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Speaker 1: You were listening to Petlifradio dot com.

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Speaker 2: Well, good morning, oh good afternoon, and whatever the case

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may be, you are here live with Doctor call In Show,

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asked the bets with Doctor Jeff, and we're here for you.

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We're here to talk about your pets. We're here to

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answer questions, We're here to talk about anything you want.

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As a matter of fact, we'd love to hear from you,

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just to call us and tell us just how great

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your pets are. What do you have? I'd like to

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know I have ten, I have five and five some

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of you have me. Been on my Facebook page at

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doctor Jeff Werber and read, unfortunately about the sad fact

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that I had to say goodbye to three of my

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cats in the last two months, which was really tough.

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So I'm down to ten animals. I know that for

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many of I might be kind of crazy, but I

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like thirteen a lot more. I want to hear what

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you have. We're here to talk about pets. I always

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have an agenda. I'm always talking about something because I

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know so many of you are afraid to call in.

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It's so easy. Eight seven seven three eight five eight

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eight eight two once again eight seven seven three eight

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five eight eight eight two. Just pick up the phone,

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give us a call and we can talk about your pets. Also,

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you can easily just log ont to pet Life Radio,

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click on the Ask the Vets with Doctor Jeff tab

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and join in on the conversation. When you get to

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that page, you'll see a nice box and it says

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join the conversation. We'd love to have you join in.

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And lastly, you can just send me a quick email

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to Dr Jeff. It's doctor Jeff at petlife Radio dot

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com and our wonderful producer Mark. We'll send that email

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directly to me live on air and we can talk

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about whatever question you want to talk about. Or it

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doesn't have to be a question, it could just be

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a comment. It could be something about your pets. Because

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you know why we're here. We're here because we love

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our animals. So I'm sitting here nine am in Southern California,

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beautiful southern California, talking to Mark, our producer who's based

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in South Florida. I know it's gorgeous there. I hope

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wherever you're listening it's beautiful. I know that they're expecting

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some more not souch. Great weather in the northeast so

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we could talk about that too. Pets and cold weather,

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that's a great topic. And of course we're here because

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with help of our sponsors, pro sends pet products. These

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are over the counter products available to the masses, but

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basically veterinari quality. So if having pets is a little

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difficulty for you financially, go into a Walmart, go into

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a Target, buy some pro stents. And of course Kang

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Kang are great toys. In fact, anyone who sends us

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an email, anyone who calls in live on air or

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an email that we read on air, we will send

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you out a free pro sense and cong toy. And

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they're sitting I have them here, guys, they're waiting to

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go out. We need you to call in, We need

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you to join in the conversation. We just need you

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to talk with us. Anyway, before you know, we were

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at a couple of conferences. I got another one coming

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up actually next week. Right after my show next Sunday,

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I'm leaving for Las Vegas for the Western Veterinari Conference,

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which is a biggie where we just got back from Orlando,

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and which is the North American Veternight Conference and the

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Western Veterinic conference, probably the largest veterinani conference on the plant.

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We're talking, you know, all said and done between the veterinarians,

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the families, the exhibitors, the faculty. I mean we're looking

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over sixteen thousand, almost seventeen thousand people, which for the

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veterinari industry is is it's quite a lot. You know,

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we're not huge. I mean certainly it's no CS Computer

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Electronics Show, it's no GDC the Game Developers Conference, but

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for a professional conference, it's a good size. So heading

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to WVC Western Veterini Conference, and I'm looking forward to it.

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It's a great way. We know, there's so much to learn.

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And what's so amazing to me is, and we've talked

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about this before, that when it comes to medicine, it

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is believed that every five years, half half of what

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we knew to be as gospel becomes obsolete. So when

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you think about when you're out of school for quite

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a while, as I have been over thirty years, what

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happens is I mean I look at old textbooks and

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I kind of glanced at them today it's like, oh

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my god, that drug isn't even in existence anymore, and

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here we are that that was the drug we got

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a culture back last week on a dog who had

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like it's a commersa. It's a methodist and resistant staff infection.

