Coffee heat rising

Doggie Update

So Charley the Golden Retriever is still alive. And I had the locale wrong, for reasons attributable only to senility: somewhere along the line “Show Low,” the garden spot where M’hijito and his dog are presently becalmed, morphed in my aged mind into “Snowflake,” a different  wide spot in the Arizona road. Show Low is even further from lovely uptown Phoenix: it’s about a five-hour drive. Images all seem to be copyrighted, but you might enjoy this rustic piece of public relations

Nice and cool up there, though. It’s hot, humid, and rainy down here.

The vet’s office in exquisite Show Low is closed on the weekend, but they’re kindly letting M’hijito visit his dog while staff go in to check on the imprisoned livestock. They also hope to get a vet in to talk with him this afternoon, maybe.

Charley lives, to the surprise of all concerned. The vet expected him to die and prepared M’hijito (repeatedly) for that eventuality. Apparently he’s stronger this morning and able to sit up (which was not so before this). However, his bloodwork still ain’t great: they’re telling M’hijito that the platelet count is low.

However, he had a bowel movement that was not bloody diarrhea — which would have been the case had the predicted devastation to his intestines occurred. I have not heard that he’s bleeding from the nose, gums, or anus, which would be the case if the low platelet count indicated internal hemorrhaging. There’s some indication of harm to the liver, but the vet says a dog may recover from some injury to the liver.

The vet would like M’hijito to take Charley to a 24-hour veterinary facility. Here in the Valley, these places are billed as “emergency animal clinics,” and they charge $1300 (!!!!) just to walk in the door. Got that? It’s just the down payment. If you say “we can’t afford that,” they will summarily turn you away! Customers either love them or hate them: some people report good experiences, but evidently if you’re unfortunate enough to have a bad experience, it’s very, very bad.

At any rate, it’s unclear that the dog needs that kind of high-powered treatment: he hasn’t died yet under the care of the small-town vet, and my guess is that if he hasn’t died yet, he’s not going to.

M’hijito says tomorrow morning he will call his vet’s office (she actually retired, but at least he’s on record as having been a customer there) and follow their advice, although clearly his inclination is to take the dog to a 24-hour place.

Meanwhile, as reported yesterday, one researcher found that all the hyperthermic dogs in a study survived if they made it through 72 hours in a veterinary hospital.

Additionally both hypothermia (getting too cold) and hyperthermia (getting too hot) can on their own cause platelets to die off. In vitro (i.e., in glass: in a lab), they readily regenerate at room temperature. This suggests that if the dog actually is not hemorrhaging internally, his blood count should recover in due time. If he were bleeding much internally, he would not appear to be getting steadily better, a little each day. Presumably, he would not even be living at this point.

And I also learned that, at least in humans, hyperthermia can be psychogenic — that is, stress can bring it on.

A more technically inclined report says that in humans stress can lead to transient hyperthermia, which will not respond to aspirin (and similar drugs used to treat fever) but which may respond to sedatives and antipsychotics.

As far back as 2008, researchers were talking about stress-induced hyperthermia — the vets up there should know about this, you’d think.  Presumably, though, because they’re in a rural practice they have no need to.

My son says the dog was never exposed to high temperatures en route, not even when they were stalled for an hour by the road construction in the Salt River Canyon. In fact, he says, the inside of the car was “cold as an icebox.” He let Charley out of the car while they were stopped, to let him walk around…and noticed then that he was panting and wild-eyed. This he attributed to the dog’s usual dislike of riding in the car. For unknown reasons, Charley was OK with the decrepit Honda sedan M’hijito used to drive, but he hates loathes and despises the Ford Escape that took its place. Under normal circumstances he freezes up and goes all rigid, M’hijito says, and sharing the back of the vehicle with camping gear evidently got him massively overwrought. M’hijito thinks he became so frantic in his fear or phobia or whatever the eff that he worked himself up into overheating. That possibility seems to be confirmed by the studies above.

