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Speaker 1: You were listening to Petlifradio dot com.

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Speaker 2: And good morning and welcome Paul on this glorious Sunday

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morning here in Los Angeles. I'm sure back east at noontime.

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Speaker 3: I'm hoping it's a good day.

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Speaker 2: I don't know if you've had some rain in some

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parts of the country where our weather's changing a little bit.

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It was only in the mid eighties yesterday. So for

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those of you who like to get jealous about southern

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California weather, please do so, because we're having it pretty

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good here. I am your host for the next half hour.

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I'm doctor Jeff Werber here with Astavettes with doctor Jeff

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here on pet Life Radio and the only live call

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in show here on pet Life Radio, which me we

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need you to call in because I hope you're alive.

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Give us a call at eight seven seven three eight

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five eight eight A two. Once again that number eight

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seven seven three eight five eight eight eight two.

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Speaker 3: It's so easy to.

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Speaker 2: Get a hold of us whatever you have questions about anything.

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For the last oh Before we get to that, of course,

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have to thank our sponsors, which are cong Pet Products

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and Procent Pet Products. As a matter of fact, if

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you get the courage to give us a call or

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to join in on the conversation. If you just go

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on to Petlife Radio dot com and there's a box

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ask the bests with doctor Jeff.

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Speaker 3: Just click on it.

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Speaker 2: It'll take you to my page and then you could

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just come down and join in the conversation, or you

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can send it a quick email to Dr Jeff.

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Speaker 3: That's doctor Jeff.

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Speaker 2: At Petlife Radio dot com and that mail will be

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folded to me a SAP and we can answer your question.

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So as a bonus for just calling in, to logging

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on to asking a question sending me an email, we

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will send you out a pro Sense and a product

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and a cong toy. So and cong is not just

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a toy, it's great therapeutic benefits for your pets, especially

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for their oral health, for their anxiety, for the behavior.

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So there are a lot of benefits to the Kong

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and Pro Sense of course a vet quality products that

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you can purchase at your major mass retailers like Walmart.

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So anyway, well, last week've got a great guest who's

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coming back again next week. Because of technical difficulties, as

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they say in our world, we kind of lost about

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half of her show. So we have doctor Lenzer coming

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back next week on the nineteenth and we're going to

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talk some more. So if you have any questions that

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you want to save up and you save up the

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courage and also joining Heather. Another sponsor for Heather is

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Splash Plus, so we will send you out as well

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a free bottle of Splash Plus shampoo. So you guys,

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you can't lose. You can't lose getting your questions answered,

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your fears allayed, free advice. Just you know, Look, I

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know I practice every day and I know that it

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can get expensive. So I just think you can join

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us here at pet Life Radio, ask the best with

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doctor Jeff and get free advice. If you're sort of

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at that fork in the road you don't know which

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direction to take and you're not sure you understand, but

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your veterinarian is trying to explain to you, just call in,

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send me the email, and we will help straighten everything

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out for you and make your decisions.

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Speaker 3: A lot easier.

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Speaker 2: So over the last several weeks, before last week when

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we had a chance to talk about fall allergies with

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doctor Lenzer, we also had been doing a series on

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problems like vomiting, like limping, that the gamut, the range

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of possibilities is so great, and when to really worry,

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how to determine, how to differentiate between that which is

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really serious and that which may not be so serious,

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when you should rush your pet to the veterinarian, and

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when you can sit back and try a few things

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at home. And if you have any questions about things

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like that, please give me a call. We've talked about

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skin issues, we talked about gastrointestinal issues, vomiting and diarrhea,

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and of course the many many limping, lameness problems that

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we see in our pets. And we talked about how

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they arise. Do they come on suddenly? Are they slowly progressive?

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Is a pet painful all the time? Is only sometimes

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that helped kind of sift through the clinical signs, because

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often when you get that really thorough history and you

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really evaluate the clinical science and the doctor does a

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really thorough physical exam, you can mostly weed out many

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of the potential problems right away and not have to panic.

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Speaker 3: So it makes it really easy for you guys.

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Speaker 2: And one of the conditions I wanted to talk about

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today is near and dear to me because I actually

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have a one of my eight cats is now for

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the next till actually the seventeen five more days. He

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is all by himself in a remote corner of the house,

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in a bathroom. And the reason is is he is radioactive.

