Author Archives: admin

Post Nasal Drip Hack and Gag Canine

Post Nasal Drip Hack and Gack

A colloquialism for those dogs with a cough that ALSO isn’t anything else. What does THAT mean?

PND Hack n Gack is an allergy to airborne pollutants including pollen, smoke, smog, and moulds. It’s got certain characteristics and can be a ‘thing’ for a dog’s whole life.

Post Nasal Drip Hack and Gack – What an Owner Should Know About This Diagnosis.

Kidney Disease in Dogs and Cats

Cat and Dog Kidney Impairment

So you’ve been told that your cat or dog suffers from kidney impairment. Doc’s going to look at several things and run a couple tests to make sure that it isn’t caused by anything except old age.

If the kidney issues are age-related, this document details what you should know about kidney disease, how it’s assessed and what the prognosis is. Treatments are listed, but the details of those should be provided in separate documents.

Kidney Disease from Old Age in Cats and Dogs: What it means and what are the pet’s chances?

Colitis In Dogs

Colitis / Chronic Diarrhea in Dogs and Cats

Why does it take “a few tries” to get a bowel to “simmer down”?  Why isn’t it just “He’s got diarrhea” and “Here’s your medicine?”

Sometimes it is, often, it’s not. Here’s a thorough discussion of diarrhea / colitis  for folks who have a dog with chronic colitis. I guess if you’re going to have to live with it sometimes, you might as well know why and why not?

Chronic Diarrhea – Colitis in Dogs And Why It’s Not So Simple?

Phycox Glucosamine, Vitamin and Anti-inflammatory

What’s so great about Phycox?

Well I’ve gotten older and there’s some pain in aging and some creaking joints.

Nothing different for old dogs. They creak and groan a little, too. Here’s where “Phycox” comes in. Phycox is a chewable ‘treat’ that you can give your dog to help with several aspects of aging.

Phycox has

  1. Three natural antioxidants
  2. A potent multivitamin
  3. Glucosamine/Chondroitin and MSM

For less than Dasequin or Cosequin

Phycox is the answer to supplementing arthritis with glucosamine but there’s SO much more to it. In this document I explain how Phycox provides the benefits of five other arthritis modalities but ALSO where it falls short.

What’s So Great About Phycox? PDF read online or download

Oravet Chews and When They’re The Best

Not needing another dental saves you dollars, and saves the dog the aggravation.

The short read:

  • There’s a treat (we have them) that coats the teeth and makes them impervious to re-accumulation of tartar. Seriously, stop laughing I am not making this up.
  • They are called Oravet Chews.

Sidebar: Oravet Chews are not usually recommended until after the teeth are optimized. There is no point in coating crappy teeth.

The longer read:

You can “coat” the freshly cleaned teeth super easily every day and literally never need a dental scaling again.

Oravet Chews are basically a “plastic” (huge oversimplification) coating for teeth that is applied via a simple chewy treat. I wish I had invented it.

The dog chews up this teal-colored, chew enzyme-rich treat and it sticks to their teeth…..deliciously.

By the time they get it chewed and swallowed, the teeth have been enzymatically “cleaned” and coated with the bioactive ‘wax’ for the day. I mean, I don’t know, maybe days but Ajax has one a day after his morning walk.

Is this salesy? You know I hate being “salesy” because it’s just not my style but this is something that honestly, a person would be more-within-their-rights to speculate that the reason we did not recommend this after the dental was so we could line up another dental, and nothing could be further from the truth.

Your dog’s dental was done to topple infection and pain in their mouth. No one cares how the teeth LOOK. In that vein, keeping the teeth germ free and the gum line protected is the “thing” entirely.

Oravet Chews Especially After a Dental Scaling (download or read PDF)

VIPPS Online Pharmacies

NABP + VIPPS Certification

Download this article

See also: Sorry! We won’t prescribe through a non VIPPS Internet Pharmacy

 Petmeds is not VIPPS compliant/eligible. It matters a LOT to prescribers.

Every state has a “Board of Pharmacy” that monitors their state’s pharmacies. These boards provide standards of record keeping, supply-chain integrity, and compliance with state and federal law.

