At some point in your dog’s lifetime, most likely you have had to take them to your vet for an emergency type situation. Whether it be due to swallowing a foreign object or requiring surgery for an acute injury, Dr. Randy Hutchison and his professional staff at Animal Clinic Northview in North Ridgeville, Ohio, will be able to get your dog back on the road to recovery.
In this episode, Dr. Randy and I discuss common injuries and treatments that are available for various conditions. As much as we try to prevent injuries from happening, they are almost inevitable. I don’t think I have ever met anyone who hasn’t had to take their dog to the vet only for well check ups. One of the great things about Animal Clinic Northview is that they have round the clock service. So, no matter what time of day or night your dog suffers an injury or illness, there will be a vet on duty to help you.
Dog Bites
As a dog trainer, unfortunately, I have seen plenty of people get bit by dogs or their dogs have gotten into dog fights. The wounds can be serious, sometimes fatal. Especially if they have gone untreated for a period of time. Bite wounds for people should never, ever be taken lightly because of the bacterial content of dogs’ mouths. When we witness or experience dog bites, we think of the dog lunging toward their target and biting quickly and powerfully. Some dogs will bite and hold on. Others will bite once and let go. Either way, the damage can be extensive.
To a trained eye, dogs ALWAYS give you a warning before biting. Please consult a professional dog trainer if you feel that your dog has aggressive tendencies. They will not go away on their own. My contact info is below. If I feel that I cannot help you because the aggression is too serious, I can refer you to other dog trainers.
Dr. Randy sees an influx of bite wounds in the winter time. Dogs don’t always get the exercise they are used to during the warmer months. This can create a lot of frustration for dogs due to pent up energy. Sometimes, fights happen between dogs living in the same household. Common causes of fights are over claiming possession of valuable resources such as toys and food. In the dog training arena, we call this resource guarding. One dog will pose in a way that their body is over the food or toy and their body is stiff. You may even see “whale eyes” or the whites of their eyes, accompanied by growling and baring their teeth.
Assessing the damage done by a dog bite to another dog has to be done very carefully. If the decision is made to stitch up the wound, the possibility of locking in the bacteria can lead to locking in an infection. Antibiotics may be prescribed to address the infection. Sometimes, depending on where the wound is located, there is not enough skin to stitch together. However, there is a new treatment on the market called Phovia. Phovia delivers fluorescent light to the affected wound, which stimulates the body’s natural healing process. It is non-invasive and painless. Any kind of wound care treatment involves multiple visits until everything has healed up nicely. Your vet will guide you through the healing process and may even recommend physical therapy depending on the injury.
The bacteria in dogs’ mouths can cause serious infections in humans too. It may require antibiotics to get rid of the infection. The bacteria doesn’t necessarily have to be transmitted through a bite. My neighbor almost died after she came home from an operation and her dog licked the wound, like dogs do. There can be certain bacteria in the dog’s mouth that can cause sepsis through an open wound. Please consult your veterinarian or medical doctor if you or your dog experience a bite or licking an open wound from another dog.
Another totally innocent way a dog can get a serious infection from a bite wound is through play. My dog, Ebi, was playing with her best friend across the street. I was watching the dogs play. It is very common for dogs to use their mouths while playing and bite gently. I heard one of the dogs shriek. Ebi was laying down, but then got back up to play again. I figured one of the dogs came down too hard on the other and they let the other dog know about it. Well, 2 to 3 days later, my husband discovered a big growth on her side that we had never noticed before. My friend, who is a former vet tech, came over, and shaved the area where the growth was. It revealed a puncture wound from a tooth. That’s when I realized what that shriek was all about. Our neighbor dog came down too hard on Ebi. The bacteria from that bite caused an abscess to form. I took Ebi to the vet for further treatment and she healed up beautifully.
Cranial Cruciate Ligament Tears
Another common yet painful injury to dogs is tearing the cranial cruciate ligament (CCL), which is the equivalent of tearing the anterior cruciate ligament(ACL) in humans. The CCL is located inside the knee joint, connecting the thigh bone to the shin bone. I have never personally experienced this with my dogs, but plenty of my client’s dogs have, unfortunately. The surgery and rehab is quite pricey and stressful because the dogs have to be contained for an extended period of time.
