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-   -   Vet refuses to do Spay AND Extractions (https://www.yorkietalk.com/forums/yorkie-health-diet/225018-vet-refuses-do-spay-extractions.html)

Ellie May 04-07-2011 08:49 AM

There is some concern about negation of immunity if too many vaccines are given at once. Haven't read much about this though. I don't think it's a huge problem because so many vets do this and the animals are obviously protected (evidence is that vaccinated animals almost never get these viruses). it could theoretcially be too much on their system to take all of this in one day and elad to more immediate reactions. Haven't really been able to confirm taht either though. Long term, there is so little data about what affects these things can cause. Any drug has the potential to cause side effects or make a disease worse. So it's not something that has an easy answer. Immune mediated hemalytic anemia is a possible problem along with cancer. Liver problems would have to be thrown into the mix, etc.

I recommend the AAHA protocol. It is the new standard in veterinary medicine. It is a compromise, but it's also a way to not overvaccinating while not undervaccinating which is a major concern. I'm sure one day it will be proven that our pups are protected against these viruses after a one year booster, but that hasn't happened quite yet, so I can't recommend that people go to this extreme. But the same goes for yearly vaccines for DHP. It is way too excessive and there is no way I'd be putting all of that into my girl.

The dental vaccine may have its place. Ellie's vet office doesn't stock it (or I've never seen them use it at least). There are animals that won't let you brush their teeth and are too sick for anesthesia, so to each their own. But I think it stops the growth of a bacteria that is normal in the mouth. Just not my idea of good medicine. It's also painful, reactions are seen, it has to be given yearly, and with all the other vaccines they have to get, there is just not a good enough reason to add yet another vaccine.

DHP and rabies are not optional. The rest are. Only you and your vet can decide what is best for your dogs based on lifestyle and health. Cornona and giardia are questionable at best.

And I strongly suggest that state/county law is followed for rabies unless you have a letter from your vet on file. Some very bad things can happen if you don't. I'd rather give it than lose my dog.

Also, the during of immunity for these vaccines is very different. For bacteria, they have to be done at least yearly.

You can titer for the viral diseases, but I think they can be a bit of a waste of money.

SWHouston 04-07-2011 09:43 PM

Ellie May,

Thank you for your very comprehensive and informative post.

+++++++++

Took both of mine to the Vet today...
My Male Sneakers was the one who had received multiple inoculations
as we have discussed here, and was due some today as well.

Here's the report on the visit:

Examination Comprehensive
Heartworm Test Occult = Results Neg.
Fecal Exam Flotation
Botdetella Intra-Nasal Semi-Annual
Rabies Canine 1 year Booster
DHPP 3 Year - Booster
Convenia Injection
RTG

I showed the Vet my "Spreadsheet", listing the inoculations given
previously. He was a little vague, but, didn't actually say that they
were unnecessary or detrimental to Sneakers. ummm...?
It's possible he didn't want to actually condemn the actions of another
Vet, so I didn't push it.

An extra shot was given today...
Sneakers has had an "Itching" problem, and I think that is what the
Convenia inoculation was, not sure, but I'll try to find out exactly.
Also not sure just what the RTG means as well.

At this moment (midnight) I can't sleep...
Sneakers is very lethargic, but awake and aware. I wonder if getting
all those shots at one time, has "pulled" him down a little.
I have not had any experience with the Convenia, could that possibly
be it ? Anyone had any experience with this "Antibiotic" as I was told ?

Becca was just given an exam, and her Bloodwork will be done
this coming Wednesday, which has been scheduled for her Spay
AND two Tooth Extractions (SIMULTANEOUSLY) !!! :thumbup:

ladyjane 04-07-2011 09:58 PM

Wonderful...so I gave you the name of a vet who gives rabies and DHPP at the same time. :(

For future reference, that is not recommended by the AAHA. For years it was done, but now it is suggested that those vaccines be given at least 3 weeks apart.

I personally like Convenia. It does away with worrying about giving meds on time! Did he have some sort of skin infection perhaps from the scratching?

SWHouston 04-07-2011 11:25 PM

ladyjane,

Be that as it may, I 'm very happy with the reference ! :thumbup:
All, Vet included, were very congenial, nice surroundings
and I didn't mind paying the rather healthy price, for their
visit. ($365 for both)

Now that you have so competently made me aware of some
"concerns" about giving what and when, I can and will take
a more active part in scheduling things like that.

Yes, Sneakers had some fairly "red" areas where he had been
biting/itching, and from what I have seen (in the past 10 hrs)
he has not been itching at all. I'm still up with him (2am now).
He's still pretty "droggy" from the shots.