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And one of the medications that was on the list

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that we could use is something that I mean, I

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haven't used in ten years, and yet it's and maybe

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that's why, maybe that's why it was effective because it

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hasn't been in use that the particular organisms have not

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had a chance to build their resistance to it, and

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it was still effective. So that I was I had

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to go order a medication to have in the hospital

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that God haven't seen in a long time. So it's

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pretty cool. And that's why it's great to go to

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these conferences. We call it ce continue education obviously required

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by our various states, but it's good because it's a

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great way to share ideas. I always joke, you know,

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the best way to learn things is to hire a

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young associate, because what they are learning and what they

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have just learned is within that quote unquote five years.

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The stuff that they know is not obsolete. Stuff that

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I learned zillion years ago is clearly obsolete. So in

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keeping with the you know, what I like to do

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is is just we're just covering organ sisms. We're covering

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problems that many of you may not even know are problems.

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But when you hear it, I'm hoping that you're going

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to say to you, oh my god, my dog had that,

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my cat had that. And what I want to try

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to do is give you a better understanding of some

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of the disease processes. And more importantly, you are going

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to be faced when you when you are you know,

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encountering these problems with your pets, you'll see your veterinarian

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and you are going to be faced with some decisions

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to make. Be they what tests, how do I approach

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the case? And you know, let's face it, the cost

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of care has gotten very expensive. So my goal here

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is to try to help you, along with your veterinarian,

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develop a game plan, because I don't like the approach

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where you see a problem and then you run every

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test in the book today because you have to rule

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everything out today. You save that stuff for the emergencies.

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When you have an emergent problem and you don't time

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is not on your side, then yes, sometimes you have

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to take that approach. But most of the time we're

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having issues that have been going on for a while,

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and there's a certain chronicity, and then you finally go

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to your dock and you talk about the history and

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how long has it been there? Well, I noticed for

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the last several weeks, so dart it. If it's been

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going on for several weeks, another day or two or

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three is not going to make a difference. So what

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you do is you start based on the history, based

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on the physical. We have a starting point, and we

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are going to order up the tests that most likely

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fit this problem to help us make a diagnosis. And

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then if those tests all pen without giving us an answer,

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then we can move on to the next set of tests.

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But we don't want to test for that bizarre esoteric

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condition disease that one might see once in a thirty

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five year practice career, and test your dog for it today.

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So anyway, here we are. We've been talking about eyes

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over the last several weeks, and we speaking of emergencies,

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and often this is considered by some an emergency. Certainly

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to you it is, But any qualified experienced veterinarian is

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going to look at this and say, no, no, no, no, ma'am,

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this is not an emergency. And we've been talking about

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cherry eye, they prolapsed gland of the third eyelid, and

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we talked about the breeds. We see it in the

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Cocker spaniels, the loss of the sheet to the English bulldog,

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the Rottweiler. I mean, of course it can happen to

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any dog, but we see an increased predisposition in these breeds.

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And how it's something that pops up suddenly. I mean literally,

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you go eat dinner and come back and there it is,

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and how ugly it looks. It looks kind of weird.

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All of a sudden, you see this big, bright pink

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thing on the inside corner of the eyes, sticking out

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one side, both sides, and it looks pretty weird and

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certainly something that might cause you to panic a little bit.

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Now we've learned some interesting things about this particular gland,

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and that is that it is a very reactive gland.

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It's a lymphoid type tissue, so it reacts to whatever

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we don't always know what is reacting to. But also

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that it serves a function, a function that we don't

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necessarily need. Our pets don't need when they're young and healthy,

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but they do as they get older, and because of

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this newer knowledge, and I don't mean new yesterday, I

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mean new in the last twenty years. This clan functions

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to provide accessory tiers when the dog's own tier glands

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are not functioning as well and need those tiers. It

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changed how we treat this condition because the condition back

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when I started practice, it was pretty easy surgery. Remove

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the land. You just step it off, cut it a

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little suitsure, little cautery. You're done, and the dog's going

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to do great. And it will. It's going to do

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great for a long time. If you have one of

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those dogs that had this condition and as it reaches eight,

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nine to ten and its own tier glands start to

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dry out, they don't function as well, they're going to

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look to that prolapse gland and say, hey, we need

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your buddy. And the prolapse plan isn't there anymore because

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it was taken away when that dog was a youngster.

