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Dr. Terry Warren and Steve Dale: Conversations to Have with Vets - Where did you get that information?

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Dr. Terry T. Warren and Seve Dale's breakout session at BlogPaws 2012: Conversations to Have with Vets - Where did you get that information?

Dr. Terry T. Warren and Seve Dale's breakout session at BlogPaws 2012: Conversations to Have with Vets - Where did you get that information?

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  • Speak about CHF experiences with people looking for free veterinary advice. Later Steve will be discussing the crisis we are facing with regard to pet owners failing to provide adequate veterinary care for their animals. Even if you don’t intend to take the place of veterinary advice, be aware that your readers may try to use your blog that way.
  • ACVIM covers oncology, neurology and cardiology. ACVSMR is the newest specialty and an area we expect to see future growth. Many of these specialty sites offer a feature to help find a specialist in a particular geographic region. Diplomates of these specialties have advanced training in the areas. These are the people you should be seeking out as sources on information on specialized veterinary topics. Links to all the veterinary specialties are available on the AKC Canine Health Foundation website in the resources section, as are all the other resources related to dogs in this presentation. So if you can’t find something or just want everything in the same place, remember the resource section of akcch.org.
  • The guidelines published for veterinarians are available for the general public. Although they are written for vets, these guidelines can help pet owners be better prepared for vet visits and are a great resource for pet bloggers who seek to understand the industry standards. Preventative Health Care Guidelines outline what every dog and cat should have and then what should be done based on the dog or cat’s individual situation. The Veterinary Oral Health Council is another resource for information about dental health and they endorse products for the oral health of your pet. The Senior care guidelines include minimum health screening requirements for dogs and cats as they age, common issues to look for as your pet ages, end of life decisions, and other concerns specific to the aging pet. We will talk about the Nutritional assessment guidelines some more when I get to the section of the presentation specific to nutrition.
  • Not here to have a debate about where people should find the dogs and cats they add to their families. However, if you have the opportunity to know the health status of the parents health testing is important. There are also many health tests that you may want for your own dog or cat whether your pet is healthy or having a health problem. Genetic tests for disease have more than one use. First, DNA tests are used by breeders to make informed breeding decisions to avoid passing down a genetic mutation that would cause disease. People seeking a purebred puppy are strongly recommended to do their research on the types of health testes recommended for the breed and determine if the parents were tested. The OFA and CHIC websites provide information about what tests are recommended for different breeds. The CHIC database also lists results for many dogs. The OFA website also provides very good information about some conditions that affect dogs such as hip dysplasia and patellar luxation (problems with the knee cap shifting out of place). Second, genetic tests can be used to confirm diagnosis when a pet is suspected of having a disease that is very difficult to diagnose. Degenerative Myelopathy is an example of a disease that is diagnosed by excluding all other potential illnesses and the genetic test can be helpful in this case. Your Dog’s Heart and Your Cat’s Heart.com provide great information about heart disease in dogs and cats. They also describe the symptoms of heart disease and tests that are available to diagnose heart disease such as echocardiograms.
  • Core Vaccines are those that are recommended for all dogs, barring special circumstances. Non-core vaccines are recommended based on the lifestyle and location of the animal in question. The World Small Animal Veterinary Association and AAHA publish vaccination guidelines with the frequency and initial age of vaccination. The AAHA guidelines also provide information about how vaccines are licensed in the United State and Canada. The guidelines are broken up into two parts – for the general veterinary practice (pets) and animals in a shelter environment. They also discuss potential adverse vaccination events and legal consideration related to vaccination.
  • These resources aim to stay outside the arguments of what brand works or doesn’t work. CAPC website has a great interactive map that will show regional infection risk data for fleas, ticks and worms. CAPC provides recommendations for parasite prevention and control. American Heartworm Society also provides canine and feline guidelines for prevention and treatment of heartworm, an incidence map and videos for pet owners. ACVIM statement contains data on treating Lyme and the controversial Lyme vaccine.
  • Nutrition can be a touchy subject for pet owners – especially with confusion over pet food recalls and advocates of raw diets. The Pet Nutrition Alliance is a world wide group made up of the: American Animal Hospital Association American Veterinary Medical Association American College of Veterinary Nutrition American Society of Veterinary Medical Association Executives Canadian Veterinary Medical Association National Association of Veterinary Technicians in America World Small Animal Veterinary Association The PNA provides nutritional assessment guidelines for dogs and cats and recommendations to veterinarians on how to include such an assessment into their examinations. These guidelines include good images of what dogs and cats should look like at an optimal weight. These guidelines are not brand specific nor to they advocate for or against a raw diet. They do recommend further evaluation by a board certified nutritionist when there is concern that home diets or unusual diets are not meeting the animal’s needs.
  • Clinical trials help veterinarians investigate methods to improve detection and treatment of disease, as well as improve the quality of care each patient receives. It can be devastating when your pet receives a diagnosis of cancer or some other canine disease. However, participation in a clinical trial may help your dog's prognosis and will advance veterinary science, helping future generations of dogs to have better outcomes. The requirements to participate in clinical trials vary greatly. Some offer financial compensation and others will require the dog owner to pay for the medical treatment. You and your dog will likely have to travel to the trial site multiple times, so look for trials in your geographic region.
