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	<title>Dr. Paula Medler Blog</title>
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	<link>http://integrativemedvet.com/blog</link>
	<description>Integrative Veterinary Medicine</description>
	<pubDate>Tue, 05 May 2009 16:06:46 +0000</pubDate>
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		<title>Rattlesnake Bites</title>
		<link>http://integrativemedvet.com/blog/2009/05/05/rattlesnake-bites/</link>
		<comments>http://integrativemedvet.com/blog/2009/05/05/rattlesnake-bites/#comments</comments>
		<pubDate>Tue, 05 May 2009 05:55:48 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Diseases of the Southwest Desert]]></category>

		<category><![CDATA[Rattlesnake Bites]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=189</guid>
		<description><![CDATA[ ]]></description>
			<content:encoded><![CDATA[<p style="text-align: left;"><img class="alignleft size-thumbnail wp-image-180" title="Dottie 5/4/09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/05/img_0797-150x150.jpg" alt="Dottie 5/4/09" width="150" height="150" /><img class="alignright size-thumbnail wp-image-187" title="Daisy 5/4/09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/05/img_0804-150x150.jpg" alt="Daisy 5/4/09" width="150" height="150" />Hi.  Our names are Dottie and Daisy.  We had a really hard weekend.  It started with Daisy finding one of those long skinny squirmy lifeforms in our yard.  Daisy started barking at it, to alert the family that there was an intruder, and Mom and Dottie came to see what all the ruckus was about.  That thing started rattling, we started jumping at it, and it started lunging and biting us.  Whew, those things are fast!!!!!  Never saw it coming at us!  We did save Mom, though, no bites on her!  But alas, when the altercation was over, the score was Rattlesnake: 6, Dogs: O.  It didn&#8217;t hurt so much at first, then our faces and ears started swelling.  It was off to the vet rather quickly, then.  Here&#8217;s what Dr. Paula has to say about rattlesnake bites:  Number one, try to avoid them.  Leave those squirmy things alone, and they usually will leave you alone.  But that&#8217;s hard for us canines.  We usually have to go to a snake avoidance class to ever learn that lesson &#8212; it just isn&#8217;t in our DNA to leave them alone.  If you do get bitten by a rattlesnake, you  need to get to a vet as quickly as possible.  The more quickly the antivenin is administered, the better it will work.  You have to have an IV catheter, get IV fluids, antibiotics and that antivenin, to have much of a chance to survive and keep your skin.  You see, the most common rattlesnake in this area is the Diamondback, and it injects a hemotoxin into your blood &#8212; it causes your platelets to dysfunction, and you can bleed, and it causes the skin in the area of the bite to swell and die.  So you get this really bad swelling, the skin starts to die, and you can start bleeding internally and/or externally.  Bad stuff.  That&#8217;s the kind of snake that bit us.  There is also the Mohave Rattlesnake in this area that injects a neurotoxin that causes paralysis &#8211;  glad we didn&#8217;t tangle with one of those, this guy was bad enough.  So we spent the weekend in the hospital, getting IV fluids, the antivenin, and lots of pain medication.  We don&#8217;t really remember a lot of it.  We should get to go home soon, it looks like we&#8217;re both going to make it this time.  I think next time maybe we&#8217;ll just bark and run inside to tell the family that another one has invaded the yard, but we&#8217;ll stay inside as the fire department comes to remove it.   Now understand, we are still quite the brave little canines, just perhaps maybe a little wiser now.  Well, maybe a little wiser, but it is so hard to ignore those things &#8212; how do they move?  Have you ever seen a snake&#8217;s legs?  Where do they hide them?  It just isn&#8217;t right, you just can&#8217;t move like that without legs&#8230;..and they are so fast&#8230;&#8230;What do you think Dottie, should we go outside and check again?  You go first&#8230;..you&#8217;re bigger&#8230;..I&#8217;m right behind you.</p>
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		<item>
		<title>Valley Fever, or Coccidiodomycosis</title>
		<link>http://integrativemedvet.com/blog/2009/05/01/valley-fever-or-coccidiodomycosis/</link>
		<comments>http://integrativemedvet.com/blog/2009/05/01/valley-fever-or-coccidiodomycosis/#comments</comments>
		<pubDate>Fri, 01 May 2009 04:59:47 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Coccidiodomycosis]]></category>

