Day at the Museum: The Animal Medical Center Sequel

June 23, 2011

The Animal Medical Center has a computer system to manage our diagnostic imaging, including x-rays, ultrasound, CT scans and MRIs. The Picture Archiving and Communications System (PACS) lists all the images for any given day. If you looked at the list for June 17, you would see my patient Dakota, who got a chest x-ray, Chippie, the dog who had a full series of dental x-rays, and BooBoo who had a brain MRI — a typical list for a Friday.

But reading down the list you get to Croc 1, Bird 2, Snake 3 and Ibis 4. These images come from the oldest patients ever seen at The AMC. No, not a 25 year old dog or a 30 year old cat. These 32 patients are 2,500 year old animal mummies.

CT scan of Croc1. Head left, tail right

Like many AMC patients, these animals came to The AMC across the Brooklyn Bridge into Manhattan. Unlike any other AMC patients, these patients belong to the Brooklyn Museum’s Egyptian collection.

Like all patients who come to The AMC, they came for our diagnostic expertise, utilizing our state of the art equipment. In this case, the animal mummies came to The AMC for CT scanning in our 64-slice CT scanner.

Reptile mummy in its box being placed in 64-slice CT scanner

The AMC’s 64-slice CT scanner rapidly produces high quality images. So fast, all 32 were scanned in one day as outpatients! Rapid is better for our usual patients, since the faster the scan, the shorter the anesthesia time. For the animal mummies, the high quality images are critical in helping AMC’s board certified radiologist, Dr. Anthony Fischetti, collaborate with the curators from the Brooklyn Museum to decipher the mummy’s contents. The 64-slice CT scanner can recreate three dimensional and multiplanar images of the patient. In our usual patients, we use these features to better diagnose and treat illnesses. Our colleagues at the Brooklyn Museum plan to use the reconstructed CT images to study the mummies’ contents without disrupting the intricate linen wrapping.

If our CT scanner is so fast and can scan thirty two mummies in one day, you might wonder why your AMC veterinarian wanted your pet here all day when it had a CT scan. A CT scan in one of our usual patients requires administration of a short-acting anesthetic. Obviously, an animal mummy does not require anesthesia, the associated monitoring of the heart, respiration and blood pressure and does not have to recover from anesthesia. All these differences shorten the procedure time.

Most of our usual patients have two CT scans back to back. The first scan is before and the second is after administration of a contrast agent. The contrast agent highlights abnormalities the veterinarians are hunting for, such as inflammation and tumors. Administration of contrast was not possible or necessary in the animal mummies.

This animal mummy project between The Animal Medical Center and the Brooklyn Museum will culminate in an exhibition in 2013, so mark your calendars now!

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


Take Your Dog to Work Day

June 20, 2011

Becky (L) & Percy (R) hardly working at The AMC

Friday, June 24th, is Take Your Dog to Work Day. Employees of The Animal Medical Center (AMC) are lucky since every day here is Take Your Pet to Work Day. Not surprisingly, The AMC is a pet-friendly employer.

Although most pets that come to work are dogs, we do have the occasional infant kitten or ancient cat who come to work because of special feeding and medication requirements during the day. The photo below shows Pepe avoiding work by hiding under a chair.

First celebrated in 1999, Take Your Dog to Work Day was created to celebrate the great companions dogs make and to encourage their adoption from humane societies, animal shelters and breed rescue clubs.

Pepe (available for adoption)

Companies, large and small, are recognizing the importance of pets in our social fabric. Some offer their employees pet insurance as one option in their benefits package. Inc.’s series, “Winning Workplaces,” highlights the increased worker productivity and camaraderie of workplaces where dogs are allowed.

Taryl Fultz, copywriter for Trone, Inc., a 70 person marketing firm in High Point, NC, with many pet care clients, including GREENIES® and NUTRO® says, “I absolutely [get more work done] when my sheltie is at work. He is very well behaved, but I feel better when I have him with me. I often stay later, bring my lunch those days and work through at my desk. When people/clients get tours of the office, he is always a featured stop along the way. Pets make most people smile. And can often turn a tense meeting/moment into a better one.”

I emailed with one employee of the marketing firm Moxie. Dogs are welcome at this 300+ person company, but visits must be scheduled in advance and misbehaving dogs are put on restriction. Visiting the office is not all fun and games. One Chihuahua was even pressed into service, when he was photographed wearing a wig and playing the piano for an ad campaign.

