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Purely Puppy is the perfect blog for puppy parents. It is written by Dr. Lisa Radosta, a board certified veterinary behaviorist in southeastern Florida, who has a great love of dogs, and a special fondness for Rottweilers.

 

What Will You Do if Your Puppy Gets Sick?

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August 01, 2012 / (5) comments


I have been blessed with pets that have lived a long time, which means that eventually each of them has required long-term, intensive medical care.

 

Sweetie had total hip replacements bilaterally (both hips), acupuncture, physical therapy, and finally osteosarcoma. Peanut beat elbow dysplasia, pancreatic carcinoma, and maxillary osteosarcoma only to succumb to renal failure. Ted, my cat who never gets any air time in this blog, has had inflammatory bowel disease and small cell lymphoma for 2½ years.

I am one of those people who gets the best medical care for my pets without consideration of cost. This has always been my way, even before veterinary school when I didn’t get a discount and was living off of my school loans. If I had to go without groceries so that my pet could get chemotherapy, so be it. I know lots of people like me who spend on their pets and then ask questions later. That shows a loving attitude toward your pet, but it can leave you in a financial bind that can be hard to overcome. Sometimes, you have to ask questions first because finances are tight. Having to make a decision between paying the rent and taking care of your pet is unfair to you and to your pet.

Now, we have pet insurance. Pet insurance allows pet owners to make decisions about their pet’s healthcare without worrying so much about how they will pay for it. Pet health insurance works a bit differently than human health insurance. In general, veterinarians will not file your puppy’s insurance form for you. Instead, you pay the total yourself and the insurance company reimburses you based on what your veterinarian writes on the form and what is on the receipt that you received when you paid your pet’s bill. Some animal hospitals are set up to take payment from the pet insurance company itself, but that is rare.

I made sure to get pet insurance on Maverick. He is young and now is the time to get insurance so that he is covered no matter what happens. There are lots of pet insurance choices out there. Which one should you choose?

Consider your puppy’s breed. What hereditary predispositions does your puppy have? If you have a large breed puppy such as a mastiff, Labrador retriever, or rottweiler, try to find a plan that covers orthopedic diseases. If you have a pug or a Boston terrier, try to get ophthalmic diseases covered. You may have to purchase an extra plan to cover certain types of diagnoses.

Consider getting coverage for wellness care. Clients who have coverage for wellness are more likely to bring their pets in for checkups. Checkups keep your pet healthy by allowing your veterinarian to spot small problems before they are huge problems.

Certain dog breeds are seen more than others for behavior problems, such as German shepherd dogs, or bull terriers who spin. If your puppy is likely to have a behavioral problem based on his breed, or if your puppy is already showing a behavioral problem, make sure to go with an insurance company that offers coverage for behavioral problems. At the time of this writing, only four companies cover behavioral disorders: Trupanion, Pet’s Best, Purina and Petplan. Trupanion has the most extensive behavioral coverage at this time.

Regardless of which company you choose, I strongly encourage you to get insurance for your pet. You don’t want to ever be in a position to choose between taking care of your pet or your family.

 

 

 

Dr. Lisa Radosta

 

 

Image: Eric Isselée / via Shutterstock

1Ed. note: Included reference to the insurance company Petplan, which also covers behavioral disorders.

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COMMENTS (5)
1
Ted
by TheOldBroad on 08/01/2012 07:25am

I'm so sorry to hear that Ted has lymphocytic lymphoma, but you're obviously doing a great job if he's had that diagnosis for 2 1/2 years.

Having gone through it with Winston Alexander, I'd love to know everything you'd like to share about Ted's diagnosis and treatment.

by Dr. Lisa Radosta on 08/02/2012 02:12pm

Hi,
I didn't know that your cat had lymphocytic lymphoma as well. Did he have IBD? How is he doing?

So, Ted is an indoor cat with access to a screened in lanai. He has no exposure to anything and doesn't eat anything but cat food ever. He doesn't like anything else. When he started having diarrhea which was pretty putrid smelling and then had an accident in the house, I took him straight to an internist. I didn't try to treat or work up the problem myself. I think that this is probably a step that most owners wouldn't take first. They would probably go to their primary care veterinarian who would start the work up. That is the appropriate thing to do.

However, I am the primary care veterinarian for Ted. I knew that a 12 1/2 year old cat who doesn't go anywhere, doesn't do anything or eat anything but cat food couldn't have diarrhea for any good reason.

So, I went to a trusted internist and we started working Ted up with bloodwork including an intestinal panel. We did x-rays which didn't show anything interesting. We ultrasounded him and his intestinal loops looked a little thickened. That could just be caused by chronic diarrhea so we still didn't have a diagnosis.

When his cobalamin came back it was very low. While that is not so unusual for a cat with diarrhea, the internist said that in her experience cats with cobalamin that low had small cell lymphoma and not just IBD. While an endoscopy was more economical and less traumatic, she recommended full thickness biopsies so that we could get an answer. If we had scoped Ted, we couldn't have gotten full thickness so we could miss the lymphoma.