		<category><![CDATA[Diseases of the Southwest Desert]]></category>

		<category><![CDATA[Valley Fever]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=163</guid>
		<description><![CDATA[I have seen two dogs within the last two days, whom I believe have the disease called Valley Fever, or Coccidiodomycosis.  It is a deep fungal infection that any species can develop after exposure to the sporulating fungus.  The fungus lives in the desert, especially in our Sonoran Desert, and is kicked up by anything [...]]]></description>
			<content:encoded><![CDATA[<p>I have seen two dogs within the last two days, whom I believe have the disease called Valley Fever, or Coccidiodomycosis.  It is a deep fungal infection that any species can develop after exposure to the sporulating fungus.  The fungus lives in the desert, especially in our Sonoran Desert, and is kicked up by anything overturning the earth.  That means the wind blowing, dogs digging, any construction jobs&#8230;&#8230;..all of which is probably always going on somewhere near you.  There are &#8220;hot spots&#8221; of the fungus around, but most of us don&#8217;t really know where those are in town.  You know where your &#8220;hot spot&#8221; is, if you, your family, and all your dogs, have always gotten valley fever.  It can be a devastating disease, if your immune system can&#8217;t throw it off.  The dogs are much more prone to getting the full blown disseminated type of disease, instead of the flu-like self-limiting disease that healthy people usually get.  The fungus can cause a cyclic fever, that comes and goes for a while, so your dog just doesn&#8217;t seem right, one day she&#8217;ll eat, the next day she won&#8217;t, or if the fever cycles on a 12 hour timetable, maybe they are good in the am, but not in the pm, or vice versa.  It can also go deeper into the body and cause a pneumonia of the lungs, or it can invade any tissue of the body.  Too often it invades the bone and causes a lysis, or eating away of the bone.  This is very painful, and requires immediate treatment.  The treatment can last from a minimum of 6 months, to a lifetime of treatment, depending upon the tissues attacked, and the immune system of the patient.  The disease is particularly potent for the newcomer to the area, because they do not have any immunity to the fungus at all &#8212; their body has never encountered anything like it before.</p>
<p>So if your dog is just &#8221; not acting right&#8221;, maybe it&#8217;s time to have a valley fever test done.  The test can pick up the disease sometime after it has been in the body for at least 4 weeks.  The test picks up the antibodies that the body makes against the fungus, so the body has to be strong enough to make the antibodies, and it has to have time to make them, before the test will show a positive result.  Your vet will know how to interpret the tests.</p>
<p>If you are reading this and you have just visited our area with your dog and you are now back home, not in our Sonoran Desert, be certain to mention to your vet that you have been here, because Cocccidiodomycosis will not be high on their differential list of your dog&#8217;s  problem, without that information.</p>
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		<item>
		<title>Anterior Cruciate Ligament Tear</title>
		<link>http://integrativemedvet.com/blog/2009/04/29/anterior-cruciate-ligament-tear/</link>
		<comments>http://integrativemedvet.com/blog/2009/04/29/anterior-cruciate-ligament-tear/#comments</comments>
		<pubDate>Wed, 29 Apr 2009 20:34:30 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=155</guid>
		<description><![CDATA[Hi, my name is Niki, and I really scared my Mom a few days ago.  I tried to walk to her, but I kept collapsing on one of my legs, and sitting down to catch myself.  She really couldn&#8217;t tell what was wrong with me, and I wasn&#8217;t making it easy for her.   So off [...]]]></description>
			<content:encoded><![CDATA[<p><div id="attachment_142" class="wp-caption alignleft" style="width: 160px"><img class="size-thumbnail wp-image-142" title="Nikki" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/04/img_0789-150x150.jpg" alt="Feline with Anterior Cruciate Ligament Tear" width="150" height="150" /><p class="wp-caption-text">Feline with Anterior Cruciate Ligament Tear</p></div></p>
<p>Hi, my name is Niki, and I really scared my Mom a few days ago.  I tried to walk to her, but I kept collapsing on one of my legs, and sitting down to catch myself.  She really couldn&#8217;t tell what was wrong with me, and I wasn&#8217;t making it easy for her.   So off we went to see Dr. Paula to see if she could diagnose my problem. </p>
<p>When we got to PAWS, I did my thing across the exam room floor, trying to walk, collapsing on one leg, and then sitting like any self-respecting kitty will do to not look like I am not in control.  Well they hoisted me right up onto that table and started touching me from one end of my body to the next.  When Dr. Paula got to my knee she knew &#8212; there it was, the problem.  No doubt about it, my knee is only supposed to move in one direction, like a hinge, but it was sliding forward a good quarter of an inch.  That&#8217;s why I couldn&#8217;t walk right &#8212; I&#8217;d put my weight on that leg, and instead of it supporting me, it slid forward!  It surprized me and hurt me, so I&#8217;d just sit down.  I got to get off that table then and hide back in my cage while Mom and Dr. Paula discussed my options.  That anterior cruciate ligament is deep inside the knee, and it functions to keep the knee stable, to keep the knee just moving in one plane, as a hinge.  The best treatment for a young animal is surgery, to repair the ligament.  However, I am not spring chicken &#8212; I have a few years on me, and perhaps a few extra pounds.  You see, I also have pretty significant arthritis in both my hips, so I can&#8217;t exercise like I should, to keep the extra weight off, and that makes me a poor candidate for surgery.  But there are other options, Dr. Paula tells us.  We can do acupuncture, herbs, and natural anti-inflammatory meds.   We opted for the herbs and laser acupuncture.  After just one acupuncture treatment and a week of herbs, I am now walking with just a slight limp in that rear leg &#8212; I can walk to wherever I want to go, again.  It will continue to get better, unless I slip and fall, or pull it in some way to strain the ligament again.  I will have arthritis in that knee, because of the injury and the instability of the knee, but Dr. Paula says I should be able to walk again, almost normally, in the future.  I guess when it gets cold and damp, my arthritis will really act up, but I can live with that.  I live in sunny and dry Tucson, AZ, how many bad days can there be???</p>
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		<item>
		<title>Buddy the Dumpster Rescue Dog</title>
		<link>http://integrativemedvet.com/blog/2009/04/23/buddy-the-dumpster-rescue-dog/</link>
		<comments>http://integrativemedvet.com/blog/2009/04/23/buddy-the-dumpster-rescue-dog/#comments</comments>
		<pubDate>Thu, 23 Apr 2009 08:32:04 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Rehabilatation]]></category>