Trone, Inc. employees, from the VP for human resources to copywriters, have wonderful work stories about their pets. One 65 pound mutt works on stealing stuffed toys from other dogs, small children or co-workers’ offices. Another dog likes to work in a private space – behind the credenza — only she doesn’t quite fit and all her owner can see is the back half of a dog sticking out. Owen, a Plott hound, likes work because of the availability of GREENIES. One weekend Owen didn’t come when he was called. Finally he came running with a large mailing box where his head should have been. Owen had grabbed one of the mailing samples, which had a Greenie affixed to it. He was so excited to bring to his owner and then rip it off of the package.

If your office is going to be dog-friendly, you might want to consider establishing office etiquette guidelines. Our friends at the ASPCA have some useful suggestions.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


Potty Training Your Cat: Are You Kidding?

June 16, 2011

Toilet-trained cat

A cat and dog owning client of The Animal Medical Center called about a month ago wondering if I had heard of toilet training for cats. I guess he hasn’t seen Jinxy, the potty trained cat of the “Fockers” movie series. I had also seen the CitiKitty products in November 2010, when I attended the No Place Like Home Pet Products Showcase, which had included CitiKitty in their list of exhibitors.

CitiKitty is just one of several cat toilet training kits available. The concept seems simple. The device attaches to a toilet seat and you put litter on the device at the same time you take away the litter box. Gradually you remove the rings in the device until the entire device is removed and your cat stands on the toilet seat while eliminating in the toilet. An automatic flusher is even available to facilitate cleanup!

After that initial call, I didn’t hear from the owner for a while. Then a couple of weeks ago he and I had a good laugh about what had happened next. Uli, his Chartreux cat, performed brilliantly with the CitiKitty device, successfully using it on the first try. Tonka, his dog, looked at the CitiKitty device as a buffet option and ate all the cat litter, resulting in a severe case of tummy upset and diarrhea.

Photo: Tonka and Uli, courtesy of the family

The next part of the plan included a baby gate to allow Uli in and keep Tonka out and the training started again. Because Tonka is a French bulldog, he could not jump over the gate and Uli could. Uli used the training device until too many training rings were removed. Then he rebelled by using the bathtub as a litter box.

So what went wrong? My friend called the CitiKitty helpline and after some discussion with them, thinks he possibly rushed Uli by taking the rings out too fast. He is going to try again when his travel schedule allows him to be home to monitor the situation. Perhaps Uli should have had more positive reinforcement with a special tasty treat during the training process, as CitiKitty recommends.

But why all this fuss? What’s wrong with an old-fashioned litter box? In places like New York City, space is tight and having your cat use the toilet means you don’t need a litter box taking up valuable space in your apartment. Pregnant women should not scoop cat litter and this is an easy way to eliminate that task from the to-do list. Clay litter is very dusty and may contribute to respiratory problems in some cats and definitely contributes to landfills, making a potty trained cat a green cat.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


Preventing Foodborne Infections in Pets

June 13, 2011

Foodborne illness has been in the news all week. First, the massive multi-country European outbreak of E. coli has sickened over 1,000 people and killed more than 20.

Closer to home, the United States Food and Drug Administration notified consumers of multiple recalls due to possible salmonella contamination in pig ear treats and a raw diet for cats. This type of news has veterinarians, including us at The Animal Medical Center on alert for illness possibly related to food.

Food and water can become contaminated with salmonella and E. coli bacteria if they come in contact with fecal material or if the processing plant is contaminated. Cooking readily destroys both of these bacteria. Neither of the recalled pet products was cooked. One was a diet designed to be fed raw, and pig ears are frozen and dried, but not cooked.

Both salmonella and E. coli are enteric bacteria and are commonly spread when contaminated food and water are ingested. Ingestion of salmonella or E. coli contaminated food or water can result in gastroenteritis, fever and abdominal pain in both humans and pets.

How can pet owners protect their pets and themselves? The June 1 issue of the Journal of the American Veterinary Medical Association offers suggestions on safe feeding practices. I have summarized them here.

  • Avoid feeding raw food diets.
  • Avoid purchasing bulk pig ears, buy individual packets.
  • Return pet food to store if it is discolored or has a bad smell.
  • Store pet food according to the manufacturer’s recommendations.
  • Save packaging and product codes for pet food to facilitate identification of a recalled food.
  • Children, the elderly and immunosuppressed humans should not handle pet food and treats.
  • Wash hands with soap and water before and after handling pet food and treats.
  • Wash pet water and food bowls regularly.
  • Keep human and pet foods separate.
  • Discourage humans from eating pet foods and treats.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


Keeping Your Cat Young

June 9, 2011

For those families adding a feline member during Adopt-a-Cat Month this June, keeping your cat young and in good health is a priority. Here are The Animal Medical Center’s top six tips to achieving purrfect health and maintaining a long life for your feline family member.

1. Give your cat a routine. Research has shown changes in feeding schedule or in caretaker can result in “illness behaviors” such as having a poor appetite, vomiting and not using the litter box. Basically, cats don’t like surprises.

