392 00:21:17,559 --> 00:21:20,039 living that goes with anal van canceled. Last year he 393 00:21:20,079 --> 00:21:22,599 had surgery, moved Carsonoman, later had some rounds of radiation. 394 00:21:22,839 --> 00:21:26,279 He bounces back to doing great. Yes, that is great. 395 00:21:26,319 --> 00:21:28,559 I'm you know, removing anal glands and then following them 396 00:21:28,599 --> 00:21:30,960 up if needed with radiation is the way to go. 397 00:21:31,319 --> 00:21:34,880 And I'm very happy older cats seizus brain injury. So 398 00:21:35,359 --> 00:21:38,000 I would treat if there's brain injury causing seizures, I 399 00:21:38,039 --> 00:21:40,599 would treat it as an epilepsy because in essence, an 400 00:21:40,640 --> 00:21:43,680 epileptic focus is the same thing. So you can either 401 00:21:43,759 --> 00:21:47,759 try seizure disorder medication which is kepra, which is a 402 00:21:47,839 --> 00:21:52,160 nisamide which is phenobarbitol, or talk to your veterinarian if 403 00:21:52,160 --> 00:21:55,279 they think it's swelling in the brain from the brain injury, 404 00:21:55,759 --> 00:22:00,559 then maybe steroids could be helpful. Also it could be too. 405 00:22:00,599 --> 00:22:02,319 By the way, there are a lot of cats a 406 00:22:02,480 --> 00:22:05,279 pee in areas and home and furniture that don't ever 407 00:22:05,319 --> 00:22:07,720 have it, have never had history of brain injury. It's 408 00:22:07,799 --> 00:22:10,839 just a behavioral thing. Don't forget that's a possibility, and 409 00:22:10,960 --> 00:22:14,240 also think about putting them on amatypicole and the prozac 410 00:22:14,359 --> 00:22:17,200 or abuse barone. Again, talk to veteran Aaron and talk 411 00:22:17,240 --> 00:22:20,880 to veteran behaviorists. Feel a way is great, that's a 412 00:22:21,000 --> 00:22:24,680 very natural solution, and so I would wouldn't hesitate to 413 00:22:24,720 --> 00:22:27,920 try some of those. Also, Okay, there's another one here, 414 00:22:28,160 --> 00:22:32,279 annual vaccinations. Well, I am as you know, I'm a 415 00:22:32,319 --> 00:22:35,720 fan of core vaccines, and those are vaccines that are 416 00:22:35,759 --> 00:22:40,000 necessary based on lifestyle up and unfortunately, in some states 417 00:22:40,119 --> 00:22:44,160 rabies is required for cats. In California it's not. So 418 00:22:44,720 --> 00:22:48,759 my recommendation is if you have an indoor cat that 419 00:22:49,440 --> 00:22:54,359 is not going to be subjected or exposed to rabies 420 00:22:54,720 --> 00:22:57,400 unless you're inviting rabbit animals into your home or apartment, 421 00:22:57,839 --> 00:23:04,640 or leukemia, which requires prolonged direct contact with leukemia positive cat. Again, 422 00:23:05,039 --> 00:23:07,599 I have four cats at home. I do not vaccinate 423 00:23:07,640 --> 00:23:09,799 for any of those. All I do is give the 424 00:23:10,079 --> 00:23:14,000 upper respiratory cat fever called the f VRCP and with 425 00:23:14,160 --> 00:23:17,559 P and E which is numinitis, once every three years. 426 00:23:18,039 --> 00:23:22,480 And when I vaccinate my cat, all cats, whether they're indoor, 427 00:23:22,519 --> 00:23:25,160 outdoor or indoor and only getting one vaccine or unfortunately 428 00:23:25,160 --> 00:23:29,319 all three. We only vaccinate cats in the thigh. Why, 429 00:23:29,359 --> 00:23:33,000 as we've discussed before, if they should get this very 430 00:23:33,079 --> 00:23:37,519 sad feline vaccine induced sarcoma, you can save their lives 431 00:23:37,519 --> 00:23:42,440 by amputating that leg. So, knowing that that feline vaccine 432 00:23:42,480 --> 00:23:45,599 is induced sarcoma is a risk of getting a vaccine. 