Archive for the ‘health’ Category

As the tide comes in

Friday, February 6th, 2009

The supreme good is like water,
which nourishes all things without trying to.
-Tao Te Ching

One of the vets I often work with has told me that the clients we share become more accepting, open, and confident as they work with me. I think half my work is helping people to accept the place their animals are at and being open to whatever happens. Sometimes I wonder how much of these animals’ healing is from this acceptance and not just the acupuncture work I do.

When animals are old and sick, that is the time to cherish them and love them. We don’t have to make everything better. There is only so long we are all given here and that is not a problem we are supposed to solve.

Take the time today to stop for a moment and look upon those you love and who mean so much to you, fuzzy or non-fuzzy. We have but this moment, everything else is just a memory or a future worry.

Much of my work is with older animals and because of this I see many animals pass on. It is always so sad when I lose an animal I have worked with. I try to appreciate the way that I have been touched by being a part of their life. For a fuzzy being to have trusted me to help and included me in their family and circle of care opens my heart.

Think of people, places you have known
Sculpted out of sand
The tide’s coming in and we’re going nowhere

Jason Webley

Show me where to go, so I can walk there myself

Monday, February 2nd, 2009

serenaFrom my past notes-
Treating Serena today. She was very resistant, trying to get away and glaring at me. Finally I offered to take her static head energy away but I told her it was up to her how much to give me. She began to calm down and started purring. She was ok with that as long as she was in charge. She also didn’t want me to tell her mom what I was doing. Somehow it was important to her to not only be in charge but to not have me be viewed as the healer. This was about her not me.

When I came to visit her a month ago she was ready to leave. She had this amazing headache and was very open to me removing it because she had given up and just wanted the pain to end. Many times with animals they need to feel what it feels like not to have pain before they can get there themselves. This visit she felt better and was ready to be in charge again.

A few months after I wrote this Serena passed away from complications from her brain tumor. I’ll always remember her as being the spunky blond girl she was, very confident, loving, and opinioned.

frankieandbuddyAnother little dog I work with named Buddy came to see me a couple years ago, in extreme pain and desperation after re-injuring his back and becoming unable to move his back legs at all. He would have happily left this plane of existence at that point. After I was able to work with him and decrease the pain and get a little bit of sensation back in his legs he was a whole new dog. He was ready to live again and he knew he could get better. And he did in happy little steps along the path of healing until today he walks almost normally again. He believed what he felt and used that to heal himself.

Us humans are so focused on words that we don’t often pay attention to the real cues our bodies are sending us. These are the cues I work with when I do acupuncture treatments. We end up with thought patterns stuck in our heads which tell us what we should feel and believe. Many times these develop from what doctors or family members have told us and aren’t even our own thoughts. We tend to believe these thoughts more than the reality of what we are actually feeling. Often these thought patterns are harder to change than to just deal with the pain or disease. In humans, treating chronic pain involves both the body and the mind.

How many times have you been sick or hurt and not listened to your body telling you to slow down or do less? And then ended up getting sicker? Animals don’t argue with what their body is telling them, they just do it. I know I still have a lot to learn about this from the animals I work with.

With animals they believe what they feel so if you show them they can have decreased pain they will respond and believe that with their whole body and not just their minds. Animals don’t get stuck in their heads in the same way we do and because of this they can be present with the current moment and have no attachments to what the next moment will bring.

In my work, I help these animals find the healing energy that is already there. Their bodies know how to heal, but sometimes they need help in finding the way. Once they know the direction to go, they naturally travel there themselves, I just give them a hand to hold along the way.

Let them eat dirt! And a few worm eggs, too!

Wednesday, January 28th, 2009

I found this interesting article in the New York Times today Babies Know: A Little Dirt Is Good for You. While lately we have been hearing about how a little dirt and animal hair is actually good for us, this article goes one step further in explaining that intestine worms may also be good for our immune systems.

In fact they have found that some intestinal worms actually help people (should be the same for our animal friends) with autoimmune diseases such as asthma, allergies, or even some of the more severe ones like MS, diabetes, and inflammatory bowel disease. It makes me wonder if some of the rise in autoimmune illness in animals is linked to the routine deworming some of our animals receive. I hope they do more research on this subject!

