Archive for the ‘health’ Category

And baby and kitty make three. The truth about toxoplasmosis in cats and pregnancy.

Tuesday, September 22nd, 2009

Today I read another story about a women thinking of giving up her cat because she was pregnant. It makes me so sad then our loyal companions are thrown away especially when there are many ways to have a safe pregnancy and keep the cat.

Please read this before considering giving up your furry friend just because you are pregnant and worried about toxoplasmosis.

We have all hear about the risk from toxoplasmosis to unborn fetuses and that pregnant woman should not get near cat boxes. But from there the facts often morph into fiction until suddenly pet cats are praying on your unborn baby’s soul and women are running to the shelter to turn in their fuzzy friends.

So here are the facts! I am not a MD so please bring this sheet to your doctor to discuss.

  • 1. The number one way to catch toxoplasmosis is from eating undercooked meat (beef, lamb or pork). That’s right, if you eat your steak cooked anyway other then well done, that is the most common way of getting toxoplasmosis. It’s the cows, not the cats really! At least 60% of toxoplasmosis infections occur this way.
  • 2. Up to 70% of adults in the United States are seropositive for toxoplasmosis. In other words, they have already had it. In immunocompetant folks once you get it that’s it. You can’t get it twice. In other words 70% of the US population does not have to worry about catching toxoplasmosis. As a pregnant woman you can have a blood titer for toxoplasmosis run and interpreted by your doctor. If it shows you have been infected you do not have to worry about catching toxoplasmosis while you are pregnant.
  • 3. 40% of AIDS patients have what is called cerebral toxoplasmosis (toxoplasmosis of the brain). But guess what, those HIV positive people with cats do not have a higher rate of toxoplasmosis. In fact, overall HIV positive people with animals have a lower overall rate of zoonotic disease (diseases that can be caught from animals). People living with cats do not have a higher rate of toxoplasmosis.
  • 4. Cats get toxoplasmosis from eating rodents or rabbits. Once they have it they can pass it to people for 2-3 weeks. After they have it once that’s it, they do not get it again. So your cat can only potentially be contagious to you for 2-3 weeks out of his/her life.
  • 5. Toxoplasmosis cysts are passed in the feces of cats. The feces need to be outside of the cat for 24 hours because the cysts are infectious. Only after that can they be passed to a person and only if feces is eaten or put in the mouth.
  • 6. Toxoplasmosis can also be caught while gardening because cats poop in gardens. Use caution if you are pregnant and gardening just like you would around the cat box.
  • So what should you do if you are pregnant? Because toxoplasmosis is a very serious problem to fetal babies, this is a very important concern. There are many ways to be protected and keep your cat.

  • 1. Consider getting a titer done for toxoplasmosis through your doctor especially if you have cats or work with animals. If your titer is positive then you don’t have to worry. I got in trouble for pointing this out in my childbirth classes as most of the women in the class with cats had already convinced their husbands to take over cat box duty.
  • 2. Consider keeping your cat inside to reduce their exposure to rabbits and rodents they can catch.
  • 3. Do not eat meat unless it is well cooked!!! Use caution in handling raw meat.
  • 4. Do not garden without gloves and make sure to wash your hands well afterwards. Do not touch your mouth or face while gardening.
  • 5. Unless you have a positive titer for toxoplasmosis, have someone else clean the litter box if possible. If you have to clean the litter box make sure you wash your hands well afterward and do not touch your face while cleaning it. Clean the litter box at least every 24 hours to avoid having the cysts become infectious.
  • Here is another good article on toxoplasmosis transmission, Take These Precautions to Prevent Toxoplasmosis During Pregnancy.

    Please pass this on to your friends and family and as always I am happy to answer any questions.

    The mysteries of nerves - paralysis, seizures and old age neurologic conditions Part 1 paralysis

    Friday, May 1st, 2009

    Did you know that one out of seven dachshunds will become paralyzed in their lifetime? That many older dogs and cats suffer from strokes and vestibular disease in their old age? That seizures are so common in some breeds that they can affect 15-20% of the breed?

    Neurologic problems are quite common in our companion animals and are some of the most expensive and frustrating problems to deal with. Often times the only way to diagnose these problems is with a MRI, which can cost $1000 and requires your animal to be under anesthesia. Many times in older animals the risk of anesthesia to too great and these problems go undiagnosed.

    I am often surprised that veterinarians do not offer alternative options for working with these neurologic problems. Many times the only things western medicine can offer are expensive surgeries, a lifetime of drugs, or steroids with their many side effects.

    For example, traditionally a course of treatment for paralysis, back pain or paresis in a dachshund would include steroids, months of cage only confinement and possibly an expensive surgery. While surgery is a good option in some cases, especially if there is no deep pain, it has it’s own set of risks including that sometimes it does not solve the problem and can actually make things worse.

    But there are other options out there!

    Let’s talk about the dachshunds first! I love working with dachshunds!