Less evident is whether it’s really necessary to consign this dog to a 24-hour emergency veterinary once he’s well enough to travel five hours inside the hated vehicle, or one like it. These places are renowned for bills that run well over $1,000, and one person reported a bill of $22,000. It’s hard to get a straight story, unfortunately, because most of the sites discussing this subject bear all the hallmarks of paid posts, at one point or another coming around to a pitch for pet health insurance.

Herein lies the problem, my friends, with raising children in an upscale urban setting. Well. One of the many problems.

In a setting where dogs and cats are “members of the family” and animal owners go around calling themselves “pet parents” (for godsake), it’s impossible — it surely is socially unacceptable and it probably is objectively impossible — to communicate to a young person the ethos that a dog is a dog.

It is not your friend and it is not your “packmate” and it is not your baby: it’s a dog.

A symbiote.

It cannot understand why it’s suffering, and its concept of the future does not include “someday maybe I’ll recover and sure, I’ll be a cripple but that will be OK because I’ll still live to see my grandpuppies graduate from Harvard.”

So moderns like M’hijito whose parents did not grow up in rural settings aren’t prepared to deal with the eventuality of putting an animal down as the kindest thing for all concerned.

You know, my father grew up as a cow-puncher and my mother’s family scratched a living out of a dirt farm in upstate New York. Neither one of them would have wanted to put a pet down. But neither of them would have impoverished themselves to keep a seriously injured or sick dog alive, or forced that animal to live through a lot of suffering on a long-shot chance that it might survive.

Nor, I might add, would my father have put up with a supposed hunting dog that was so neurotic you couldn’t take it for a four-hour ride in a car without it collapsing in a phobia-induced state of hyperthermia.

This is my fault. I should have made my son understand that a dog is a dog, not a four-legged person…I mean, understand that on a gut level.

My own sense is that one should do what one can, within reason (got that? within reason is the operative term here) and then let nature take its course.

Our ranch manager once told me that. I asked him if we shouldn’t call in a vet for a very aged horse that was suffering an ailment. He said, “No, we should let nature take its course.” And he was right. I would have called the vet; still would, being a city girl. Nothing much would have happened. The vet would have charged more than the horse was worth; the horse would still have died. But I wouldn’t have felt guilty about it, anyway. I guess.

About eight times out of ten, I expect, letting nature take its course is the most merciful thing for all of us. All told.

Humane Society Offers Deals! Frugalist pleased

Never in my entire life, which as you know began during the Cretaceous Period, have I ever walked into a veterinarian’s office and managed to escape without some sort of charge. Until today.

Even the Wonderful New Vet zinged me $7.50 after the “free” introductory visit for Cassie the Pembroke Welsh Corgi: charge for setting up records. Right. But the Humane Society, where last Friday I scored the nifty Little Dog, promises that you can take your adopted pet to any VCA animal hospital for a free check-up and two weeks’ worth of free care for several ailments typically picked up in animal shelters. I figured this would be about as “free” as WNV’s “free” service; maybe more so. But nay!

As expected, Cassie began to show signs of kennel cough last night. Few dogs get out of a crowded animal shelter without kennel cough, an extremely contagious bacterial disease that can bundle with it a virus or two and maybe another bacterium. While this ailment can spirit your pet away (and it can be zoonotic-that is, contagious to humans-under rare circumstances), it’s usually not very serious. It’s a lot less serious and a lot more easily dealt with if you attack it at the first sign of doggy di$comfort. Oh. $orry. Make that “discomfort.” Doggy discomfort.

Well, Humane Society clients have five days in which make an appointment to take advantage of the two-week “warranty” period, so I called this morning and to my amazement got an appointment mid-afternoon. The luncheon on today’s schedule, thank God, got moved to Wednesday (don’t ask!). This allowed me to race out to campus, actually get some work done, and race back in time to appear chez the corporate veterinarian at the appointed moment.

Dr. Brad Walker and his brand-new sidekick, Dr. Rebecca Baciak, a freshly minted young veterinarian awaiting her state boards, examined the pooch, opined that a case of kennel cough indeed very likely was a-brewing, and forked over not one but two prescription meds.
Total cost of their services and meds: $87.50
Total cost to moi: $0.00

Yesh. Not even a “records fee.”

