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Speaker 1: Wait, you're listening to Petlifradio dot com.

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Speaker 2: And welcome to everybody on this wonderful, wonderful Sunday, well

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Sunday morning here Sunday afternoon. If you were back east

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there are anywhere in between. You are joining me, Doctor

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Jeff War where your host for the next thirty minutes

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here on pet Life Radio's Past the Best with Doctor Jeff,

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the only live call in show here on pet Life

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Radio and once again a live call in show that

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means we need you to be alive. Hope you are,

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and you're gonna call us at eight seven seven three

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eight five eight eight eight two once again jotted down

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eight seven seven three eight five eight eight A two.

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Or you can just go ahead and log on to

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pet Life Radio go on to ask the Vets with

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Doctor Jeff tab and you can follow us and join

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in on the conversation. That's very easy to do. And lastly,

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you can send me live an email as we speak

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as I'm on the air here to doctor Jeff. That's

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Dr Jeff at petlife Radio dot com, and our phenomenal

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producer Mark Winter will send it on to me live

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real time and we can answer your questions. You can

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ask anything you want. If I don't have an answer,

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I will get it for you and we'll share it

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with you next week. By the way, I want to

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thank our sponsors, pro Sense Pet Products, cong Cong Veterinary Products.

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So anyone who does call in, anyone who writes sends

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me an email, we will send you out a free

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pro Sense product and or Kong toy. So make sure

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you let us know about your pet. Is it a dog,

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or it's or a cat, how big, et cetera, et cetera.

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So typically we have been going through a lot of

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different organ systems that we've been working on. Eyes. We've

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talked about some of the issues that we get. Then

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we went onto the nose and the respiratory diseases. We

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talked about most recently foreign objects like foxtails and how

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important it is to search for those they go up

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the nose. As a matter of fact, I know one

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of my cases tomorrow is a large breed dog, a

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German Sheppert, that has been doing some snorting and starts

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these sneezing attacks and starts bleeding on one side. And

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typically when there's one side of bleeding, we're looking for

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either a nasal polyp or maybe a potentially a mask.

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This dog is a little too young for a mass

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or a migrating foreign body, and this time of the year,

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that migrating foreign body is probably going to be a Foxdale.

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So anyway, before going on, and unless somebody wants to

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call and ask a question about anything, I'm sure you've

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heard the expression how important it is to learn from

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our own mistakes. Well here on pet Life Radio, and

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as a practitioner been doing this for over thirty years,

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I want to help you learn from other people's mistakes

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because when you hear these stories, hopefully you will not

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make the same mistakes. A while ago, we've talked about

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one of my clients who had a non neutered male

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and it was a wheat and terrier. And as this

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dog was getting older, probably about eight or nine, started

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having prostate issues and we would cure the prostate problem.

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We would treat it, it would do well, and I would

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often talk to the owner about the importance of neutering.

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Certainly this dog was too old to breed. He wasn't

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no longer going to breed it. I don't even think

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he bred it ever in the first place. But he

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had this hang up as sadly, many guys out there do.

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If you're a guy out there that has to hang

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up about your own dog's package, would you please call

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us eight seven seven three eight five eighty two. I

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want to talk to y'all. I want to get to

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the root of this issue. But anyway, so he refused.

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Sure enough, a little while later, months later, a year later,

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the dog would present again with another one. Well, it

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got so bad to the point this dog was so

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sick because of these prostate. This is called benign prostatic hyperplasia.

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And he was uncomfortable, he didn't want to eat, he

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was losing weight, and I kept trying to tell the

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owner we got to fix this dog for once and

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for all. Anyway, psman was about ten and a half.

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He had it. He finally had it. Dog presented really

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really sick, high white cell count, very tender, very painful.

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I wanted to urinate all the symptoms of a big prostate.

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And we treat it first because you know, ideally you

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try not to neuter a dog in the face of

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a prostatic hyperplasia incident. Why because when we do that,

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we leave the possibility of what we call prostatic cysts,

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and those are difficult to deal with. Ideally we don't

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want to deal with them. So to help prevent the

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formation of these cysts, it's always better to neuter a

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dog whose prostate is normal. So first we need to

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treat the prostate problem if we can, of course, and

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then once we're back to kind of normal, then we

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go ahead and do the neuter. Well, ps, we finally

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did it. We got the prostate back to normal, he

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got permission, and we neutered the dog at ten and

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a half years of age. I mean, come on, well,

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this dog lived to about thirteen and a half and

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it's last two years were basically heaven. So learn from this.