    They are some of the best responders to acupuncture out there. In fact I have never worked with a dachshund who did not respond to acupuncture. And they really seem to understand that you are helping them. I have been able to work with dachshunds who were completely paralyzed and with acupuncture and herbs have had them back to walking in as little as three acupuncture treatments! Wow!

    OK just to be realistic, most take longer than that but the majority can be gotten back on there feet as long as they still have deep pain. Meaning that if you squeeze a back toe really hard with a surgical hemostat they can feel it. On average I would say it takes four to six months of weekly treatments.

    Of course it’s not all dachshunds and I have worked with other animals with paralysis including cats and all breeds of dogs. Of these others, I would say about 90% have had a positive response. That’s still pretty good!

    Even better is if I can get these animals with paralysis to hydrotherapy. Swimming helps keep the muscles working well while we are getting the nerves to work again and helps keep the muscle mass from wasting away. Dachshunds and other dogs can be amazing little swimmers and it gives these animals a way to move on there own if they can’t support their weight on land.

    Unfortunately for cats this is not an option as you can well imagine!

    I often work with Wellsprings in Seattle, Washington but there are more and more hydrotherapy clinics opening up around the world.

    I can’t tell you how rewarding it is to be able to work with these amazing creatures to help their body to heal and to see them be able to walk again.

    Here are some wonderful resources on disabled pets

    • Handicapped Pets is a great site for disabled pet supplies and runs the best forums for people with special needs animals. I have had some time to hang out and participate on these forums and these folks not only are super educated on the options out there for working with these animals but have amazing stories about their own very loved handicapped companions. It is a great place to go for education and for support from others going through the same thing.
    • One of the dogs I treat has his own blog. Buddy’s blog is a great place to check out the story of a very cool little dachshund and one of my favorite patients.

    Soon to come neurologic problems in older animals and seizure disorder.

    A magic vial of Yunnan Baiyao

    Wednesday, April 29th, 2009

    As gunshots rang out, he fell from his horse bleeding from where the bullet had entered his chest. As blood ran from the wound, he could feel his life slowly slipping away. Images of his small daughter and wife, who were both far away, ran through his mind.

    Quickly he reached for the vial, opening it to swallow the small red pill within and then taking the powder beneath it he quickly poured it in to the fresh wound. His breathing started to return to normal and he felt like he would be able to make it off the battlefield to find help. There was still some bleeding from the wound but no longer enough to take his life.

    Sound like something from a fantasy movie? Surprisingly it isn’t.

    Yunnan Baiyao is a special formula know to every Chinese herbalist. It was developed in 1902 in China and has been an important remedy ever since. The formula is owned by the Chinese government and the secret of what exactly is in the magic red pill is highly guarded. It is rumored that it is made from gallstones cultivated in very special cows among other things but even the workers in the factories do not know exactly what is in it.

    I have used Yunnan Baiyao a number of times and been highly impressed with how well it works.

    When my husband first moved in with me his cat, Sabutai, was suffering from horrible mouth cancer. One day which he was eating, the tumor in his mouth began to hemorrhage. In a matter of seconds there was blood all over the bathroom and he was just a small cat. Not knowing exactly what to do, I rushed to the medicine cabinet and grabbed one of the little red pills and pushed it down his throat. Within 60 seconds the bleeding had almost completely stopped and he did not hemorrhage again for the rest of his illness.

    Another time I was at the vet clinic I used to work at and saw one of my old clients in the waiting room with their older dog, Alki. They quickly explained that they had just found out that Alki had a large tumor on her spleen that was bleeding into her abdomen and that she needed emergency surgery and most likely a blood transfusion. I quickly ran home and grabbed a vial of Yunnan Baiyao and brought it back. We administered the small red pill before she went into surgery and not only did she get through the surgery well and not need a blood transfusion but the surgeon was surprised at how little bleeding there was considering what was happening.

    So why don’t we all have a vial of Yunnan Baiyao sitting around for emergencies? I’m not sure. I know I do!

    In our family we often use the powder for any kind of cut or wound. It is not only good at stopping the bleeding but helps keep wounds from getting infected and is not painful to apply like many of the wound cleaning agents. It is safe and can be licked and eaten by cats and dogs without worry.

    But isn’t it expensive you ask? Guarded by the Chinese government and that effective!

    No! Usually you can buy Yunnan Baiyao for about $6.00 for a vial or a package of 16 pills of powder. Both contain one red pill. They even sell it on Amazon.com!

    When are the best times to use it?

    If an animal is going into surgery, especially if there is concern about excessive bleeding, I recommend giving the powder or capsules of powder for three days before and after the surgery. The little red pill can be given right before surgery but while the animal is still awake. Dosage depends on the size of your animal (except the red pill). Cats usually do better with the powder mixed with a little water in a syringe because the capsules are too larger for them to swallow where dogs usually do better with the capsules unless they are very small.