To vaccinate or not to vaccinate – that is the question. Part 1 cats

Tuesday, January 27th, 2009

<People often ask, “Should I vaccinate my animal friend? And if so, how often?”

Many holistic veterinarians will tell you not to vaccinate. I disagree, after all vaccination can be a very good thing. After spending many years working and volunteering for shelters and rescue groups I know first hand how devastating some of these diseases can be. We have vaccines which work really well, but we give them way too often and we also vaccinate for things we don’t need to. Vaccines are not benign and not without risks.

Here is my vaccine protocol for cats who are not in kennel or shelter environments

  • FVRCP (modified live without chlamydia) one vaccine at 16 weeks of age, booster at 1 year of age
  • FeLV only if they go outside, use the same schedule as FVRCP. Use the vectored (recombinant) vaccine if possible. Hopefully there will be more information on how long the recombinant FeLV vaccine lasts soon. Until then, I do not offer an alternative recommendation for the recombinant form of this vaccine.
  • Rabies as required by law

In this article I would like to share my thoughts on vaccination and provide some information on the different vaccines we have available for cats. I promise to share some dog vaccination information soon!

In cats we vaccinate mainly for viruses. There are three main types of virus vaccines we use

  • The first is a modified live vaccine, which is made from a living virus that has been modified so it cannot cause disease. These modified vaccine viruses replicate in the body just like a normal virus does and have the advantage of creating a very strong immune response and very good protection against the virus. However because they can replicate these vaccines can induce a mild disease in normal animals and occasionally can make a debilitated animal very sick or even cause death. Because of this modified live vaccines should never be given to very sick animals or animals with severely suppressed immune systems. One interesting note on modified live vaccines is that since the vaccine virus replicates in the body it can be shed and passed on to other animals. Many times these vaccinated animals can spread immunity. However on the flip side of this, recently vaccinated animals should not be around very sick animals or animals without intact immune systems.
  • The second type is a killed vaccine, which is made from real viruses that have been killed. They stimulate an immune response in the body but not as strong or long lasting a response as a modified live vaccine. The big advantage is that this type of vaccine virus cannot replicate in the body and will not make an animal sick from the killed virus itself. However this type of vaccine usually need to be given in series of two or more shots and killed vaccines are almost always adjuvanted or modified with an agent that causes a stronger immune reaction. These adjuvents can lead to strong vaccine reactions, can cause cancer and can induce autoimmune diseases. So while the virus cannot make your animal sick the adjuvant can. Many times the side effects of the vaccine adjuvant will take years to emerge.
  • There is also a third type of vaccine called a vectored vaccine. This uses a virus, that we know is harmless, which has been genetically modified to have the proteins on the surface that are the same as a harmful virus. The animal is given this virus vaccine and gains immunity to the virulent virus that it is being vaccinated against. These vaccines are mainly in the development phase and we know much less about if there are any longterm side effects.

Here is a little information about the different feline vaccines out there.

  • FVRCP should be given to every cat, but only once or twice. This is usually a modified live combination vaccine against Feline Panleukopenia (also called Feline Distemper), Calici Virus, and Rhinotracheitis. This combination vaccine sometimes also vaccinates against other diseases such as Chlamydia. Make sure it is just the three above. Chlamydia is something we almost never see in cats and the vaccine for Chlamydia which is added to the FVRCP has a lot of side effects.

    Panleukopenia can be a very deadly disease and cats should be vaccinated against it. It causes severe diarrhea, vomiting and death especially in young cats and brain damage to kittens in utero.

    Calicivirus and Rhinotracheitis are both upper respiratory viruses and are usually not deadly.

    This vaccine has a very high protection rate against panleukopenia approaching 100%, however recently a major problem has emerged with the vaccine. The vaccine virus is made by growing virus on feline kidney cells. The problem with this is that small amounts of kidney cells get in the vaccine and can cause not just an immune response to the vaccine but also to the cat’s own kidneys. In other words it can cause the cat’s immune system to fight against and destroy it’s own kidneys. Many of us believe that the overuse of this vaccine has created the epidemic of kidney disease that we see in cats eight year of age and older. And recent studies have shown that cats do develop antibodies against their kidney cells.

