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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Culture clash in Miami's pet medicine: a case of Bufo toad intoxication gone wrong

April 25, 2007 / (3) comments


I know I’m not alone when I concern myself with issues of language and culture in how I practice veterinary medicine. Although I live in Miami (the away-from-home capital of Latin America) other places have their melting pots, too. OK, so Miami is really more of a paella and less like a stew—everyone keeps their individual flavors. But that’s what makes it so much fun to live here.

On any given day I’ll be speaking Spanish half the time. But basic facility with the language is only a teeny bit of the battle. The real war’s in the oft-inexplicable differences in how each culture interprets petdom. Add individual personality and temperament quirks with respect to pets—and everything else—and things can get pretty hairy.

Take my toad intoxication case from last week: Not only was this case unique for its very-Miami toxin (dogs biting Bufo toads here can die pretty quickly if they’re not attended to promptly), the cultural mish-mash among the invested parties made the entire experience as absurd as any scene from a Spanish language telenovela.

The characters: a Venezuelan grand-dame owner (accessible only by telephone), a Cuban housekeeper (also not present) and a Mexican messenger (the only visible evidence of ownership).

The grand-dame had called us in the morning to say that Fido was having seizures after biting a toad. Our receptionist had urged her to rinse out the dog’s moth carefully with water and bring him over immediately.

Fido arrived three hours later. Apparently, a Columbian vet (a friend of the family’s) had been called for advice—so that Fido wouldn’t have to be transported in such a delicate condition, I was told. Said vet recommended an olive-oil tonic. The Cuban housekeeper followed it up with milk and ice-cubes. (They don’t have these toads in Columbia or Cuba, in case you were wondering.)

Fido was still having seizures when he presented. His temperature and blood sugar were low. His pupils were about as big as pencil-points, his lungs were gurgling oily milk and he’d just about had it, as far as I could figure.

Somehow, we managed to extract the whole story and fix Fido up. And that was no mean feat—getting the story, I mean. The stories shifted with each teller and had to be carefully pried loose from its owner’s personal point of view—then rinsed clean of any blame for the grand-dame’s sake. It was a nightmare.

He’s doing well now, in spite of his brush with viscous-lung disease.

My point here is not to malign the Latin American immigrants involved in this case (for the record, I’m first-generation Cuban-American). Rather, my point is that it’s our role to tease out all the odd turns each individual culture takes with respect to treating and thinking about pets.

This situation could have played out very differently had we…

1-not spoken a variety of Spanishes and been able to beg info off these people

2-not managed to understand whether they wanted this dog killed or saved (that was an issue for a while)

3-not known how invested the actual owner was in having this dog survive

We didn’t even know if anyone was going to pay for Fido’s treatment. Pet care can get confusing here, especially when third party intermediaries are involved (servants, relatives, etc.).

Despite the good outcome, we could have done better. The pressing need to bring in a pet could have been more pointedly delivered by the receptionist: “Your dog could die soon if you don’t come in right now!” might have been a better alternative for an owner ignorant of toad intoxication. Furthermore, we should have called back to ask if everything was going OK and why hadn’t the dog arrived yet. Hindsight’s 20-20 (and Miami’s got a steep learning curve).

Either way, things turned out for the best and Fido is home now. A little off-kilter, perhaps, but otherwise none the worse for his tussle with the toad.

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COMMENTS (3)
1
by on 05/08/2007 03:21pm

I found your post online via Google. My mother's Dashound is addicted to toads. He has taken a bite many times & we've managed to catch him in time to rinse his mouth properly. Unfortunatly a few days ago we didn't notice & he was found having a seizuere. My father refused to let us take the dog to a vet. The Dashound survived, but only after having seizures for almost 2 hours, vomiting repeatedly, and having bloody loose stool. We are still insisting to take the dog to a vet, but are unable to. What could be the long term effects and damage of toad poisoning if not treated by a vet?

2
by on 04/27/2007 10:53am

Carla: I've heard stories like yours on many occasions. And it's not just large dogs. I know some Jack Russells who have learned their lesson--sort of. They still attack--but just enough to get loopy. Or they learn to atttack with their feet. My own pit bull when I was growing up used to attack snakes and roaches with her feet--she hated the fangs on her muzzle and the taste of cockroaches. It's amazing what they'll learn just to satisfy their basic instinct.

3
by on 04/26/2007 03:27pm

My 85 lb female mutt is addicted to Bufos, after witnessing her grabbing the toad repeatedly and letting it go, we grabbed her to hose out her mouth and waited for the foaming to start. She just looked at us quizically and wagging her tail at the fun. Nothing happened. The third time we caught her at it and removed the toad (we live on a lake and will never be toad-free), we just watched her. It seems she didn't want to kill it, just wanted to get a taste. She spends the next half hour or so somewhat spaced out and then is fine.
I found an article in an Austrailan newsletter that described the situation exactly as we had seen it. The toxin she takes in only seems to have a narcotic effect in some dogs and they seek it out when available.
I have a toad-junkie dog. Of course we still panic when we catch her at it, but have never progressed past the getting-high stage.

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About fully vetted

Patty Khuly, VMD, MBA

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Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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