Do you think his lethargy is from the Convenia, or the combination
of the injections total ?

Also, I was quoted $375 for Becca's Spay, that sound about right ?

Ellie May 04-08-2011 03:57 AM

Convenia is an antibiotic. The lethargy is probably from rabies and/or DHPP. You could have even seen this if everything had been split up. That said, seven drugs/vaccines were just given at one time. This was probably too much.

Vets stay professionally courteous in most cases. They aren't going to tell their clients what they believe another vet did wrong unless it has serious affected the animal.

ladyjane 04-08-2011 04:29 AM

Oh, I went to sleep after that last post. Sometimes I find my pups get a bit out of it from the DHPP, but it is usually gone within 24 hours. Hopefully, Snickers is more alert this morning and dad got a bit of sleep! :)

That estimate is also including a dental, correct? That probably is about right. It might be a bit high, but my guess is that is a lot to do with location.

SWHouston 04-08-2011 09:40 AM

Ellie May,

"The lethargy is probably from rabies and/or DHPP"
But that's (lethargy) never happened before when he has had
those two combined !
I figured that his reluctance to speak out was the "PRO" attitude,
but I'm still rather disappointed that he wasn't or didn't cooperate
with the current opinion about separating those two shots.
I doubt if it was him trying to do it with just one appointment, that
being $57.00 per visit. On the receipt that was called a "Comprehensive"
maybe after some tenure, that might knock a little off of that....
NAAAAAA....:rolleyes:

ladyjane,

I maybe got an hour or so, just dosing off occasionally. HA, didn't
even undress and slept in the Recliner with my "Emergency Envelope"
in my pocket. If I said that on my other Forum, they'd demote me :D

But, he only just has "perked up" (it's noon now) and he really was
scaring me last night. When he would inhale, he would tremble and
just wouldn't stand up at all. I thought I was going to have to jump
in the Truck any minute, and go to the ER.
Co-Provider has just returned from a gentle walk down the street and
back with him, and it seems like getting him moving is doing some good.
I'm still a bit wound up, I'll try to nap later.

Yes on the "included" extractions, he mentioned that there were a couple
small teeth left besides those two (2-K9's=$40.20). I may just include the
other ones, maybe he'll just slip those in as a freebie.
NAAAAA.....:rolleyes:

chachi 04-08-2011 09:42 AM

Every time Jewels gets a shot she is lethargic so I think that is a common side effect

Ellie May 04-08-2011 10:01 AM

The Convenia could be the cause. I'd lean toward the vaccines though.

Giving several vaccines in one doesn't make a vet bad. They all have their experiences to pull from and this does work for most. I wouldn't recommend that an owner allow it, but IMO good vets do this all the time. I know several vets who are very, very good doctors who do it.

ladyjane 04-08-2011 10:04 AM

Quote:

Originally Posted by Ellie May (Post 3491854)
The Convenia could be the cause. I'd lean toward the vaccines though.

Giving several vaccines in one doesn't make a vet bad. They all have their experiences to pull from and this does work for most. I wouldn't recommend that an owner allow it, but IMO good vets do this all the time. I know several vets who are very, very good doctors who do it.

Yeah, I was a bit harsh in that comment. I know someone who is very happy with that vet! :)
It definitely is something that owners need to discuss with their vets. My vet knows my feelings about vaccines and respects that. She never used to separate them, but does now. She is new to that way of thinking and honestly she is an awesome vet.
Thanks Crystal! :)

concretegurl 04-08-2011 10:49 AM

Tell them to titer first, bring them Dodd's schedule along with the recommendations of the American Veterinary or tell them I said so LOL Okay leave the last one off, it will do you no good

I took a print out of a YT thread into one vet who literally rolled their eyes at it, another looked at it and said well yes this is valid but here's where this applies and here's where this doesn;t and explained it all for me, with the why's I wasn't understanding the reasoning behind prior-in the least it was helpful.

I had the same issue with vet advice vs what people who had similar issues were telling me. It's a hard place to be, I got not one but three! yes 3 second opinions and was still confused-research and then address the research.

When in doubt, I believe to, error on the side of absolute caution weighing out the risks and doing whatever results in the least risk.


Quote:

Originally Posted by SWHouston (Post 3490275)
CGurl,

OH ok.. I missed the Pup/Adult thing, I was trying to read through a
LOT of information yesterday ! :rolleyes:

But on the frequency issue...
What can one do, when a professional says...
"Isn't it possible that your Dog might contract this or that" ?