		<category><![CDATA[Rescue]]></category>

		<category><![CDATA[acupuncture]]></category>

		<category><![CDATA[orthopedic conditions]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=133</guid>
		<description><![CDATA[Hi, my name is Buddy, and I am so lucky to be alive!  I was found when I was only a few days old, in an alley up against a dumpster.  I was taken by an angel person to the wonderful folks at the Center for Animal Rescue and Adoption.  My first human Mom Cynthia [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-thumbnail wp-image-137" title="Buddy" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/04/img_0783-150x150.jpg" alt="Buddy" width="150" height="150" /><img class="alignleft size-thumbnail wp-image-140" title="Buddy" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/04/img_0785-150x150.jpg" alt="Buddy" width="150" height="150" /><img class="aligncenter size-thumbnail wp-image-139" title="Buddy" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/04/img_0784-150x150.jpg" alt="Buddy" width="150" height="150" />Hi, my name is Buddy, and I am so lucky to be alive!  I was found when I was only a few days old, in an alley up against a dumpster.  I was taken by an angel person to the wonderful folks at the Center for Animal Rescue and Adoption.  My first human Mom Cynthia fostered me and took me to see Dr. Medler and the Veterinary Technician named Beth, to see if they could help me to be able to walk better.  Maybe you can see on the video or the pictures of me that my spine is not straight at all &#8212; it seems to make an abrupt turn where its supposed to be straight.  Everyone is amazed that my spinal cord is still intact and that I can walk at all.   I guess that happened because I was so young that my bones were soft and they could just bend instead of break.  So I had a rough start in life, but I really got lucky after that!  After Beth met me and started to do the rehabilatation exercises on me, she fell in love with me (of course, who doesn&#8217;t?)  and adopted me!!!!   So I get rehab exercises and massage every day, and I am growing nicely in my own way.  My big ole heart is finding some room in my chest, not quite where everyone else&#8217;s is, I guess, but it works for me.  I can&#8217;t play or run but for a few minutes, because my lungs don&#8217;t have the room they need to expand normally, but I play for a few minutes, then I rest, then I can play some more.  It really is a good life!  Thanks everybody for loving me so much and not just tossing me in to that dumpster!</p>
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		<item>
		<title>Meet Fearless</title>
		<link>http://integrativemedvet.com/blog/2009/03/04/meet-fearless/</link>
		<comments>http://integrativemedvet.com/blog/2009/03/04/meet-fearless/#comments</comments>
		<pubDate>Wed, 04 Mar 2009 03:21:57 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Wellness Care]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<category><![CDATA[Paula Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=104</guid>
		<description><![CDATA[Hi, my name is Fearless Joy, Fearless for short.  I am Dr. Paula&#8217;s personal assistant.  She really just couldn&#8217;t function without me.  When we are working at Companion Animal Clinic I get to hang out with my buddy Lisa up front, and when we work at PAWS, I get to stay on Dr. Paula&#8217;s desk.  [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-thumbnail wp-image-43" title="Fearless 2/09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/001-150x150.jpg" alt="Fearless 2/09" width="150" height="150" /><img class="alignleft size-thumbnail wp-image-30" title="fearless-at-work-2-25-09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/fearless-at-work-2-25-09-150x150.jpg" alt="fearless-at-work-2-25-09" width="150" height="150" />Hi, my name is Fearless Joy, Fearless for short.  I am Dr. Paula&#8217;s personal assistant.  She really just couldn&#8217;t function without me.  When we are working at Companion Animal Clinic I get to hang out with my buddy Lisa up front, and when we work at PAWS, I get to stay on Dr. Paula&#8217;s desk.  So if you come in to either clinic, say Hi to me.  I love people and other dogs.  In case you can&#8217;t tell, I&#8217;m a parti poodle, that means I am not a solid color, but am black and white.  I weigh 10 pounds, and I eat about every other day &#8212; my Mom gets worried about that because sometimes I vomit when my stomach has been empty for a while, but it works for me.  They call me a &#8220;throw-back&#8221; to the wild dogs who eat like that, but I will tell you, I&#8217;m not a throw-back to anything &#8212; I am my own entity!  You can also call me a &#8220;farm poodle,&#8221; because I spend some of my time running a farm in Missouri.  I really like that &#8212; no leashes, wild turkey and raccoons to chase, deer to watch and feed&#8230;. paradise!  However, during those long weeks when we never see the sun, I miss my Tucson!  So there you have a little information on me &#8212; I look forward to meeting you!</p>
