Posts Tagged ‘weakness’

Videotaping for Your Vet

February 1, 2011

Rarely am I bothered by client misbehavior, but when a client answers their cell phone while we are in the midst of discussion, I admit to feeling a bit peeved. So why in the world would I invite my clients to whip out their cell phones during the course of an office visit? Because I want to see video of my patients’ symptoms! Unless you are like me- still using a cell phone that my daughter considers prehistoric- your cell phone allows you to have instant access to shooting video. And if I can watch videotape of your pet’s confusing symptom or odd behavior, I’m more likely to figure out the underlying issue, more so than with just your verbal description (no offense intended). And when I have a better sense of the underlying issue, I can more expediently, and often less expensively, guide you towards rational diagnostics and/or therapy.

Unless the odd behavior or new symptom is occurring round the clock, the likelihood of it happening in my exam room is slim to none. You’d be surprised what symptoms fully resolve when animals are under the influence of adrenaline. So, if your dog or cat is doing something bizarre that you think will be difficult to accurately describe to your vet, I encourage you to grab your cell phone and shoot a video (feel free to include some Jacques Cousteau narration if you like). By all means, nix the video if you sense you are observing something that is life threatening, and get to the nearest veterinary hospital ASAP.

Here’s a classic example of how videotaping a medical problem can be wonderfully helpful. A common symptom in dogs is referred to as “reverse sneezing.” It occurs when a dog feels a tickling sensation in the back of their throat. It is somewhat equivalent to a person clearing their throat. However, when dogs reverse sneeze, the symptoms appear ridiculously overly dramatic. They assume a stiff posture with head and neck rigidly extended forward. This is accompanied by forceful, noisy inhalation and exhalation that can last for several seconds, even minutes. Check out the example of reverse sneezing in the video below.

For the uninitiated, reverse sneezing is a scary thing to watch- clients commonly report that they think their dog is having an “asthma attack.” Show your vet a video of reverse sneezing and he or she will be able to recommend what to do about it as well as provide plenty of reassurance that, no matter how dramatic the symptoms appear, they are not causing any oxygen deprivation. As much as video is helpful in this situation, I must admit I will miss watching my clients trying to imitate reverse sneezing (oops- I just revealed one of this veterinarian’s dirty little secrets)!

Here are some examples of other behaviors/symptoms that should prompt you to grab your cell phone and shoot some video (if you can think of others, please let me know):

1. Weakness
2. Trembling
3. Incoordination
4. Falling down/collapse
5. Episodes of pain
6. Symptoms associated with passing urine or stool
7. Making odd noises (in this situation audio taping is a must along with video)
8. Coughing (again, adding audio is great)
9. Labored breathing
10. Limping/lameness
11. Odd behavior

Have you ever shared video with your vet? If so, did it prove to be beneficial in making decisions about how to proceed?

Best wishes,

Nancy Kay, DVM
Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Recipient, American Animal Hospital Association 2009 Animal Welfare and Humane Ethics Award
Recipient, 2009 Dog Writers Association of America Award for Best Blog
Recipient, 2009 Eukanuba Canine Health Award
Become a Fan of Speaking for Spot on Facebook

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot. There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot is available at Amazon.com, local bookstores, and your favorite online book seller.

A Summertime Reminder

June 18, 2010

Tuffy, a scruffy and adorably sweet little terrier arrived at my hospital earlier this week in a state of collapse with profoundly labored breathing, purplish gums, and a temperature of 106 degrees Fahrenheit (the normal body temperature for a dog is 100-102 degrees).  Tuffy’s well-intentioned family let him accompany them on a brief outing and, while they were in the store for a mere ten minutes, Tuffy remained in the car.  The problem was, the outdoor temperature at the time was 92 degrees. The temperature within the car must have quickly soared to well above 100 degrees. Tuffy is one of the lucky ones.  He survived his episode of heatstroke without any lingering complications and has gone home to rejoin his grateful (and more knowledgeable) family.  Most patients with heatstroke don’t fare nearly so well.  Thank you Tuffy for reminding me that it’s time to rebroadcast a blog I posted last summer.  I encourage you to share this with anyone you know who loves a dog with hopes of preventing a needless tragedy.