They suggested testing her little rabbit pellets for worms but allowed as how waiting until payday would do no harm. If done within 14 days of the adoption, the fecal test could be done on the Humane Society’s dime, too. And of course they want to get the dog on heartworm meds, a lifetime pharmaceutical that other vets have advised is unnecessary in my part of town. Big Pharma’s tentacles are everywhere: in your doctor’s office, in your shrink’s office, in your dentist’s office, and in your veterinarian’s office.

That notwithstanding, I liked this guy, a former large-animal vet from the Midwest who had shifted gears to small animals. The place was clean and he projected an air of experience and competence. It struck me that Doc Walker would be a mighty fine mentor for a young veterinarian at the start of her career.

So, kudos to the Humane Society for cooking up these freebies.

But a caveat: as I write this, I just got a telephone solicitation from VCA, which obtained my phone number from the Humane Society. That, I could do without.

Reviews of VCA shops range from very positive through mixed to negative, with many complaints about high prices and at least one allegation of questionable billing practices.

Wonderful New Vet’s statement doesn’t itemize the amount she would have charged for Cassie’s free Humane Society Exam, but only lists it as a write-off at $0.00. How that works, I don’t know: it could be a lagniappe, or it could be that her office has a less elaborate deal with the Humane Society. Her first examination of Anna H. Banana came to $278, but it included an X-ray of a very sick, very large dog, a lengthy consultation, and fistfuls of high-powered meds. Remember, at the end I was giving Anna 11 pills a day, four doses of eyedrops a day, and smearing two ointments on her four times a day. So no comparison is possible.

Any outfit that asks me, as the VCA folks did, what my “baby’s” name is arouses my suspicions. The Humane Society’s paperwork folder is labeled “New Pet Parenting Guide.” This is the sort of sentimentality the pet industry fosters to persuade you to part with lots and lots of your money. I figure an old guy who used to run a practice for farm animals probably knows better. But hey! The man has gotta make a living.

Remember this mantra, no matter how cute, valiant, or smart your dog or cat:
It’s a dog!
It’s a cat!
It’s not your kid!

Adopt a dog or cat from the Humane Society. If you’re smart and lucky, you’ll get good deals all the way around. But bear in mind: caveat emptor.
3 Comments left on iWeb site

Squeezenickel

Don’t forget to factor in the cost of transporting Cassie to the “free” vet for this treatment of follow-ups.

Tuesday, June 17, 200806:22 AM

BeThisWay

I got the same deal with VCA when we got our dog through the Humane Society.I went back to our regular vet afterwards.

I know you don’t think dogs are human, but you never met my Jonah.Now my current dog, Phoebe, is a dog.Definitely.

😉

Tuesday, June 17, 200801:24 PM

vh

True enough. On the other hand, I don’t deny that dogs are sentient, feeling beings.

I’ve had dogs all my adult life, and during that fairly lengthy time, I’ve had one that I would classify as “great”: a German shepherd who came to live with us when her humans divorced. She saved my son’s life, saved me from a rapist, chased a cat burglar out of our house, drove off a man who came up to me and my son waving a machete in the neighborhood park, knew who belonged where, demonstrated that she could make decisions based on facts and judgment (not an exaggeration!), and was generally a mellow and wonderful friend.

Most dogs are mellow and wonderful, given half a chance. All my other dogs have been good dogs, but only Greta was truly a great dog.

Dog redux

Seven hundred and eight dollars later. . .

Yes. That’s over seven hundred bucks. So much for the Month of Extreme Frugality. How laughable.

Yesterday I took the dog to a new veterinarian, not feeling at all satisfied with what I got for $430 from my regular vet. When I took her to the the latter vet late last month because she stank so violently you couldn’t stay in the same room with her, he said she had a vaginal infection and gave me a bottle of antibiotic pills and a tube of antibiotic ointment, with instructions to smear it on her nether parts (at great risk to life and limb, we might add). This was a week after he saw her for restlessness and hyperventilation and gave her a cortisone shot to quiet her down. Shortly after I got her home, I found a large lesion on her leg. He-or rather, one of his staff-said he had seen it, it was a pressure sore, and I should put the ointment on that, too.