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And I'm not joking. If I took a guy your

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counter to him, it would go off. He is a

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radioactive cat. And why why do I have a radioactive cat? Well,

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we're going to talk about a fairly common, often misdiagnosed

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condition in cats, though I have to say probably much

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more is known about it. It was a lot more

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of a problem with misdiagnosis thirty years ago when I

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started practicing than now, and that is called feline hyper thyroidism. Now,

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there are thyroid disorders and dogs and thyroid disorders and cats,

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and typically dogs that present with thyroid problems are hypo thyroid.

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Speaker 3: We see that a lot.

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Speaker 2: For example, Golden Retrievers are very commonly diagnosed with hypothyroidism.

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And the typical presentation of a dog with hypothyroidism which

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means an underactive thyroid gland. These dogs tend to gain weight.

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They are kind of a little more mellow and slow

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moving than they used to. They don't really want to

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get up and do. They sort of become more of

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a couch potato. Sometimes their skin can get a little thin,

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they might lose some hair, sometimes get a little greasy.

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Speaker 3: We call it separia oliosa. So there are.

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Speaker 2: Certain problems that underactive thyroid dogs tend to present with,

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and of course we make a diagnosis based on lab work,

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and just as a hint, I would hope that most

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of your veterinarians know this, but just in case, just

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in case, you have an old timer out there that's

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fantastic but may not be up to date on everything.

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And that is that when you're testing for or having

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your pet, your dog tested for thyroid disease, there is

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the basic test that we've all used over.

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Speaker 3: The years, and that's called the T four.

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Speaker 2: T four basically is affected by a lot of other things.

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So you got to be careful because a lot of

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dogs can have another condition, another problem, and then suffer

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from what we call sick thyroid syndrome. So when they

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present with a low T four value in the face

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of some other problems, it may not be true thyroid disorder.

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So there is a better test that we use, and

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that is called a T four by ed ED stands

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for equilibrium dialysis. So whenever you suspect or your vet

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gnarians suspects thyroid disease, you want to run that ED

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because oftentimes dogs can present with a low T four

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regular T four, but a totally normal T four by ED,

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and if that's the case, they are not truly hypothyroid.

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And as a matter of fact, when they are healed

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from whatever condition might have been affecting them, their thyroid level,

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their T four regular T flour normalizes becomes normal, and

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we realize we did not want to treat unnecessarily and

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make our dogs hyper thyroid by giving them a thyroid

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supplement when they didn't need it, so we got to

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be really careful with that.

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Speaker 3: Now. Cats, on the other hand.

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Speaker 2: Present with a condition that is called hyper thyroid and

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hyper thyroidism is an over active thyroid gland and that

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is where But it's interesting, it's not a cancer per se.

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Now when people present with a thyroid problem, it's often

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a thyroid carcinoma.

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Speaker 3: In fact, my daughter had it when she was twenty.

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Speaker 2: Five, had a papillary carcinoma and they had to remove

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the entire thyroid gland surgically and then because of the

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spread and other possibility of spread to regional lymph nodes,

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they had to treat with the thyroid medication. So this

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is something that is comminent people as well. When they

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have a thyroid disorder, they need to have surgery. Cats are,

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on the other hand, present with something called benign thyroid hyperplasia.

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So the thyroid hormone producing gland, portion of the thyroid

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gland starts, certain areas of that land start to overproduce.

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It's not cancer and it's just a overproduction of thyroid hormone.

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And this typical cat that presents is a cat that

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has a eating extremely well but still losing weight, and

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they are sometimes very active. However, I have to comment

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that as the disease progresses, if it's left unchecked, then

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they start getting sick from it. And the same cat

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that was over eating yet losing weight now starts to

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become a little more sluggish because they're getting too ill.

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And there are other conditions that are affected by this

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continuous overproduction of thyroid hormone, for example liver and another

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thing that happens is there a heartbeat starts to go up.

