Wednesday, July 17, 2013

Top Tips for Traveling With your Pets from Lombard Animal Hospital!

Trains, Planes, and Automobiles...

Trains...  


...well that's an easy one..NO PETS ALLOWED (except service animals). 




          Planes...



  • Check with the specific airline that you are flying to ensure you comply with all regulations. Each airline has it's own rules.
  • Health Certificate requirements vary by airline depending on whether or not the pet will be in-cabin or checked as cargo.  Most airlines require a Health Certificate for pets flying cargo and don't require a Health Certificate for pets flying in-cabin (under your seat in an approved carrier). A Health Certificate if valid for 30 days beginning on the date of the exam by an FDA accredited veterinarian. Our veterinarians at Lombard Animal Hospital are accredited and ready to help...call 503.285.2337!
  • Health Certificate Requirements vary by State. It is not just up to the airlines!  Check with the State Veterinarian's office when flying or driving with your pets across state lines. At Lombard Animal Hospital we recommend that you be safe rather than sorry.  It could be a real bummer and ruin both of your vacations if your pet is turned away at the airport  or quarantined. Hawaii is especially complicated!
  • International Travel (this includes Mexico and Canada, by air or car): Look into requirements at least 3 MONTHS IN ADVANCE.  A list of most Countries and their requirements can be found at http://www.aphis.usda.gov/regulations/vs/iregs/animals/.  Once you have the list of requirements and documents printed, please contact us at 503.285.2337 to set up your Health Certificate exam with one of our accredited Doctors.
  • Consider the season when you will be flying and the environmental temperature of your departure site/destination.  Many airlines will not allow pets to be checked as cargo if the temperature will be too high or too low during the flight. If temperatures are extreme, your pet will likely be less stressed taking a stay-cation at a local boarding facility or with a petsitter.
  • Sedation: We do not usually recommend sedation for airborne pets, especially if they are flying cargo.  Sedation without supervision can be dangerous as you are unable to monitor the pet. The best practice is to have your pet in a comfortable carrier, as quiet as possible. Covering the carrier with a blanket or towel can be very helpful.
  • Natural Calming Supplements:  We have several options available at Lombard Animal Hospital including Composure Chews, Customized flower essence tinctures, Western and Chinese Herbs.  Please call us to schedule an appointment or learn more!
  • Probably obvious but we'll say it anyway ... try to book a direct flight when flying with your pet in the cabin or under the plane.  Less time in the air or airport means less time for stress and complications!


Automobiles:



For overnight or cross country trips, look ahead and map out pet-friendly hotels on your route.  Thankfully, bunking with your pet has become much easier over the last 10 years as more lodging options are accepting our 4-legged friends. Check out http://www.pet-friendly-hotels.net

When traveling with cats, place them in a comfortable carrier covered by a towel.  Most cats will be much less stressed if they are confined and can't see all of the motion going on around the car. Plus, this is safest for the humans in the vehicle! When you reach the hotel or destination, place their carrier in a small room such as a bathroom, open the carrier and allow them to come out as they are ready! Do not be surprised if your cat does not want to eat...appetite can be decreased due to stress.

SAFE...
Cute...But not SAFE!

  • Do not feed your pets for an hour before or after travel in cars or plans.  Give their stomach a chance to settle.
  • Sedation and Natural Stress Relief: Each pet is unique, some love to travel while others experience mild to intense anxiety that can stem from fear or discomfort. Pets get carsick too!  Please call Lombard Animal Hospital (503.285.2337) or schedule an appointment to determine what will work best for your pet.


  • Health Certificate Requirements: Each State and Country makes its own rules.  Check with the State Veterinarian's office if driving with your pets across state lines or APHIS if crossing into Mexico or Canada.  Many people choose to risk travel without a Health Certificate as regulations are not always strictly enforced. However, at Lombard Animal Hospital we recommend that you be safe rather than sorry.  


Regardless of how you get there...HAVE FUN!

At Lombard Animal Hospital in Northeast Portland, we are committed to increasing the quality of life for pets and their people through education, nutrition, and wellness!
Call us to day @ 503.285.2337, we would love to help!



Find us on FaceBook We'd love to hear from you.


Lombard Animal Hospital is located at 607 NE Lombard Street in Portland, Oregon. 97211.

Friday, June 7, 2013

Flea Allergy Dermatitis: Lacey's Story


Lacey’s Story: Flea Allergy Dermaitis – Diagnosis and Treatment Options
BEFORE
AFTER
Diagnostics:
Physical exam: Reveals a pattern consistent with flea allergy dermatitis and secondary pyoderma (skin infection). 

