CIL: How to find a Veterinary Specialist

Owners of dogs with intestinal lymphangiectasia can find themselves in a tough spot.  The disease is relatively rare, and the literature paints a fairly gloomy picture of prognosis.  What this means, in practical terms, is that your general medicine veterinarian may have never seen a case of this disease, and may not believe, in her heart of hearts, that there is much she can do for your dog.

Generalists are very good at what they do, which is to identify and treat the most common diseases, but when your dog has an unusual problem, they may not know how to proceed, or even what disease to look for.

In our case, our general vet, whom we dearly loved, was simply stumped.  We had to turn to specialists to get answers, and to find a vet who was willing to believe that we could achieve remission of symptoms.  You may, too.

There are several ways to find a veterinary specialist in your area.  For suspected or confirmed CIL cases, the specialist you want is the small animal internal medicine specialist.  If you are in the US or Canada, you can use this link:

http://www.acvim.org/websites/acvim/index.php?p=3

Or you can find a veterinary teaching hospital within driving distance, and get an appointment with a faculty member there in the internal medicine department.

Diagnostics to confirm CIL can be expensive, but having a solid diagnosis can make a big difference.  Having a vet that believes your dog can get well can make all the difference.

–Louie’s Mom

Kennel Cough: How serious is it?

 

Louie’s mom here!  If you’ve been around here for any length of time, you might know by now that Louie’s health deteriorated following his last rabies vaccine, and that at least one of his diseases is confirmed to have been caused by that vaccine.

Here is where I feel I have to insert my disclaimer and state that I am NOT against vaccines  Vaccines are an important part of your pet’s health and I think you need to make sure your pets are vaccinated against all life-threatening diseases.

There is a difference, however, between life-saving, necessary vaccines and unnecessary vaccines.  Unnecessary vaccines fall into one of two categories:

  • Vaccines against diseases that are not life-threatening, and
  • Excessive vaccines against diseases that are life-threatening.

Louie’s last rabies shot is an example of the latter.  He’d been vaccinated just a year earlier and the second vaccine, while recommended, turned out to be not only unnecessary but life-threatening.

There are also vaccines that provide protection against diseases that are just not that serious.  Peter Dobias has a great article about bordatella (kennel cough) vaccine that everyone should read.  Here’s a sample:

 Over the years, I have witnessed many people having a very unreasonable fear of Kennel cough mainly due to fear based advertising that kennel cough is some sort of horrible disease while even the Merck Veterinary manual says that

“Infectious tracheobronchitis is a mild self-limiting disease that results in inflammation of the upper airways transmitted by air and caused possibly but not surely by several different viruses, mainly Parainfluenza virus and also by a bacteria – Bordetella Bronchiseptica, however, the exact cause may vary.”

The Merck Veterinary Manual also states that:

“This condition would rarely lead to complications or death only in animals with a weakened immune system.  In summary, Kennel cough is not much different than a cold that most of us catch from time to time and cure by rest and tea.”

In contrary to this clear statement that kennel cough is nothing more than a dog version of cold, most boarding facilities, daycares, training centers and grooming facilities request kennel cough vaccine as a condition of admittance no matter what their age is.  The business owners often mean well but they are mainly frightened of being held liable for a dog getting kennel cough.  Imagine that it is as if a “human” daycare was held liable if a child in their care got a cold.

Books are theory but what about practice? In more than 20 years in clinical practice, I have not seen one single dog succumbing to kennel cough and as the Merck manual says, most dogs recover on their own without they use of any antibiotics.  The risk of dog of dying of kennel cough would be similar to that of a person dying of a common cold or flu.

Read the entire article here:

http://www.peterdobias.com/community/2012/03/kennel-cough-vaccine-exposed/

And, once you’ve read it, share your thoughts with me in the comments.

–Louie’s mom

Mom’s Mea Culpa!

Hello, Muffin Pack!