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So years and years and years ago when these cats

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would often present to the veterinarian. Of course, the veterinian

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would do a thorough workup and do a blood test,

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and unfortunately, little was known about the thyroid plant. So

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therefore we weren't testing for thyroid, but what we were

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testing for testing well, obviously the liver enzymes. So you

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see these elevated liver enzymes. You listen to the heart.

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The heart is racing. You do any kgs, it's a

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normal rhythm, but it's very fast. And doctors were inevitably

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treating for two problems. They were treating for heart disease

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and they were treating for liver disease, when in fact

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it was neither.

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Speaker 3: It was the thyroid.

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Speaker 2: So back then they're were once diagnosed, the thyroid scans

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could be done and the treatment of choice was to

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remove the thyroid glands, trying to and this is very

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technically difficult as a surgeon, to preserve the pair of

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thyroid glands which are basically sitting right on top of

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the thyroid. And we were then supplementing with a thyroid supplement,

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the same basic thyroid supplement that people use after their

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glands are removed, and that's called the human version.

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Speaker 3: Is called synthroid. We use something called celloxin.

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Speaker 2: There's also many many of their thyrotabs, a lot of

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brands out there of thyroid supplement, and we used to

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have to supplement the cats. There are some medications that

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can be used to sort of modify the effect of

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the thyroid gland itself.

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Speaker 3: And that's like a band aid.

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Speaker 2: If you have a cat that presents at nineteen years

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of age already has other problems, you.

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Speaker 3: Don't want to subject them to serve now. You don't

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want to subject.

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Speaker 2: Them to another treatment that is the treatment of choice nowadays,

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which is what good old Oreo is sitting in that

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bathroom by himself, and that is radioactive iodine therapy. Then

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we used to use this medication called methemisol, and methemisol

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is something that would make a hyper thyroid cat what

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we call you thyroid, meaning normal thyroid.

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Speaker 3: And that's the other option that we have still to

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this day. But I don't like it.

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Speaker 2: I don't like it because it's really not fixing the problem.

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It's just putting a band aid on it. And a

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lot of times there's so much fear that these cats

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will not tolerate the treatment or the surgery and I

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remember my first hyperthyroid cat that I treated back in

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nineteen eighty four was a seventeen year old cat, and

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the owners were very, very very nervous about subjecting their

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seventeen year old cat to surgery, and I went ahead

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and I performed the surgery. This cat did amazingly well,

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live to nineteen and a half, which was fantastic. So

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as long as a cat, I rememb remember one thing

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about age. Age is not a disease. Age is a

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factor that we have to deal with when choosing and

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selecting certain treatment options, but it itself is not a disease.

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You're not gonna say to ninety five year old Grahama

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who fell and broke a hip, Sorry Graham, you're ninety five.

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Speaker 3: We're not gonna do anything. You're just gonna have to

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live like it. Instead.

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Speaker 2: What do we do We work theme up, we make

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sure everything else is okay, and we consider surgery. So

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that's kind of how we treat our cats as well.

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So when we come back from our break, because we're

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at that time, it goes so quickly, we're going to

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talk about the new, the bestest, the way we like

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to treat hyper thyroid cats and that is with radioactive iodine.

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It is radio radiation and we got to be careful.

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There are certain precautions we have to take after treatment,

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but it is the way to go. And case in point,

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my OREO is doing amazingly well, and when we come

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back we'll talk all about it. Stay tuned here and

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ask the best with doctor Jeff here on Pete Life

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Radio and we'll be back in just a minute.

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host of Get Positive Results on pet Life Radio. We're

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going to talk about a variety of topics from canine

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behavior and training, all based on modern methods that are

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fun for you and your dog. We might be talking

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about other critters too, so join us on Get Positive Results.

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We'll talk about common issues between you and your dog,

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answer your questions, discuss different activities you can do with

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your dog, and keep you posted on current canine news

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and products. All this on Get Positive Results on pet

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Life Radio.

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Speaker 3: Let's Talk past, Let's Talk pets on pet Life.

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Speaker 8: Radio, Petlife Radio, Petlife Radio dot Com.

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Speaker 2: And welcome back and thank you for running here One

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Life Radios. Ask the Best with doctor Jeff and I'm

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your host, doctor Jeff Web And before the break, we

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were talking about hypothyroidism and dogs and hyperthyroidism in cats,

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and that's where the thyroid gland becomes a bit overactive.