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And now we have a condition called dry eye, which

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is much more challenging to treat than the excessive tearing

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or having that terry eye there that prolapse plan. So

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what we need to do. The reason and I mentioned

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before we signed off last week, is that one of

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my clients had a dog that had a cherry eye.

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It was at night, she panicked, took it to an

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emergency and the emergency facility made two huge mistakes in

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my book. Number one, when many gps like myself send

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a case to an emergency clinic, we want them to

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perform which is necessary to stabilize that pet, to get

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them through the night. And their job is not to

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treat and solve the problem. Their job is to stabilize.

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Let's take care of the emergency, the emergent condition, and

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that's it. And then in the morning, if so, talk

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to your veterinarian, and then you develop the game plan.

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A veterinary might say no, no, I'm you know, I

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could see it. We need XYZ. We don't do that here.

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We're a general practice, you're a specialty clinic. So why

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don't you keep the pet there and do those tests?

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Or your veterinarian and say, okay, thank you very much.

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I have the owners pick up and bring the pet

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back here because I'm going to take over from here.

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That's kind of what I like to do. And my

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clients like that too, because I don't know these other doctors.

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They don't trust these doctors. So sure enough it was

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a young doc. What got into him or her, I

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have no idea, But not only did they treat it,

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which means they did a surgery which they didn't really

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need to do because as I mentioned, it's not an

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emergency condition, but they actually did the wrong surgery. They

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removed the gland. Interestingly, and I was right. It is

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so well known nowadays, especially in the US veterinary schools,

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that we do not remove that land of the third

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eyelid when it prolapses. We actually tuck it down. That

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my bet was. When I heard that this doctor removed it,

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I said, I can pretty much guarantee either they were

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sleeping in the lecture, they worked with a much older

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practitioner and wasn't paying attention to the new way of

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doing things, or which is where I was right, they

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were a graduate of a foreign veror night school, and

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sure enough that was the case. So it's very interesting.

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But don't let anybody remove the prolapse gland of your

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dog's third eyelid if it prolapses, because that's not the

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way we treat them.

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Speaker 1: Now.

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Speaker 2: What we do is we tuck it in. It needs

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to stay there. It does serve as a function, the

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function of accessory tear production. It's lymphoid, it's reactive, it

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needs to be there. And then all our job is

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is some sort of technique and there are a number

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of them, to tuck it into the third eyelid itself,

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so it is no longer prolapsed, it's no longer visible,

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it's no longer causing a problem, it's no longer drying

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out because it's not being covered by tears every time

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the dog blinks. But we don't want to remove it,

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so you want to, you know, kind of keep that

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in mind. Not an emergency, don't remove it, tuck it

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in and there you have it. So moving on from

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Cherry I, which we are going to do. Right after

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our break, I realized, oh my god, this time goes

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so fast. Meanwhile, still want to hear from you us

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A call back very easy eight seven seven three eight

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five eight eight eight two. Join it in the conversation

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00:12:05,399 --> 00:12:08,360
here on petlife radio dot com. Click on the Ask

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00:12:08,519 --> 00:12:11,000
the vets with doctor Jeff tab and you will be

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00:12:11,080 --> 00:12:14,480
joining in. Just start typing away or once again email

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me Drgeff at petlife radio dot com. Stay tuned. We'll

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be right back after the short break.

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

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Speaker 3: I'm who my head, it's cheered now.

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on you to keep him in good health. Dogs need

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special care to keep them healthy as they grow throughout

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all stages. With pro Sense, it's simple and convenient to

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and minerals. Pro Sense products are veterinary formulated and recommended

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even sports themed. Many designer pet sweaters include feathered tammy

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Speaker 7: Hi, this is Marcydavis and my service dog whistle, and

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we're your hosts of Working Like Dogs on pet Like Radio.

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Working Like Dogs. This is the show where you can

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learn everything you've ever wanted to know about working animals

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or working dogs, whether you're a member of a working

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dog team, or you've just seen a working dog or

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animal out at the mall or the grocery store and

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you're curious about how these amazing animals work with their

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human partners. Been Working Like Dogs is the show for you.

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Join us for the inside scoop at Working Like Dogs

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on Petlife Radio dot com.

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Speaker 2: Let's talk past, Let's done petcomout Life.