<p>Fearless</p>
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		<item>
		<title>Adult Stem Cell Therapy</title>
		<link>http://integrativemedvet.com/blog/2009/03/02/adult-stem-cell-therapy/</link>
		<comments>http://integrativemedvet.com/blog/2009/03/02/adult-stem-cell-therapy/#comments</comments>
		<pubDate>Mon, 02 Mar 2009 01:00:58 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[Stem Cell Therapy]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<category><![CDATA[Paula Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=106</guid>
		<description><![CDATA[Stem cell therapy has been controversial, to say the least.  However, what I am so excited about is not embryonic stem cell therapy, which comes from a possibly unrelated embryo, but adult stem cells, which is harvested from your own body.  This technology is not in the future, it is here, right now.  It is being used to help dogs who [...]]]></description>
			<content:encoded><![CDATA[<p>Stem cell therapy has been controversial, to say the least.  However, what I am so excited about is not embryonic stem cell therapy, which comes from a possibly unrelated embryo, but adult stem cells, which is harvested from your own body.  This technology is not in the future, it is here, right now.  It is being used to help dogs who suffer with osteoarthritis of the elbows, hips, knees, tarsi, carpi and shoulders, dogs with polyarthritis, dogs with tendon and ligament injuries, and dogs with bone fractures.  With the research going on, hopefully soon there will be help for dogs with liver, heart and kidney diseases, as well.  The process is relatively simple.  Your vet has to be credentialed and authorized by the Vet-Stem Company, to do the treatment.  The process requires your dog to be anesthetized twice within a 72 hour time frame, so a complete examination, including blood tests, are required to be certain that he or she is fit for that process.  If your dog is safe for the anesthetics, and fits the profile for the stem cell therapy, then your vet anesthetizes him or her, and by sterile surgery, removes the required amount of fat from your dog.  That fat is packaged specifically for transport to the Vet-Stem Lab, the lab extracts the stem cells from the fat, and within 48 hours the stem cells are back to your vet ready to be injected into the affected joints.  This type of medicine is called Regenerative Medicine.  These adult stem cells have the ability to differentiate into many different tissues, including tendon, bone, and ligament.  There is no chance for rejection, because it is autologous, that is, it is cells from your own body.  The lab does a cell count and viability assessment of the stem cells extracted from the fat, and sends the appropriate number back to your vet for injection of the affected tissue.  If there were excess cells collected, the Vet-Stem lab will bank those cells in liquid nitrogen for possible use in the future.  Those cells can live for over 14 years.</p>
<p>So you can see why I am so excited about this new Regenerative Medicine.  Our first case will be a sweet young German Shepherd boy with bilateral elbow dysplasia who is not a candidate for surgery.  His Mom is doing everything she can to help him, including medications, chinese herbs, acupuncture, and physical therapy, including the underwater treadmill and exercises.  However, this stem cell treatment may really decrease his pain and stiffness, and boost his ability to move.  We are really excited to provide this new therapy that may provide help for those dogs who have not been helped adequately with the previous modalities we offer. We will continue to watch for the newest and safest therapies on the horizon for your loving companion animal.  Watch these posts for updates on the dogs we judge to require this new Regenerative Medicine.</p>
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		<item>
		<title>Seizures</title>
		<link>http://integrativemedvet.com/blog/2009/03/01/seizures/</link>
		<comments>http://integrativemedvet.com/blog/2009/03/01/seizures/#comments</comments>
		<pubDate>Sun, 01 Mar 2009 18:02:40 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[seizure disorders]]></category>