    Here are some good resources for more information on kidney disease and the link to FVRCP vaccination.
    Colorado State University Insight
    Parenteral Administration of FVRCP Vaccines Induces Antibodies Against Feline Renal Tissues

    Given correctly, I believe this vaccine is a very good vaccine. However most cats are over vaccinated, increasing their chances of having kidney related problems. One dose of FVRCP given to a cat over 16 weeks of age will usually last for the cat’s lifetime, yet it is routinely given every one to three years. Why? Because the vaccine companies have not done studies past three years. They would prefer that you buy their vaccines every one to three years and have no incentive to do these studies. Luckily some universities are doing them and so far the results are showing that FVRCP has lifetime immunity.

    I recommend people vaccinate their cats at 16 weeks of age and booster at a year to cover any chance of vaccine failure. This vaccine does not have to be given again. In shelters younger kittens should be vaccinated every couple weeks until 16 weeks of age but ideally an intra-nasal vaccine would be used. This is because of the high risk of deadly panleukopenia in this environment.

  • FeLV should never be given to indoor only cats.It is an adjuvanted vaccine and has been linked to deadly fibrosarcomas in cats. FeLV is a real and deadly virus which usually causes death within 2-4 years of catching it. Something to remember however is that it is not a virus we can bring into the house. It is spread through direct contact or sharing drinking water. This virus can not live on dry surfaces. Indoor only cats not only don’t need to be vaccinated for FeLV but they shouldn’t be because the risk of them getting cancer from the vaccine is highly than the risk of them getting outside and catching FeLV. Outdoor cats should probably be vaccinated and given one booster three weeks later for this virus.

    There is a new vectored vaccine for FeLV, which should be a lot safer, however it hasn’t been out long enough for us to know for sure. We also have very little information on how long this vaccine will last.

  • Rabies is required by law in most states. Because of this it is the hardest vaccine to make recommendations on because of the public health issue. The vaccine can induce fibrosarcomas like the FeLV vaccine. It also has many side effects especially in older animals and animals prone to seizures. However in many places it is required by law for animals to be vaccinated every one to three years. If your animal is not vaccinated and they bite someone and the person who was bit presses it, in most states they can have your animal killed and tested for rabies. Because of this I usually recommend that people follow the requirements of the law when it comes to this vaccine

    The rabies vaccine used to be a modified live but it was occasionally causing real rabies so now it is a killed vaccine. For some strange reason it is still given like a modified live vaccine without a booster. The recent thought and studies have shown that because of this many animals are never getting full immunity even though it is given every year. It should really be given once and then boostered three weeks later. Currently titers are not accepted as proof of immunity in the continential united states. They should be! Hopefully the laws will change to accept titers soon. This vaccine probably only needs to be given two or three times on a correct booster schedule to induce lifetime immunity.

  • The FIP vaccine should never be given. Luckily it is rarely given these days. Please, please never give this vaccine and if your veterinarian recommends it, think about getting a new veterinarian. This vaccine does not protect against FIP and may actually induce it. FIP is a mutation of a corona virus that almost all cats carry. This vaccine only works if the cat has never been exposed to corona virus, which is less than 5% of the feline population. FIP is not a contagious disease. A cat with FIP can not pass FIP to another cat. In addition this vaccine can cause a higher rate of mutation to the deadly FIP in cats who have corona virus in their system. Please see FIP is not a contagious disease
  • If you vaccinate your cat for FIV they may be euthanized if they end up in a shelter. I do not recommend this vaccine. FIV is not a highly contagious disease and the vaccine is a killed adjuvented vaccine which holds a risk of fibrosarcoma. Fibrosarcoma is deadly, FIV is usually not. Currently there is no test that can distinguish between a vaccinated cat and a FIV positive cat .Once you vaccine your cat with this vaccine they will always test positive for the FIV virus and if they end up in a shelter will probably be euthanized. Their offspring will also probably test positive for FIV if the mother is vaccinated. If for some reason you give this vaccine always microchip your cat so they will not be euthanized if they get lost and test positive.
    Here is a informative article on FIV written by the American Association of Feline Practitioners.