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And typically these cats, as we mentioned, seem to eat

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like crazy and they still lose weight. So while we

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touched on some of the old fashioned treatment which still

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has done a lot today, and that's surgery very effective,

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you got to be a little bit careful about the

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para thyroid glands which you sit right on top of

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those thyghroid glands, and the other thing with surgery, and

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this is the one thing that we can get you

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into trouble, and that is that even if you were

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to opt for surgery, it's still beneficial to do what's

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called a syntography. It's a scan that actually can measure

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the amount of thyroid hormone, how much iodine uptake as

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being these lands are taking up. Why because to go

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into surgery, oftentimes you might palpate the neck of a

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cat and you can feel the bulging enlarged thyroid gland

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either side, and if it's only one, you can actually

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remove just the one. And if successfully done so, and

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it truly is only one side, you're done. You don't

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have to do any supplementation. These cats go on to

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do extremely well. If it's bilateral both sides, then you

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need to remove both again preserving the parathyroid, preserving the

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blood supply to the parathyroid. It's a little challenge. You

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have to do a few to really get good at it.

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But then again, these cats are going to need supplementation.

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The problem lies, however, where you can't always link the

317
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size of the gland with the amount of hormone it's producing.

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So you can see a really large gland and why

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that looks totally normal and you say, ah, so I'm

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in surgery. I'm just going to take off to the

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big one because I want the other one to stay.

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And hopefully it'll take care of all the thyroid hormone

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needs of the cat and we won't have to supplement,

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which is great. The problem is you can't always tell

325
00:17:53,640 --> 00:17:57,039
just by looking at the gland whether or not it's overproducing.

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There are a number of glands that we've had skin

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00:18:00,079 --> 00:18:04,200
and that looked and felt normally but actually were also

328
00:18:04,599 --> 00:18:06,880
secreting too much thyroid to normale. And so you're not

329
00:18:06,880 --> 00:18:08,559
going to know it until you've finished surgery and the

330
00:18:08,599 --> 00:18:10,599
cat's up, and then when you find oh my god,

331
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this cat is still hyperthyroid, now you got to go

332
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in for second surgery. So it's always better anyway to

333
00:18:15,680 --> 00:18:18,160
do a scan. So haven't give you enough background. And

334
00:18:18,200 --> 00:18:20,480
I mentioned early in the show that I have my

335
00:18:21,079 --> 00:18:25,039
sixteen year old cat Oreo in a bathroom all by himself,

336
00:18:25,119 --> 00:18:28,599
unfortunately for another week, five more days until the seventeenth.

337
00:18:28,799 --> 00:18:33,559
Why because he is radioactive, his waist is radioactive. We

338
00:18:33,599 --> 00:18:36,720
don't want him hanging around us too much, and we

339
00:18:36,839 --> 00:18:40,079
have to do special litter. I'm using that sweet scoop

340
00:18:40,400 --> 00:18:43,319
because it has to be flushable. You can't throw the

341
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litter away in the garbage. Now, what you can do

342
00:18:46,400 --> 00:18:49,039
if you want it, you can actually store the litter

343
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in a big, big bag in your garage somewhere far

344
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away from everybody for about a month, and then you

345
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can toss it after that.

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Speaker 3: So anyway, what's.

347
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Speaker 2: Going on is that my Oreo was a cat that

348
00:19:00,480 --> 00:19:03,400
we rescued at about we figured four to five days

349
00:19:03,400 --> 00:19:06,839
of age, with some littermates, obviously sixteen years ago. Two

350
00:19:06,880 --> 00:19:10,359
of the littermates died within a day. They were literally starving.

351
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They were found under a woman's house. She heard this

352
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sound at night when it was all quiet in the house.

353
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It sounded like little kiddies. So she took asked her neighbor.

354
00:19:20,160 --> 00:19:21,599
Her neighbor's little boy, like.

355
00:19:21,519 --> 00:19:22,799
Speaker 3: An eleven to twelve year old kid.

356
00:19:22,960 --> 00:19:24,559
Speaker 2: She gave him a flashlight and said, can you go

357
00:19:24,640 --> 00:19:26,920
unto the house and just see what this noise is?

