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Old 12-07-2014, 09:58 PM   #1
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Default Results of 1st vet visit (thanks gemy and others)

Teddy’s first vet visit went great so I thought I’d share some of the information provided to me by the vet regarding different issues as follows:

Weight-

Teddy weighed in at 4lbs 2 oz on the day of the visit which the vet said was “perfect”. He advised that Teddy is very small and probably shouldn’t weigh much more than the high end of 3lbs but his current weight is good.

Teeth-

The vet advised that he could tell that Teddy benefits from a good diet as there was only some plaque on his teeth at the age of one year. He did recommend 4-6 extractions as some baby teeth have been retained.

The vet confirmed that dental sticks were good for entertainment, as dogs have an inherent need to chew, but dental sticks and/or brushing do not assist with dental care. In fact, brushing is an “ineffectual waste of time” for small breeds, and Yorkshire Terriers (YTs) in particular, due to the size of their mouths and the resultant alignment of their teeth. Therefore, the vet recommended that Teddy have his teeth professionally cleaned in the office under gas and local anesthetic.

Ears/Eye discharge-

The vet advised that YTs have low immunities, when compared to other breeds, so have an elevated amount of bacteria on their skin. He confirmed that Teddy does not have a yeast infection in his ears/eyes but could see the presence of bacteria so prescribed a cortisteriod to be used 3x a day for 7 days. Furthermore, he advised that the eye discharge was caused by the same bacteria/immunity issue as his ears and that the presence of this bacteria would be lifelong and may extend to his skin at times. He advised that we may see symptoms of the bacteria on the rise during times of stress which is a response from his "fight/flight" system and this is normal. He advised that, apart from cleaning his eyes daily, there is nothing more which can be done for eye discharge which is not harmful in itself. He requested that we call him in a week to discuss the efficacy of the medicine prescribed for his ears.

Booster-

Upon gemy’s advice (thank you x), I queried the necessity of the
Leptospirosis injection. He advised that the bacteria is rare but this is due to the efficacy of the vaccination. He confirmed that the incident rate and chance of infection is extremely low but still recommended the vaccination as per the current medical standard. He is very much an advocate of preventative vaccinations. The
Leptospirosis vaccination was included in the Parvo booster and the brand of the booster is Vanguard.


Liver Shunt-

We asked about blood tests etc and he stated that he could feel his kidneys and his liver and there was no need for a blood test. He confirmed that he could run a blood test to check for high enzymes but this would not confirm the presence of shunt and because there have been no symptoms and his physical examination suggested no issues, he did not see the need for the blood test. He advised that if there is ever a change in his behavior e.g. he starts to eat less or more, then he would recommend we come back to discuss possible reasons for the behavior.

Luxating patella (LP) -

The physical examination confirmed no LP.

Separation Anxiety/General Anxiety-

He confirmed that the symptoms we discussed regarding Teddy’s behavior when we’re not home are consistent with Separation Anxiety. We also discussed Teddy’s inability to not panic during walks and rides in cars. He advised that the only way to fix these issues was medicine which he does not recommend. Although he confirmed that the medicine would “help” or “cure” the problem, he advised that the medicines prescribed for anxiety are potent narcotics which are addictive and change the chemistry of the brain. In doing so, the dogs personality will change and the dog we raised would almost certainly not be the dog that we have during and after medication. He was very passionate on this point and I respected him a great deal for being so honest about his opinion which is in line with the opinion of current neuropsychological research in humans.

Additionally, he suggested that a lot of Teddy’s behavioral issues are down to his age. He is, at one year old, still immature. He advised that he may grow out of a lot of his current behaviors by the age of five years. He stated that he may not grow out of all of the behavior but would definitely be “better” with time. He stated that, in his experience, YT’s who are smaller than their peers are often fearful of many things but “do not like to show it” which is exactly how Teddy acts when confronted with strange situations and people. He advised that “exposure therapy” where Teddy is habitually reintroduced to walking, car rides, etc. is not going to be helpful when he is showing signs of distress. However, the benefits of walking as exercise and meeting/greeting dogs and people as socialization outweigh any risk of lasting psychological harm during the events, so suggested that we continue to walk him etc but expect no signs of improvement until he’s older. In the mean time, when he is sweating, barking, etc. we should remove him from any fearful situation by picking him up or removing him from the scene altogether.