Here are a couple important last thoughts

  • Never vaccinate your animal if they are sick or going under anesthesia. This makes their immune system have to do two things at once, get better from their illness or clear anesthesia and build immunity from the vaccine. It also can lead to a vaccine failure if their immune system can not mount a proper immune response against the vaccine because it is busy with other things. It is better to make a second visit in to the vet for the vaccine when your animal is well.
  • Also avoid giving more then two vaccines at a time. Ideally each vaccine would be given separately but with cats because of the stress of the trip to the vet (to both them and their humans:-), sometimes it makes sense to give two and avoid trips. I highly recommend not giving more than two at once because I have seen many animals become extremely ill after getting three vaccines.

Please send me your questions on this subject!

Part 2 Dogs

My secret world of plants

Thursday, January 22nd, 2009

ravenhongOn Mondays, I descend down into the basement to disappear into my world of herbs. Once there I spend a couple hours smelling, touching and tasting, to create formulas to help the animals I work with. As I work I can hear the ancient wisdom of the past herbal masters whispering to me and feel the vibrations of these plants, many which were on this planet before us. To me working with these herbs is like cooking, only I am making up a recipe for healing by harnessing the amazing powers of these living things.

fourherbs4One of my clients is a paralyzed dachshund. Making up a formula for him, I call upon four of my favorite herbs to form a blood tonic. The four are all roots – foxglove, peony, Chinese angelica, and lovage – and are earthy and strong. I love to tea these in the winter and sit on my window seat sipping the strong rich tea they make. I can feel how these herbs work to strengthen me from the inside so that I have the energy to heal. This is what I want for this little dog.

Roots are also very grounding because they come from the earth and they help to hold us to the ground so we do not float away with our thoughts. In China this herbs are cooked up with a chicken soup in the winter to help older people with aches and pains.

wormsMost of these dachshunds have closed channels because of traumatic disc injury. I can tonify the blood all I want but it is like trying to send water down a plugged hose. I add a handful of earthworms into this formula, which the Chinese say get into the blood channels and wiggle them open like a roto rooter opening a clogged drain.

After opening and tonifying, I add a few generous pinches of the light and vibrant orange safflowers to move and lift up these heavy grounding roots. These along with peach seed will help to move the blood down this little guy’s back legs so they can work again.

hongtaoclose

Finally to work with pain, I add corydalis, which is a powerful mover of blood, and painkiller.

Chinese Herbal Medicine is all about how the herbs work together and most formulas have ten or more herbs. It is an art based on the powers that emerge when these herbs joint forces. No one herb is powerful on its own but together these amazing plants can perform miracles.

herbpharm

Many times I will not know what I am going to put in a formula until I am staying in front of my herbs. Then one herb will just leap out and say, “use me!” Sometimes it will be an herb I am not familiar with but when I rush to my materia medica and look it up turns out to be exactly what I need.

Plants have an energy and a power of their own and often my job is to listen more than to think. When I think too much I come up with a generic formula, which may help, but my most powerful formulas come when the herbs lead the way.

By the end of my day, I am usually covered with herb dust and my nose is full of the many smells and flavors of the herbs I have mingled with. Up the stairs I go once again out to the busy world of traffic and electronics…until next week.

This formula is now available through my etsy store Kingdom of Basil

When I am old, may I be treated as well as I have treated my dog

Thursday, January 15th, 2009

Because I work with mostly geriatric animals, I have come to give a lot of thought to how we work with human family members as they age or become sick.

It used to be that older family members were a central part of their families and valued for their wisdom and their help in raising the children. Today because families are so fractured and our health care system is so terribly broken, most older people are institutionalized instead. When we institutionalize older people we take away from them their value in society and no longer learn from the wisdom they have to offer. When people are not valued for what they can give, their minds shrink and they began to waste away. I think when people see that they have become a burden on society and their families, they no longer want to live and many of them quickly escape into dementia or death. This is a very difficult thing to face.

Most of the geriatric animals I work with are well loved and cared for. Going one step further, they are an important part of the families they live with and are respected for what they give to their families.