358
00:19:27,119 --> 00:19:29,519
So this for this kid was an adventure, so he said, yeah,

359
00:19:29,720 --> 00:19:30,119
So what.

360
00:19:30,000 --> 00:19:30,400
Speaker 3: Does he do?

361
00:19:30,480 --> 00:19:34,319
Speaker 2: He finds four little kiddies huddled together. Mom was nowhere

362
00:19:34,319 --> 00:19:36,359
in sight. They took the kiddies, brought him to us.

363
00:19:36,359 --> 00:19:38,720
They kept looking for mom. Mom never came back. The

364
00:19:38,759 --> 00:19:41,440
fear was Mom was either killed by a car eaten

365
00:19:41,480 --> 00:19:44,519
by a coyote. Who knows what happened. So the two surviving,

366
00:19:44,680 --> 00:19:47,480
they were so weak we literally needed round the clock care.

367
00:19:47,680 --> 00:19:49,960
They were too weak to even nurse on a nursing bottle.

368
00:19:50,000 --> 00:19:52,880
We had to stomach tube them to feed them. And

369
00:19:53,240 --> 00:19:55,920
so the two ended up doing very well. After about

370
00:19:55,920 --> 00:19:58,720
a week of being stomach tube fed, they started to

371
00:19:59,000 --> 00:20:00,359
respond to the the bottle.

372
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Speaker 3: They were able to suckle on the.

373
00:20:01,480 --> 00:20:04,319
Speaker 2: Nursing bottle, and then we started to give them solid

374
00:20:04,359 --> 00:20:06,519
food when it was time, et cetera, et cetera. Anyway,

375
00:20:06,680 --> 00:20:08,759
I gave one to my sister and I kept one.

376
00:20:08,880 --> 00:20:10,799
Now I had no idea what they were because you

377
00:20:10,839 --> 00:20:12,960
could find they would fit in the in one hand.

378
00:20:12,720 --> 00:20:13,559
Speaker 3: They were so small.

379
00:20:13,759 --> 00:20:16,519
Speaker 2: Well, this little teeny ten black and white cat turned

380
00:20:16,559 --> 00:20:19,400
out to what looks like to me is a mix

381
00:20:19,480 --> 00:20:23,240
between a main coon because he's got that huge thick

382
00:20:23,319 --> 00:20:27,240
tail and a Norwegian forest cat. And if anyone knows cats,

383
00:20:27,319 --> 00:20:31,400
these are both very large cats and obviously Oreo black

384
00:20:31,400 --> 00:20:34,160
and white I know, not very creative. Read the book,

385
00:20:34,400 --> 00:20:36,720
and he is well turned out to be a twenty

386
00:20:36,839 --> 00:20:41,079
two pound monster and the sweetest cat. In fact, it

387
00:20:41,119 --> 00:20:43,519
was so funny because our routine was in the morning,

388
00:20:43,920 --> 00:20:46,400
I would take him to the bathroom and that's where

389
00:20:46,440 --> 00:20:48,039
I had all the setup. I had the stomach too,

390
00:20:48,039 --> 00:20:49,839
but I had the food at everything. And if I

391
00:20:49,920 --> 00:20:53,039
tell you, for years and years and years, every single morning,

392
00:20:53,079 --> 00:20:54,799
when I would get up and go take your shower

393
00:20:54,759 --> 00:20:56,680
in the mouth, he would run into the bathroom and

394
00:20:56,720 --> 00:20:58,279
follow me like you figure, oh my god, I'm.

395
00:20:58,200 --> 00:21:00,759
Speaker 3: Gonna get food again. This is great. He loved to eat.

396
00:21:00,920 --> 00:21:03,839
Speaker 2: And even though he continued to love to eat, I

397
00:21:03,960 --> 00:21:06,359
noticed over the last oh maybe a month or two

398
00:21:06,720 --> 00:21:08,440
that he seemed to lose a little way, and I

399
00:21:08,440 --> 00:21:10,759
figured out, you know what, it's his age. So it

400
00:21:10,799 --> 00:21:13,200
was time anyway to bring him in for his annual

401
00:21:13,519 --> 00:21:15,920
senior physical, which I take blood work and I do

402
00:21:15,960 --> 00:21:18,680
your analysis. I take X rays and now, mind you,

403
00:21:18,720 --> 00:21:20,759
a year ago, when he was fifteen, he was perfect.

