Furget Big Pet Food! Train human carers ta make dog & cat meals!

by @winecountrydog Jackie Nippers

Howlo, dogs and cats. You been nommin' well? You know ta Big Pet Food corporations make big profits but do not use furst-rate foods in their products.

Howl bout let's leave Big Kibble in ta dust! Let's train humans to make healthy homemade meals!

Human carers are easier ta train than they pawbably look. ... You give 'em sad stare effurry time they shop for kibble 'n blechy bits. ... You sit by 'em when they're eating and ask "What makes that yours but not mine?" ... You give 'em big kisses 'n hugs effurry time they offer fresh organic veggies and 'humane' meats and cage-free eggs.

You ave noticed ta human species has opposable thumb? Iz why making pet meals iz not compawlicated. If your human can find kitchen, your human can throw good fresh noms in ta correct pet bowl. BOL . . . Fur sure Mum'd ave lot more ta say bout proper pet nutrition. But Mum not writin' this.

Simple meal: Brekkie fur myself and Meezer and Tawny Tabby waz raw pastured organic beefs and steamed veggie. Got some egg shell too. Today's veggie was non-GMO corn (wot Mumsy cut off cob and chopped a bit). Myself nommed side dish of fresh cooked organic rolled oats.

Not a grain-free K-9. Mywoofself iz furry sensitive dog . . . but NOT gluten-sensitive. My corgwyn kind ave been nommin' ta oats porridge fur hundreds 'n hundreds of years. Ourwoofselves been joined by feral cats and barn cats who nom bits of grain and produce and dairy with their mousies.

Meezer noms a bit of oats. Herself was rescue kitten who grew up nommin homemade meals. Meezer got crazy adventurous palate fur fresh foods! Also got strong abilities ta digest some fibers and veggies. Meezer LUVs her greens: Will tear door hinges off when cravin' fresh outdoor couchgrass. BOL ... But enuff about ta kitty.

What's fur suppaw?

Pawscript: Thanx woofs fur piccie to Special Staff Michele K.

You gotta love your vet, part two

by winecountrydog Tilin Corgi, with Mum

After last month's piece "You gotta LOVE your veterinarian," mywoofself and Mum got comments and questions.

'Ere are three topics wot Mum (aka winecountrydogma) talks about:

1. SIT, STAY! BE YOUR PET'S ADVOCATE. -- People ask me if I would "just drop off a pet at the vet and come back later." My answer is "It depends on the circumstances. I rarely leave a pet. I stay. And I usually watch."

Of course it makes a difference to have an established relationship with a good vet -- "love your vet"! I know and trust my primary vet, and my dogs love her, plus she's an excellent cat doctor, and her staff are conscientious. When one of my pets has to stay there, it's usually fine with me.

In general, aside from times when an ill pet should not be moved, I would not leave a pet at a clinic unless

• an IV drip is needed and I can't easily do it at home;
• the animal is in surgery, or in pre- or post-op;
• some type of mandatory quarantine is required;
• the animal is recovering from anesthesia or resting after a procedure;
• skilled nursing care or consistent prolonged observation in a hospital setting is required.

Regarding nursing care/overnight care services, caveat emptor. I will not (ever again!) leave a sick animal for so-called nursing care at a vet clinic I'm not completely familiar with.

You know it would be unusual, and unwise, for a parent just to drop off a human child at a medical clinic or hospital and then simply leave. Similarly, it's not the best practice to drop your pet off at the pet doc. The safest practice is to stay with the pet during the exam or minor procedure. In your absence, have a trustworthy stand-in advocate (with a signed permission form from you) stay there for your pet.

A pet owner/pet-patient advocate should always be there if the vet is new to the pet, or if the illness is serious, "challenging," or "mysterious." This includes possible pet poisoning cases. It's important to be there not only to answer the vet's questions and to get to know the vet, but also to observe the vet's approach and make sure you're comfortable with it. 

Should a pet owner/guardian stay to watch everything? It's a good idea to watch physical exams and minor procedures, including blood draws, shots, and ultrasound exams. Watching what our vets do teaches us things that make us better carers and medical advocates for our pets. And when we take our pets for yearly or semi-annual wellness exams, we get an opportunity to learn even more about their health needs.

Should you stay to watch surgery? Maybe. I'm the kind of person who likes to watch everything. Some vets don't mind if (calm) clients watch surgeries. I've watched a spay surgery and other procedures. However, I'd think twice about watching a major or traumatic surgery on any of my loved ones, animal or human, because it can take a big emotional toll, sapping energy better reserved for post-op patient care.

Whenever I stay in the exam room with my dog or cat, I'm there to be helpful, not to get in the way of the vet and staff. I'm there to answer questions the vet has about my pet as best as I can. I'm there to calm my pet, and to guide vet and staff past pet idiosyncracies -- for example, to distract my nervous pet; to let staff know that my pet can't stand on a metal exam table; or to muzzle my sweet but nippy dog when he's had enough. Moreover, I'm there as my pet's advocate -- to be a good observer, question asker, and decision-maker.