    Yunnan BaiYao can also be used in many of the end stage diseases where surgery is not an option but there is bleeding in the body which can not be controlled. The powder capsules are used for this and the red pill once again only for emergency.

    There are also many reports of it clearing up existing infections and can be safely poured directly into wounds. Although if a wound is infected I usually reach for the antibiotics.

    Yunnan Bai Yao can safely be used in any cut or wound although deep wounds should be evaluated to see if sutures are needed. Yunnan Bai Yao will actually promote healing and help a wound to close faster.

    To vaccinate or not to vaccinate - that is the question! part two dogs

    Saturday, April 18th, 2009

    Also see part 1 cats

    Do you know how to make a dog allergic to something?

    First you vaccinate them a few times in a row and then you expose them to the allergen you want to make them allergic to and voila you have an allergic dog! Wow! And you wonder why so many dogs have allergies.

    This has been known to researchers studying dogs for a long time but is not common knowledge among normal folk.

    Most allergies in dogs develop in the three months following vaccination. In addition to allergies, over vaccination has been know to be linked to hypothyroid disease, autoimmune diseases such as autoimmune hemolytic anemia and lupus, cancer, kidney failure, and Addison’s disease.

    See Are we vaccinating too much? and the book What Vets Don’t Tell You About Vaccines

    So why do we routinely over vaccinate our canine friends? Why are they vaccinated every year to three years with vaccines that we know last much longer?

    Good question! The first answer is that the vaccine companies have no incentives to test their vaccines out longer than three years. They want you to buy a vaccine often.

    Fortunately researchers at universities are starting to do the needed research and the tides are changing but not fast enough in my opinion. Ronald Schultz from Univeristy of Wisconsin-Madison is currently the most active professor in research on vaccination of cats and dogs. The numbers I quote for the longevity of the core vaccines are from studies he has done and are based on serology testing. Although I have used the ideas and information from a recent lecture I was able to attend by him for this article, it is based on my views and interpretation of his work.

    So how often should my dog be vaccinated you ask and what for?

    Here is my protocol for dogs

    • A combination vaccine containing canine distemper virus, parvovirus, and canine adenovirus (DHPP, DAP) at 6-9 weeks of age, 9-12 weeks of age and 14-16 weeks of age (at least two weeks between these three vaccines). Either a titer for these viruses should be performed two weeks after the last vaccine and if it is positive no more vaccination is needed for these three viruses ever again or your dog should be revaccinated at 1 year of age for these three viruses. This vaccine should give lifetime immunity with one dose at or after 16 weeks of age.
    • Canine Rabies as needed by law. This may be especially important in dogs since they are more likely to bite someone. If your dog does bite someone and they are not vaccinated some states can require your dog to be euthanized and tested for Rabies! If you state will accept a titer instead of vaccination this is a better option than vaccinating every year or three years.

    And that is it! No really that is all you need - ever less than the kitties!

    But what about kennel cough and lyme disease and leptosporosis you ask? What about those Rottweilers and Dobermans, don’t you need to vaccinate them more often?

    Don’t worry, I’ll go through it all.

    First the diseases you should vaccinate for

    It is believed that one vaccine given to a dog at 16 weeks of age or older will give life long immunity with all these core vaccines.

    • Canine Distemper
      We know this vaccine lasts at least 9 years. Since distemper can be deadly this is an important vaccine. Distemper is related to the measles virus in people.
    • Canine Parvovirus
      One of the most contagious diseases known to dogs. It first was discovered in 1978 and spread around the world in a matter of months. Parvovirus is an almost identical virus to Feline Panleukopenia in cats. It destroys the immune system and intestinal tract and causes death in almost all untreated dogs and about 50% of those aggressively treated. This vaccine is one of the best and there is no reason not to vaccinate for this disease. We know this vaccine lasts at least ten years.
    • Canine Adenovirus (Canine Hepatitis)
      We currently don’t have Adenovirus in the United States because of this vaccine! This is a great example of why vaccination is important. However there is still Adenovirus in Mexico and South America so we should continue to vaccine for it. Even though Canine Adenovirus-1 causes canine hepatitis we use a vaccine for Canine Adenovirus-2 (a respiratory disease involved in kennel cough) to vaccinate against it. It works and it has fewer side effects than using a Canine Adenovirus-1 vaccine. We currently know that this vaccine lasts at least nine years.
    • Rabies
      Please see To vaccinate or not to vaccinate that is the question part 1 cats. The only difference for dogs is that Rabies is not known to induce fibrosarcomas.

    And the diseases you shouldn’t vaccinate for

    • Canine Coronavirus
      This one is often added into the DHPP, making it DHPPC. There is a virus in dogs called coronavirus and many dogs get it. The main issue is that it doesn’t cause disease. They get it, it replicates a bit in their intestine and guess what they don’t get sick. Corona virus vaccine is often called the vaccine looking for a disease. Oh and by the way if coronavirus did cause disease you would need an oral vaccine to prevent it. Who made this one up?
    • Giardia vaccine
      The strains of giardia that cats and dogs get do not usually pass to people. Giardia is often subclinic in animals meaning that they don’t often get sick from it. This vaccine doesn’t prevent disease or infection but can decrease the amount of infectious cysts your dog sheds and can lower the risk that they pass it to other dogs. But really a vaccine that does not prevent infection or disease? Not recommended considering all vaccines have the risk of side effects.