Their human companions will say, “I have learned so much by being here with my dog during his illness and watching how he has lived with illness gives me inspiration for how I want to live my life.” People often express that their love for their animal companion is so strong that it is a large part of what keeps them going through the day. Many of these animals have helped their people through deaths in the family, depressions, job loss, illness, or other major life changes.

These people do not see caring for these beings as a burden. They care for these animals with the respect that they would want someone to care for them and these animals are not pushed out of the family but given a central role in it throughout their illness

Some of the most vibrant older people I have know stayed active in their families and community into old age. One of my neighbors growing up was an active gardener and not only had a magnificent garden herself but also was active with community gardens in her neighborhood. When she passed away a few years ago we were shocked to find out she was in her mid-nineties!

My own great grandmother lived to be ninety-nine and even though she was in a nursing home her final years she read everything she could get her hands on, was always out talking to the staff, and stayed active in the family dynamics.

When we were looking for a preschool for my son, we found one within a nursing home, where they integrated the two programs. The children enjoyed having the extra attention of the older residents and the residents had a purpose and a job helping with the children. Not surprisingly they were considered the best program in the state and had a long waiting list. But why can’t we have more programs like this?

This problem reaches far beyond the fracturing of families. There is a larger issue with our broken health care system. Nursing homes are covered by insurance and government funding but in home care is usually not. Many families have little choice but to put their loved ones in institutions when the care becomes greater than they can provide on their own.

While I was treating one of my client’s cats for kidney disease, his mother was hospitalized for similar kidney problems. He flew home to be with her and when he came back told me that the hospital was so fast paced that he felt like he had to be with her or she would not get the care she needed. He questioned why his cat was getting better care for $85 a week than his mother was getting while running up hospital bills in the thousands.

My former dog walker’s mother was very sick with emphysema and kidney failure when I met her. She was a great animal lover and lived with her daughter who ran a doggy daycare in the house. The mother helped with the business by caring for the dogs in the doggie daycare when her daughter would take groups of dogs to the park. All the dogs loved her and she would make special biscuits for them because she loved to cook. She helped her daughter’s business because someone was always able to be at the house and she had an important job even though she could no longer even walk around the block. Whenever I was at their house she would always have a giant smile and a million stories to tell. I was often surprised that she lived so long with her illness and seemed so happy.

I hope as a society we can move towards integrated care for our older citizens. Us younger people have so much to learn from those who have been on this planet longer. There should be a way we can form communities of care, which include people of all ages and benefit everyone.

Some thoughts on osteosarcoma-a follow up to Maggie’s story

Monday, January 12th, 2009

Part 1 of this story

  • If I had to offer one piece of advice from working with these dogs it would be amputate if at all possible and the cancer has not yet spread to the lungs. Every dog I have treated has had problems with the pain before lung problems from metastasis. If they have three healthy legs and the cancer is in a leg, amputate and amputate early.
  • I have seen these dogs do so much better with combined treatments. Just chemo or radiation gets you so long, and just acupuncture can also extend life but the two together usually more than double the time and quality of life of these animals. Find a good oncologist or a veterinarian who specializes in cancer treatment and a good holistic acupuncturist and work with both.
  • Love, love, love. Once again a loved dog who has an important place in the family will do so much better.
  • Get many opinions. If one veterinarian tells you there is no hope talk to a second one. We all have our own experiences and expectations. There are many textbooks written on medicine but we all have our own tricks.
  • Find some support. Working with any family member with cancer is difficult emotionally and having someone who understands what you are going through can really help. Sometimes that is another member of the family but if you are all alone reach out through forums or support groups.
  • Research online. There is so much information available online although don’t believe everything you read.
    • Here is a super site on cancer in dogs. CanineCancer.com
    • Here is my cancer care page. I do not recommend using all the things listed on this page and usually do a consultation with clients to pick the best treatments for a particular animal.

Part 3 of this story

What’s for dinner?