Mom has been busy and she wants me to come over here and personally apologize for all her absences!  As some of you know, she had surgery to take out her gallbladder (whatever that is) and that went pretty well, but afterwards she just needed something she calls “decompression time.”  I am not sure what that means but she says it’s about having too many things to do and being pulled in too many directions.  I guess she’s sensitive.

 

I would think that if she were being pulled in different directions she might look something like this:

 

 

But she doesn’t look like that to me.  She just looks a little tired.

So for anyone who has sent e-mails or left comments about the dreaded “L” disease that I cannot pronounce, mom wants you to know that she is sorry she has not been able to keep up with everything.   She promises she’ll write a good update on how I’m doing with my “L” pretty soon, though.

 

 

Your Sunday Cute!

The Trouble with Teacups

While we’re on the subject of the questionably-titled “World’s Smallest Puppy,”  we should probably take some time to talk about the “teacup” phenomenon in general.

“Teacup” is a popular term used by puppy millers and back yard breeders that refers to dogs expected to reach no more than three or four pounds as adults.  In other words, a teacup is a really, really small dog.  They’re called teacups because their sellers use pictures of them sitting inside of teacups and coffee mugs as a cute marketing ploy to show how tiny they are.  The thinking is that, the smaller the dogs are, the cuter and more desirable they are.

And why wouldn’t someone want a tiny, cute dog?  We see these images in the media all the time.  Celebrities with their tiny chihuahua or Yorkie being carted around in a handbag, plastered all over the internet with commenters saying things like “soooo cute!” How could you not fall in love with such an adorable creature?

Unfortunately, the cuteness and small size only serve to obscure some much larger issues, the most important of which is that breeding dogs for such small sizes can create a host of health problems.   These include heart defects, kidney disease, liver shunt, bone disease and deformity, open fontanel, increased risk of injury and severe digestive problems which can lead to diabetes and hypoglycemia.  Blood sugar issues have resulted in coma and death, which can happen very quickly in a dog this size.

Teacups don’t conform to breed standards; they’re too small.  Ethical, responsible breeders will take a puppy that is too small, have it neutered, and place it with a nice pet home.   That’s what you should do with a dog too small to meet the standard.  However, there are lots of unscrupulous breeders who will take the smallest of their puppies and breed them together to produce these so-called teacup dogs.  They advertise them as such, using the inherent appeal and novelty factor to lure in unsuspecting owners who will pay a premium to acquire a dog which is at high risk for a shortened lifetime of health problems.

Which brings us right back to Beyonce, who is being touted this week as the “World’s Smallest Puppy.”  Born to a mother that was rescued from a shelter by a rescue organization in Northern California, she was the smallest of the litter and had to be resuscitated at birth.  The rescue organization has been traveling with this two week old pup, appearing on Good Morning America and People.com.  Everywhere I turn, people are cooing about wanting this tiny puppy.  All you need to do is go to Twitter, search for “smallest puppy” and watch what comes up.  Here’s a sample:

Aaawwwww the worlds smallest puppy on channel 7 news. I wanther!!!! I love animals
Beyonce , has the smallest puppy in the world . I want it ! [editor:  This person apparently thinks this is Beyonce's puppy]

I just saw the cutest, smallest, little puppy on tv! And it’s named Beyonce! ” I WANT IT.

omg the smallest puppy in the world who is named Beyonce?! iwant her!

And on and on. So, aside from the health risks to this puppy from traveling and being handled at such a tender age, we now have a rekindling of interest in “teacup” sized puppies– thanks to the irresponsible actions of one attention-hungry rescue group.  This will only lead to more irresponsible breeding of undersized, unhealthy pups which will ultimately end up either dead or dumped in shelters when the expense of their health problems becomes apparent to those who only wanted a cute, tiny puppy.

Is this a good or bad thing?

You tell me.

–Louie’s mom

Pet Pardons: World’s Smallest Puppy or World’s Biggest Lie?

Pet Pardons News asked me to write an op-ed article for their news page yesterday about this “world’s smallest puppy” thing.