    Diseases you probably should not vaccinate for

    Do your own research on these and talk to a veterinarian in your area.

    These are all bacterin vaccines which as vaccines against bacteria. Bacterins usually only induce protection for 6-9 months

    • Leptosporosis
      This is the vaccine with the largest number of and most severe side effects. If your dog is going to die from a vaccination this would be the one. Leptosporosis has many flavors or serovars as they are called. Most leptosporosis vaccines have up to four serovars they vaccinate for. For the vaccine to work the serovar of the leptosporosis your dog encounters must match the serovar of the vaccine. Many times the serovars in the vaccine do not match the ones in the environment. This vaccine most be given every six months to be effective and maybe even more often. Side effects X every six months = not worth it. Leptosporosis can also be sucessfully treated with antibiotics if caught early.

      This vaccine must be given in two doses 2-4 weeks apart.

    • Lyme disease
      There is a lot of controversy around if dogs really get sick from lyme disease. There are many dogs out there with high titers to lyme disease (i.e. have or have had the disease) who have never been ill. And there is a small chance that this vaccine will induce autoimmune arthritis in your dog. If lyme disease in dogs is real, which we still don’t know, the best prevention because this is a tick bourn disease is to use one of the tick prevention topicals such as Frontline.

      Like lepto this vaccine must also be given in two doses two to four weeks apart.

    • Kennel Cough
      Kennel cough is a complex of viruses and bordetella bacteria. It is similar to the common cold in people. Usually it is self limiting and will go away on it’s own. The vaccine is usually a combination of a bacterin vaccine for bordetella and viral vaccines for canine parainfluenza and sometimes canine adenovirus-2. Given intra-nasally this vaccine doesn’t have a lot of side effects except transient kennel cough symptoms. That being said there are so many strains of kennel cough that it is also not very effective in preventing disease. If you board your dog you will probably need to get it. Otherwise don’t bother.

    Bacterin vaccines should never be given at the same time as viral vaccines because they cause different immune responses which can increase the chance of side effects from the bacterin vaccines. This is especially important for leptosporosis which is often combinated into the DHPP (DHLPP). The exception is the kennel cough vaccine which if given intra-nasally can be given with viral vaccines.

    What about those Dobermans and Rottweilers and the dogs who do not respond to vaccines?

    1 in 1000 dogs will not respond to vaccines. This is a problem with there immune system. Rottweilers and Dobermans are more likely to have vaccine failure. Occasionally changing brands of vaccine will allow them to respond but not usually. You can vaccinate these dogs over and over again, you can vaccinate them every week and they will never respond, ever! If they are exposed to the disease they do not respond to most of the time they will die. Very sad but please don’t over vaccinate these guys it will only make things worse.

    When should vaccines not be given

    • When an animal is under anesthesia - they can increase the risk of aspiration for your dog and can lead to vaccine failure because anaesthetic agents can be immunomodulatory ( they can change the immune response to the vaccine and cause vaccine failure).
    • When your animal is pregnant
    • When your animal is on immunosuppressive or cytotoxic drugs including chemotherapy agents and steriods. These drugs should be stopped for at least two weeks before vaccination
    • When an animal has had an adverse reaction in the past to that vaccine. Do a titer if you can or skip the vaccine if it is not necessary.
    • When your animal is sick. You don’t need to cause further immunosuppression in this animals. Vaccines for Canine Distemper and Canine Adenovirus will cause immunosuppression for about a week after vaccination.

    Vaccines are often viewed as benign. They are not. Given correctly they are very good and powerful. Given too often they can be a disaster. Do your research before vaccinating!

    Pesticides on airplanes

    Friday, April 17th, 2009

    Did you ever wonder why you always get sick after flying on an airplane only to be told, “it’s because of the recycled air and all the sick people sitting next to you”?

    Today I was talking to a client about my recent trip to Hawaii and being sick from the pesticides in the place we stayed. “You do know that they spray all the airplanes with pesticide also, ” she added.

    I had no idea! At lunch I went home and turned to the internet to see what I could find and was shocked. Did you know that not only are the insides of most planes sprayed with pesticides between stops but some countries also spray the passengers of the plane with pesticides before arriving! (These countries include India, Jamaica, and Australia)

    From the Mother Jones article, Danger in the Air :

    The Northwest Coalition for Alternatives to Pesticide, an environmental group based in Eugene, Ore., points out that pesticides, while dangerous on land, cause even greater harm when used on planes, because up to 50 percent of the air inside the cabins is recycled. “Pesticides break down slowly in the enclosed, poorly ventilated aircraft,” says NCAP spokeswoman Becky Riley. “Passengers are sealed in a chamber that has been gassed, and sit there for hours.”