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Speaker 8: Radio, Hetline Radio, pet Live Radio dot com.

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Speaker 2: Hey, welcome back. You are here live with doctor Jeff Weerber,

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hosts of Askator Doctor Jeff, our only live call in

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00:16:01,799 --> 00:16:05,559
radio show here on pet Life Radio. And I still

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00:16:05,559 --> 00:16:07,080
want to hear from you. I haven't heard anything either.

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00:16:07,039 --> 00:16:09,879
There's no way, no way that people are listening right

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now or joining us online and have not had a

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problem with their pet's eyes. I refuse to believe it.

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So I know you have had it. Give us a call,

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give me a call. Let's talk about what the problem was,

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what was done? How are we doing you know again,

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we talked already about glaucoma. We're going to be coming

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up next, we're going to talk about cataracts. However, I

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want it to just you know, we have to solve

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a little issue here when it comes to plain old vision.

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How many times have you heard that dogs a don't

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see well? Dogs are color blind? What is the reality

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and are they color blind? How well do they see? Well?

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It's interesting that dogs, as far as the senses you know, taste, smell, hearing,

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touch and vision, probably one of their weakest is their site.

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Unless they are one of those breeds that we call site.

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Those are the Salukis, the Borzoi is. Now the really

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lean kind of dogs, even Afghans or sighthounds that actually

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have a pretty amazing sight. Most dogs rely more on

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their sense of smell, which is just hundreds of times

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better than ours. I often joke and brownies or cakes

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that are wrapped in that clear cellophane, you know, like

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fairy tale cakes or any of those. The joke is

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I would say to somebody, if you smell the completely

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brownie or whatever that is in the cellophane, and you

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put it up to your nose and you try to smell.

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Would you smell anything? ANSWER's no, there's nothing. A dog

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not only could smell through that clearly wrapped sealed cellophane,

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it could probably tell you if it could talk, of course,

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exactly what ingredients and how much of each was in

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the brownie. That is the difference when it comes to

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the scent. Now, when it comes to vision, however, we

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have receptors in our eyes and cones, and the cones

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are what really give us a lot of good detail. Now,

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rods don't give us the detail. But rods are really

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cool for detecting things like movement. So for example, here's

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the classic that dogs need movement for hunting. They don't

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really need super great detail, which is why in low

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light situations, your own dog might even bark at you

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walking down the hallway because he hasn't really had a

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chance to pick up the scent yet. But he's looking

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at you and you are just a body. You don't

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have that clear face, that detail that he knows the

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color of your skin. It's not until he normalizes for

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that second that he picks up who you are. So

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dogs have more rods than cones. They can see color,

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but they don't see the detail. So a red versus

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a a burgundy, a little bit of a purple, a mauve.

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To them, it's all pretty much the same, now, coul

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they tell them see red and blue, Yes they can.

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So there's certain colors that the spectrums and the detail

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between the different shades that they don't decipher as well

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as we, but they could still see colors. For example,

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I'm sure you've seen a pinstripe suit before. So let's

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say we're talking a navy pinstripe suit, and let's say

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that the stripes are like a gray, like gray, okay,

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a nice gentleman's suit. Well, if you look at that,

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all they would see pretty much is the navy, the

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one color. It looks solid. But if one of those

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stripes happened to move, they would sense that in a

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split second. So the difference is they have a great

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ability to detect motion change in position, but they don't

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have a great ability to actually see the fine detail

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of those skinny stripes in against that navy blue color.

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So hopefully that'll give you a better understanding of where they

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come from and why they are so good at doing

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what they do, i e. The hunting. They need to

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see that movement. So anyway, rods versus cones. Dogs have

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more rods and cones. We have more cones and rods,

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So our detail fine detail is better than theirs. Their

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ability to detect in motion is way better than ours.

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So let's talk for a second about cataracts. What is

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a cataract and a cataract is a Basically, it's a thickening.

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It's a material that accumulates, it's whatever. The accumulation could

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be many things. Actually inside the lens of a dog,

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00:20:20,319 --> 00:20:22,920
Now where does a lens sit. If you look at

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our eye, a dog's eye, you see what's called the iris.