With respect to separation anxiety, he stated that if he is confined in such a way that he cannot hurt himself, then there is no lasting psychological damage for him when being left alone. Therefore, he would recommend we safely confine him when we’re away and to not feel guilty or upset about it as, during times of mania, Teddy is not aware of his actions hence his quick return to “normalcy” upon our return to home.

Microchipping-

Due to Teddy’s size, coloring, breed, etc. he would recommend chipping. He advised that YT theft is on the rise in England as a dog of Teddy’s standard (which is not show standard) is worth about 5000 Euros in Spain and other parts of Europe. He did advise that chipping would be extremely painful for Teddy due to the size of the injection which is needed as a result of the size of the chip. He did not recommend that we chip him on the day of the visit simply because Teddy was very quiet during the visit and the vet advised that his behavior suggested that Teddy had “gone beyond fear”. So, he felt that he’d had enough exposure to the vet’s office (including the booster) for one day and we will schedule chipping for another day soon.

Overall-

Teddy is a good example of the breed (but small). Please, my pictures do not do him justice! His teeth are in good condition, his size is good, his back is perfectly straight, his tail is aligned with his spine, there is no LP, his eyes are clear and bright, he is alert and intelligent. The vet is a specialist in small breeds, particular the YT, with 25+ years of experience.

I hope my vet experience has assisted anyone who is worried about their first visit. I’d again like to thank Gemy and others for helping me with some of the questions which needed to be asked.

Please forgive any typos – or anything which just doesn’t make sense – as it’s 5 a.m. and I’ve not had a coffee yet! Please feel free to comment or ask me any questions about Teddy’s vet visit.

Last edited by SirTeddykins; 12-07-2014 at 10:01 PM.
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Old 12-07-2014, 11:07 PM   #2
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apple cider vinegar is great for skin issues and other things ears, eyes and skin look it up
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Old 12-08-2014, 12:00 AM   #3
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Quote:
Originally Posted by chestermama View Post
apple cider vinegar is great for skin issues and other things ears, eyes and skin look it up


Thanks so much for that suggestion! I will have a look!
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Old 12-08-2014, 04:53 AM   #4
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The vet advised that YTs have low immunities, when compared to other breeds, so have an elevated amount of bacteria on their skin. He confirmed that Teddy does not have a yeast infection in his ears/eyes but could see the presence of bacteria so prescribed a cortisteriod to be used 3x a day for 7 days.

Ok, just to clarify, your vet put Teddy on steroids for bacteria? I am hoping you meant to type antibiotics. Steroids supress the immune system which will cause the bacteria to really flourish.
Was he vaccinated on this visit? With the steroids?


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Old 12-08-2014, 05:25 AM   #5
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Quote:
Originally Posted by BorderKelpie View Post
The vet advised that YTs have low immunities, when compared to other breeds, so have an elevated amount of bacteria on their skin. He confirmed that Teddy does not have a yeast infection in his ears/eyes but could see the presence of bacteria so prescribed a cortisteriod to be used 3x a day for 7 days.

Ok, just to clarify, your vet put Teddy on steroids for bacteria? I am hoping you meant to type antibiotics. Steroids supress the immune system which will cause the bacteria to really flourish.
Was he vaccinated on this visit? With the steroids?



Hi!


He was not vaccinated with steroids.


He was prescribed SUROLAN


Surolan Drops (Canada) for Animal Use - Drugs.com


The insert of the package describes it as a cortisteroid.
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Old 12-08-2014, 05:31 AM   #6
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Another link:


Surolan Otic Suspension for Animal Use - Drugs.com


short term steroid usage will not compromise immunity but I do get where you're coming from!
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Old 12-08-2014, 05:53 AM   #7
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Quote:
Originally Posted by SirTeddykins View Post
Another link:


Surolan Otic Suspension for Animal Use - Drugs.com


short term steroid usage will not compromise immunity but I do get where you're coming from!
meant to add that the steroid component is for the reduction of inflammation
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Old 12-08-2014, 09:02 PM   #8
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I am not sure what type of microchipping he is doing, but I certainly do not want anyone to think that microchipping "would be extremely painful..... due to the size of the injection which is needed as a result of the size of the chip". The chips I am knowledgable of are the size of a grain of rice. I do my own microchipping on 12-14 week old babies, and they do not even yelp! The needle used for delivery is extremely sharp and it just slides right under the skin.....no pain at all....puppy seldom even acknowledges insertion of the needle. I certainly do hope no one has been put off getting their pet microchip for fear you are subjecting them to "excrutiating pain".....absolutely not true for systems used here in the US.
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Old 12-08-2014, 09:45 PM   #9
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Quote:
Originally Posted by SirTeddykins View Post
meant to add that the steroid component is for the reduction of inflammation
I understand that, and I certainly don't mean to offend anyone. I just tend to be rather cautious with steroid use as it has been greatly overused here.