    From the article, Airline Passengers Are Sprayed for Bugs on the Pesticide Action Network’s website :

    The airlines are not required to inform passengers at ticket purchase of flight sprays, and there is also no control over how much pesticide is applied on the aircraft. The Association of Flight Attendants reported in 2001 that one airline used 50-60% more pesticide than the maximum recommended by the World Health Organization. Between 2000 and 2001, one cabin crew union received complaints of pesticide-related illness on more than 200 flights. Many complaints cite damp surfaces and pesticide odors in crew rest compartments. Crews and passengers have reported sinus problems, swollen and itchy eyes, cough, difficulty breathing, hoarseness, skin rashes/hives that vary in intensity, severe headaches and fatigue, and heightened sensitivity to other chemicals. Some crew members have medical documentation of reactions consistent with nerve gas exposure, such as blood, optic nerve, and nervous system abnormalities.

    There are also many lawsuits pending, filed by flight attenendants who have developed chronic disease secondary to pesticide exposure.

    From the article Airlines Confronted With Pesticide Issue :

    What precipitated the latest concern for airlines was a lawsuit filed in Los Angeles by Houston attorney Linda Laurent on behalf of 350 United and American Airlines flight attendants against pesticide manufacturers. In addition, a class action lawsuit filed by attendants against the same manufacturers is proceeding through the courts in Louisiana. Laurent contends that one of the pesticides, which goes by the brand name Perigen, contains permethrin as the active ingredient. It is applied in concentrations of 2%.

    “The Environmental Protection Agency (EPA) prohibits permethrin to be used in occupied aircraft and allows it to be used only in the cargo holds at a concentration of 0.5%,” the suit said. “Currently, application…in passenger compartments of commercial airlines is at levels of permethrin four times that permitted by the EPA for cargo use. The EPA list permethrin as a possible human carcinogen.”

    One of the most commonly used products is made by Airosol Co. of Neodesha, Kan., one of six companies named in a lawsuit by flight attendants. A warning label on the can says: “If inhaled, remove victim to fresh air. If on skin, remove contaminated clothing and wash affected areas of the skin with soap and water. Get medical attention if irritation persist.”

    It is truly amazing to me that airlines could get away with this, especially without passengers knowing.

    Thanks Heather for bringing this to my attention!

    Stop the pain! Arthritis and your animal friend - part 1 alternative medicine options

    Wednesday, March 18th, 2009

    It’s sad to see our animal companions no longer be able to do the things they once could do as they age and grow older. All older animals have some amount of arthritis although some have many more problems with it. Western medicine has very few options for treating arthritis and uses mostly drugs, to cover the pain. Many times animals are on three different drugs and it still isn’t enough.

    In some animals arthritis manifests as weakness caused by the inflammation pushes on the nerves. Many dogs walk around like their feet are asleep, tripping over things, stumbling and no longer having the strength to jump into the car or onto the bed. Unfortunately because they can no longer walk as far or do as much as they used to, their muscles start to atrophy or waste away, causing a vicious cycle. As the weakness increased, they do less, which causes more atrophy from disuse, leading to more weakness and more atrophy and less activity. In the end many of these animals can no longer get up on their own or even take a short walk.

    In other animals arthritis will manifest as pain, which can also prevent movement and cause the weakness/atrophy cycle. Many of these animals will become moody and withdrawn and may even snap and bite at their people out of fear of pain. It is so hard to see our friends have so much pain that they no longer want our affection.

    In most animals there is a combination of pain and weakness.

    Usually dogs suffer more than cats because they carry more weight and are used to daily activity. Also people often don’t notice that their cats are painful because they spend so much time sitting and sleeping

    So what do we do for our friends to help them live out their old years happy and pain free?

    • Acupuncture Being an acupuncturist, I always recommend acupuncture first. Of course this is also because I have seen how well it works in the animals I treat. I often find that if I can work with animals when they first have problems, they do so well we only need to treat them every one to three months. Unfortunately most of the animals I see have had problems for a while and their people only learned about acupuncture when they had tried everything that western medicine had to offer. In these animals acupuncture can still work and work well but usually treatments need to be closer together.

      It is so nice to see these animals happy and able to enjoy life again!