Sometimes I'll help hold my pet during an exam or minor procedure. At other times this offer is refused. (It can be a clinic liability if a client is injured on the premises.) One time I had to help hold one of my rescued cats on his first vet visit. Poor guy. He was such a sweet Maine Coon, but he surprised everyone by being exceptionally strong as well as "freaked out." It took myself and three vet staff members to get him into a restraint bag and keep him positioned for a blood draw.

I always leave the exam room when x-rays are being taken or when the room is too crowded for optimal execution of an urgent procedure.

I do not leave if I "get the feeling" that I need to be there. It's my client prerogative to stay with my pet during an exam or minor procedure, and a good vet recognizes why a good client feels this way. I usually sense when my trusted vets need me to step back, and they know that they can tell me when they need me to step back without worrying about hurting my feelings. 

Again, I'm not there to get in the vet's way. I'm there to be the best healthcare decision-maker I can be for my beloved dog or cat.

If you've never thought about staying and watching, or about getting more involved in understanding your pet's healthcare needs, I hope you'll give this some thought. Every pet needs his/her guardian to be a good medical advocate. 

As veterinarian Nancy Kay explains in Speaking for Spot, her book about helping your dog live a "happy, healthy, longer life" . . .

"Gone are the days when you simply followed your vet's orders and asked few, if any, questions. The vet is now a member of your dog's health-care team, and you get to be the team captain! Your job description has evolved from receiving and following doctor's orders to processing and making decisions. . . . What are the chances that you'll never be called upon to act for your dog in a medical situation? Probably the same as winning the lottery."

As you can see by Tilin Corgi's expression (in above pic), it's important for us pet carers to acknowledge that "sooner or later," as Dr Kay says, almost every one of us will have to make difficult medical decisions. We might as well sit-stay, watch, and learn whenever we can.

2. AVOID VETS WHO UNDERCHARGE. -- It's great to find a vet whose fees are reasonable, meaning that the fees are within the range of the area's "going rate." But what about when a vet's fees are below the going rate? One of my veterinarians pointed out to me that "vets who undercharge are just as suspect as those that overcharge (maybe more so). Think about it -- would you trust your life to the cheapest surgeon in town? I wouldn't!"

Well, I wouldn't either! So it's good advice to avoid vets who undercharge.

I made the mistake a few years back of going to a "cheap" vet clinic for x-rays. What a nightmare. Blurry x-rays and misdiagnosis. I've recently learned that this "affordable" clinic, located in Santa Rosa, CA, is still in existence and has become notorious for its bad care.

What's a good way, then, to judge reasonable vet fees? Call around and ask different clinics what they charge for various services to get an idea of the going rate. Some clinics won't quote fees over the phone, so it's worthwhile to go around and talk with them in person.

If you live in NYC or other major urban area where the cost of doing business is high, you'll find that vet fees are typically high too. Maybe it's worth a drive to a suburban clinic for routine exams? Just a thought.

3. KEEP LOOKING TILL YOU FIND DR. WONDERFUL. -- "Where can I find a good vet?" As we said in the previous post, "everyone deserves a Doctor Wonderful."

If only it were possible to tell whether vets are good vets from finding out what they charge. If you're looking at fees for major surgery or extensive treatment, consider not only the fees for services but also the experience, educational credentials, and successful track record of the vet. This applies regardless of whether the vet uses allopathic (conventional) or non-conventional ("natural" or "traditional") modalities.

To find the vets in your area who are said to be the best at what they do, go beyond Yelp and other online ratings. Call area animal rescue organizations, breeders, groomers, and "upscale" pet supply stores to see which vets are their favorites.

If you're looking for a veterinary specialist, you'll find that searching online turns up board-certified vets (for example, in the U.S., internists listed on ACVIM, and ophthalmologists on ACVO) and vets with other types of practices, such as "holistic" vets listed on AHVMA. But also ask your regional veterinary teaching hospital and local vets for specialist recommendations and referrals.

Be sure to ask vets in your area whom they refer out to for special cases -- for example, for orthopedic surgery, oncology, Class IV laser therapy, herbal medicine, or acupuncture. Also ask local vets whom they'd recommend for allied healthcare services -- such as ortho rehab, swim therapy, or behavioral modification. In any case, try to get more than one name, even if some of the practitioners are a distance away.

Finally, as someone who researches health topics and makes my pets' food, I add this thought: When seeking good vet care, consider that many health conditions are prevented or helped by dietary change, either as the primary or adjunct treatment. In other words, there are few health conditions that are not improved with the right diet. "Food is medicine." . . . Sometimes, of course, it can be useful temporarily to use medical foods, and in cases such as prolonged anorexia, necessary to use parenteral nutrition; otherwise, the best diet is a fresh (organic) whole food diet. Unfortunately, not many vets are recommending foods other than commercial canned and kibble brands. So I'm always looking to add to my list of "Doctors Wonderful" those vets whose practice includes a focus on fresh whole food pet diets.

Let's all keep growing our lists of "Doctors Wonderful" and spreading the word about good vet care!