2. Provide your cat with an interesting environment. Cats need climbing structures where they have a good view of the room and a window with an outdoor view. The perch should be comfortable for resting. Leave a radio on tuned to quiet music when you are away.

3. Encourage your cat to hunt. Not outdoors, but indoor hunting. Use food dispensing toys such as the FunKitty line. Keeping your cat’s brain active by having her “hunt” for her food will keep her engaged and active longer.

4. Cats may have a “hands off” personality, but when it comes to healthcare you need to be hands on, and the hands should be those of your cat’s veterinarian. Visit your cat’s veterinarian for routine health checks at least once a year and twice a year if your cat is 10 years of age or older.

5. Clean your cat’s teeth regularly. The American Veterinary Dental College and the AMC Dental Service recommend daily tooth brushing and annual cleanings under general anesthesia.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


How Do You Know if Your Dog is in Pain?

June 6, 2011

I get asked this question daily by at least one worried dog owner. Since dogs can’t talk, how do we identify a dog in pain?

Jack's legs

Dogs and Pain
Sometimes identifying pain is easy. Dogs hit by a car or suffering from another traumatic injury are obviously painful. Here is a photograph of an Irish Setter, with two reasons to be in pain. The leg on the right side of the photo looks red, sore and swollen. This skin change is induced by radiation therapy used to treat a bone tumor and it will resolve now that radiation is completed. The swelling is caused by a bone tumor. Bone tumors are particularly painful and tend to cause limping, which is what clued the dog owner in to Jack’s problem. Treatment is already making him walk better.

Sylvie after back surgery

Back Pain in Dogs
A dog with a slipped disc in the back (intervertebral disc disease) typically cries and whines, without external signs of injury, but the dog owner can readily determine there is a pain problem. Sylvie, shown here after her back surgery, came toThe AMC because her owners noted her crying when they picked her up. Later, they noticed she was having difficulty walking. Examination at The AMC identified her back as the source of the pain and she had surgery to remove the disc and relieve the pain.

Signs of Subtle Pain
Extreme pain is reasonably easy to identify; subtle pain may not be so easy to spot. With hospitalized patients, we look for changes in the sleep-wake cycle, a decrease in appetite or poor grooming habits. We also watch how the dog sits or lays in its cage. Painful dogs may hide in the back of the cage or sit in a strange fashion to protect a painful area of their body. Licking, rubbing or scratching a particular area of the body may also indicate a painful area. Whining and crying are not reliable pain indicators, but we monitor these behaviors in our hospitalized patients in case they indicate pain in a particular individual.

If you think your animal is in pain, a trip to the veterinarian is in order. In the past few years, new drugs to treat pain have been developed for dogs. Keep in mind, painful animals are typically frightened and even the most docile pet can bite when handled if it is experiencing severe pain. If your dog is injured and needs transportation to the ER, consider using a muzzle, or if you don’t have one, a necktie to gently tie his muzzle closed while he is handled because you don’t want to have to go to the ER too.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.


Prescription: A Cat and a Cardboard Box

June 2, 2011

June is Adopt a Cat Month. Since I am hoping many cats will be getting new homes this month, I am going to devote my Wednesday blogs in the month of June to cat issues to help new cat owners raise healthy happy cats.

“She’s not eating,” wailed one of my cat owning clients the other day on email. This cat has a complicated set of problems, all of which could decrease her appetite. Later that morning, we examined the cat and could find no specific reason for her not to be eating. Blood tests were A-OK, but she seemed more anxious than usual.

Valium, Prozac, Xanax? No, I prescribed a cardboard box, nothing fancy, a generic Staples copy paper box. I sprayed the box with Feliway® and set my little friend up in a quiet cage with a plate of food, a water bowl and the open side of the box facing the back of the cage.

All day long she relaxed, safely hidden from prying eyes, and snacked on her plate of food until it was licked clean. At the end of the day, I sent the box home with the owner.

Why a cardboard box? Cats are mostly solitary creatures who like their privacy. When they are ill or upset, privacy is even more important to them. Providing a safe place for them to hide… and eat, is just one way we humans can improve their environment. Feliway is another.

Feliway is a synthetic version of a naturally occurring substance called a pheromone. Pheremones are produced by the cat’s body and serve as a chemical signal to other cats. The signal induced by Feliway is one of comfort and reassurance, just what my patient needed that day.

Would your cat be happier with a cardboard box and Feliway? Check with your veterinarian. For other great suggestions on improving your cat’s (and dog’s) home environment, review the great materials on the Indoor Pet Initiative website.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit http://www.amcny.org. To make an appointment, please call 212.838.7053.


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