    • Hydrotherapy is a great option especially in dogs who have muscle atrophy. Unfortunately it cannot be done with cats although Sheila Wells at Wellspings has told me they have worked with rabbits before. Hydrotherapy is done in a small swimming pool and involves massage and physical therapy in the water. I have seen excellent results with hydrotherapy especially combined with acupuncture. Hydrotherapy helps to rebuild muscles, increase range of motion and work out sore and sensitive areas of the body without the impact on the body of exercise on land. My favorite pool is Wellsprings in Seattle Washington. They have a great website with lots of information and photos that I love to refer people to. Click on the link to check it out!
    • herbs5

    • Herbs
      I have worked with Chinese herbs with many of these arthritic dogs and some cats. The combination of acupuncture and herbs usually helps with pain and movement and helps animals maintain between treatments. Some animals do not do well on Chinese herbs and it is important to work with an herbal practitioner to find the right combination to help your particular animals. I rarely use Chinese herbs in cats because they are very sensitive to them. There are also commercial products available, my favorite is Dog Gone Pain
    • Fish oil/ Omega oils
      The Omega 3 Fatty Acids in fish and cod liver oil actually helps decrease arthritic inflammation in dogs (not true for cats although it helps with other things). Adding a little fish oil to the diet can help many animals.
    • Glucosamine/MSM/chondroitin
      These supplements help to decrease inflammation and rebuild damaged cartilage. They are often sold in combination. The nice thing about these supplements is that they have few side effects and are very safe. Some animals have a wonderful response to them and some have almost no response. It usually takes a month to six weeks to see if your animal will have a positive response. Adequan, similar to glucosamine is also available in an injectable form and works better in some animals. It is also a lot easier to give to cats who are hard to medicate daily. After the initial series of injections it usually only needs to be given once a month.
    • Chiropractics
      Many animals have subluxations of their spine especially as they age. A good chiropractor can often help with mobility and pain. I have found that chiropractic adjustments work best in animals with a very tight back and more pain then weakness. For my own cat, chiropractic adjustments have worked better than anything else we have tried and have made his life much better. Make sure you find a chiropractor who is used to working with animals and knows animal anatomy.

    • Massage/Acupressure
      Massage can help to loosen tight muscles and increase blood circulation. It also can help with pain.We know it works for us, why not for our animal friends. Once again make sure you find a massage practitioner who is certified to work with animals.

      Acupressure works with the acupuncture points and helps decrease pain and relax muscles.

      There are many great books on acupressure and massage for animals. Here are a few
      The Well-Connected Dog: A Guide to Canine Acupressure
      Acu-Cat: A Guide to Feline Acupressure
      The Healing Touch for Dogs: The Proven Massage Program for Dogs, Revised Edition
      The Healing Touch for Cats: The Proven Massage Program for Cats, Revised Edition
      Four Paws Five Directions: A Guide to Chinese Medicine for Cats and Dogs

    • Reiki/Bowen/Polarity/Craniosacral and other energy therapies These therapies help stimulate the body to heal and can decrease pain and improve quality of life. Since there is little regulation of these therapies it is important to get a referral before seeing someone. This is especially true of Reiki since there are so many people who practice it. A good practitioner can make a huge difference in an animal’s quality of life.

    It is better to do one thing and stick with it than to jump around between therapies. Often times animals will began with me doing acupuncture and herbs and then we will add in other therapies as needed. If I can’t help an animal with acupuncture I will refer them to another practitioner to try something else. Don’t make too many changes all at once in an old animal’s life. Go slowly instead.

    Coming soon - Comparing the western arthritis drugs

    FIP is not a contagious disease!

    Friday, March 6th, 2009

    If your family includes cats or you know someone who lives with cats, please read this. I’m wandering back to the side of western medicine but this is a topic dear to my heart.

    When I was working at the shelter I once got a voice mail from a client who had adopted a cat from us who came down with FIP and died. She was calling because she was angry that we had not tested for it and mentioned that her vet was recommending she euthanize her other two cats because they had been exposed and would most certainly come down with it and die. Of course I couldn’t get a hold of her and two of us spent the rest of the day frantically trying to reach her before she killed her two other cats. Luckily we did reach her in time.

    FIP or Feline Infectious Peritonitis is one of the most misunderstood diseases in veterinary medicine. It is not contagious but it is a mutation of a contagious disease. It can not be diagnosed in a living cat yet there is a “FIP test”. There is a vaccine but it doesn’t work in most cats and there is some thought that it can actually help to induce FIP.

    So let’s start at the beginning.

    There is a virus in cats called Feline Coronavirus. This virus usually doesn’t cause illness or if it does just a little diarrhea or intestinal inflammation. It targets only gut cells. It is very common. Up to 80% of cats have been exposed to it and show an antibody titer. In multiple cat households and shelters and catteries up to 100% of cats have been exposed to it.

    Sometimes for reasons that we do not know this virus mutates or changes into FIP, kind of like what happened to the Gremlins when they got wet. We think it is related to a weak immune system but we aren’t sure. FIP can attack any cells in the body by working through the white blood cells and it does, causing many symptoms such as a bloated and fluid filled abdomen, diarrhea, vomiting, a fever, lethargy, poor appetite, problems breathing and sometimes brain inflammation. Almost all cats with FIP die.

    Occasionally two cats from the same household die of FIP. We used to think one had caught FIP from the other. However recently when researchers have studied where the mutation is in the virus they have found that the mutation will be different in each cat.