433 00:23:45,680 --> 00:23:48,839 Why would you want to vaccinate a cat that is 434 00:23:48,920 --> 00:23:52,359 indoors and is at no risk for getting two of 435 00:23:52,359 --> 00:23:57,640 those diseases. So my recommendation is not to do it. Now, 436 00:23:57,640 --> 00:24:00,200 if you're comings mistake it's required, or you're traveling with 437 00:24:00,200 --> 00:24:03,119 the cat into a state where it's required, then I 438 00:24:03,119 --> 00:24:05,519 mean you feature veterinarian and you pretty much have to 439 00:24:05,519 --> 00:24:08,920 do it. But I am not a fan, and therefore 440 00:24:08,960 --> 00:24:11,640 I don't. And now the same with even dogs and 441 00:24:11,680 --> 00:24:15,200 other vaccines. For example, living in Los Angeles, am I 442 00:24:15,279 --> 00:24:17,720 worried about lime disease? The answer is no, So do 443 00:24:17,799 --> 00:24:19,680 I vaccinate against lime disease? 444 00:24:19,960 --> 00:24:20,000 Speaker 2: No? 445 00:24:20,720 --> 00:24:23,559 Speaker 1: How about Rattle State vaccine? How about Coronac? You know 446 00:24:23,720 --> 00:24:26,799 Corona vaccines. Corona the infection when you get from Corona, 447 00:24:27,319 --> 00:24:29,880 it's like a twenty four hour stomach flu. Do I 448 00:24:29,920 --> 00:24:33,720 want to risk a vaccine and a vaccine reaction to 449 00:24:33,799 --> 00:24:36,319 protect my dog against the twenty four hour stomach flu. 450 00:24:36,359 --> 00:24:38,759 The answer is no. So I don't give corona. I 451 00:24:38,759 --> 00:24:42,319 don't recommend it. I don't recommend rattle steak unless you 452 00:24:42,440 --> 00:24:44,400 do a lot of hiking in the mountains. I don't 453 00:24:44,400 --> 00:24:48,200 recommend lepto again unless you're if your animals are at risk, 454 00:24:48,559 --> 00:24:51,440 then I think, yes, you might need to do the vaccine. Bordtella, 455 00:24:51,640 --> 00:24:56,359 influenza lepto are once a year, the rabies and distemper 456 00:24:56,640 --> 00:25:01,519 parvo are every three years. So again the first one 457 00:25:01,599 --> 00:25:03,480 I do. Now, there are some out there that are 458 00:25:03,559 --> 00:25:07,319 the you know, the vaccine Maven's university level, that say you, 459 00:25:07,359 --> 00:25:11,640 after you finish the puppy series at sixteen weeks, you're 460 00:25:11,640 --> 00:25:14,599 done for three years. The woman that I follow actually 461 00:25:14,960 --> 00:25:17,440 is a fan of let's boost those because it was 462 00:25:17,440 --> 00:25:20,440 still new, relatively new, we can't predict one hundred percent 463 00:25:20,599 --> 00:25:22,960 we're going to get that really long term protection, so 464 00:25:23,039 --> 00:25:25,559 I like to boost them a year later. So now 465 00:25:25,559 --> 00:25:28,000 they're looking at a year and four months, but after 466 00:25:28,039 --> 00:25:31,759 that it's every three years. So that is sort of 467 00:25:31,640 --> 00:25:34,079 the way I've been practicing and how I've been doing it, 468 00:25:34,480 --> 00:25:38,680 but I think that annual vaccines for indoor only cats, 469 00:25:38,960 --> 00:25:41,519 they say that. Now I look at the three year rabis. 470 00:25:41,720 --> 00:25:44,200 I know the juries out about leukemia vaccine. Do you 471 00:25:44,319 --> 00:25:47,240 really need three every year? Or you can that also 472 00:25:47,279 --> 00:25:49,440 be a three year vaccine. I just have to follow 473 00:25:49,720 --> 00:25:52,720 your doc. If I have to give leukemia, I also 474 00:25:52,920 --> 00:25:54,799 I do every three years. Well, first of I don't 475 00:25:54,839 --> 00:25:57,000 give it at all for indoor only cats. And I 476 00:25:57,039 --> 00:26:00,880 would tell you gladly, most of my feeline patients living 477 00:26:00,920 --> 00:26:03,279 in a city like Los Angeles, where they're just the 478 00:26:03,359 --> 00:26:07,480 odds of staying alive are much greater when you're hav 479 00:26:07,519 --> 00:26:10,079 an indoor only cat. Why would you subject them to 480 00:26:10,160 --> 00:26:14,880 the rigors of the outdoors if you live in a city, cars, dogs, coyotes, 481 00:26:14,880 --> 00:26:19,079 felad dukemia, feline age. Why so sometimes people say, well, look, 482 00:26:19,200 --> 00:26:21,000 it's a cat. He wants to you know, one of 483 00:26:21,039 --> 00:26:24,680 my cats. He's the best cat ever. He's my black Ninja, 484 00:26:24,839 --> 00:26:27,279 a black cat. He was an outdoor cat. We figured 485 00:26:27,319 --> 00:26:28,799 we adopted hm. He's about a year of age, maybe 486 00:26:28,839 --> 00:26:32,359 