There is also a possibilty (rather distinct possibility according to my allergist) that my auto-immune issues now were triggered by the over use of steroids when I was a kid. I was sensitive to vaccines, so the dr's would give me prednisolone when I was vaccinated. I am a walking disaster today.

The advice I was given by my vet on the extremely rare times we use topical steroids on my pets is that I should apply it with a tongue depresser and/or wear gloves. Be aware that you can absorb it by being in contact with Teddy. I have such powerful reactions to steroids now that I am not able to handle contact with an animal 'wearing' it. That's why I am so extremly grateful to 4carolyn to pointing me in the direction of the Dermacton - it's really working wonders for Bug and I can still hold him and sleep with him.

I do wish you and Teddy all the very best!
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Old 12-08-2014, 10:55 PM   #10
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Glad the vet visit went well!!

Quote:
Originally Posted by SirTeddykins View Post
The vet confirmed that dental sticks were good for entertainment, as dogs have an inherent need to chew, but dental sticks and/or brushing do not assist with dental care. In fact, brushing is an “ineffectual waste of time” for small breeds, and Yorkshire Terriers (YTs) in particular, due to the size of their mouths and the resultant alignment of their teeth. Therefore, the vet recommended that Teddy have his teeth professionally cleaned in the office under gas and local anesthetic.
Jackson's very well experienced veterinary dentist would highly disagree with this. Brushing is not a waste of time if you are doing it every day and correctly. It would be a waste of time if... say, you are brushing the teeth only once every 15 days. At that point, it seems it would be pretty pointless. Yes professional dental cleanings under anesthesia are important but if you can prevent other issues in between and lengthen the amount of time between professional cleanings- why would you not?

Quote:

Booster-

Upon gemy’s advice (thank you x), I queried the necessity of the
Leptospirosis injection. He advised that the bacteria is rare but this is due to the efficacy of the vaccination. He confirmed that the incident rate and chance of infection is extremely low but still recommended the vaccination as per the current medical standard. He is very much an advocate of preventative vaccinations. The
Leptospirosis vaccination was included in the Parvo booster and the brand of the booster is Vanguard.
I am also not against preventative vaccines, but I would be sure this vet is not giving yearly vaccinations. Lepto is definitely something that should be dependent on individual dog and location. I find there to be more cons than pros personally, but understand why some give it. Jackson nearly died from lepto vaccine and a lot of small dogs have terrible reactions to it, so I likely won't ever get it again for another dog.

Quote:
Microchipping-

Due to Teddy’s size, coloring, breed, etc. he would recommend chipping. He advised that YT theft is on the rise in England as a dog of Teddy’s standard (which is not show standard) is worth about 5000 Euros in Spain and other parts of Europe. He did advise that chipping would be extremely painful for Teddy due to the size of the injection which is needed as a result of the size of the chip. He did not recommend that we chip him on the day of the visit simply because Teddy was very quiet during the visit and the vet advised that his behavior suggested that Teddy had “gone beyond fear”. So, he felt that he’d had enough exposure to the vet’s office (including the booster) for one day and we will schedule chipping for another day soon.
Never heard of microchipping being any more painful than a vaccine.
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Old 12-09-2014, 12:32 AM   #11
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Quote:
Originally Posted by Yorkiemom1 View Post
I am not sure what type of microchipping he is doing, but I certainly do not want anyone to think that microchipping "would be extremely painful..... due to the size of the injection which is needed as a result of the size of the chip". The chips I am knowledgable of are the size of a grain of rice. I do my own microchipping on 12-14 week old babies, and they do not even yelp! The needle used for delivery is extremely sharp and it just slides right under the skin.....no pain at all....puppy seldom even acknowledges insertion of the needle. I certainly do hope no one has been put off getting their pet microchip for fear you are subjecting them to "excrutiating pain".....absolutely not true for systems used here in the US.
Hiya! Just the vets opinion which is what it is, I guess? He was not an advocate of non-vets inserting the chip due the increased risk of sarcoma when the chip is inserted incorrectly so I'm not sure how he would have taken the alternate view. Also, he may have given me the advice specific to Teddy's mental state and size and didn't intend for the advice to be considered for all YT's? Therefore, I think you're absolutely correct in stating that his advice shouldn't be used as the advice for all YT's. Everyone should get vet advice for their own dog and their own circumstances.