		<category><![CDATA[seizures]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<category><![CDATA[Paula Medler]]></category>

		<category><![CDATA[seizure]]></category>

		<category><![CDATA[seizure disorder]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=68</guid>
		<description><![CDATA[My name is Gunther, and I am one loved guy.  I am only 5 years old, but I have been battling seizures since I was 2.  It can happen to anyone, but my breed, a Greater Swiss Mountain Dog, has more than their fair share of the disorder.  My luck.  Anyway, I got it bad, [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-47" title="Gunther/ Greater Swiss/  Seizures" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/007-150x150.jpg" alt="Gunther/ Greater Swiss/  Seizures" width="150" height="150" />My name is Gunther, and I am one loved guy.  I am only 5 years old, but I have been battling seizures since I was 2.  It can happen to anyone, but my breed, a Greater Swiss Mountain Dog, has more than their fair share of the disorder.  My luck.  Anyway, I got it bad, but I also got it good in picking the best family ever!!  They have really hung in there and gotten me the very best treatment possible!  My Veterinary Neurologist, Dr. Knowles, is very special to me &#8212; she knows all the newest and best treatments for me, and she even calls my Mom every week to check on me.  She loves me, I know, but who doesn&#8217;t?  How can you not love this face?  So I throw a little drool every once in a while &#8212; how is that so different than all that hair gel I see folks pay so much for?  Just slather a little of this clear gel I so willingly provide &#8212; free of charge!  I digress, back to the story&#8230;&#8230;</p>
<p>My Mom gets me the very best integrative medicine possible.  She takes me to the Veterinary Neurologist for my Western Medicine, and then she drives me over a hundred miles to get my acupuncture, chinese medicinal herbs and medical qigong.  See, she loves me!  She wasn&#8217;t content until she felt she had done everything she could to keep my seizures under control.  I get something called &#8220;cluster seizures,&#8221; which can be really dangerous if I just keep having the seizures one after the other &#8212; something about cooking my brain&#8230;&#8230;</p>
<p>So I gotta tell you, I have a good life.  I wouldn&#8217;t be here now if it wasn&#8217;t for my Mom taking such good care of me.  To sum that up, for seizure disorders, you may need to use the western anticonvulsant medications, and you also want to see an integrative veterinarian to add acupuncture, chinese herbs, supplements, talk about your diet, and maybe even Medical Qigong.  There are a lot of possibilities for treatment, so don&#8217;t let your family get overwhelmed if you get a diagnosis of seizure disorder. I&#8217;m living proof that sometimes even the hard cases can live a good quality life.</p>
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		<title>Splenectomy</title>
		<link>http://integrativemedvet.com/blog/2009/02/28/splenectomy/</link>
		<comments>http://integrativemedvet.com/blog/2009/02/28/splenectomy/#comments</comments>
		<pubDate>Sat, 28 Feb 2009 07:01:02 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[cancer]]></category>