 

Dog Days of Summer

Some of us take “dog days of summer” literally- we want to go everywhere accompanied by our beloved canine companions!  As tempting as this may be, keep in mind that when temperatures are soaring your dog is likely best served by staying home.  Heat has the potential to be hazardous to a dog’s health. 

Dogs are incapable of significant sweating- their only sweat glands are located on the undersides of their paws.   The major mechanism by which dogs dissipate heat is by panting, but this cooling system is easily overwhelmed when the temperatures climbs.  Panting becomes even less effective in humid conditions or for dogs with underlying respiratory tract ailments (collapsing trachea, laryngeal paralysis, lung diseases) or dogs that are overweight. Bulldogs, Pugs, Boston Terriers, and others I lovingly refer to as “smoosh-faced” breeds readily overheat because of their unique upper respiratory tract anatomy. 

What happens when dogs get too hot?  The result can be heatstroke, a life threatening condition.  Symptoms of heatstroke tend to occur abruptly and can include increased heart rate, labored breathing, weakness, collapse, purplish gum color, and even seizures and coma. Of all the “summertime diseases,” veterinarians dread heatstroke the most because we know that, even with aggressive therapy, many heatstroke victims will succumb to organ damage and death.

Most cases of canine heatstroke are a result of confinement in cars.  Perhaps the vehicle was parked in the shade, but the sun shifted, or a well-intentioned person thought that leaving the windows cracked or returning to the car quickly would be a safe bet.  Overactivity in the heat is another common cause of heatstroke. The desire to chase the ball trumps all else, and the person throwing it doesn’t recognize when it’s time to quit. 

If you suspect your dog has or is on the verge of heatstroke, spend just a few minutes cooling him off with water from a hose or covering him with towels soaked in cool water.  Then get to the closest veterinary hospital as quickly as possible. Time is of the essence- the earlier heatstroke is detected and treated, the greater the likelihood of a positive outcome. 

Knowledge is power when it comes to preventing heatstroke.  Here are some pointers to help keep your best buddy safe during these hot summer months: 

-Never leave your dog inside the car on warm or hot days.  A panting dog in an enclosed space quickly creates a muggy greenhouse environment that can quickly cause heatstroke.  Even with the windows down, temperatures inside a car can rise to 120 degrees or more.  If you happen upon a dog confined in a car on a hot day, find the owner of the vehicle or contact a police officer- whichever will most rapidly liberate the dog from danger. 

-Exercise your dog early in the morning or during evening hours to avoid the heat of the day.  

-Allow for plenty of rest and water breaks during play activity and exercise. Your dog may not know his limits and will continue to enthusiastically chase the Frisbee even when his internal thermometer is getting ready to blow a fuse. 

-Keep your dog indoors, ideally in air conditioning, on very hot days. 

-If your dog is left outside, be sure he has plenty of shade and provide him with access to a sprinkler, wading pool, or sand pit soaked with water. 

-If flying with your dog during the summer months schedule your flight for nighttime or early morning.  Check with the airlines to find out whether or not the cargo hold is temperature controlled. 

Now, here’s wishing you and your four-legged best friend a most enjoyable and safe summer!

Nancy Kay, DVM
Diplomate, American College of Veterinary Internal Medicine
Recipient, American Animal Hospital Association 2009 Animal Welfare and Humane Ethics Award
Recipient, 2009 Dog Writers Association of America Award for Best Blog
Recipient, 2009 Eukanuba Canine Health Award
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life

Website: http://www.speakingforspot.com
Become a Fan of Speaking for Spot on Facebook 

Please visit http://www.speakingforspot.com to read excerpts from Speaking for Spot. There you will also find “Advocacy Aids”- helpful health forms you can download and use for your own dog, and a collection of published articles on advocating for your pet’s health. Speaking for Spot is available at Amazon.com, local bookstores, or your favorite online book seller.