One has to admit there's a "possibility", and I do have several
transient (wild) species running through my yard at night.
I think we established that Porphyromonas relates to dental
issues, and, a sequential series (2) was appropriate, IF it were
required at all.

But, what about the others I mentioned in my Post (#45).
Do you/others have any information relating to the jeopardy one's
animals can be placed in, when multiple injections are given ?


ladyjane 04-08-2011 10:51 AM

Quote:

Originally Posted by Ellie May (Post 3490303)
There is some concern about negation of immunity if too many vaccines are given at once. Haven't read much about this though. I don't think it's a huge problem because so many vets do this and the animals are obviously protected (evidence is that vaccinated animals almost never get these viruses). it could theoretcially be too much on their system to take all of this in one day and elad to more immediate reactions. Haven't really been able to confirm taht either though. Long term, there is so little data about what affects these things can cause. Any drug has the potential to cause side effects or make a disease worse. So it's not something that has an easy answer. Immune mediated hemalytic anemia is a possible problem along with cancer. Liver problems would have to be thrown into the mix, etc.

I recommend the AAHA protocol. It is the new standard in veterinary medicine. It is a compromise, but it's also a way to not overvaccinating while not undervaccinating which is a major concern. I'm sure one day it will be proven that our pups are protected against these viruses after a one year booster, but that hasn't happened quite yet, so I can't recommend that people go to this extreme. But the same goes for yearly vaccines for DHP. It is way too excessive and there is no way I'd be putting all of that into my girl.

The dental vaccine may have its place. Ellie's vet office doesn't stock it (or I've never seen them use it at least). There are animals that won't let you brush their teeth and are too sick for anesthesia, so to each their own. But I think it stops the growth of a bacteria that is normal in the mouth. Just not my idea of good medicine. It's also painful, reactions are seen, it has to be given yearly, and with all the other vaccines they have to get, there is just not a good enough reason to add yet another vaccine.

DHP and rabies are not optional. The rest are. Only you and your vet can decide what is best for your dogs based on lifestyle and health. Cornona and giardia are questionable at best.

And I strongly suggest that state/county law is followed for rabies unless you have a letter from your vet on file. Some very bad things can happen if you don't. I'd rather give it than lose my dog.

Also, the during of immunity for these vaccines is very different. For bacteria, they have to be done at least yearly.

You can titer for the viral diseases, but I think they can be a bit of a waste of money.

:thumbup::thumbup::thumbup: to all of your post. Well written.

Ellie May 04-08-2011 10:59 AM

Quote:

Originally Posted by ladyjane (Post 3491857)
Yeah, I was a bit harsh in that comment. I know someone who is very happy with that vet! :)
It definitely is something that owners need to discuss with their vets. My vet knows my feelings about vaccines and respects that. She never used to separate them, but does now. She is new to that way of thinking and honestly she is an awesome vet.
Thanks Crystal! :)

Giving them all in one day is something that REALLY irritates me. I think it's kinda crazy. But yeah, I've seen enough great vets do it to know that I probably need to get over it and request a different schedule for my own dog.

All the good vets that do that around here would never hesitate to change their ways if they did end up running into a problem with their current protocol.

concretegurl 04-08-2011 11:41 AM

Glad I read this I just noticed my dogs have gotten the DHP-P too (though doggy day care requires some regardless) but it was given at the same time as rabies (for 2 of mine) so I didn't think of it off hand!
Made a note to myself for the updates-still learning a lot from YT!
So glad there's so many informed people here sharing.

SWHouston 04-08-2011 07:44 PM

Just an update to All...

I've written an EMail to the Hospital, telling of how Sneakers reacted
to the "combination" of inoculations.
I'm sure they will work that out, and I'm very pleased with the place.
So, no problem with that ladyjane !!

Sneakers is doing pretty well now, I'd say 98% ok.
Kinda figured he was on his way back, when he barked at the Postman :D

Also on a comical side...
I have a outside feeder and water bowl, not for my guys, but I like to
make sure some of the transients have a bite to eat. We have a
resident Possum as well, but he knows not to come through the day.

Anyway...
A new (stray?) Cat wandered into the yard, no doubt smelling the water
and I think there was a scrap or two in the bowl.
It wasn't aware we have a Doggy Door, which is open from 8a to 8p.
IT DOES NOW ! :eek:

Both of mine were out in a flash !
Fortunately, for the Cat and many other visitors, Yorkies are not
known for their speed, and there was no incident.
I think barking and chasing around has helped Sneakers the most.


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