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And I use this story all the time when I'm

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up against someone who's got an older dog it has

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a prostatic issue and just won't let me neuter. And

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we share it, and I said, you know, I will

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even give you his name. He will talk to you.

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Don't make the same mistake he did and have a

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miserable dog, a dog with problems, etc. So we had recently,

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just the other day, a dog presented and this dog

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was a six year old female now golden retriever on

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the smaller side, and the presenting complaint was she could

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not get up. It was almost as if she were paralyzed.

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So when my technician went into the room first to

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do what we call our tech exam, he also told me.

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He wrote down the dog can't walk, the dog knuckles

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over on its front legs. I mean, it sounded very

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neurologic to me. So I went into look at the dog,

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and first thing, I'm thinking, it is highly unusual. And

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I use those terms highly unusual instead of impossible, because

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we've learned oftentimes nothing is impossible. But it's highly unusual

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for a large redog, a Golden retriever to have a

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disc up high enough in the shoulders or neck to

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cause four limb problems period. It could happened, of course,

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it could happen, but it's not usual. If the Golden

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retriever is gonna have a limb problem, it's gonna be

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because of lumbo sacrele instability way in the back. It's

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gonna because of a bad knee. It's gonna you know,

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her knees from a cruciate ligament. It's gonna be bad

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hip from hip dysplasia. Maybe maybe a lumbar disc, but

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or something called spondylosis as they get really old, but

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not six years old. So for me, you know, being

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the detective that one has to be when you're become

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a diagnostician, you put all that stuff on the lower

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part of your list. It's not removed from your list,

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but it's not very it's not the top. So I

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start feeling the legs and I get resistance, I get pulses.

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I mean, it wasn't that she was paralyzed, it was

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that she was in extreme pain. When I tried to

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palpay her abdomen, her belly, it was so tense, so hard,

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like a drum. There's no way she would let me palpaid.

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So of course with a tender abdomen like that, one

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of the present problems would be pancreatitis. Ah, now that's

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something I could see in a six year old golden retriever.

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So any vomiting, no vomiting. Does this dog get a

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hold of anything unusual? But I've got a hold of

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anything fatty, No, no, no, So that's off my list.

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So as I'm examining her, I see a very swollen volva.

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Now we don't see swollen volves routinely unless the dog

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is in heat. Six year old. Would I expect a

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six year old to be in heat in my practice

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where ninety nine percent of my patients are spaded are neutered.

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The answer is no. So I go through the record briefly,

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just before I say anything to the owner. I was

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actually the owner was the owner's assistant. And I do

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not see that we have spaded this dog at any time. Wow.

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So I call the owner and I say, you know,

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we don't see it here, but I know that you

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sometimes may go something else. You do a lot of traveling.

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They have a house in the mountains. Maybe they took

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care of this up there shivering spade. And the answer

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was no. I said, ah, now it's all. Now it's

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making sense. A dog who's swollen involve that means she

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was probably recently and heat, maybe within six eight weeks.

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Just did not want to move, and I'm thinking, oh

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my god, this is screaming piometra. So to put her

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on the X ray table, take an X ray. I

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could see a little bit of a swoller uterus. But

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on X ray, when it comes to fluid, fluid is

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your enemy. Right when it comes to ultrasound, fluid is

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your friend. So I really couldn't see exactly the detail

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I wanted to see, so I put her on the

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ultrasound machine table. We did an ultrasound and we saw

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pockets I mean pockets of fluid in both horns of

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a uterus, and would seem to be some leakage fluid

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in the abumen as well, which would explain why she

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was so tense. So call the owner, tell him what

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my thoughts were. We do it interestingly, this is very interesting.

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We did a blood test. Typically, dogs who present with

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piometra have a white blood cell count off the charts.

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I mean literally off the charts. High white cell count

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for dog is probably eighteen nineteen thousand, depending on the labus.

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And it wouldn't surprise me in a dog with pyometric

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to be seventy thousand I mean literally five four times

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high normal. I mean it's insane. Anyway, Her values were perfect,

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her values her chemistry was perfect also. That ruled out

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potential pankretitis anyway, So I said, you know what, this

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is what I think it is. I'm seeing something, pockets

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of something in the abdomen of fluid, and I'm also

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seeing some free floating fluid that in of itself is

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an indication to explore. I think it's going to be pyometra.