		<category><![CDATA[surgery]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<category><![CDATA[Hemangiosarcoma]]></category>

		<category><![CDATA[Paula Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=57</guid>
		<description><![CDATA[Wow, what a week.  Let me start from the begining.  My name is Mosa, and Mom and I are having to cope with some big stuff right now.  It started one morning when I felt this pain in my belly and I just had to lay down.  My Mom got worried and tried to get [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-58" title="0041" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/0041-150x150.jpg" alt="0041" width="150" height="150" />Wow, what a week.  Let me start from the begining.  My name is Mosa, and Mom and I are having to cope with some big stuff right now.  It started one morning when I felt this pain in my belly and I just had to lay down.  My Mom got worried and tried to get me up, and I wanted to do what she asked, but I just didn&#8217;t have the strength to get up.  It came on me all of a sudden, I had no idea what was happening, and neither did my Mom.  We got real lucky and were able to get in to see Dr. Paula that day (Lisa at the front desk kinda likes me, I think&#8230;..) and when Mom described what happened to me to Dr. Paula, she got this funny look on her face &#8212; kind of worried-like.  She hadn&#8217;t ever looked at me that way before.  Well, that look meant that I needed some tests &#8212; x-rays, blood tests, and an ultrasound of my belly.  Sure enough, Dr. Paula&#8217;s worries were confirmed &#8212; I had a mass on my spleen that had ruptured that morning.   She says that I am really lucky to be alive &#8212; lots of dogs don&#8217;t survive the rupture of a splenic mass &#8212; but I guess I clotted better than some.  Now Dr. Paula explained to Mom that a mass on the spleen can be benign, like a blood blister, but it is still serious, because the spleen filters all the blood, and when a spleen ruptures, there&#8217;s a lot of bleeding into the belly.  She also said that many of these masses are tumors, called hemangiosarcomas.  Dr. Beck, the radiologist, looked at all my abdominal organs to see if she could see any other tumors in my belly, and she didn&#8217;t see any.  That&#8217;s a good thing &#8212; just the one mass on the spleen.  Dr. Paula checked all my blood tests, and found no reason for the mass, like a bleeding disorder, or Tick Fever ( Ehrlichia).  So she and Mom talked real serious-like, and decided to schedule me for surgery as soon as possible.  I started taking these chinese herbs to help me to clot better before surgery, and my Mom really spoiled me even more than usual for those few days before surgery.  It was great!  So the day of surgery came, Mom took me to the veterinary hospital, and I really got a lot of kisses that day!  I don&#8217;t remember much about that day&#8211;I was there, then I went to sleep, and I woke up feeling really dizzy.  That Dr. Paula gave me some Good drugs, I didn&#8217;t hurt, but I didn&#8217;t feel like my regular self, that&#8217;s for sure.  I had a bandage on most of my body, and I wasn&#8217;t walking so good.  Anyway, I got to go home with Mom that night &#8212; she was awfully worried, but she tried not to let me see it.  Oh yeah, the other thing they told me &#8212; I got a big blood transfusion from Lisa&#8217;s 10 month old pup &#8212; no wonder I am starting to feel so good!  Today I went in to have my incision checked and get my bandage changed, and Dr. Paula told us that the biopsy results came in.  She wasn&#8217;t smiling &#8212; it was the hemangiosarcoma tumor on my spleen.  The good news is that they didn&#8217;t see any tumors that had metastasized before surgery, but the concern is that since the tumor had ruptured, the tumor cells could have gone anywhere in my belly to cause other tumors to grow.   Now I&#8217;m not a young pup, and my Mom doesn&#8217;t want to put me through any chemotherapy at my age, so Dr. Paula mixed up some more of those chinese herbs to try to help my immune system fight any new tumors, and to help to change the imbalances in my body that set up the tumor formation in the beginning.  They don&#8217;t taste so bad, and I am getting some really good food right now, so I don&#8217;t really mind.  I just hope I can have some more really good quality time with my Mom &#8212; she&#8217;s kind of special, you know.  I feel fine, Dr. Paula says I just may not have any more trouble from this, but we have to check in every few months, just to be sure.  That&#8217;s OK, I don&#8217;t mind &#8212; I sure feel better now that that thing is out of my belly, so I can get back to my regular life.  My Mom still needs me, and I have a lot of work to do, which right now is called sleeping&#8230;&#8230;.</p>
<p>So the reason for my telling you this story is so that if you see a collapse like mine, you will know that it could be serious, and you need to see a vet as soon as possible.   Hopefully this is the end of my tumor story, since we caught it right after the first rupture.  I&#8217;ll keep you posted.</p>
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			<wfw:commentRss>http://integrativemedvet.com/blog/2009/02/28/splenectomy/feed/</wfw:commentRss>
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		<title>Medial Patellar Luxation</title>
		<link>http://integrativemedvet.com/blog/2009/02/28/medial-patellar-luxation/</link>
		<comments>http://integrativemedvet.com/blog/2009/02/28/medial-patellar-luxation/#comments</comments>
		<pubDate>Sat, 28 Feb 2009 06:06:12 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[acupuncture]]></category>