Thursday, January 8th, 2009

catsatdinner
What do they eat you ask?
My cats like a variety of different foods. Contrary to what many vets will say, I think it is good to mix and match at least flavors, if not brands. It makes it less likely that your pet will develop allergies and gives them something to look forward to. Some animals do need to be on one constant diet and animals who have been on one food for a long time have a harder time with a sudden change.
Here are some brands of cat and dog food I really like
Felidae/Canidae, Wellness, Evo/Innova, Merrick, Evangers, Weruva, California Natural, Honest Kitchen
There are many other good food choices. If you are in the Seattle area, we have wonderful natural pet food stores with great food to choice from. Always read the label before buying anything and make sure meat is the first ingredient for cats and dogs. Home cooked meals and raw diets are also great options for most animals. Darwin’s is a local raw food company with delivery in the Seattle area.
Things to avoid
1. Science Diet. This is not a high quality diet but many vets still recommend it because it is all we were taught in nutrition during veterinary school.
2. Iams/Eukanuba was bought out by Proctor/Gamble many years ago. The quality of this food has gone straight down hill since plus P/G is the worst company when it comes to animal testing.
3. By-products aka beaks, blood, infection, sawdust, fur, etc By-product can be any part of an animal or anything that animal fluids have touched.
4. Animal or Meat by product This is any animal that ends up at rendering including euthanized pets. It doesn’t get any worse than this, not only are you making your animal a cannibal but you are also feeding them small amounts of euthanasia solution. Yuck!
5. BHT/BHA These are nasty preservatives linked to liver problems and cancer. These can also be in human food.
6. ethoxyquin- bad, bad, bad They used this stuff to preserve telephone poles. It is also a rubber stabilizer and a pesticide. Monsanto conducted research years ago, but the results were so inconclusive due to unprofessional conduct and documentation that the FDA demanded another study which was never done. This stuff has been linked to just about every disease you can think of.
7. corn-this is a filler and not a very good one. It also is a common allergen
8. Most foods you buy in a normal grocery store. Almost all of these are poor quality.
Also remember: No onions or chocolate for cats or dogs. No grapes or raisins for dogs.

Nick has the most beautiful toes

Friday, January 2nd, 2009

nicktoe2Nick has the most beautiful toes. They are white as snow and super fuzzy and every time I see them I just want to touch them. Of course he hates that. Part of the reason that his toes are so beautiful is that he doesn’t walk on them. Five years ago a car hit Nick and his pelvis was badly broken. After consulting with a surgeon, who was quite certain that there was no permanent nerve damage, his family decided to do the difficult surgery to put his bones back together. As he healed it became apparent that there was something wrong with Nick’s nerves and he was not able to control his legs or support his weight below the knees.

This doesn’t stop Nick from getting around however. He just pulls himself with his front half and bulging biceps and lets the back half come along. If you try to catch him it becomes clear that he can move incredibly fast and can even scale a fence. His litter box is a little shorter than the normal ones but he uses it like a normal cat and is clean and proper. Although he can’t jump he is able to pull himself up on furniture or use stairs to reach where he wants to be.nick1

If you ask Nick, he’ll tell you he’s just fine and wonder why you are looking at him strangely. After a moment though he will decide that you must be admiring his beauty. He is a beautiful cat with perfect stripes and deep big eyes. He wears his confidence well and is clearly the keeper of the house making sure that no other cats are allowed in.

I met Nick while treating the two dogs of the house and we had no intention of treating him initially. He of course thought this to be plain wrong, after all the cat is clearly the most important member of the house. One day while I was there he walked over and grabbed my box of needles between his front feet and stared at me, “excuse me but you seem to be forgetting the cat.” From that point on he started getting acupuncture treatments as well but only if he was given proper notice. If he was not told the day before that I was coming for his treatment he would disappear or hide under the bed.

Shortly before I started coming to his house he started to push off on one of his back legs which was amazing considering how much time had passed since his injury and the fact that he had shown no improvement up until that point. We started off treating him to try to encourage this improvement but also had the added benefit of getting him off of the steroids that he had needed for a very itchy neck. He’s still a little itchy these days but only to the point that he really, really likes it when you rub his neck. Which by the way helps to keep him still while he has needles in.

nickcloseWhile most people who don’t know Nick would see him as disabled, in Nick’s mind he sees himself as perfect and whole. He doesn’t dwell on the past when he could use his legs normally and jumps into life with excitement and attitude. Sometimes I wonder if Nick is here to teach us all that being whole has nothing to do with the physical body and all about the way we see life.