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The iris is the colored portion of the eye. And

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it also between the iris and the lens separates the

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00:20:33,680 --> 00:20:36,240
front portion of the eye from the back portion of

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the eye, which is also the separation of the aqueus

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00:20:39,319 --> 00:20:43,400
and the vitreous, which are the different substances inside the

390
00:20:43,480 --> 00:20:46,279
eye itself, the eyeball itself. You have the anterior chamber,

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00:20:46,319 --> 00:20:50,200
you have the posterior chamber, separated by the lens, which

392
00:20:50,200 --> 00:20:56,480
sits just behind the iris. So what happens in low

393
00:20:56,559 --> 00:21:01,960
light situations, Well, in low light situations, the iris retracts back,

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00:21:02,519 --> 00:21:07,240
thus the opening the pupil enlarges to allow more light

395
00:21:07,359 --> 00:21:11,160
going through this lens and then hits the retina, which

396
00:21:11,240 --> 00:21:14,359
is the actual nerve receptors in the back of the

397
00:21:14,400 --> 00:21:18,119
eye transmitting information through the optic nerve to the brain,

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00:21:18,440 --> 00:21:24,559
and what is visualized is now processed. In highlight situations,

399
00:21:24,839 --> 00:21:29,279
in a dog, you could see this pupil become very small, constricting.

400
00:21:29,839 --> 00:21:33,640
In cats it becomes slit. Like in goats, it becomes square,

401
00:21:34,119 --> 00:21:37,799
and it's blocking off the light because there's too much

402
00:21:37,839 --> 00:21:41,440
light coming in, making the opening smaller, et cetera. But

403
00:21:41,559 --> 00:21:45,160
the key here, if you realize, if you've noticed, is

404
00:21:45,240 --> 00:21:49,920
that information, that light, that vision, that field has to

405
00:21:49,960 --> 00:21:54,359
go through the lens. So what happens when the lens

406
00:21:54,440 --> 00:21:59,400
itself is either thickened, is no longer see through, it

407
00:21:59,640 --> 00:22:03,680
has deposits in it, and now the light can't get through.

408
00:22:04,160 --> 00:22:09,480
So what's going on is, in essence, the visual field

409
00:22:09,559 --> 00:22:14,720
is affected, sometimes dramatically completely, in which case it's not

410
00:22:15,000 --> 00:22:18,319
that the retin is not working. The nerves are working fine,

411
00:22:18,440 --> 00:22:23,039
the retin is working fine, the pupil's working fine potentially,

412
00:22:23,519 --> 00:22:28,079
but what's not getting through is the light. So what

413
00:22:28,200 --> 00:22:32,359
is supposed to go through, So Consequently, oftentimes dogs with cataracts,

414
00:22:32,599 --> 00:22:34,720
the body thinks the reason it's not seeing is because

415
00:22:34,720 --> 00:22:38,279
they're not enough information coming through. So the pupils will

416
00:22:38,599 --> 00:22:43,519
basically just widen, all right, because the thought is that

417
00:22:43,559 --> 00:22:46,240
we can't get enough light through. It's not that the

418
00:22:46,319 --> 00:22:50,599
light's not there, it's because of the cataract, the deposition

419
00:22:51,119 --> 00:22:55,240
of material within the lens itself. It's not allowing the

420
00:22:55,319 --> 00:22:57,759
light to go through. The brain is thinking that it's

421
00:22:57,799 --> 00:23:01,039
just a matter of light. So dogs with cataract typically

422
00:23:01,440 --> 00:23:07,000
will have very large pupils. Now, cataracts be due to

423
00:23:07,079 --> 00:23:09,480
a lot of different things. There is a disease process,

424
00:23:09,519 --> 00:23:13,240
and if you recall when we talked about diabetes melodis,

425
00:23:13,599 --> 00:23:17,079
which is the sugar diabetes, we often see a very

426
00:23:17,400 --> 00:23:24,400
high correlation between a cataract and diabetes. So oftentimes this

427
00:23:24,480 --> 00:23:29,599
deposition of material within the lens causing a cataract is

428
00:23:29,720 --> 00:23:32,279
secondary to that which is going on in the blood

429
00:23:32,400 --> 00:23:35,319
with the high blood sugar in a diabetic So therefore

430
00:23:35,319 --> 00:23:39,720
we do see very very high amount of cacts cataracts.