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That's my biggest concern. I think that would explain all

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the symptoms. When you're a diagnostician, when you're doing diagnostics

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in medicine, always look for the one disease or the

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one condition that can cause all of the signs instead

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of looking at say three or four different diseases going

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on at the same time. Is if you recall back

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when we talked about hyperthyroidism and cats, before we learn

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really more about hyperthyroid cats, these cats would present ain't

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doing right, weight loss, very very fast heart rates, and

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if you took bloods they'd have liver enzyme elevations. So

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for years, years doctors were diagnosing these cats as having

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a heart problem and a liver problem and maybe even

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the weight loss either because of the heart problem, which

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is very possible, or another problem going on. Time out.

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If you ever watch House MD, they put the board

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and you're saying, what what are the feasibilities? What are

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the possibilities that all the symptoms were seeing could fit

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into one of the various diseases on our list. And

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if the answer is no, again, you don't cross it off.

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The list, but you move it, you mow it down

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a little bit. You're looking for that one disease that

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can explain everything. And when I saw the abdomen, the fluid,

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the thickened uterus, et cetera, I said, this is it,

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This is it. It's got to be piled. So we

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go in and sure enough she has puss free floating

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in her belly. She has a very thickened uterus both sides,

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with a lot of bubbles of puss. Now, there are

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two types of pyometra that we'll see in a dog.

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Of Pyometra is a severe uterine infection that often follows

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an estrus by about eight weeks, and the vulva has

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still swollen because the recent estrus. And there are two

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presentations of pyometra, one we call open and what we

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call closed. Now, in an open pio, it's a lot

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easier to diagnose. Why because the purulent discharge that is

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coming from the uterus, which is a highly infected uterus,

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which is why the white blood cell count goes off

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the charts high. Is that they are draining the puss.

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So you can make your diagnosis by symptoms by high

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white cell count. The fact that she was recently in heat,

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and you see actually see the puss coming out of

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the back end. So therefore we know that that is

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our problem. Well, the other one that is a bit

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more difficult to diagnose, and that is a closed pio.

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Closed is where the musculature at the body of the

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uterus and the vaginal canal is still so tight that

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the purulent discharge, the exitate coming from the infected uterus

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is not leaking, it's staying there within and here because

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the uterine tissue became so friable because of this infection

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that the puss started leaking out into the belly, which

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explained a the very very sad, poor condition that she

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was in b the fact that she was so tender,

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her belly was so tense, and of course when I

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opened her up and on the ultrasound, I can actually

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see free floating pockets of fluid. So this was a

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very very sad, severe case. And it's time for our

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quick little break halfway through the show. Boy to time

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go fast, so don't go away. In fact, I'd love

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to hear from you anyone who has any questions about

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Spain Nooter as soon as we're back in the second

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fifteen minutes of the show, which you please give us

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a call at eight seven seven three eight five eight

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eight eight to two. And let's discuss this with everybody,

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so hopefully everybody can learn from our mistakes. Don't go away.

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I'm your host, Doctor Jeff were We're here on cut

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Life Radios. Askife's with doctor Jeff. We'll be right back.

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

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two two eight four eight.

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Speaker 1: Let's talk Pat, Let's done Pets talk about Life radio

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Headline radio atlin Radio dot.

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Speaker 2: Com and welcome back. You're here with doctor Jeff here

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on ped Life Radios. Ask the beats of doctor Jeff

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and before our quick break, and we were talking about Coco.

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Coco was my six year old patient, Golden Retriever, presenting

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very very sick, and how we sort of had to

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put all the pieces together and we came up with

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a diagnosis a pyometra, which is a severe, severe uterine

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infection that could be deadly. And it could be deadly

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because the white cell count goes so high, these poor

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dogs get very, very sick. And in this case, as

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a perfect example, is that, as I mentioned before the break,

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that her uterus finally started to rupture and leak, and

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what it was leaking was this purulent discharge is pus

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these white cells, these bacteria into the abdominal cavity, and

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that's why this dog was so sore and so tense.

305
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And what's so interesting is that I typically am on

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the more conservative side. I am a more of a

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wait and see. Let's do some supportive care for a

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day or two, Let's see what happens. Let's see how

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we do. I think, you know, have I been burned

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over the years, Absolutely, But ninety five ninety eight percent

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of the time by sitting back and just letting see

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what nature takes its course, that I'm way ahead of

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the game. And in this case, there was just something

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that was bothering me to say, you know what, I

315
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had already started on IVS. I already started the iv antibotics.