The sore didn’t get any better, and neither did the stink, to speak of. They charged me another fifty bucks for a second round of antibiotics. On my own, I tried myconozale, which helped a little; the problem was, I couldn’t get the stuff on the dog because she threatens to bite me every time I try to apply anything to the affected area. She has to be muzzled, wrestled down, held down, and medicated. It’s no small trick to do that once, much less several times a day, and I am not of an age to be wrestling on the floor with a ninety-pound dog!

Meanwhile, when I called back about the leg sore, the same unhelpful and vaguely rude staff lady proposed, with a straight face, that I lock her in “a small room” where the floor is padded with several layers of comforters. Well, the only such room in this house is the bathroom where the only truly functional toilet resides. The door opens inward. You can’t pad the floor where the door swings. So I had to drag the dog into the bathroom and then barricade the entrance to the bathroom with a couple of dining room chairs. A German shepherd has no problem moving a couple of chairs out of its way. So I had literally to barricade the door with several dining room chairs, jamming them into the hallway so she couldn’t budge them. As you can imagine, this was not very good for the chairs, my back, or the dog. The only other way to keep her on a padded floor is to tie her to a doorknob and spread the comforters, several layers deep, over an area too large for her to escape.

Neither of these strategies was any too practical.

I also very much doubted that the sore was a pressure sore, because the dog is too active for such a thing to have developed. She’s in motion much of the time and never lies still longer than about four or five hours. I know: that’s about as long as she will allow me to sleep for any given stretch. It’s the wee hours right now, and we’re up.

So I decided to try a friend’s vet.

Well, the place was very impressive-and much, much closer to home. It’s clean, with absolutely no typical veterinary odor. Very spacious and shiny, with several vets and at least a half-dozen staffers that I could see. Meaning, of course, that the practice is cranking the bucks.

Lots of brochures laying around detailing all the expensive things you can do to/for your dog. The basic “senior well dog” checkup is $275, and that’s a fishing expedition that looks for chronic ailments to treat for the rest of the animal’s life. Onward.

The vet was a young woman, very smart. I overwhelmed her with two pages of the dog’s symptoms and four questions:

  • What is the sore on her leg?
  • What can be done about the vaginitis?
  • Why does she pant and hyperventilate constantly?
  • Can she be treated in a reasonable way that does not drive me to wacky behavior like tying the dog to doorknobs and barricading the bathroom with the dining-room furniture?

She examined the dog, shaved the hair off around the irritated rear end, and, having learned to her surprise that the other vet had not done a culture on the diseased area, swabbed up a sample for culturing in a lab. After this, she opined that the lesion is not a pressure sore, because it’s not in an area where a bony prominence comes in contact with the floor and it does not look like a pressure sore. She thinks it’s a hot spot, probably brought on by an insect or spider bite. About the infection, she thinks the dog is in a great deal of pain.

About the heavy breathing, she noted the dog’s nasal secretions are bloody and said she may have a tumor, an expensive item to diagnose and treat. To find out whether she does have nasal cancer, which as it develops is pretty likely, will require a $300 X-ray. If that is positive, the dog will have to be put down.

(As I write this, ominously enough, no air is flowing through the dog’s nose and she’s breathing, loudly, through her mouth.)

The vet then gave me four different medications: a spray, fistfuls of medicated wipes, goop for her rear end, and goop for the sore. She recommended I continue the antibiotics I have until she can get the results of the lab test back, at which time she probably will recommend some other $50 antibiotic. So at this time, the dog is supposed to get FOURTEEN DOSES OF MEDS A DAY. She did, at least, say it is unnecessary to try to force the dog to stay on pads, so I can leave off that aspect of the wacky behavior. IMHO, medicating a dog 14 times a day is quite wacky enough.