404
00:21:20,920 --> 00:21:22,839
So that's how this disease did come up. It could

405
00:21:22,839 --> 00:21:26,400
come up that fast. So I take his regular tests

406
00:21:26,519 --> 00:21:29,039
and his normal thyroid, as we mentioned before in the

407
00:21:29,039 --> 00:21:30,400
first half of the show, his.

408
00:21:30,359 --> 00:21:33,400
Speaker 3: Normal thyroid was high. Normal was four. He was four

409
00:21:33,400 --> 00:21:35,599
point five, not that big a deal.

410
00:21:35,920 --> 00:21:38,079
Speaker 2: And the T four by ED, which is a much

411
00:21:38,079 --> 00:21:40,680
better test, much more sensitive, takes an extra day to

412
00:21:40,680 --> 00:21:44,519
come back. Took it back and it was greater than

413
00:21:44,559 --> 00:21:48,119
one hundred. I said, oh my god, he is hyperthyroid.

414
00:21:48,119 --> 00:21:51,359
Everything else perfect, his liver, his kidneys, everything perfect. So

415
00:21:51,640 --> 00:21:53,079
call a colleague of mine, a friend of mine who

416
00:21:53,119 --> 00:21:55,319
actually went to school with me. He was graduate a

417
00:21:55,359 --> 00:21:58,400
year after me, who started doing He got his master's

418
00:21:58,720 --> 00:22:03,880
and he does the scanning, the sintography, and the radioactive

419
00:22:03,920 --> 00:22:06,960
iodine treatment for cats, which is the best way to go,

420
00:22:07,039 --> 00:22:09,880
by the way. So took Oriy over to him, and

421
00:22:10,319 --> 00:22:14,640
sure enough his scan shows this red hot thyroid gland

422
00:22:14,680 --> 00:22:17,119
one side, and he had to stay in the hospital

423
00:22:17,160 --> 00:22:20,279
for a few days over by him, and they actually

424
00:22:20,359 --> 00:22:24,400
gave him radioactive I one th one, which the thyroid

425
00:22:24,440 --> 00:22:27,400
gland takes up iodine and the radioactivity. And what's so

426
00:22:27,519 --> 00:22:31,640
cool about this particular treatment it only goes after the

427
00:22:31,720 --> 00:22:32,720
hyperplastic part.

428
00:22:32,799 --> 00:22:34,960
Speaker 3: It doesn't touch the normal gland.

429
00:22:35,319 --> 00:22:38,839
Speaker 2: So after successful treatment in ninety five, ninety six percent

430
00:22:38,880 --> 00:22:41,880
of the case is the cats need nothing else, They

431
00:22:41,880 --> 00:22:45,920
don't need any supplementation. They do just perfect. So did

432
00:22:45,960 --> 00:22:48,880
the treatment, and when I brought him home, they give

433
00:22:48,920 --> 00:22:50,839
you a long list of things you have to do

434
00:22:51,000 --> 00:22:55,359
because he's still radioactive. So it's the special litter. He's

435
00:22:55,359 --> 00:22:56,359
got to be by himself.

436
00:22:56,559 --> 00:22:56,720
Speaker 8: You know.

437
00:22:56,759 --> 00:22:57,799
Speaker 3: I can go in and iPad them.

438
00:22:57,839 --> 00:23:00,440
Speaker 2: They say for me petting him and holding him for

439
00:23:00,640 --> 00:23:03,839
one hour is kind of like being subjected to four

440
00:23:03,880 --> 00:23:04,920
or five X rays.

441
00:23:05,039 --> 00:23:06,680
Speaker 3: So it's not the end of the world.

442
00:23:06,720 --> 00:23:08,279
Speaker 2: I don't spend that much time with him, but I

443
00:23:08,319 --> 00:23:09,519
go in and I pet them, and I play with

444
00:23:09,559 --> 00:23:11,279
them a little bit, and I brush them and I

445
00:23:11,359 --> 00:23:15,160
give him food. Boy, his appetite, well, it never really changed.