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I had my hunch, but I said, you know what,

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I don't think we should wait. She feels so terribly

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right now. I don't think there's a downside. My fear

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was that if she were to get worse all right

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over the next you know, twenty to twenty four hours,

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then she'd become a much greater surgical risk. And I

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didn't want that to happen. As I said, I advise

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the owners. Look, I could be wrong, but we definitely

324
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have to I may not be PIO. But there's something

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going on in here that we have to see what

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it is, and I think exploring is the way to go.

327
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So PS, we anesthetize, we open up, we explore. Sure enough,

328
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it is PIO. She's got this purlent discharge all over

329
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the place. Her tissue was friable, tearing apart. It was

330
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us a mess in there. And you know whoever's you

331
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know when I hear these people coming out or saying,

332
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oh my god, spe it's a routine procedure. There is

333
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nothing routine about a spae, especially you know, if you

334
00:18:12,759 --> 00:18:16,720
have a young, healthy dog, never been in season, right, Yeah,

335
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admittedly it is pretty easy. But you give me a

336
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middle aged to older dog that's had several heats or

337
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a litter we are talking a different animal here. Part

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in the punt. This is not a routine surgery. There's

339
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a tissue can literally break apart in your hands, and

340
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then you got to deal with all this bleeding. It's

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really often a challenge and this dog or any dog

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when you're doing a PIO is going to be a challenge.

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So sure enough we removed her uterus and she actually

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woke up from surgery pretty well. We did a lot

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of what we call levage cavity levage the Abomina cavity

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where we take steril saline, we warm it up. Of course,

347
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you want to keep it around body temperature, and you

348
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pour it into the belly. You kind of mush things

349
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around a little bit like a little milkshake. You're shaking it,

350
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and then you take your suction tube suction device and

351
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you drain it out, and then you do it again,

352
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and then you drain it out, and you do it

353
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again and your drains until the liquid coming out from

354
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your suction device is about the same color as the

355
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stero saline going in, then you know you've cleaned up

356
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pretty well. So anyway, she woke up very very well,

357
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very quickly, and she was eating that evening and by

358
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the next morning the owners came to visit the evening.

359
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First of all, they couldn't believe it because they saw

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she was like in the morning when their assistant brought

361
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her in, she was terrible. She was in horrendous shape.

362
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She looked like she could have been near death. It

363
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was just awful. And then they come to pick her

364
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up and she is walking all over the place and

365
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she is wagging her tail. It was so cute. This

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dog knows me really well. And as a matter of fact,

367
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on the second day when we finally let her home,

368
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we actually sent her home on Friday. You know, she

369
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was well enough to walk around, so we closed all

370
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the doors of our large treatment room and I just

371
00:19:51,839 --> 00:19:54,599
let her walk around, and she literally saw me. I

372
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was sitting at one of the computer workstations. She comes

373
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right at my feet. She sits down. When I would

374
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get up, she would get up. She would follow me

375
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wherever I went. It was hysterical and my crew couldn't

376
00:20:03,000 --> 00:20:05,240
believe it. She go, what do you did? She think

377
00:20:05,279 --> 00:20:08,480
you're she's your dog, and I said, no, but taking

378
00:20:08,480 --> 00:20:10,200
care of her for a long time, and I was

379
00:20:10,240 --> 00:20:12,759
the only recognizable face there. And of course she's in

380
00:20:12,799 --> 00:20:16,079
a strange environment, and they're a little bit fearful, so

381
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they will latch on to that one person that they

382
00:20:18,880 --> 00:20:21,440
know that they recognized. And it was very, very cute.

383
00:20:21,519 --> 00:20:24,119
But the night I left, is the night of surgery,

384
00:20:24,160 --> 00:20:26,240
she was still, you know, out of it a little bit.

385
00:20:26,279 --> 00:20:28,200
She was sitting up, she was We did very well,

386
00:20:28,440 --> 00:20:30,640
and I was started to talk to her through the

387
00:20:30,680 --> 00:20:31,960
cage and I would go coca and I went over

388
00:20:32,000 --> 00:20:33,440
and I took a walk over and I threw my

389
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arms down and said Coco, and I got two wags

390
00:20:37,279 --> 00:20:39,680
of her tail, and I knew right then. I knew

391
00:20:39,720 --> 00:20:41,920
then that she was going to be on the mend.