“I’m going to turn you in to the Board!!’  Yeah, THAT Board.

Anyway. These Boards of Pharmacy operated together and independently, then, one day, they decided to band together and create uniformity in the administration of standards and applicable laws. So that the Georgia pharmacy-law looked like the Mississippi pharmacy-law.

The National Association of Boards of Pharmacy was formed (1904).   NABP.pharmacy

Further, (much more recently) they founded a .pharmacy TLD.

Let me explain that: Some businesses have .COM and .NET after their name.

If you’re a “real” pharmacy you can get .PHARMACY after your business name.  Being a ‘real’ pharmacy eligible for a dot-pharmacy TLD means you have a license to operate in a particular region, and the State acknowledges you.

But that doesn’t mean you’re in compliance with state and federal law.

What proves that your business is compliant with state and federal laws? VIPPS certification.

VIPPS Verified Internet Pharmacy Practice Sites (1999)

NABP started this certification program in 1999 as Internet pharmacies started popping up.

If you are not VIPPS certified, you have been found to be non-compliant with one or more of a state’s pharmacy laws. That’s a deal breaker for me.

You can do that without ‘technically’ breaking the law, but you are DEFINITELY bending laws. Sadly, with “they’re only dog drugs”, you can break the law and enforcement isn’t likely, because the government is overwhelmed with opiate regulation right now. That’s a fact. There are only about a hundred FDA field agents directly inspecting pharmacies for violations.

Let’s put that in perspective: There are approximately 67,000 pharmacies in the United States. Almost half (33,000) are located within drug stores, grocery stores, hospitals, department stores, medical clinics, surgery clinics, universities, nursing homes, prisons, and other facilities.100 Field agents. And they’re worrying about heartworm prevention. Uh huh.

Here are things you cannot do and still be Board/VIPPS compliant.

  • Wholesale (source) drugs or products from other distribution channels
  • Wholesale (source) drugs or products from other countries.
  • Neglect quality control and supply chain standards, allowing the business to sell counterfeit product whether knowingly or not.
  • Filling prescriptions without a documented, legitimate protocol for verifying prescriber information and licensure.
  • Filling prescriptions without documented prescriber authorization.

Sadly, the very first three misbehaviors knock most online pet pharmacies (In particular: PetCareRx and PetMeds) out of the running. The last two are variable between online pharmacies but is all too common.

So why don’t these online retailers seem to care about VIPPS? Because their television ads trump the marketing value of a VIPPS certification handily. Their business is not adversely affected by a lack of VIPPS certification because people are responding to the marketing. “There is NO WAY you can run television ads and be traded on the stock market and be shady-business!”    Right?  Enron. Haliburton. WorldCom, Bre-X, Union Carbide (Bhopal) and the list goes on. 

Price conscious shoppers aren’t the ones who lose their licenses if sensitive information about clients is pillaged by shoddy record-custody, or filled/refilled without a VCPR, or sued if a prescribed item is filled incorrectly resembling malpractice, or filled/refilled under my name/clinic name without my knowledge.

PetMeds Online Pharmacies

See Why I Won’t Prescribe To PetMed

What You Should Know About PetMed

http://news.vin.com/VINNews.aspx?articleId=12583

“PetMed Express is among a growing number of pharmacies and retailers trying to undercut DVMs on flea and tick killers, obtaining those products apparently via gray-market channels.”

“We only guarantee what is sold through licensed veterinarians with a Novartis account,” said Mickey McDermott, vice president of communications in North America for Novartis Animal Health, Inc.

The EPA said in a press release: “There has been a recent increase in the number of companies bringing unregistered pet products into the United States. Last year, EPA assessed a fine against a San Diego pet store for selling unregistered Advantage for Dogs and Advantage for Cats. Also, a Stop Sale Order was issued to a distributor for importing unregistered Advantage products from Mexico with Spanish labeling.”

On its Web site, the EPA warns consumers to beware of counterfeit Frontline Top Spot, Frontline Plus and Advantage. Clues to counterfeit product include: writing in a language other than English; product volumes expressed in milliliters rather than ounces; packages not child resistant; instructions missing; and lot numbers on the cartons not matching lot numbers on applicators.