446
00:23:15,359 --> 00:23:18,599
But now the hope is that as his thyroid levels

447
00:23:18,759 --> 00:23:22,480
drop because of the radioactive iodine, that he will actually

448
00:23:22,559 --> 00:23:25,720
get and use the calories that he's eating. So he

449
00:23:25,960 --> 00:23:27,680
is just an amazing cat.

450
00:23:27,920 --> 00:23:28,279
Speaker 3: Still.

451
00:23:28,400 --> 00:23:30,400
Speaker 2: By the way, the bathroom I'm keeping him in it

452
00:23:30,480 --> 00:23:32,960
is that bathroom that he remembered as a little kiddie,

453
00:23:33,039 --> 00:23:35,200
so he's very comfortable there and it is the way

454
00:23:35,240 --> 00:23:37,960
to go. So if you are the take home lesson

455
00:23:38,079 --> 00:23:40,680
that I'm going to give you about feline hyperthyroidism is

456
00:23:40,720 --> 00:23:44,599
the following. Number one is make sure your cats check out.

457
00:23:44,759 --> 00:23:48,920
Do that senior physical, and I would recommend I hope

458
00:23:48,960 --> 00:23:50,839
more and more and more veterinarians are now doing it.

459
00:23:51,000 --> 00:23:53,519
The cases that have been misdiagnosed, it's because they weren't

460
00:23:53,599 --> 00:23:54,000
doing it.

461
00:23:54,079 --> 00:23:55,000
Speaker 3: And that's the following.

462
00:23:55,319 --> 00:23:57,680
Speaker 2: Every time from the time the cat is seven or

463
00:23:57,720 --> 00:24:01,240
certainly eight years of age or greater, and your veterinarian

464
00:24:01,599 --> 00:24:03,599
is going to run a senior physical on your cat,

465
00:24:03,960 --> 00:24:08,640
make sure they include both the T four and the

466
00:24:08,680 --> 00:24:11,319
T four by ed equilibrium analysis.

467
00:24:11,440 --> 00:24:12,599
Speaker 3: Don't do just the one.

468
00:24:13,039 --> 00:24:17,359
Speaker 2: To understand that these cats that might have high liver

469
00:24:17,519 --> 00:24:20,720
enzymes and very rapid heartbeats, nothing is wrong with the

470
00:24:20,759 --> 00:24:24,279
liver or the heart. It's all because of the hyperthyroidism.

471
00:24:24,480 --> 00:24:27,519
But there is one catch to these cats, and that

472
00:24:27,640 --> 00:24:28,240
is the following.

473
00:24:28,480 --> 00:24:29,839
Speaker 3: This is a disease of old cats.

474
00:24:30,119 --> 00:24:33,319
Speaker 2: And the other major disease of older cats, probably the

475
00:24:33,319 --> 00:24:35,920
disease that is going to kill more older cats than

476
00:24:36,039 --> 00:24:41,519
any other disease is kidney failure. But because of the hyperthyroidism,

477
00:24:41,759 --> 00:24:44,039
because the blood the heart rate is going faster, so

478
00:24:44,079 --> 00:24:47,480
the blood is being pumped faster and more frequently through

479
00:24:47,960 --> 00:24:52,000
the filtration system of the kidney. If that filtration system

480
00:24:52,119 --> 00:24:54,759
is weak, but the blood gets to go through twice

481
00:24:54,839 --> 00:24:56,680
or one and a half times instead of just one

482
00:24:56,720 --> 00:25:00,480
time per cycle. Then even whatever the kidney missed the

483
00:25:00,480 --> 00:25:03,000
first time, they're going to pick up on that second pass.

484
00:25:03,240 --> 00:25:07,000
So what happens is the disease is that we link

485
00:25:07,039 --> 00:25:10,480
to kidneys. The enzyme changes, notably the increase in B

486
00:25:10,640 --> 00:25:15,359
when blood urre and nitrogen, creatinine, and phosphorus are going

487
00:25:15,440 --> 00:25:20,200
to be reduced, those values in hyperthyroid cats falsely reduced.