392
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And as I said, next morning, she was already up,

393
00:20:44,200 --> 00:20:45,839
she was eating. So we kept her. We did the

394
00:20:45,839 --> 00:20:48,119
surgery for Wednesday afternoon, we kept her all day Thursday,

395
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and she went home Friday. So anyway, it was really

396
00:20:51,920 --> 00:20:54,799
an amazing experience. This is these are the times, and

397
00:20:54,839 --> 00:20:57,720
it doesn't happen often. I often say, regardless of how

398
00:20:57,759 --> 00:21:01,240
good your veterinarian is or is it, or thinks he

399
00:21:01,359 --> 00:21:03,640
or she is, the truth of the matter is that

400
00:21:03,720 --> 00:21:06,519
most of our patients are going to get well in

401
00:21:06,559 --> 00:21:09,000
spite of us, not because of us. In other words,

402
00:21:09,039 --> 00:21:11,839
we go in, we do the basics, we get an answer,

403
00:21:12,079 --> 00:21:15,519
but most of the diseases we're treating, we can't actually

404
00:21:15,559 --> 00:21:19,279
treat the disease. We are supporting the body to let

405
00:21:19,319 --> 00:21:22,559
the body treat the disease. So it's the ivy fluids,

406
00:21:22,559 --> 00:21:24,960
it's the ivy and the bodys, it's the vitamin whatever

407
00:21:24,960 --> 00:21:27,000
it is that we're doing, depending on the disease, it's

408
00:21:27,039 --> 00:21:30,759
the supplements, it's the special food, but we're just providing

409
00:21:30,799 --> 00:21:33,240
the body the tools. Ultimately, it's the body that's going

410
00:21:33,279 --> 00:21:34,599
to have to do it. But this is one of

411
00:21:34,640 --> 00:21:39,319
those where you have these very very serious, deadly conditions

412
00:21:39,599 --> 00:21:43,960
where it is your hand that actually makes the difference

413
00:21:44,279 --> 00:21:48,960
that saves the pet. You feel so great afterwards, And

414
00:21:49,000 --> 00:21:51,640
these are one of those cases. Ryan knew that had

415
00:21:51,680 --> 00:21:55,039
it not been for us making the bold move instead

416
00:21:55,039 --> 00:21:58,240
of the conservative move of going in that same day Wednesday,

417
00:21:58,240 --> 00:22:00,640
as soon as our surgery hour started, there would have

418
00:22:00,680 --> 00:22:02,119
been a good chance that she may not have made

419
00:22:02,119 --> 00:22:03,799
it overnight, or it would have been so sick the

420
00:22:03,799 --> 00:22:06,119
next day that she would would have not have made

421
00:22:06,160 --> 00:22:09,359
it through the surgery. So you just feel so good

422
00:22:09,640 --> 00:22:12,359
when these things happen. It was just a great experience.

423
00:22:12,720 --> 00:22:15,319
So anyone out there eight seven seven three eight five

424
00:22:15,359 --> 00:22:17,720
eight to a two. Dr Jeff at petlife Radio dot

425
00:22:17,759 --> 00:22:19,880
com join in on a tab and join the conversation.

426
00:22:20,079 --> 00:22:22,079
I would really love to know how many of you

427
00:22:22,440 --> 00:22:28,119
and why still have adult females that are not Spade.

428
00:22:28,319 --> 00:22:31,160
What are the reasonings who told you to the contrary

429
00:22:31,160 --> 00:22:33,759
that it's good for them? Now, certainly we have changed

430
00:22:33,839 --> 00:22:36,359
are have we talked about it here extensively here on

431
00:22:36,400 --> 00:22:39,440
Assevets with doctor Jeff that with the large breed dogs,

432
00:22:39,480 --> 00:22:42,599
those dogs that are prone to developing bone cancer, I

433
00:22:42,759 --> 00:22:45,440
too have become an advocate of waiting and let them

434
00:22:45,440 --> 00:22:47,920
have their first heat, not their second heat. Their first

435
00:22:47,960 --> 00:22:51,119
heat comes to seven months, second heat around fourteen months.

436
00:22:51,319 --> 00:22:53,599
Spaye them eleven twelve to thirteen months. You want to

437
00:22:53,640 --> 00:22:56,519
get them still before their second heat, but it might

438
00:22:56,559 --> 00:22:59,119
be a good idea to let them have one heat.