A lot of times, dogs will tear their CCL because they sprinted towards something or jumped off a high place. You will know right away if your dog injured themselves because they will start limping immediately. Every time your dog steps on that leg with a torn CCL, it buckles because the ligament is not there to provide stabilization. When the injury occurs, there is acute pain. However, that pain subsides as time goes on, but the limp persists. If this does happen to your dog, contact your vet immediately so that they can assess the injury.
One of the biggest misconceptions about CCL injuries is that the vet is surgically repairing the ligament. If that was actually attempted by a vet, it would almost certainly end in failure. The ligament is so minute and damaged that it is impossible to stitch it back together.
Almost all CCL repair techniques are done to provide stabilization to the joint. There are a couple of ways to repair these injuries. One option is called a lateral suture. This procedure uses sutures to reinforce the outside of the knee joint which creates a type of artificial ligament. A more up-to-date method is referred to as TPLO (Tibial Plateau Leveling Osteotomy). This procedure is done more commonly now. The joint forms scar tissue around itself to let the body heal it in a way that creates stability.
Rehab Facility On Premise
Animal Clinic Northview offers many different types of therapies for patients coming off of surgeries and injuries. They now have a swimming pool to help rehab a joint that needs to move but not involve hard impact. Also on the premises are underwater and dry treadmills, acupuncture, and laser therapy to help with the healing process. This is such an improvement to what used to be offered when the dog would undergo surgery and be sent home to heal. All of the therapies mentioned above can expedite and improve the quality of the dog’s life a lot quicker so that they can get back to running around again.
The rehab facility at Animal Clinic Northview is in the same building as the main veterinary clinic and is staffed by therapists dedicated to rehabbing dogs. There is a separate extra wide entrance to accommodate patients coming in on gurneys and for those who may be more stressed entering through the main lobby. There is even a special rubber coated floor for those patients recovering from leg surgeries to prevent any slipping.
Obstructions
Two of the commands I teach during my basic obedience class are the “Leave It/Drop It'“ commands. Dogs love to explore their world through their nose and their mouth. I don’t think I have ever met a puppy that hasn’t wanted to put everything in their mouth. It’s their way of exploring their world. It’s up to us humans to keep them safe and teach them to stop pursuing an object with the “Leave It” command. If it’s too late to prevent them from putting it in their mouth, we use the “Drop It” command to make them release the object and surrender it.
It is also common for puppies and dogs to play “keep away” from their humans and make a game out of running around the yard or house with a prized possession in their mouth. We don’t realize that we are playing the exact game the dog wanted to play when we chase the dog around and yell at them to drop it. The more the humans yell, the more excited and energized the dog gets to continue this fun game!
It’s when the dog decides to swallow the object and a blockage occurs that Dr. Randy comes in. He has dealt with plenty of clients whose dogs ingested something they shouldn’t have. Whole ears of corn, fish hooks, socks and underwear to name a few. He says that a lot of the time, family members just want to know who is to blame - who left the underwear on the floor in the first place???
There are instances where we actually witness our dog swallowing an object that was too big or knowingly indigestible. It is extremely advisable to immediately go to the vet to get it expelled. Socks and underwear are two very common foreign bodies that are ingested. If addressed soon enough, there are medications to induce vomiting, and the object comes back up the esophagus, out the mouth, and everyone breathes a sigh of relief and goes home.
Another way to prevent having to surgically remove a foreign body is through an instrument called an endoscope. There are different kinds and sizes of grabbers and loops that are attached to the endoscope which are fed down the esophagus and into the stomach. The grabber will pick up the foreign body and be pulled back out of the mouth.
Foreign bodies get tricky when no one in the family notices that the dog ingested anything. All they notice is that the dog does not have the typical appetite they usually have or even the dog refuses to eat. Maybe the dog starts vomiting several times for a couple of days in a row, is showing signs of constipation and/or seems to have abdominal discomfort. These symptoms can be a sign of other conditions, but they all warrant a phone call and possible visit to the vet. If there is an obstruction, not only is it blocking the flow of things through the intestine, but also the pressure it creates is damaging the blood supply to that intestine. This can lead to perforations in the intestinal area. Now, you are talking about extensive surgery to remove the object and repair the perforations.