During six months in 2003 and 2004, U.S. Customs and Border Protection seized nearly 60,000 pieces of counterfeit Frontline and Advantage from China, according to agency spokeswoman Erlinda Byrd. The seizures happened on nine different occasions but were traced to a single importer, who claimed to have purchased the product in the United States, shipped it to China for repackaging into smaller quantities and returned it to the United States for distribution.

Zymox Ear Management

Zymox Enzymatic “Cleaner” (Ear Remediation)

Downloadable or online-readable PDF about Zymox and why I am recommending it to you.

Especially after a successful Claro treatment.

Zymox

After Claro treatment there’s four realizations:

  1. Your dog is not like other dogs, for whatever reason, they’re (genetically/breed?) prone to ear infections.
  2. Your dog may have a lifestyle that contributes to ear infections, for example: Swimming. Tiny ear holes. Too much hair.
  3. For a LOT of dogs, ear infections come from #ATOPY and that’s chronic
    1. com/atopy
  4. Your dog’s ear “environment” has just been cannon-balled by strong medication to achieve ‘wellness’ and needs help restoring a proper pH and bacterial balance.

Zymox is scarcely more than an (ear-appropriate) oil-base which lifts excess wax off the walls of the ear canals and restores the proper pH and bacterial colonies which actually belong in the ear.

  • It’s squalene, and that’s water repellent making it awesome for swimmers.
  • Squalene makes the ear canal too slickery to hold onto dark wax.
  • It has enzymes which digest organics, break down wax, and inhibit/outcompete yeast organisms and untoward germs.
  • It has compounds to down-regulate the acidity in the ear.

All you do is just apply a little (like oiling a clock or oil on a whetstone, just a bit) Zymox to both ears on days of the week containing a “T” for example Tuesday, Thursday and Saturday. Or of course, any three days a week you can remember.

You don’t have to wipe, rub or anything. Just a few drops to create a slight glisten, and you’re good.

Is It Time? Euthanasia in Dogs and Cats

Is It Time?

A document that (based on 22 years experience) provides a stone-cold, objective assessment of your dog or cat’s health and condition to illuminate whether it’s time to consider putting him/her to sleep. This is the best I’ve ever written.

Euthanasia – Is It Time? A downloadable, or online-readable document to sort out the hardest decision that a pet-owner makes.

Rabies

Rabies Shots for Dogs and Cats

Why Is A Rabies Shot Important For ALL Pets?

I don’t ACTUALLY believe your 17 year old indoor Pomeranian is going to go all Rabid like Ol’ Yeller.

Nope. Most old timers and indoor pets would not even survive the type of “wilderness encounter” that transmits Rabies. (Attacked by a rabid animal or Coyote)  There’d be nothing to even clean up. (But other times they’ll just pick up a Rabid bat, kitten or squirrel).

HOWEVER, (and this is what’s common)

  1. A perfectly normal dog or cat takes a nip of the neighbor kid.  Rabies immunization status comes to the forefront in everyone’s minds. And it goes VERY badly for you and the offending pet when there’s no rabies shot on board..
  2. You’re giving the cat or dog a pill and it’s hangs a tooth (even accidentally) in your finger. And it gets infected sending you to MedFirst. Human doctors have (significant) fiduciary responsibility for ascertaining the rabies status of the dog or cat. Rabies immunization status comes to the forefront in everyone’s minds. And it goes VERY badly for you and the offending pet when there’s no rabies shot on board..
  3. You get scratched and it gets infected, sending you to MedFirst.

If your non-vaccinated pet is accused of, or actually bites someone and is non-vaccinated for Rabies, here’s what happens:

  1. The pet gets quarantined at your considerable expense.
  2. And/or the pet’s brain may have to be sent to the GA State Diagnostic Lab for Rabies testing.
  3. The bitten party has to get Rabies shots in the belly at YOUR expense.
  4. You will probably get a citation and fine from the County.

Doc Johnson

PS: Recap:  So most people think I’m actually worried about a pet getting rabies and that IS part of it. But the most common problem is the above, where a dog gets indicted for a ‘crime’ and pays the price for being illegal.