Quote:
Originally Posted by BorderKelpie View Post
I understand that, and I certainly don't mean to offend anyone. I just tend to be rather cautious with steroid use as it has been greatly overused here. Please know that you did not offend me! I have to sneak onto YT between family obligations and research so my responses can sometimes seem blunt...apologies...I respect everything you've said and the time you took to say it, thank you! You are correct, steroid usage (antibiotics, too) are often overused which has greatly reduced their efficacy and resulted in the vets and medical community considering a change in stance with regards to how often and if/when they are prescribed.

There is also a possibilty (rather distinct possibility according to my allergist) that my auto-immune issues now were triggered by the over use of steroids when I was a kid. I was sensitive to vaccines, so the dr's would give me prednisolone when I was vaccinated. I am a walking disaster today. I think your allergist is correct - there is the chance that over vaccination for humans and dogs result in adverse health which is why the standard is under review for humans and animals and is the reason your allergist is aware of the potential source of the issue for you.

The advice I was given by my vet on the extremely rare times we use topical steroids on my pets is that I should apply it with a tongue depresser and/or wear gloves. Be aware that you can absorb it by being in contact with Teddy. I have such powerful reactions to steroids now that I am not able to handle contact with an animal 'wearing' it. That's why I am so extremly grateful to 4carolyn to pointing me in the direction of the Dermacton - it's really working wonders for Bug and I can still hold him and sleep with him. Again, correct! The insert does suggest that gloves are worn when the medicine is given and does say that corticosteroids can cause irreversible skin damage if not applied correctly. Thank you for emphasizing this point!!!!

I do wish you and Teddy all the very best!
Quote:
Originally Posted by Britster View Post
Glad the vet visit went well!!



Jackson's very well experienced veterinary dentist would highly disagree with this. Brushing is not a waste of time if you are doing it every day and correctly. It would be a waste of time if... say, you are brushing the teeth only once every 15 days. At that point, it seems it would be pretty pointless. Yes professional dental cleanings under anesthesia are important but if you can prevent other issues in between and lengthen the amount of time between professional cleanings- why would you not? Fair enough! His opinion is his opinion and as a professional, I took it for what it was, but I do see your reasoning! He, however, disagreed so it is what it is, I guess?



I am also not against preventative vaccines, but I would be sure this vet is not giving yearly vaccinations. Lepto is definitely something that should be dependent on individual dog and location. I find there to be more cons than pros personally, but understand why some give it. Jackson nearly died from lepto vaccine and a lot of small dogs have terrible reactions to it, so I likely won't ever get it again for another dog. The booster they gave Teddy is given every 3 years which includes the Lepto. I believe you can get an annual Lepto vaccination but it is unlikely that I will be doing that given that the incidence rate is so low. He did advise that the rate of Lepto was extremely low but he did say that any adverse reaction was lower at 1 in 10,000,000. He was not dismissing the fact that SOMEONE had to be the 10,000,000th but from a clinician point of view, the risk of Lepto is slightly higher than the risk of an adverse reaction (even though still ridiculously low) so he made his recommendation on this basis.



Never heard of microchipping being any more painful than a vaccine.

Thanks everyone for your comments! I have responded in red.


This site gives different info re: the vets opinion and is more in less in line with what he said regarding the chip:


Microchipping Your Dog or Cat


Professionals have different opinions. I know that when I called and had a phone interview with a vet at the same office, I was given different advice re: my cats vaccinations than the vet I saw on this day gave me. Therefore, even amongst professionals, opinions can differ. I would stress the importance of understanding that any advice above relates to MY circumstance and MY dog and should not be used as a substitute for your own dog/circumstances.


Please keep commenting if you feel there is something else I need to question or consider! No one, even professionals, are 100% correct in everything they say. I took comfort that this vet is a small breed specialist, favoring the YT, with over 25 years experience. BUT, no one can experience or know about all things so all of your comments are invaluable to me.


xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxx

Last edited by SirTeddykins; 12-09-2014 at 12:36 AM.
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Old 12-09-2014, 12:57 AM   #12
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I also wanted to add (because of the various comments re: chipping) that the vet recommended the chip DESPITE the discomfort he felt it would cause.


Clinicians have to balance pros vs cons re: their recommendations and obviously he knows that the pros of chipping outweigh any temporary discomfort the chip may cause. This is the reason we are going back for the chip shortly!


Thanks again everyone!


Look forward to your comments.
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