One thing to keep in mind is that you don’t want to be tempted to pull on an object that you see is peeking out of the dog’s anus. For example, if you know your dog swallowed a plastic grocery bag and a few days later a little bit is showing out of their anus, that plastic bag may be wrapped around and stuck on something as it was working its way out. You could potentially be doing more harm than good by pulling it out. Dr. Randy has the same advice for cats. He has seen where the cat has swallowed a string. One end of the string was sticking out of the cat’s anus, but the other end was wrapped around the cat’s tongue!
Dental Issues
All dogs love to chew on things. There are so many options at the pet store that it can be overwhelming. Some of these options can lead to broken teeth, some are made of unhealthy ingredients, and some are just down right dangerous. So many times, when Dr. Randy is performing a well check up and pulls away the gums to get a good look at the dog’s teeth, he discovers chipped teeth or slab fractures. Slab fractures are when the enamel has sheared off the tooth, exposing the nerves. This is usually caused by the dog chewing on objects that are too hard for their teeth. Not only is this very painful to the dog, but it also requires dental attention.
When you have an aggressive chewer, meaning, the dog chews vigorously on bones, be very mindful of antler bones, elk horns, cow hooves, and nylabones. All of these chews can do some serious damage to a dog’s teeth. One of the vets who regularly performs dental work has a rule of thumb:
If you can't indent the chew toy with your thumbnail, don’t give it to your dog.
Some dogs are absolutely fine and will never have a dental issue with an antler bone. Then, there are other dogs who chew the antler and actually cause splinters to break off. If the dog swallows those splinters, now you’re talking about perforations along the way through the intestinal tract.
Dr. Randy’s advice on deciding on which chew toy to give your dog, “Go Fred Flinstone” and buy the biggest toy the dog can manage to get their teeth on. We are all looking for something to preoccupy our dogs with and satisfy their instinct to chew, but we have to be wise about it. Chew toys should always be under supervision, not used as a babysitter, and never left in the crate with the dog while they are alone for hours. When the toy is whittled down by about 80-90%, then it’s time to put it in the trash. My rule of thumb has always been if the length of the chew toy is 1” wider on both sides of the dog’s mouth, then it is time to dispose of it. Otherwise, you risk the dog swallowing the remainder and ending up with a blockage! The safest toy that I have found is a Kong. Again, you need to know your dog’s chewing style before you think you can give him a Kong full of almond butter (I’m not a peanut butter fan).
According to Dr. Randy, one of the most common misconceptions of dental injuries is that if the dog is in pain, they won’t eat. This is false. Dogs are very stoic. They will mask their pain. There's almost never a dental condition that will keep a dog from eating. If you watch a dog that is experiencing dental pain, they will toss their food to the other side of their mouth. They learn how to compensate for it. Another sign that your dog is experiencing dental issues is when the dog goes to pick up a toy, their pet parents will see them kind of jolt and drop the toy.
Root canals can be performed on dogs’ teeth, but typically just pulling the tooth, alleviates the source of pain and possibility for infection to develop. Pet parents notice how much more energy the dog has after the pain has been removed, This is particularly noticeable in cats. If you think dogs are stoic, cats have them beat in that department!
Seizures
Another condition in dogs that I hear too frequently from pet parents is seizures. Dr. Randy says that many times there is no identifiable cause for seizures. Just like in humans, seizures aren’t necessarily caused by a structural issue. Even after doing CTs or MRIs on the dog’s brain, there will be no glaring abnormalities on the scans.
The most common type of seizures which typically occur in dogs between the ages of 1-5 years are epileptic seizures. Whenever a dog has a seizure, Dr. Randy has to make sure that there's not something obvious causing it. Blood work is drawn to determine if low blood sugar, or calcium or liver abnormalities may be causing the seizures. Younger dogs who are experiencing seizures are more concerning. Metabolic defects or even distemper can cause seizures, so they will be screened for that. As the dog gets older, then you start worrying about a possible brain tumor. So, when diagnosing a dog for seizures, there is a process of elimination of all of these possible causes.
Seizures are still an enigma, even in human medicine. Dr. Randy will have a 10 year old dog come in for a checkup after they had their first seizure in their life and he can’t find a reason for it. On the other end of the spectrum, one of Dr. Randy’s client’s dog has a seizure once it starts walking in the clinic. Stress can also be a contributing factor to the onset of a seizure. The staff at the clinic will have this dog come through a different entrance to avoid the hustle and bustle of the main entrance. It is important to point out that this is more of a rarity than a commonplace scenario.