		<category><![CDATA[orthopedic conditions]]></category>

		<category><![CDATA[Dr Medler]]></category>

		<category><![CDATA[Paula Medler]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=40</guid>
		<description><![CDATA[
Hi, we&#8217;re Amanda and Oliver.  We wanted to tell you our story about our knees.  Dr. Paula says the name for our problem is Medial Patellar Luxation.  What that means to us is that our kneecaps don&#8217;t stay in place in front of our knees the way they are supposed to.  We&#8217;ve always known that [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-26" title="amanda-ossana-2-25-09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/amanda-ossana-2-25-09-150x150.jpg" alt="amanda-ossana-2-25-09" width="150" height="150" /></p>
<p><img class="aligncenter size-thumbnail wp-image-27" title="oliver-osanna-2-25-09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/oliver-osanna-2-25-09-150x150.jpg" alt="oliver-osanna-2-25-09" width="150" height="150" />Hi, we&#8217;re Amanda and Oliver.  We wanted to tell you our story about our knees.  Dr. Paula says the name for our problem is Medial Patellar Luxation.  What that means to us is that our kneecaps don&#8217;t stay in place in front of our knees the way they are supposed to.  We&#8217;ve always known that we just couldn&#8217;t jump like our brothers and sisters could, and they made fun of us that sometimes when we run we have to skip to get our knees to work right, but we didn&#8217;t know what was different about us.  Dr. Paula says that this Medial Patellar Luxation, or MPL for short, is really common in the smaller breeds like us.  It can be inherited from our parents, so it is always something that the vet checks when we are puppies.  Sometimes it shows up early, sometimes it doesn&#8217;t show up until we are older.   The severity of the problem is graded from a 1 to a 5, depending upon whether the kneecap stays in place most of the time or stays dislocated most of the time.  If it is really bad, a Grade 5, you usually have to have surgery to correct it, and Dr. Paula says that is best done by a board-certified veterinary surgeon.  If it is not so bad, maybe a Grade 1 to 3, sometimes there are less invasive procedures that can help.  That&#8217;s where we come in.  Our knees are only a Grade 2 to 3, not too bad right now, so Dr. Paula is treating us with some natural anti-inflammatory medicine, and acupuncture.  We expected to have to let Dr. Paula know how we felt about so many needles stuck in us every week, but you know what?  She is using a laser instead of needles, and it doesn&#8217;t hurt at all.  A few spots are really sore, so it gets a little warm when she treats those areas, but we flinch a little and let her know, and she moves on to another spot for a few minutes.  She always comes back to those spots to finish the treatment, but by then it doesn&#8217;t hurt anymore.  I&#8217;m feeling a little Chinese already &#8212; is my beard looking different?   Oh yeah, the other thing is, we are on a diet&#8230;&#8230;.she says we need to be thin in order to put less strain on our knees &#8230;&#8230; not liking it, but I guess it&#8217;s better than surgery.  OK, well, it&#8217;s time for dinner, gotta go, just wanted to let you all know a little about MPL, since it is such an important problem in  us little guys and gals.  </p>
<p>Amanda, that&#8217;s My bowl, move over&#8230;..you&#8217;re hogging the food&#8230;move over!</p>
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		<item>
		<title>Estrus &#8212; who knew?</title>
		<link>http://integrativemedvet.com/blog/2009/02/26/estrus-who-knew/</link>
		<comments>http://integrativemedvet.com/blog/2009/02/26/estrus-who-knew/#comments</comments>
		<pubDate>Thu, 26 Feb 2009 04:51:22 +0000</pubDate>
		<dc:creator>Paula</dc:creator>
		