Anyway, he went to surgery and her suspicion was right. Thank God for her knowledge and skill.

Then, I went to the oncologist who started him on prednisone daily and Leukeran (chlorambucil) every 2 weeks. We monitored his CBC monthly for a couple of months, and he was tolerating chemo well. He had one relapse of diarrhea which caused us to increase the Leukeran to 3 tabs. Anyway, it is 2 1/2 years later and he is stable. The new problem is that he has lost a pound in 4 months. We can't find anything wrong with him on the labwork, physical examination, clinical signs and ultrasound. This is troubling so we will be doing xrays next week to see if there is anything going on in his chest.


So, there is the story of Ted's lymphoma. Still the best cat of all time. Does anybody here write a cat blog? Somebody should.

Anyway, what is Winston's story?

by TheOldBroad on 08/02/2012 07:40pm

Winston's story is very similar. Unfortunately, Winston left us June of 2010 after a 2 1/2 year battle with the disease.

He had unknown beginnings and came to live with me by literally knocking on my front door and asking to live here. He was literally skin and bones - and still weighed over 11 pounds.

He never went outdoors (never showed an interest in going outdoors, either.) He ate only cat food. However, I suspect he tore into trash bags looking for something to eat before he found me.

He had smelly stools for years so I didn't give that much thought. (He was accused of having Mexican food and beer for lunch while I was at work.) When he started urinating outside the box, naturally I whisked him to the doctor assuming a UTI. Nothing was found. He wasn't acting "off" and his bloodwork was fine, but sometimes you just know it should be pursued. (We suspected IBD, but it was never diagnosed.) It took 5 trips to the doctor with full blood panels each time - followed by an ultrasound which indicated the intestinal walls MIGHT be thickened. So we did a biopsy that was sent to (I think) Arizona which confirmed the our fears.

With the input of a great internist, Winston was started on Lukeran 3 times a week. He didn't tolerate a whole pill 3 time a week (he got really REALLY sick) so it was dropped to 1/2 pill 3 times a week which worked well. 5 mg Prenisolone every day as well as sub-q fluids to keep him comfortable.

Of course, he got steroid-induced diabetes along the way, so he got the ear pricks for glucose checks twice a day and insulin once a day.

His potassium got low so we added Tumil-K to the mix.

We tried to take him off the steroids, but he wouldn't eat at all without them. I would rather deal with diabetes than to have had him not eat.

And naturally, Winston was hand-fed throughout all this so I could make sure he was eating well.

In the middle of all this, he had surgery for something-or-another (I don't remember at the moment) and while the doctor had him open, another biopsy was taken. He did great after surgery, but alas, Winston was out of remission.

The Lukeran was stopped since it wasn't doing any good any more. Any attempt to lower the steroids was not successful. We had to raise it to 10 mg a day.

He got a full checkup with blood pressure and full blood panel at least once a month and ultrasounds periodically.

About 8 months after he came out of remission, he went downhill very quickly (over 2 to 3 days). The last couple of days he couldn't control his bowels and had diarrhea. He couldn't clean himself. All he wanted to do was sit in my lap. His body felt limp and he looked at me with the "It's Time To Let Me Go" look.

I'm grateful for a wonderful vet and 2 1/2 years that we might not have had. I'm grateful that lymphocytic lymphoma isn't a painful disease. I truly believe he was happy throughout the whole thing because, until the end, he played with his toys and annoyed the other cats (which brought him great joy).

I sure do miss him, though.

by Dr. Lisa Radosta on 08/06/2012 11:55am

I am so sorry to hear about Winston. He sounds like a cool cat, like my Ted. Still causing trouble even when he is sick. I bet that you do miss him.

2
what_if_your_puppy_gets_s
by BrendonClarke on 08/14/2012 01:06am

Ted is an indoor cat with access to a screened in lanai. He has no exposure to anything and doesn't eat anything but cat food ever. He doesn't like anything else. When he started having diarrhea which was pretty putrid smelling and then had an accident in the house, I took him straight to an internist.

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ABOUT PURELY PUPPY

LISA RADOSTA, DVM, DACVB

Photo of Lisa Radosta

…is a board certified veterinary behaviorist. Haven’t ever heard of one? You’re in good company, because many people don’t know they exist. After all, there are only 54 of them. After veterinary school at the University of Florida and some time in primary care practice, Dr. Radosta completed a 3-year residency in behavioral medicine at the University of Pennsylvania. She treats dogs, cats and birds with serious behavior problems, like aggression, separation anxiety, elimination outside of the litter box, and storm phobia. But please don’t ask her if dogs lie on a couch and bark at her!

She spends her off time writing textbook chapters and articles for veterinarians and clients, as well as lecturing nationally and internationally. Oh, yeah - she is also an overscheduled, stressed, tired, working mom. If you are itching to know lots more about her, go to her website at www.flvetbehavior.com, and join her weekly for your puppy fix.

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