There are a number of medications for seizure patients. If a dog has one single seizure and has never had another one, medications will not be prescribed right away. This type of situation will be more for building a database on that dog if any future events occur. The medications for seizures have become much safer than they used to be. If your dog has been prescribed seizure medications, this won’t prevent episodes from happening. Instead, it can limit the severity and frequency of these events when they do occur.
Pancreatitis
Even though I am a dog trainer dealing with behavioral and obedience issues, inevitably, I end up talking to my clients about their dog’s health. If the dog doesn’t feel well, it can be way more challenging to assess behavioral issues accurately. The reason why the dog may be having behavioral issues is because they are in pain and not feeling well.
One health issue that can affect a dog’s behavior is pancreatitis. According to Dr. Randy, pancreatitis is somewhat of a generic term for an acute tummy ache that has a wide range of presentations in dogs. From a one time vomiting event to a life threatening rush to the ER, pancreatitis is another condition where different tests need to be run to correctly assess what it really is that is manifesting symptoms in the dog. It is worth mentioning that pancreatitis in cats is an entirely different disease and cannot be compared to that in dogs.
A common cause of pancreatitis that is thrown around by the public which is misleading is that the dog ate something fatty, like a Big Mac or the Easter ham. This can definitely contribute to the onset of pancreatitis, but it is not the sole factor. There have been plenty of dogs examined by Dr. Randy who have not eaten something they shouldn’t have, but they still get pancreatitis. All living beings require fat in their diet. However, just like in the human diet, the fat should be a healthy fat. The more fat we consume, the more weight we gain. It is advisable to be aware of the type of fat we all consume for our well being.
Symptoms of pancreatitis can be vomiting, diarrhea, bloody diarrhea, dehydration, and lack of appetite. If pancreatitis is suspected, there is a test called a PLI, or pancreatic lipase test. This measures the level of lipase, a digestive enzyme produced by the pancreas. If this test yields a positive result, this raises the suspicion that pancreatitis may be present. To get an accurate diagnosis of pancreatitis, the adjoining organs surrounding the pancreas should be examined. The stomach, small intestine, and bile ducts could actually be the primary cause of the symptoms and the pancreas is secondary. Bloodwork most likely will be ordered to monitor any changes in certain levels. Sonograms can confirm if there are any abscesses or edema in the area. The dog’s medical history will be reviewed so that the appropriate treatment is recommended.
Treatment is very much dependent on how sick the dog is and what kind of changes appear in the blood work. A new drug which helps treat pancreatitis, Paniquel, can lower and even halt the inflammatory response in the pancreas. This can bring relief to the dog suffering from acute pancreatitis. Dr. Randy’s two big takeaways from pancreatitis are first of all, make sure the vet checks for inflammation or abnormalities in the surrounding organs of the pancreas to confirm the diagnosis. Secondly, if your dog is increasingly showing signs of discomfort from the symptoms listed above, this warrants an immediate visit to the vet because it can be life threatening.
Bloat and Volvulus
Bloat is a condition when the stomach dilates or distends up, sometimes but not always, due to an accumulation of food, liquid or air. This can cause the stomach to flip over on itself, called volvulus. When this happens, this is a life threatening event because it will cut off the outflows to the stomach and trap everything in the stomach. As the stomach stretches, blood vessels get compressed so much that it cuts off its own blood supply. The stomach continues to distend beyond the rib cage and sounds and feels like a drum. If this is noticeable, then the condition has progressed to the point where immediate attention is required to save the dog.
A common symptom of bloat is the dog will be retching, not vomiting. It looks like the dog is trying to vomit, but nothing but a little phlegm comes out. This should be a red flag to get the dog to the vet. Your dog also may be walking around nervously and can’t really settle down. I remember one client telling me that her dog kept on whining and walking around one night before going to bed. She thought her dog was just anxious about the thunderstorm. Horrifically, she woke up the next morning only to find her dog dead at the bottom of the stairs.
When a dog comes in as an emergency bloat case, the first thing that has to be done is to release the gas that has built up in the stomach. Once the gas is released, and the stomach is deflated, then the dog undergoes a gastropexy to return the stomach back to its original position. The stomach will be tacked to the right side of the body wall because when the stomach flips, it is always a right to left event. After the gastroplexy, the dog can still experience bloat, but the stomach won’t flip.