    What does this mean?

    It means that each mutation happened independently within that cat’s body. If they were passing the mutated FIP virus the mutation would be the same in each animal. This means that the FIP virus is not being passed once it mutates and is not contagious.

    Why are cats is multiple cat households more likely to get FIP then?

    Multiple cat households have a higher rate of coronavirus in them. The more coronavirus shed in a cat’s feces and picked up by other cats, the greater the chance there is for a mutation to FIP.

    So how does a vet test for FIP?

    There is a titer test called the FIP test. The only problem is that it tests for coronavirus not for FIP. Usually cats with FIP will have a high coronavirus titer but not always. And many cats without FIP will have a high titer. So a positive “FIP test” may point towards a diagnosis of FIP but also may not.

    If a cat comes in with fluid in its abdomen which is common in FIP cats, the best test is a protein ratio run on the abdominal fluid. Most vets will also run bloodwork to test protein levels.

    A high protein level in abdominal fluid with a low albumin/globulin (two proteins we look at) ratio with a high globulin level on bloodwork, and a high FIP/corona titer (positive FIP test) usually point towards FIP. That is the closest we can come. And many cats with FIP do not have all the above.

    So why is there a vaccine if this is not a contagious disease?

    The short answer is because we used to think it was. The FIP vaccine will work to prevent coronavirus in about 60-80% of the 20% of cats that have not been exposed to coronavirus ever. Or about 12-16% of cats. It will not work if cats have been exposed to coronavirus. In addition there is some thought that if the cat has coronavirus in its body the vaccine could induce that coronavirus to mutate to FIP. So the vaccine works in 12-16% of cats but may actually induce disease in the ones it doesn’t work for. Hmmm. Not very good odds if you ask me.

    There is no good treatment for FIP beyond supportive care and most cats with it will die within a year or often times much less. In multiple cat households cleanliness, especially of litter boxes, can help cut down on the level of coronavirus, which helps prevent FIP.

    Here’s some interesting resources on FIP
    Wikipedia article on Feline Infectious Peritonitis
    FAB on FIP
    Cornell Feline Health Center FIP

    My vet can no longer help! Who do I turn to now?

    Wednesday, March 4th, 2009

    How do you decide where to turn when western medicine has run out of options? Almost everything available for humans is now available for animals but how do you decide between all the options. There are chiropractors, acupuncturists, reiki practitioners, homeopathic veterinarians, nutritional consultants, hydrotherapy specialists, massage practitioners, and many other options. If you read the internet there are hundreds of supplements made especially for animals and many sound like they work miracles.

    Here are a few tips -

  • 1. Get a referral from someone you trust if you can. Many veterinarians will now refer to alternative practitioners. We don’t take their business and we send back happy clients. If your veterinarian cannot offer a referral check with your local pet food store, especially the neighborhood ones, they often have a list of referrals. They also work with animal people all day long so they know the word on the street on who and what has helped. There are also online referral sites such as IVAS and Animal Wellness Network and many sites with reviews of clinics, such as Yelp.
  • 2. If you are exploring the internet for products online check out the forums, such as Handicappedpets.com, catster, and dogster, for suggestions. The companies selling the products will always give you glowing reviews. It is safer to listen to people who have actually used the product. A good veterinarian will also be able to help you determine if a product will help and if it is dangerous for your animal. Always check the safety of a product, especially if your animal is old, sick, or on other medication before using it.
  • 3. Only try one thing at a time and stick with it for at least a month. It is better to do one thing consistently then to jump around. Most natural therapies take time to work. Sometimes If your animal is extremely sick or has cancer you will need to make many changes at once. If you need to do this then working with a veterinary practitioner is highly recommended.
  • Because I practice acupuncture I often recommend it to start because I have seen how well it can work. Often times people start with a therapy for their animal that they have tried themselves and know to work. This is a good place to start. If something works for you, it probably will for your animal also.

    A good practitioner of any sort will be able to tell you how long to try something and when to decide if it is working or not. Most practitioners don’t want to go on treating with a method which is not working. With acupuncture I usually recommend three treatments to see if there is any improvement before recommending animals continue. Some therapies such as hydrotherapy will take a little longer. Always get this information before starting a therapy. And just because you try one thing and it doesn’t work, don’t give up. There are many incredible options out there for helping our animal friends.

    Maggie’s protocol for osteosarcoma

    Thursday, February 26th, 2009

    I just saw a dog with a similar cancer to Maggie’s this morning and wanted to add one more page to Maggie’s story. I hope this is helpful to the folks out there working with the many dogs who suffer from osteosarcoma. Here is the protocol we used to treat Maggie’s cancer. I use a similar protocol for most of the dogs I treat.