431
00:23:39,799 --> 00:23:42,319
Otherwise it could be congenital cataracts. We see it in

432
00:23:42,359 --> 00:23:45,359
young dogs. It could be related to age as a

433
00:23:45,400 --> 00:23:47,359
matter of fact, we need to talk about another age

434
00:23:47,359 --> 00:23:52,319
related problem, which in essence is considered pre cataractus, meaning

435
00:23:52,759 --> 00:23:55,799
if it kept going, if it kept progressing, it would

436
00:23:55,839 --> 00:23:58,759
ultimately turn into a cataract. And we call that lenticular

437
00:23:58,880 --> 00:24:03,359
or nuclear sclerod And I know that everybody out there

438
00:24:03,359 --> 00:24:06,000
listening who has an older pet knows what this is.

439
00:24:06,240 --> 00:24:08,519
You may know the name for it, but you know it.

440
00:24:08,799 --> 00:24:13,000
And that is where the pupil itself, instead of being black,

441
00:24:13,559 --> 00:24:17,839
looks kind of bluish grayish. And when that happens, that's

442
00:24:17,920 --> 00:24:23,440
because the change, it's an age change associated with the

443
00:24:23,559 --> 00:24:28,319
lens capsule itself. And though it's not really officially a cataract,

444
00:24:28,480 --> 00:24:31,519
it's a pre cataractist condition. And I always joke to

445
00:24:31,559 --> 00:24:33,000
a client say, oh my god, is that my dog

446
00:24:33,000 --> 00:24:34,880
gonna go blind to it? I said, no, no, it's

447
00:24:34,920 --> 00:24:37,680
going to turn in to a cataract if your dog

448
00:24:37,759 --> 00:24:42,240
lives to about forty. But unfortunately that ain't happening. So

449
00:24:42,519 --> 00:24:45,559
if a dog, very very common older dogs, they can

450
00:24:45,640 --> 00:24:49,680
still see. If I do my ocular fundic exam looking

451
00:24:49,839 --> 00:24:52,839
at the back of the eye with a dog with

452
00:24:52,920 --> 00:24:56,440
the lenticular sclerosis, I can still see everything. Now in

453
00:24:56,480 --> 00:25:00,440
low light situations, they might have a more difficult time

454
00:25:00,559 --> 00:25:04,440
because of the grayish nature the light going through is

455
00:25:04,440 --> 00:25:07,440
gonna be impeded somewhat, so it will seem a little

456
00:25:07,480 --> 00:25:09,400
more difficult for them to see in low light. But

457
00:25:09,519 --> 00:25:13,440
the truth is it's not not going blind. It's very common.

458
00:25:13,680 --> 00:25:15,279
And when we get to next week, as we are

459
00:25:15,279 --> 00:25:16,920
out of time, which is the story of my life,

460
00:25:16,960 --> 00:25:19,559
we will talk about some of the conditions, the treatments

461
00:25:19,799 --> 00:25:23,200
that we can do for cataracts and maybe guide you.

462
00:25:23,480 --> 00:25:26,079
And if any of you listening have had animals with

463
00:25:26,200 --> 00:25:29,839
severe cataracts or even lenticulus grosis, I'm giving you a

464
00:25:29,960 --> 00:25:33,000
one week notice in advance. You're gonna give me a

465
00:25:33,000 --> 00:25:35,440
call at eight seven seven three eight five eight eight

466
00:25:35,519 --> 00:25:38,200
A two, send me an email this week to doctor

467
00:25:38,240 --> 00:25:41,799
Jeff that's DRGF at Petlife Radio dot com, or be

468
00:25:41,839 --> 00:25:44,319
prepared to join in on our conversation anyway. Thanks for

469
00:25:44,400 --> 00:25:46,039
joining me this week, have a great week once again,

470
00:25:46,079 --> 00:25:49,880
thanks for our sponsors pro Sense and Calm, and we

471
00:25:49,920 --> 00:25:54,240
will be here next Sunday morning or afternoon nine o'clock

472
00:25:55,079 --> 00:25:58,319
Western time out in the Pacific by me and noon

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out east. We'll see you that week.

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Speaker 1: Let's talk pets every week on demand only on petlit

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radio dot com.