488
00:25:20,359 --> 00:25:23,240
So what happens is as soon as you normalize the

489
00:25:23,519 --> 00:25:27,039
thyroid gland and the thyroid hormone and the heart rate drops,

490
00:25:27,039 --> 00:25:29,920
et cetera, all of a sudden, the kidney disease that

491
00:25:30,079 --> 00:25:33,279
seem to not be there can start showing up. So

492
00:25:33,319 --> 00:25:36,319
we always recommend and warn that if there are any

493
00:25:36,359 --> 00:25:42,480
signs of early kidney disease elevated enzymes despite the hyperthyroid state,

494
00:25:42,680 --> 00:25:45,920
most likely they're even worse than what the blood work

495
00:25:45,960 --> 00:25:49,599
may have shown, and precautions need to be taken as well,

496
00:25:49,839 --> 00:25:51,880
and you can go through those with your veterinarian as

497
00:25:51,880 --> 00:25:55,200
far as subcutaneous fluids at home, special diet, et cetera,

498
00:25:55,240 --> 00:25:55,720
et cetera.

499
00:25:56,000 --> 00:25:56,559
Speaker 3: So that's the.

500
00:25:56,440 --> 00:25:58,799
Speaker 2: Only thing that you have to know when you're dealing

501
00:25:58,799 --> 00:26:02,119
with hyperthyroid cats or treating them. Be it because from surgery,

502
00:26:02,400 --> 00:26:05,400
be it from the medication that's going to just decrease

503
00:26:05,440 --> 00:26:09,160
the effect and counteract the effect of the increased thyroid hormone,

504
00:26:09,519 --> 00:26:11,880
or because in my opinion, the best treatment of choice

505
00:26:12,319 --> 00:26:16,920
is the radioactive iodine. That understand that during the course

506
00:26:17,440 --> 00:26:22,640
you might uncover some of the underlying hidden kidney problems,

507
00:26:22,680 --> 00:26:25,359
So keep your minds about on that too, and make

508
00:26:25,400 --> 00:26:28,720
sure to discuss these many options with your veterinarian. So anyway,

509
00:26:28,920 --> 00:26:31,400
once again, that's all that we have time for. Nobody,

510
00:26:31,599 --> 00:26:34,640
nobody called. I guarantee people out there listening have had

511
00:26:34,640 --> 00:26:38,119
animals with vomiting diarrhea problems, have had limping problems, and

512
00:26:38,160 --> 00:26:41,720
I know have had cats with thyroid problems, and I

513
00:26:41,799 --> 00:26:43,640
do want to hear from you. We can talk about it,

514
00:26:43,960 --> 00:26:46,559
and that the more we talk about things like this,

515
00:26:46,680 --> 00:26:50,240
the more we are helping other listeners here on pet

516
00:26:50,279 --> 00:26:53,279
Life Radio. So there's no downside picking up the phone,

517
00:26:53,279 --> 00:26:55,759
giving us a call, sending me a text, joining in

518
00:26:55,839 --> 00:26:58,559
on the conversation, and it will only not only benefit you,

519
00:26:58,680 --> 00:27:01,920
but hopefully will benefit our list benefit our listeners as well.

520
00:27:02,400 --> 00:27:05,279
So anyway, next week we have doctor Lenster coming back

521
00:27:05,759 --> 00:27:07,799
and we're going to talk some more things.

522
00:27:07,799 --> 00:27:08,960
Speaker 3: We're going to talk about some of our.

523
00:27:08,839 --> 00:27:11,279
Speaker 2: Pet peeves and.

524
00:27:10,759 --> 00:27:12,079
Speaker 3: We will see you then have a great week.

525
00:27:12,079 --> 00:27:14,880
Speaker 2: Thanks again to cong and Pro Sense Pet Products for

526
00:27:14,920 --> 00:27:18,880
sponsoring our show, and we'll see you next week, same time,

527
00:27:19,039 --> 00:27:22,720
nine am Pacific time and noon back East.

528
00:27:22,920 --> 00:27:23,920
Speaker 3: I'm doctor Jeff Werberg.

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00:27:24,039 --> 00:27:29,119
Speaker 1: Seem Let's Talk Pets every week on demand only on

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00:27:29,319 --> 00:27:45,680
petlight Radio dot com