At any rate, she charged $278 for all this.

Compared with the other vet’s bill, it seemed like a bargain. Consider:

Vet 1: $430

Services and products:
cursory exam
cortisone shot for agitation
2 bottles of antibiotics
1 tube of ear ointment
not so much as a clue about the leg sore
absurd recommendation for management of leg sore

Vet 2: $278

Services and products:
thorough exam
shaved hair from affected area, allowing access for medicating
lab culture and test
ointment for leg sore
pain-killer for vaginal infection
spray-on antifungal for vaginal infection
antifungal, antiseptic wipes for vaginal infection
consulted at length and made more or less rational recommendations

I said I suspected the dog really does not need Soloxine, because at the time the other vet put her on it, she had no visible symptoms of thyroid dysfunction and because I had learned that hypothyroidism is the most overdiagnosed ailment in veterinary medicine. She said the only way to tell is more bloodwork: $125. To test for thyroid function in the presence of Soloxine, you have to test about 5 hours after the drug has been administered. Since I dose Anna at 6:00 a.m. and it was by then after 3:00 p.m., that scheme was obviated. I’ll have to bring her back another time to find out if she really needs thyroid pills. But first we probably should find out if she has a tumor in her nose, a situation that would do some more obviating.

When I got the dog home, I could not get her out of the car. She couldn’t stand up. She’d jammed herself up against the driver’s seat so that she couldn’t get enough purchase to pull her weakened hindquarters off the floor, and she threatened to bite me when I tried to help her get upright. It looked for a while like I was going to have to drive her back to the vet and have them put her down, right then and there. Finally I pulled the car into the garage and just left her there with the door open and the lights merrily running the battery down. After a half-hour or forty minutes, she managed to get herself up and out of the vehicle.

The four Benadryl I walloped her with an hour ago have finally taken effect. She’s out cold on the floor. On a positive note, she’s now breathing through her nose (more or less), which she was unable to do when she woke me with the steam-engine sound effects. So maybe the nasal problem is just allergies. Probably not, though. You don’t get a bloody discharge from allergies.

My head hurts, my neck hurts, my back aches, my iced tea has gone warm, and even our pet house fly is asleep. Now that it’s quiet, I’m going back to bed.

Month of Extreme Frugality, indeed!

2Commentsleft on iWeb site:

Pinchnickel

Gasp!Have you asked the veterinarians to treat your pooch “pro bono?”I watched a Hollywood TV show, All Things Large and Small, that portrayed veterinarians as compassionate, caring, green-minded people, generous with their time and money.

Thursday, May 15, 200807:15 AM

vh

Isn’t that the loveliest program? You know, it’s based on a series of semiautobiographical books whose author was an English veterinarian. Each of them is equally delightful.

Veterinarians are compassionate and caring people. But compassionate and caring people have to eat, too. Veterinary school is said to be more difficult to get into than medical school, and the course of studies is extremely challenging. After one of these very bright young people graduates, she or he goes into the business of veterinary care, which IS a business, not a hobby or a charity.

Veterinarians are not in business to give away their skills. They’re in business to make a living. Given how hard they have to work to acquire their skills, they rightly expect to make a good living. Many vets, however, earn only a middle-class income; it’s a lot less profitable than you would think.

Compared to what Vet #1 charged, I felt Vet #2’s fee was pretty reasonable: she devoted a lot of time to examining the dog and talking with me in detail, she provided more medications, and those medications appear to be more specific to the ailments at hand. And she did not leave me in the dark, wondering what is wrong and whether it can be treated at all.

Am I willing to pay $300 to have a 13-year-old German shepherd’s skull X-rayed? The jury is still out on that one. Since I’ve already spent more than half (!!) of this month’s disposable income on the dog, it will have to wait until another couple of paychecks come in, so there’s plenty of time to make a decision.

And at the rate the poor old gal is going, she may not last that long. She has a tough time dragging her crippled hindquarters off the floor, and so frankly, I suspect the end is in sight.

Thursday, May 15, 200809:06 AM