There are now studies that have been done that have debunked a lot of the previous theories on the common causes of bloat. For example, eating too much food in one sitting, exercising too quickly after eating, or elevating the bowls when eating. These all could be contributing factors but studies now show that none of these things really matter. The vast majority of dogs that have bloat that come to the clinic did the same thing that day and ate the same food that they have eaten every day of their life.
Another misconception about bloat is that it only affects giant breed dogs and those with deep chests. However, one of the most common breeds the clinic sees affected by bloat is the 40-60 lb. sized Standard Poodle. On a personal note, when we got my Leonberger, a giant breed, we had already decided that we were going to have her undergo a gastropexy as a preventative measure so that her stomach would not flip. At the clinic, the gastropexy is done laparoscopically. We had this done at the same time she was spayed so as to avoid two surgeries. This surgery lasts the lifetime of the dog. Her spay was done laparoscopically as well, so she only had a couple of small incisions for both surgeries instead of being cut open. I am thankful to this day that Dr. Randy did the gastropexy so that I wouldn’t have to worry about her stomach flipping.
Spay and Neuter Procedures
An ongoing debate in the history of veterinary medicine has been when to spay or neuter your dog. When Dr. Randy was working at the clinic when he was younger, it was recommended to spay or neuter your dog at six months of age. By the time he went to vet school, there was a big push to spay or neuter between 12 and 16 weeks. Now, the pendulum has swung all the way to the other end of the spectrum to waiting until the dog is a much later age. Dr. Randy always tells clients that it’s like bell bottoms. Whatever your opinion is on the best time to spay or neuter, eventually it will come back in style at some point.
There are now studies that state that unspayed females and unneutered intact males of giant breeds may live longer. The difficult thing about that is there are also complications that arise by not spaying or neutering. In unspayed female dogs, they are more at risk for pyometra and mammary chain cancer. In unneutered males, prostate disease, testicular cancer, and hernias can develop.
What Dr. Randy is recommending now is waiting at least 6 months to a year for small breeds, and a year for medium to large male breed dogs. For giant male breeds, waiting anywhere between a year and a half to two years is advisable. If you choose to wait, you have to be careful not to let your dog loose around any unspayed females. They will walk miles to find that female in heat when they get on the scent!
The recommended time to spay a female is different than for males. It is recommended that the female go through at least one heat cycle before getting spayed. One misconception is that you should wait a year to spay your female dog. The amount of time does not play into the equation. It is all dependent on the timing of the heat cycle. My dog, Ebi, didn’t have her first cycle until she was 15 months. So, she wasn’t spayed until she was about 18 months old. An interesting and unique fact about female canines is that their hormones are the same during their heat cycle whether they are pregnant or not. Progesterone, a hormone necessary to maintain a pregnancy, increases during the heat cycle even if the dog does not become pregnant. The reason why vets wait for two months after the heat cycle has finished is because that’s how long a pregnancy typically lasts. So, the progesterone level that is present during the heat cycle to prepare and maintain a pregnancy has waned and the spay can be performed safely.
The great thing about the spaying procedure today is that it can be done laparoscopically. It makes a huge difference in the recovery time. With the traditional way of cutting open the dog to perform the spay, a ligament has to be cut in order to get to the ovaries to remove them. This contributes to a recovery lasting up to two weeks. A follow up visit is required to remove stitches. Whereas with the laparoscopic spay, normal activity can resume between 24-48 hours and there aren’t any stitches to be removed. There are only two tiny incisions and no tearing or cutting of ligaments.
Dr. Randy has been performing laparoscopic spays and neuters for over 20 years. Animal Clinic Northview was one of the first veterinary clinics in the eastern United States to be able to offer them. Not every vet clinic is able to invest in the equipment and training necessary for the laparoscopic surgeries. The last time Dr. Randy checked on these statistics, clients came from 15 states and 3 countries just to get this type of surgery for their dogs.
According to Dr. Randy, he has the greatest job in the world. He loves going to work every day and loves what he does. Whenever I take my pets there, it is so evident that there is a feeling of dedication to serve and help client’s beloved pets in sickness and in health. This type of culture amongst the 34 doctors and 180 people who report to him is very important. They love their jobs too and they are extremely passionate about what they do. There is a lot of joy working in a vet clinic, but there is also the heartbreak that goes along with that joy. But at the end of the day, they can feel proud that they helped so many pets and their pet parents with whatever comes through those doors on a daily basis.
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