The article, posted last night, is being shared around Facebook a good bit today, which I find very encouraging.  There appear to be many in the animal community who agree with this viewpoint, and I’m glad to see others standing up and speaking out.

My great fear over this is that people will take it as a cue to go out and seek publicity in a similar manner.  My other great fear is that this will continue to encourage the breeding of so-called “teacup” puppies, a practice that results in a host of additional health problems.

That will happen unless the animal community is willing to stand up and push back on things like this.  We have the opportunity now.

Here’s the article I wrote for Pet Pardons:

http://news.petpardons.com/worlds-smallest-puppy-or-worlds-largest-lie/

 

Patrick Syndrome

Yesterday I brought your attention to Beyonce, the two-week old pup who’s being billed as the world’s smallest puppy.  She was flown from California to New York City to appear on Good Morning America, which happened this morning.

I made some posts, first to my personal Facebook page and then to Louie’s page, to see if I could gauge whether or not I was overreacting to think that this was a bit of irresponsible reaching on the part of the rescue that initiated this “World’s Smallest Puppy” campaign.  After several of my friends responded to express similar sentiments, I thought maybe it would be a good idea to show that side of the story.  So I wrote a post.

Beyonce is being cared for by the Grace Foundation of Northern California, a rescue group who saved her pregnant mother, resuscitated this pup (the runt of the litter) and then decided to promote her as the “World’s Smallest Puppy.”  I’m sure they do good work, and they clearly have a cadre of devoted fans who believe strongly in the work that they do and are happy to see them getting so much press.  And I’m sure their intentions are good.  But the whole thing bothers me, a lot, and I want to tell you why.

Before I get too far ahead of myself, I want to emphasize here that I am very supportive of rescue workers.  I have many friends, both on and offline, who are involved in rescue in some way.  I have campaigned to fundraise for many rescue organizations through Louie’s Facebook page, and I continue to support good rescue efforts in any way I can.  This post is not about bashing rescue, or the wonderful, dedicated people involved in rescue, or the wonderful work that they do.

I also want to emphasize here that I have nothing but the utmost respect for the people who have been involved in the rescue and rehabilitation of Patrick the Pitbull.  If you don’t know Patrick’s story, he was rescued from a garbage chute, starved and barely alive, just over a year ago.  His rescue and subsequent rehabilitation sparked numerous websites and movements devoted to animal welfare causes, inspired by — and sometimes named for– him.  Patrick was lovingly cared for and nursed back to health by some remarkable, dedicated people.  But he also became an “accidental” celebrity and, sadly, his story has also been used– exploited, you might say– by some whose motives are questionable, at best.

What I’m going to say next shouldn’t come as any great surprise to anyone who’s been paying attention:  Patrick was an unqualified viral sensation who brought a lot of attention to the plight of rescues and the creatures they care for and the work they do.  And today there are a lot of people in animal related work who would love to “discover” the next Patrick.  Failing such “luck,” some of these people would do what they could to manufacture the next Patrick.

I contend that the story of “Beyonce,” who does have a sad story but is in no way the world’s smallest puppy, is being spun in a misguided effort to draw attention (and donations) to the rescue who is caring for her.  They probably mean well.  They probably think that the ends outweigh the means, that they can take advantage of their fifteen minutes of fame, because this is their moment.  And, why not?  It sheds a good light on rescue and raises awareness, right?

Not so fast.  First of all, it’s plain to anyone who has ever bred small dogs that this is just the runt of a small-breed litter.  Who, exactly, has determined that this is “The World’s Smallest Puppy?”  Clearly (to anyone who knows about such things) this is not by any stretch the smallest puppy ever seen at two weeks.  So why make such a fuss?  Doesn’t this seem a bit like a carnival sideshow to you?  You know, those exhibits where they have a trailer with the “world’s smallest horse” and you pay your five bucks to see a smallish pony?