    Maggie’s protocol

    Also please see my cancer care page

    • Three treatment of radiation and three treatments of chemotherapy towards the beginning of her illness.
    • Amputation of her affected leg
    • A high quality, grain free homemade diet
    • A supplement called SanSheDan ChuanBei Ye, which helps to keep cancer out of the lungs. In Seattle this can be purchased at Lucky An Dong in the International District. One of my favorite supplements, it is made from apricot seed, fritillary seed, and snake bile. Often called snake oil by my clients, this supplement is very helpful for any lung condition and for keeping cancer out of the lungs.
    • Missing Link supplement to support her body and immune system.
    • After she was done with radiation, Artemisinin a powerful anti-cancer herb. This is a herbal supplement in research right now for treating osteosarcoma in people. It is absorbed by cancer cells (which have a high iron uptake) and produces free radicals which kill the cancer cells. This herb can not be given during radiation therapy or for two months afterwards.
    • Pain medications as needed
    • lots of love!
    • Please remember that every dog is different and that you should find a veterinarian to work with before starting any supplements.

    The danger of compact fluorescent lighting

    Saturday, February 21st, 2009

    When I travel these days I always pack a four pack of incandescent light bulbs with me. Occasionally I will forget and then my first stop is always to the nearest Safeway or drug store to buy a pack. The more I hear about the possibility of a ban on these types of bulbs the more I worry. Should I start a stockpile of them in my basement now? Or have faith that LEDs will become more widespread before the ban or perhaps some new alternative will be developed.

    So why does this worry me?

    Yes there is the concern about the mercury in CFLs, a known toxic substance. But what concerns me the most is that CFLs or compact fluorescent lighting makes me sick. I can be under it for a short period of time, say an hour or two, but that’s it. If I spend a day under CFLs (or in my case also the classic tube fluorescence lights), it usually takes me a day to get back to normal. My head hurts, I feel dizzy, I can’t hold thoughts, I feel drained yet I can’t sleep that evening, and I feel irritated and depressed.

    I know I’m not the only one. I’ve talked to others who have similar problems and there have been some reports about CFLs increasing migrants, depression, and worsening symptoms in diseases such as Lupus. Traditionally healers, such as Barbara Ann Brennan, have long advised to never do healing work under fluorescence lighting of any kind to avoid making yourself ill. These lights drain our energy and especially for us in a healing profession this can be very dangerous.

    Studies have also show that children do much better under normal lighting. From Earthwatch - Compact Fluorescents vs. Full Spectrum Bulbs

    Elementary school Principal William Titoff, in his Ph.D. dissertation, found that “there was a statistically significant difference between students who worked under old-style fluorescent lights and those who worked under full-spectrum, visually-efficient lighting.” His study also found that depression was reduced among those students who studied under full spectrum lights and that it increased among fourth graders who sat under fluorescents.

    A similar study, conducted in Florida in 1973 by light pioneer Dr. John Ott, found that students under fluorescents were more likely to be irritable, hyperactive, fatigued and have trouble paying attention. The students under full spectrum lights were better behaved and performed better academically within one month of the lights’ installation.

    Here is another interesting letter to the editor about CFLs from Dr. Magda Havas, B.Sc. Ph.D a researcher in electromagnetic pollution from Trent University which explains part of the problem.

    As Dr. Havas states -
    Compact fluorescent lights (CFL) produce radio wave frequencies. These frequencies radiate directly from the bulbs and go on the electrical wiring in the home or school causing poor power quality or dirty electricity. The closer you sit to the bulb the greater your exposure. Because the high frequencies travel along the wire you can be exposed in other rooms of your home as well as the room that contains the CFL.

    So why do I bring this up on an animal site?

    I worry as more and more people replace their traditional bulbs with CFLs that these new bulbs will affect the health of not just the people in the house, but also the animals. I am lucky enough to be able to tell that CFLs make me sick and do something about it, but how will you be able to tell if CFLs are making your animal sick? They cannot tell us if they are having headaches or just feeling bad.

    Also new research has come to light that indicates that CFLs emit a high humming sound that is not in our range of hearing but is in the range of hearing of cats and dogs. Can you image hearing a high pitched humming sound all day long. It would be enough to drive you nuts! Many pet owners report that their cats or dogs do not want to be in rooms with CFL bulbs on and will become anxious if they are forced to be.

    See the articles Don’t like CFLs? Ask your pet and CFL Bulbs: Save the Plant Make Your Pets Insane.

    I ask you to consider alternatives to CFLs. In a few years the technology for LED lighting should be better and LEDs should be available for about the price of a normal bulb. LED bulbs last possibly forever (at least ten years or more) and use much less energy than CFLs. Most importantly they are safe! In the mean time keep your normal incandescent light bulbs. Even without taking the health effects of CFLs into consideration, we are going to have an environmental nightmare from the mercury in these light bulbs in a few years.

    Also remember that if you break these light bulbs you need to be very cautious about how you go about cleaning up. You don’t need a full haz-mat team but some precautions are needed and make sure to get your animals and children out of the room immediately. Here’s the snopes.com article on what you do and don’t need to do.