439
00:22:59,240 --> 00:23:02,640
Very small breeds, the dogs that we don't usually see

440
00:23:02,720 --> 00:23:05,240
bone cancer. If you want to spay them early before

441
00:23:05,240 --> 00:23:09,160
their first heat, that's okay. Remember that the prevention or

442
00:23:09,319 --> 00:23:12,119
what the best we can do to contribute to the

443
00:23:12,200 --> 00:23:16,119
prevention of memory cancer is by spaying them early, preferably

444
00:23:16,160 --> 00:23:18,160
before again before their second heat. So if you want

445
00:23:18,160 --> 00:23:19,880
to let them have one heat, okay, I'm not going

446
00:23:19,920 --> 00:23:21,799
to argue with you, but ideally you want to stay

447
00:23:21,799 --> 00:23:23,920
them before their second heat. Now, if you have a

448
00:23:24,000 --> 00:23:26,880
breeding dog, now we're talking a dog that you've put

449
00:23:26,920 --> 00:23:33,200
through the motions. They are AKC whatever, CKC certified hips, everything, certified,

450
00:23:33,200 --> 00:23:36,119
surf exam, the Canine Eye Registry Foundation, You've been an

451
00:23:36,200 --> 00:23:40,000
amazing pet owner with your breedable dog. You are in

452
00:23:40,079 --> 00:23:44,400
the business, you are legitimate, you are responsible, etc. If

453
00:23:44,519 --> 00:23:46,960
all of that is the case and you choose to breed,

454
00:23:47,200 --> 00:23:48,839
that's okay. There are a lot of people out there

455
00:23:48,839 --> 00:23:51,079
that might disagree with you because the overpopulation problem. But

456
00:23:51,440 --> 00:23:53,680
as long as you're doing it well and right, and

457
00:23:53,799 --> 00:23:57,039
these dogs are healthy and breed a bull, then I

458
00:23:57,039 --> 00:24:01,519
can live with it. But when they finish their breeding age,

459
00:24:01,640 --> 00:24:03,960
whether it's six or seven or eight depending on the breed,

460
00:24:04,160 --> 00:24:07,920
how successful or not, are the litters getting smaller, whatever

461
00:24:08,000 --> 00:24:10,359
the case may be, it's time to get them fixed,

462
00:24:10,759 --> 00:24:15,759
especially especially these dogs, especially dogs that have had one

463
00:24:15,880 --> 00:24:18,000
or more letters. These are the ones that might be

464
00:24:18,119 --> 00:24:20,799
very prone to problem down the road, and the best

465
00:24:20,839 --> 00:24:24,799
way to prevent them is through SPAE and newter so well.

466
00:24:25,000 --> 00:24:28,039
Obviously in a case of female, it's the SPAE, So

467
00:24:28,279 --> 00:24:30,599
I highly recommend. If you have any questions, I would

468
00:24:30,640 --> 00:24:32,559
love to hear from you. We can read your questions

469
00:24:32,680 --> 00:24:35,400
here live on air next week at pet Life Radios

470
00:24:35,400 --> 00:24:38,519
ascivests Doctor Jeff. Just send me an email to Drjeff

471
00:24:38,559 --> 00:24:41,519
at petliferadio dot com. I will get it I will

472
00:24:41,559 --> 00:24:44,440
answer read it online live next week and we can

473
00:24:44,480 --> 00:24:47,559
discuss I would love to hear from you about this anyway.

474
00:24:47,799 --> 00:24:50,759
It's that time. The time goes very quickly. Thanks for joining.

475
00:24:51,640 --> 00:24:55,400
I'm your host here for every Sunday morning hopefully, and

476
00:24:55,559 --> 00:24:57,400
next week we're going to talk about my trips to

477
00:24:57,960 --> 00:25:01,240
Lima and especially Bangkok the World Smaller on Veterinary Association.

478
00:25:01,440 --> 00:25:03,960
It was an amazing experience and we'll talk a little

479
00:25:03,960 --> 00:25:06,119
bit about it. Thanks for joining me here, Thanks again

480
00:25:06,160 --> 00:25:09,559
to pro sense and Calm, and we'll be here next week,

481
00:25:09,759 --> 00:25:12,079
same time here on Peldlife Radio. Have a good view.

482
00:25:12,680 --> 00:25:17,319
Speaker 1: Let's talk pets every week on demand only on petlife

483
00:25:17,440 --> 00:25:32,599
radio dot com.