  • Cancer is the canine health topic that probably has the largest number of amateur websites providing health information. Pet owners must be cautious and realize that cancer is a term that actually describes hundreds of different diseases that all have different outcomes for our pets. Be cautious of websites supplying generalizations about cancer. Good resources for cancer information include the AKC Canine Health Foundation, the Van Andel Institute and the CSU Animal Cancer Center.
  • Pain management is tricky with pets – they can be very stoic and hide their pain well! Pain management is an important topic as dogs continue to live longer and have common problems associated with aging such as osetoarthritis. Pain management is also an area that the AKC Canine Health Foundation has identified as a knowledge gap in veterinary medicine. More research is needed into effective pain management for pets. Guidelines also include Frequently overlooked causes of pain Types of drugs used in pain management Many additional online resources for pain managment
  • Transcript

    • 1. Conversations to Havewith Vets: Where Did You Get That Information? Terry T. Warren, PhD, JD Steve Dale, CABC
    • 2. The State of the Bloggosphere 2011 Survey by Technorati™ Media Bloggers say their number one influencer on what to blog about is other bloggers. More than two-thirds of bloggers believe blogs are being taken more seriously. Only around one-third of bloggers have been employed by a traditional media outlet. Blogs out pace other social media and many types of traditional media in consumer trust.
    • 3. The Blogger’s ResponsibilityJournalistic Integrity Your are shaping the conversation on pet topics Your blogs are being accepted as fact Readers have selective perception Is the message you intend to send the message you are actually sending?Legal Considerations
    • 4. The Importance of Veterinarians Questions regarding a specific pet’s health should be reserved for a veterinarian. Diagnoses cannot be made without seeing the animal. However you can and must be prepared. Reputable animal health resources are available for you and your readers!
    • 5. Veterinary SpecialtiesThe American Veterinary Medical Association recognizes several specialty boards. Veterinarianswho are diplomates of these boards have completed specialized training in their respective fieldsof medicine. American Board of Veterinary Practitioners American College of Veterinary Ophthalmologists American Board of Veterinary Toxicology American College of Veterinary Radiology American College of Veterinary Anesthesiologists American College of Veterinary Surgeons American College of Veterinary Behaviorists American College of Veterinary Sports Medicine and Rehabilitation American College of Veterinary ClinicalPharmacology American Veterinary Dental College American College of Veterinary Dermatology The Association of Shelter Veterinarians American College of Veterinary Emergency andCritical Care American College of Veterinary Internal Medicine
    • 6. Preventative CareAAHA-AVMA Preventative Health Care GuidelinesAAHA Dental GuidelinesAAHA Nutritional Assessment GuidelinesAAHA Senior Care GuidelinesAAFP Guidelines for Indoor CatsAAFP/AAHA Feline Lifestage GuidelinesConsumer version: CATegorical Care: An Owner’s Guide toAmerica’s #1 Companion @ www.Catalystcouncil.orgAAHA Nutritional Assessment Guidelines for Dogs and Cats
    • 7. Health TestingOrthopedic Foundation for AnimalsCanine Health Information CenterList of genetic tests (dogs) available on CHF website (www.akcchf.org)List of genetic tests (cats) www.winnfelinehealth.orgwww.yourcatsheart.comwww.yourdogsheart.com
    • 8. VaccinesWorld Small Animal Veterinary Association/UKKennel Club Canine Vaccine GuidelinesAmerican Animal Hospital Association (AAHA)Canine Vaccination GuidelinesAmerican Association of Feline Practitioners(AAFP) Vaccine GuidelinesWhat to Expect After Your Pet’s Vaccinationpublished by Animal Veterinary MedicalAssociation (AVMA)CHF Podcasts on Vaccination Protocols andVaccinations & Infectious Disease
    • 9. Parasite ControlCompanion Animal Parasite CouncilAmerican Heartworm Society (www.heatwormsociety.org)ACVIM Small Animal Consensus Statement on LymeDisease in Dogs (www.acvim.org)Advice on the Safe Use of Flea and Tick Products in Petsissued by AVMA Includes AVMA, EPA and FDA resources
    • 10. NutritionCHF Podcasts on Canine Nutrition, Life Stage Nutrition,Balanced Nutrition, Nutrigenomics, and VeterinaryNutrition.Information on how the FDA regulates pet food as well asany recall information is published in the Animal &Veterinary section of the FDA website.Pet Nutrition Alliancewww.petnutritionalliance.org
    • 11. Clinical TrialsVeterinary Cancer SocietyNational Cancer Institute Canine Clinical TrialsVeterinary SchoolsNot just for cancer!Links at www.akcchf.org in Participation Needed section
    • 12. Cancerwww.akcchf.org/cancerCanine Hereditary Cancer Consortium at the Van AndelInstituteColorado State University Animal Cancer Center Top ten warning signs of cancer Tumors by name Tumors and specialized cell types Tumors by location
    • 13. Pain ManagementAAHA/AAFP Pain Management Guidelines for Dogs & Cats Types of pain Anticipation and early intervention Signs of pain• International Veterinary Academy of Pain Management: http://www.ivapm.org/
    • 14. How to sniff out the news: Case Study - Pet Food RecallAlerted by Twitter, traditional news sourcesabout recall for concerns about salmonella- Diamond post on their site, most did notAVMA (not yet listed on their site)I chose to post them one by one (as I couldconfirm)
    • 15. How to sniff out the news: Case Study - Pet Food RecallPet Food recalls:FDA Recall, Withdrawals and Safety Alertshttp://www.fda.gov/animalveterinary/safetyhealth/recallswithdrFood Recall Product List:http://www.accessdata.fda.gov/scripts/newpetfoodrecalls/Dog Food Advisor:http://www.dogfoodadvisor.com/dog-food-recall/diamond-anothblog: www.chicagonow.com/stevedale
    • 16. Case Study – The Vaccine Debate Fervor began with Internet Related to human vaccination issue, autism- regardless of how you feel personally about affects on autism no studies on pets - vaccine guidelines – truth of those guidelines - herd immunity - are you willing to take on the law, re: rabies
    • 17. Sourcing……Trusted or NotBloggers do get information from other blogs…but doesthat always mean that information is correct?