eleven eleven months, ten months, whatever, and he really wanted 487 00:26:32,400 --> 00:26:34,279 out of each chance you can get. But we kept 488 00:26:34,359 --> 00:26:36,920 him indoors. Now our front door can be wide open 489 00:26:37,440 --> 00:26:39,680 and he will look outside one or the other. Eh, 490 00:26:40,240 --> 00:26:42,839 he says, got it made in his house. I'm staying 491 00:26:42,920 --> 00:26:45,720 right here. You can make I think you can convert 492 00:26:45,839 --> 00:26:48,160 that outdoor cat to being indoor cat. A lot of love, 493 00:26:48,440 --> 00:26:50,880 a lot of good food on a good schedule, no 494 00:26:51,000 --> 00:26:54,119 hunting for their food, good litter boxes appropriate for the 495 00:26:54,200 --> 00:26:56,319 number of cats you have in the household. And I 496 00:26:56,359 --> 00:26:59,400 think almost any cat could ultimately made an indoor cat. 497 00:26:59,480 --> 00:27:02,200 But I know many of you have tried and failed. 498 00:27:02,480 --> 00:27:04,960 So it is what it is. So I want to 499 00:27:04,960 --> 00:27:06,839 thank all of you for joining me today. I will 500 00:27:06,880 --> 00:27:09,880 be back in town as of tonight, actually heading back 501 00:27:09,880 --> 00:27:12,599 to LA so I'll be back. We get the injection 502 00:27:12,680 --> 00:27:14,799 that works so well far dog? Yes good. I give 503 00:27:14,839 --> 00:27:17,000 my cats CBD that he gets older. That's good. Yes, 504 00:27:17,039 --> 00:27:19,640 I'm a big fan of CBD. All right, Evan, how 505 00:27:19,680 --> 00:27:22,640 you doing Max? I've never asked you about the vaccine 506 00:27:22,680 --> 00:27:25,960 you mentioned my persian just sol cates are worth discussing it? Yes, 507 00:27:25,960 --> 00:27:28,920 we should definitely discuss it. Boy, I love this pet 508 00:27:29,000 --> 00:27:30,960 lab as for t do you know? Yes, I do 509 00:27:31,039 --> 00:27:33,720 know about the product. Thanks Steph. You know. I think 510 00:27:33,759 --> 00:27:36,200 that I know pet Lab. I give my dogs some 511 00:27:36,200 --> 00:27:38,319 pet Lab products. Do I think that it's going to 512 00:27:38,359 --> 00:27:42,680 replace brushing at least ideally every day but every other day. No, 513 00:27:42,759 --> 00:27:45,519 it's not. Now might it be better than nothing? It 514 00:27:45,640 --> 00:27:48,000 might be, so I would still use it, But there's 515 00:27:48,039 --> 00:27:51,519 nothing that's going to replace brushing your pets teeth to 516 00:27:51,680 --> 00:27:54,200 prevent having to come in every year or even sooner 517 00:27:54,200 --> 00:27:55,960 than every year with small breeds when they get older 518 00:27:56,279 --> 00:28:00,559 for a professional dental profile access. I think we're good. 519 00:28:00,599 --> 00:28:02,960 I think I've answered all my questions. I'm getting dirty 520 00:28:02,960 --> 00:28:05,480 looks from Mark as it's five four minutes past the hour, 521 00:28:05,920 --> 00:28:07,880 so all right for all of you. You can always 522 00:28:07,880 --> 00:28:09,480 get a home during the week. You can reach me 523 00:28:09,680 --> 00:28:12,680 here on pet Life Radio doctor Jeff at Cetlife Radio 524 00:28:12,759 --> 00:28:15,000 dot com. You can reach me here on Instagram. You 525 00:28:15,200 --> 00:28:17,599 obviously you're here, so you know erb's underscore dBm. Just 526 00:28:17,599 --> 00:28:20,079 look me for Jeff Werber and I will be happy 527 00:28:20,119 --> 00:28:22,039 to call you back. I can also reach me doctor 528 00:28:22,079 --> 00:28:24,000 Jeff and doctor Jef dot com. If you need to 529 00:28:24,000 --> 00:28:26,920 talk to somebody immediately before you ruk to wordency, go 530 00:28:26,920 --> 00:28:29,400 to AIRBT and you'll talk qute either me or a 531 00:28:29,480 --> 00:28:32,319 doctor on airbat so many ways to get a hold 532 00:28:32,319 --> 00:28:34,400 of us and have a wonderful week and we'll see 533 00:28:34,440 --> 00:28:36,640 you next Sunday. Have a great week. 534 00:28:36,680 --> 00:28:41,799 Speaker 3: Come by Let's Talk Pets every week on demand only 535 00:28:41,920 --> 00:29:01,160 on Petlife Radio dot com.