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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.

 

E-collars and other wayward-tongue defeating torture devices

July 24, 2007 / (8) comments


Ahhhh…the Elizabethan collar. Otherwise known as “the satellite dish,” “the big blue flower,” “the cone” and the “circular torture thingy” (among other not-so-euphemistic nome-de-guerres). It’s a menace to petdom and a source of stress for caring parents and veterinarians the world around.

And yet, vets keep prescribing it. In fact, we foist it upon unsuspecting pet owners by trotting out their post-surgical charges with glee—as if Fido really does look cute in a collar that makes him look like he could tune in to every channel in Australia if he tried hard enough. 

This popular device’s namesake didn’t look so comfortable in her rigid ruffled collar so why should vets expect pets to feel any different? The truth is…we don’t. But without it, a middle-of-the-night visit to the emergency hospital for self-evisceration is potentially in the cards.

After all, we don’t require E-collars so we can all sit around and giggle at our patients. We need E-collars so your pets won’t act like the animals they are and try to rid themselves of noxious stitches or lick their tasty wounds into infected submission.

We’re sensitive to your pets’ anxiety at the collar thing, so we let them go without (with strict supervision), or with alternatives whenever possible. But bandages get licked off too (and present their own hazards, depending on the wound), T-shirts and “onesies” don’t tend to do the trick quite as well for most pets, and cage muzzles are oh-so-Hannibal-Lecterish (and less than comfortable).

For the record, the vet community has tried just about every alternative to E-collars—and we’re still looking. It’s like the age-old mousetrap problem: There’s got to be a better one somewhere. If only someone would invent one!

We’ve tried “Bite-Not” collars (a stiff plastic neck brace no better than an E-collar in my book), soft E-collars (which I use when a pet seems to have a low drive for assailing her wounds), subcutaneous stitches (which help reduce the loose-end, prickly factor), and other methods. But pets are wily. Some even require sedation, ant-anxiety medication or prolonged hospital stays.

We’ve all been there. The collar thing sucks. My advice? Expect the added stress (and the bruises a firm collar can inflict when worn by an active dog). Consider anti-anxiety options (lavender, pheromones, drugs) if need be. And don’t give your vet a hard time about requiring it. It’s all in your pet’s best interest.

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COMMENTS (8)
1
by on 07/26/2007 12:48pm

I guess I'm a bad pet parent as I have always thought the satellite dish hilarious. Most of the ones we have had are quite flexible and soft. Now, the pekes all looked so depressed and then haughty about it that you couldn't help but laugh. Smokey hasn't had one yet, I dread if he ever needs one as he is a masterful escape artist who has escaped from his harness! Darn those massive head breeds!

I figure it is no worse than when one of us has to wear a guard or such for our own health and safety.

Pax,

MLO

2
by on 07/24/2007 07:02pm

Mulligan's Mom - Mea Culpa - I guess I'm a bad cat mom but after almost five hours of frenetic crazy cat, I couldn't take it anymore. He had a numbing agent in the eye, so it wasn't bothering him and the scratch was superficial. Having had corneal abrasions myself, the really good news is that they generally heal up in 24-48 hours. Now I'll go stand in the "bad cat mom corner."

3
by on 07/24/2007 03:14pm

I discovered that I could use the e-collar to trim my pug's nails without getting bit. (she is a rescue with much baggage-another story). She protests nail trimming VIOLENTLY, and because she is a flat faced breed, I couldn't find a muzzle that would prevent her from biting me and while still allowing her to breathe adequately. Enter the E-collar. What a godsend, for the first time in 3 years I got all 20 nails without getting bit once. Not to say that she didn't try with all of her puggy might. . .

4
by on 07/24/2007 02:52pm

Am I a bad pet parent? My husband and I had endless entertainment when our shibas had to wear the cones after spay/neuter surgeries. The best was when Auggie would turn a corner too fast doing the typical "shiba 500" laps around the house. (I thought they were supposed to be tired and drugged?!) The cone would hit the corner and she would do a 360 turn...

5
by on 07/24/2007 01:44pm

This one brought back some memories of when my dog, Mulligan, ran over the top of a horse shoe stake. OUCH! She had a kazillion stitches, drain tubes and of course the "CONE". We called her snow cone for a while as she would walk along and scoop snow and throw it up to catch. CRAZY DOG ON DRUGS!! I did see her crash into things in an attempt to get it off. She did figure out how to turn it inside out. Which wasn't good. She still lays in her bed as if she has the cone on and it's been off for more than 4 years! She did have a hard time eating from her dish so I thought I'd take it off for meal time, BIG MISTAKE, as the booger ran and was trying to grab the drain tubes at the same time. We figured out how to have her eat and drink with the cone on comfortably. If the vet says they need it. They probably do! You think you have your eye on them and your "right there" but it only takes a second to do severe damage!

6
by on 07/24/2007 12:44pm

My male cat cannot stand anything around his neck. So you can imagine how he reacted to the cone. He had a scratched cornea (from rough housing with the other cat) and we got back home from the emergency vet around 1:30 AM. He spent the rest of the night charging into furniture in an attempt to get the collar off. Around 6:00 AM, I took the collar off, and he and I collapsed from exhaustion. I kept a close eye (no pun intended) on him the rest of the day and he never tried to touch the eye.

7
by on 07/24/2007 12:15pm

I do like how some of these are now clear plastic. I remember a long time ago when Zoey needed one for her entropion surgery and her's was white plastic and she couldn't see through it and was banging into everything. And she eventually figured out how to stick her face INTO the couch cushions to rub her eyes anyway and she pulled out a stitch or two that way. So the collar kept her from digging at her face, but it didn't keep her from digging her face INTO things. Smart dog.

8
by on 07/24/2007 12:13pm

Word of warning: If you are given an e-collar because your dog has an eye injury and/or has just had eye surgery - they most likely will try to get at their eye. TAPE THE PLASTIC TABS DOWN.

My dog pushed herself along the floor trying to get the collar off (the ER vets called her a 'rubber') and the e-collar tabs (the little plastic bits that slide into a slot to form the cone) were positioned just perfectly at her eye to slice it open! Yay! So, after a call to emergency screaming "my dog's eye is bleeding"......they calmed me down and we took her in. Before we left, we used black electric tape to tape ALL of the tabs down. So, that made the collar non-adjustable, but who cares. At least there we no longer gigantic, sharp "knives" aimed at my dogs eyes.* The eyelid was fine and the surgery stitches stayed in tact. She had the equivalent of a plastic paper-cut along her eyelid. Ugh.

*Hyperbole intended to add a little levity to an otherwise serious scare.

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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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