    • 18. http://homeopathtyler.wordpress.com/2012/03/16/pets-to-vaccinate-or-not/ “I have been encouraging my clients to not vaccinate or vaccinate less for the past 30There’s years. All of the cases of Distemper and KennelTruth cough I have seen over these many years wereHere all vaccinated at some point in their lives. AllAnd a Parvo cases I have treated post 1978′s ParvoVersion epidemic had all been vaccinated. My reasonOf the for making this statement is that I want you toTruth all be aware there are no guarantees whether you vaccinate or not. The majority of my patients are unvaccinated or have only had their initial vaccines as puppies or kittens and have not vaccinated since. 95+ of all my new patients have still been vaccinated annually even though this had not been recommended in the veterinary profession for over 10 years.”
    • 19. Believe it or Not?Use “natural” flea products, like Brewer’s yeast75% of dogs over 16 are affected by heart disease.A surprising number of cats are arthritic, but using aNSAID in a drug is deadly.
    • 20. Believe it or Not?Use “natural” flea products, like Brewer’syeastSources: Michael Dryden, DVM, PhD, a University Distinguished Professor of Veterinary Parasitology, in the Department of Diagnostic Medicine and Pathobiology at Kansas State University. He is the author or co-author of over 100 journal articles and book chapters. He has lectured in 21 countries, presenting over 750 invited seminars at national and international meetings. Brewer’s Yeast actually helps to ‘grow’ fleas Personal interview Companion Animal Parasite Council www.petsandparasites.org
    • 21. Believe it or Not?75% of dogs over 16 are affected by heart diseaseThat is the stat! Also, about 10% of dogs between 5 to 8yrs.; 20-25% of dogs between the 9 to 12 yrs.; and 30-35% ofdogs over 13 yrs are affected.Sources Personal interviews: Michael Luethy, DVM, Diplomate ACVIM; Sonya G. Gordon, DVM, DVSc, Diplomate ACVIM, Associate Professor of Cardiology, Texas A&M University; www.yourdogsheart.com
    • 22. Believe it or Not? A surprising number of cats are arthritic, but using a NSAID drug is deadly. Sources: “Ninety percent of cats over 12 had evidence of degenerative joint disease.” (Hardie et al, 2002) FAB: http://www.fabcats.org/owners/arthritis/info.html“NSAID’s like meloxicam (Metacam) are metabolized via oxidation which is efficient in cats.” Tacke S., PhD; Norsworthy G., DVM, DABVP (feline) “The Feline Patient, 4th Edition,” (Wiley Blackwell, Ames, IA), 2011. “One study showed a Cox-1 sparring effect in cats ” Little S. CVM, DABVP (feline), “The Cat: Clinical Medicine and Management,” Elsevier, St. Louis, MO), 2012.
    • 23. Make A DifferenceSad news for our pets was announced at a press conference entitled,"Houston, We Have a Problem," during the 2011 American VeterinaryMedical Association Convention.23.9% of pet owning households spent $0 at a veterinarian’s (2006).Experts suggest that number is higher today. AVMA71% of veterinary professionals surveyed have cats living in theirhome, but more than a third of them do not bring their cats in for anannual wellness exam (let alone 2X annual visits). CATalyst Council, DVM News MagazineThe problem has been a steady decline in our pets health. Forexample, more flea infestations; internal parasites up 13 percent incats and 30 percent in dogs since 2006, according to the Banfield PetHospital State of Pet Health 2011 report. Potentially, this is a publichealth issue since some of these parasites can also affect people.Diabetes is up 16 percent in cats and 32 percent in dogs.
    • 24. Ricky Fundwww.winnfelinehealth.org
    • 25. How You Can Make a Difference For Good
    • 26. Steve Dale Terry Warren Blog: Website: www.chicagonow.com/stevedale www.akcchf.org Twitter @stevedalepets FB /akccaninehealthfoundation www.stevedale.tv Twitter @caninehealthfnd
    • 27. Questions?