		<category><![CDATA[neutor]]></category>

		<category><![CDATA[spay]]></category>

		<guid isPermaLink="false">http://integrativemedvet.com/blog/?p=33</guid>
		<description><![CDATA[Hi, my name is Suzy Bandita.  I was rescued about 5 months ago from a really scary part of Los Angeles.   It was a tough life growing up there, and I  thought I could leave those memories behind me and keep my secrets.  You see, all my new friends who are taking care of me [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-29" title="suzy-bandita-2-25-09" src="http://integrativemedvet.com/blog/wp-content/uploads/2009/02/suzy-bandita-2-25-09-150x150.jpg" alt="suzy-bandita-2-25-09" width="150" height="150" />Hi, my name is Suzy Bandita.  I was rescued about 5 months ago from a really scary part of Los Angeles.   It was a tough life growing up there, and I  thought I could leave those memories behind me and keep my secrets.  You see, all my new friends who are taking care of me now thought I was fixed, you know &#8212; spayed, incapable of having babies, ever.  What they didn&#8217;t know is that I have already had the pleasure of that experience, on the streets, and no, really, I never was &#8220;fixed&#8221;, and oh yeah, I guess the possibility of having new babies comes around every 6 months or so, and they weren&#8217;t really ready for the surprise.  Whew, glad I got that out.  I was afraid maybe they wouldn&#8217;t want me anymore if they knew&#8230;..So, well, now I am in estrus, in heat, in season as they say, and I&#8217;m wearing these undergarments made to keep me from messing up the house and furniture and stuff, and I feel really really loved.  I didn&#8217;t  know how much they loved me &#8212; they aren&#8217;t even mad at me that I haven&#8217;t had my surgery yet &#8212; they love me anyway!  My new Mom holds me a lot, and she says not to worry, after this is all over I can have my surgery, and then I won&#8217;t be upsetting my new brother so much.  He&#8217;s a little clueless about all this, I guess he had his surgery early in life, so he has no idea why I&#8217;m flirting with him so much &#8212; he&#8217;s clueless, worthless in this department.  I didn&#8217;t have a bit of trouble finding willing and able guys on the streets of LA&#8230;&#8230;oh yeah, we aren&#8217;t talking about that time of my life, sorry.   My new brothers and sister are really quite nice &#8212; kinda hairy on the face, not clean shaven like me, but nice all the same.  They&#8217;ve shared their great home with me, and for that I am grateful.  Well, gotta go change my diaper &#8212; and for all you young lady dogs  out there &#8212; get your surgery, your spay, early in life &#8212; you have no idea what you&#8217;ll have to go through if you don&#8217;t!</p>
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