You gotta LOVE your veterinarian

by winecountrydog Tilin Corgi, with Mum

Furriends, doo you LOVE your vet? Doo you give your vet big paw hugs every Valentine's Day?

Ourwoofselves always get excited to see our primary vet. She is somebuddy special who

• gives us fresh food noms when we have an appointment;
• handles us gently whilst examinin' us all over with grrreat focus;
• supports our homemade diet lifestyle with lots of info;
• talks to Mum about wellness strategies, 'specially fresh foods and smart supplements;
• looks for alternatives to symptom-management pharma drugs;
• knows many "gentle interventions" (like acupuncture, Class IV laser, diet change);
• is open to "second opinion" consultations and will offer referrals;
• encourages pet wellness exams for disease prevention and early detection.

Are you feelin' da love for your vet yet? . . . If not, furhaps you and your human carer/owner should be lookin' to meet other vets.


Woof to da wise from myself (left) and Jackie Nippers: Doo not stop lookin' till you find "Dr. Wonderful."

In her book Speaking for Spot, which helps human carers be good advocates for dog health, veterinary internist specialist Dr. Nancy Kay talks about "finding Dr. Wonderful":

"Dog people tend to believe -- at least initially -- that all veterinarians are wonderful! . . . Interestingly, people seem to be far less skeptical of their veterinarian's capabilities and intentions than they are of their own physician's. Speaking as a vet, I wish we all deserved such extraordinary benefit of the doubt, but this just isn't the case. . . ."

And 'ere is wot Mum (aka winecountrydogma) sez:

"I'm surprised by the number of people who say 'I don't like our vet' or 'We try not to go to him unless we absolutely have to.' I'm even more surprised when they tell me they keep going back. I'd rather not patronize vets who don't inspire confidence, who can't communicate clearly or keep a clean clinic, or who charge unreasonable fees.

Over the years, I've been a 'patient advocate' -- someone who helps make medical decisions for friends and family -- on behalf of both human and animal patients, often in life-threatening or end-of-life situations. Early on I learned how much a patient's care quality, and often the outcome of the case, depends on not only the skills and insights of the medical practitioner but also on the quality of communication between the practitioner and the patient or advocate.

"We shouldn't have blind trust or be passive healthcare consumers. Trust has to be earned, right? It's built on consistent, clear communication, and solidified by good outcomes. As vet clients, we've got to talk to vets. We've got to be accurate about providing pet health info and to be up-front if we're unable to follow through with certain treatments because of financial or other constraints. We should be voicing our concerns, asking questions, and asking for resources to learn more about health conditions. And then, in return, I believe we have a right to expect vets to listen and respond thoroughly.

"Unfortunately, I learned about several bad vets the hard way. (For example, there was the PennHIP-certified vet in Santa Rosa who misdiagnosed my dog's signs of vertebral disc disease as a knee problem. The next vet who examined the dog saw no knee problem.) So I'm telling you from experience, it's important not to bestow trust by default. Please don't go along with a new-to-you vet's diagnosis or treatment plan of a serious pet illness, or allow that vet to do a serious procedure or initiate a harsh drug prescription, without getting a second opinion.

"It's worth it to find a vet you'll adore -- not because the vet is a charmer, but because of the vet's skill, experience, talent, open-mindedness, and genuine curiosity and caring. Everyone deserves a Dr. Wonderful. When you find a vet who seems wonderful, build that relationship by taking your dog or cat in for a semi-annual or yearly wellness exam. And if Dr. Wonderful doesn't practice nearby, make the drive! You can still go to a vet closer to home for very minor or routine issues.

"On the flip side, I've seen some pet owners who expect too much from pet doctors. How can any general practice veterinarian cover all the bases? She or he simply can't. So let's not set up a veterinarian to 'play God' and then demonize the entire veterinary profession when the vet fails to be omniscient.

"I'm very grateful for good veterinarians. They work hard at what they do, they put up with a lot from 'difficult' clients, and they witness a fair amount of horror while doing it. Have you ever thought about the horror that vets see? It's one thing to see ill pets, it's another to see animals morbidly obese, injured, emaciated, or even tortured due to neglect, ignorance, or abuse. Somehow the good vets continue on, conscientiously helping. I give my heartfelt thanks to them.

"I'm always interested in hearing about good vets in my region -- including places I travel to -- and I also like finding out about vets doing integrative medicine and research around the world. A regional list should include 'second opinion' vets and good vet ER clinics. I'm forever asking around about well-liked vets at pet supply stores, dog parks, groomers, and rescue orgs. 

I'll continue to grow my list of "Doctors Wonderful." On it are a gifted orthopedic surgeon and some general practice vets who provide integrative care, including wellness through fresh food diets and education about preventive healthcare strategies."

Paw-note: If you have got Dr. Kay's book Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy Healthy Longer Life, you doo know why ourwoofselves call it essential fur today's dog owner. . . . Ourselves still sad that Dr. Kay left our area, but furriends in the Carolinas of Southeastern U.S. must be arfully happy to have her services.