And second, who travels across the country with a two week old puppy?  The spin on this is that she was vet cleared, was very well cared for by experienced rescue people for the entire trip, and her mother was brought with her.  All laudable cautions.  [Editor's Note:  I have since been made aware that the vet who cleared travel for this pup is also the romantic partner of Grace Foundation's head.] But most responsible breeders will tell you that, for the first few weeks of life, they are very cautious about exposing pups to anything external to their home environment, because their little immune systems are too underdeveloped to fight off any infections they might acquire.  Many airborne infections, such as parvovirus, are quite lethal and quite common.

During the first few weeks of a puppy’s life, you cannot be too careful.  Yet Beyonce was taken on an airplane (even adult humans fear exposure to airplane air because of the microbes it harbors) and taken into a studio where she was handled by a multitude of people.  Disclosure:  I have not watched the clip of this show, but I am told that not one word was said about rescue or the work that rescues do.    So exactly where is the benefit to outweigh the risk to this young pup?

I’m going to go out on a limb here and say that a rescue should know better, and so should their vets.  A rescue should, above all, be putting the health of their innocent charges front-and-center, thus providing examples of how to care for animals instead of how to exploit them.  I don’t care how much publicity this brings to this group of do-gooders.  Putting the health of this two-week old puppy in danger for the sake of a few minutes of national exposure is a disgrace.

So here we have an example of something I’m going to call “Patrick Syndrome.”  I’m calling it how I see it, and someone needs to be the one to say it.  Everybody’s rushing to find, or to create, the next Patrick.  And, in this case, too many people are all too willing to coo over the cute, tiny, puppy while they turn a blind eye to the exploitation of that puppy and the potential pitfalls and dangers.

Today  I’m asking the animal community to be willing to take a stand against this kind of exploitation.

This is not “good for rescue.”  This is the kind of thing that gives rescue a bad name.

–Louie’s mom

(note about the image:  this is a public domain image of a young pup)  

Two weeks old, and flying to New York? For Publicity?

Have you heard about “Beyonce?”  She’s the latest viral sensation, a two-week old Dachshund pup who’s being “cared” for by a rescue.   They’re billing her as “Possibly the World’s Smallest Puppy” and have just flown her to New York for an appearance on Good Morning America.

According to their Facebook page, Beyonce was cleared for this trip by their small animal vet.

I’m sure this will be great publicity to the rescue in question, but I’m not alone in questioning the wisdom of sending a two-week old puppy who has already had more than her share of trauma on a cross-country plane ride, to be paraded before cameras.  Am I?

What do you think?  Should a two week old puppy be traveling like this?  Any vets out there like to offer their own opinion?

 

Canine Intestinal Lymphangiectasia: Fact Sheet

There’s a nice, succinct fact sheet about CIL on the net which you can download.  An excerpt:

About the Diagnosis

Cause: Lymphangiectasia is an intestinal disease of adult dogs. With lymphangiectasia, a disruption of the lymphatic system causes leakage of lymphatic fluid (also called lymph) into the gastrointestinal tract. The lymphatic system is a very complex network of fluid, vessels, lymph nodes, and organs throughout the body that has numerous functions. It often runs parallel to, although separately from, the blood circulation. The lymphatic system is a ferrying system that carries waste substances outward from tissues in the body to the bloodstream. It also provides immune defense in certain areas of the body such as the spleen, tonsils, and the lining of the gastrointestinal tract (stomach and intestines). Also in the intestine, the lymphatic system absorbs fats after they are digested (chyle). In addition to fats, lymphatic fluid contains proteins and white blood cells, which are vital for the body’s functions. Unfortunately, with lymphangiectasia the white blood cells, proteins, and fats leak into the intestinal tract and are lost. As a result, the dog becomes malnourished. Over time, this potentially can become a life-threatening disease.

Download the fact sheet here.

 

Your Sunday Cute!

Whew! Mom finally stopped yapping long enough to let me post something here that I like! Here is your Sunday Cute!

– Louie