Love me for who I am today

Wednesday, December 31st, 2008

jake-2Beautiful, strong and proud, he leaps across the field with graceful steps, able to turn on his heals in a second’s time if something fun to chase crosses his path. But slowly the gray hairs form on his muzzle and his step slows, his eyes are no longer as clear as in his youth and he no longer hears the door when it opens.

For many dogs, aging is a difficult transition from being able to take on the world to not being able to take on the steps. The fun things they used to do like going to the dog park, going for long walks on the beach, or just making it around the block or into the car become impossible. Many of the very active or herding dogs have an equally difficult time mentally accepting that they can no longer do what they see to be their job.

My own dog Jake recently went through a very difficult period which started when he reached the point of not being able to climb the stairs between the first and second story of our home. Jake had always been the protector and organizer of our family, following everyone around, many times backwards bumping into walls as he went, so that he would not have to take his eyes off of us. He even made it a job trying to herd our four cats, which as any of you with cats know is clearly impossible.

He became extremely anxious about his limitations and would walk around panting nervously until he fell over with exhaustion. This was very difficult because his anxiety was not only very uncomfortable for him but also for us, especially when there was little we could do about it. We quickly got into a pattern of Jake becoming extremely anxious, us leaving the room because he was so anxious, and him becoming more anxious because he wasn’t with us. This was compounded by his anxiety causing him to lose continence and end up walking around panting and peeing as he went or pooping on the living room rug. I became convinced that not only was he losing his footing but that he was also losing his mind.

I would get so frustrated with him that I would shout,” just stay there, can’t you just sit still and relax!” Of course I was not making things any better with my frustration. Jake was not accepting his condition and I certainly wasn’t either. This just made him more agitated because I was upset with him in addition to him not being able to do his job. And he had always tried so hard to be a good dog. Having a career working with older dogs you would think I would have realized right away that we were both stuck in a very bad pattern but it is always harder to see the things that are closest to home.

jake-4Gradually as a family we realized that there was a large problem with acceptance and the first thing to do was accept Jake for where he was at. We also made some changes to our home and routines to improve things. We changed our schedules so that we were able to let him out at the same times every day to poop and pee. One very important change was to put up a gate between our two floors so that Jake could not go up or down the stairs on his own. In the morning we would help him down the stairs and in the evening we would help him up so he could sleep in my son’s room and do his job of protecting him. Because the gate was there he knew that we were purposely stopping him from going on the stairs and he no longer felt that he had to follow us where he could not.

We let him know that we accepted him for who he was and that we valued his job of protecting us and watching over us but that his most important job now was to keep his strength and be our companion instead of our protector. He received more pets and we tried our best to make him understand that he was loved for being Jake and that was separate from what he could or could not do. We praised him when he was calm and sitting still and took more time to sit and talk to him.

In a short period of time he because more calm and stopped following us around everywhere. After about two weeks we were able to take the gate down and he no longer went on the stairs except in the morning and the evening. Now most of the time he doesn’t even need help to get up and down the stairs the two times a day he climbs them. His continence also improved and he no longer pees or poops in the house and can make it much longer without being let out.

Of all the things we did I think the most important was to accept and love him unconditionally. I have had other clients tell me as well that when they were able to truly accept and love their animal companions in the condition that they were in, there was improvement not just for their animals both mentally and physically but also for themselves. I had one client explain to me that when she was able to accept that her dog needed to go out multiple times in the evening and realize how happy she was just to have her here in her old age that she no longer found it so difficult to get up in the middle of the night. In addition I noticed a huge improvement in her dog’s physical condition, she was much more present and less painful.

When we have friends or family who truly accept us regardless of state it makes us feel very loved and protected. We no longer have to pretend to be something we are not. I think it is no different with our animal friends. Through accepting them we are sharing our love and letting them be what they are at that moment. After all with older animals every moment we have with them is precious.

jake-1Love me for who I am today
Tomorrow I will be someone different
Gray may shine through my hair
Like stars in the sky
My eyes may be cloudy
Like the far off sea
But we are together
Our hearts touch as one
I am forever your friend
You are the one I love

Photographs in this story from Jennifer Kogut