Skin Cytology: Reveals overgrowth of cocci bacteria, rare yeast 

Skin Scrape: No mites are found (ectopic mites can cause lesions similar to flea allergy and are treated differently, thus they must be ruled out)

Blood screening – baseline: Reveals an increase in eosinophils (a specific white blood cell) supporting the diagnosis of flea allergy dermatitis. This panel also allows the Doctor to determine if steroid therapy is a safe option for your pet by giving us a good idea of internal organ status, specifically the liver and kidneys.

Treatments:
Flea Killer/Prevention: Trifexis. (Revolution if this were a cat)
àKills fleas and each dose prevents fleas for 1 month. The best treatment for flea allergy and flea dermatitis is prevention!

Antibiotic: Amoxicillin or Simplicef
à Treats secondary skin infection due to bacterial overgrowth

Steroid Anti-inflammatory: Dexamethasone Injection or Natural Hydrocortisone Capsules
à Provides comfort by decreasing inflammation and calming down the hypersensitivity reaction. **Steroid anti-inflammatories are used with extreme caution at Lombard Animal Hospital.  Each patient is assessed as an individual to determine if the benefits of steroid therapy outweigh the risk of side effects.  Patients at Lombard Animal Hospital must be current on lab screening of a complete blood count, liver and renal values before receiving steroid therapy.

Medicated Shampoo: Epi-soothe and/or Shampoo with Chlorhexidine Shampoo
à Provides topical comfort and Chlorhexidine decreases the number of bacteria

Omega Acid Supplementation: OFA granules
à Provides comfort and prevention by supporting the integrity of the skin layers and decreasing reactivity. Speeds healing.  Improves haircoat.

Nutritional Supplement: Immune Support or Dermal Support by Standard Process
àProvides “food” for the immune system and skin. Speeds healing. Balances the body.

Specialty Services offered at Lombard Animal Hospital
Acupuncture and Chinese Herbal Medicine, Western Herbal Medicine:
àIdentifies and treats both the acute “excess” problem of heat and irritation as well as the underlying pattern of immune system imbalance and deficiency. 
àHelps the body to process pharmaceutical treatments.
àReduces the chance of recurrence

Food Therapy and Nutritional Consulting:
à Provides a cost effective, DIY option (home cooked toppings) to compliment the above treatment options and/or a change in formulated diets as many pets do much better on specific meat choices and specific formulas.   Yes, food is medicine!
à Brings the body back into balance so that the chance of recurrence is greatly reduce.
            Yes, you are what you eat!

If you would like to schedule an appointment for your itchy pet or prevent your pet’s next itchy episode, please call Lombard Animal Hospital at 503.285.2337.
We are located at 607 NE Lombard Street in beautiful Northeast Portland, Oregon
Allergies are frustrating. Let us help!

--Preston Turano, DVM
--Nell Ostermeier, DVM, IVAS CVA (Certified Veterinary Acupuncturist)
--The Team at Lombard Animal Hospital

Our mission is to improve the lives of pets and their people through education, nutrition and wellness!

Friday, April 12, 2013

Veterinary Acupuncture...HOW it works and WHAT to expect!

























For more information on Dr. Nell Ostermeier and her acupuncture services...
please give us a call, visit our website, or check us out on Facebook!
Lombard Animal Hospital
607 NE Lombard St. 
Portland, OR  97211
503.285.2337


Wednesday, March 13, 2013

Microchips and Success Stories at Lombard Animal Hospital

How Pet ID chips work:
Simply put - microchips give lost pets the best chance of reuniting with their families! 


Pet microchipping is a simple procedure. At Lombard Animal Hospital, a veterinarian injects a microchip, about the size of a grain of rice (12mm), beneath the surface of your pets skin between the shoulder blades. The process is similar to a routine vaccination and takes only a few seconds, thus no anesthetic or pain medication is required. 


Microchips provide reliable, permanent ID for your pets. When your pet is found and brought to a Vet or shelter, the chip is read by passing a microchip scanner over the pets shoulder blades. Microchips DO NOT act as GPS locating devices ( your pet is not being followed by the "eye in the sky"). The scanner emits a low radio frequency that provides the power necessary to transmit the microchips unique cat or dog ID code and positively identify the pet. The microchip company stores your information in a secure data base. When we call with the pet's ID number, they provide us with your contact information and we (the vet or shelter) contact you.  This service  and information is only available to licensed rescue groups, animal shelters and veterinarians. 


Microchip Success Stories at 
Lombard Animal Hospital:



Lost dogs and cats have been found near and far from their homes, without ID tags.  Good Neighbors have brought them to Lombard Animal Hospital for scanning and we have been able to contact their worried owners.  Reuniting a pet with his or her family is rewarding for all involved!

Microchips have allowed pets to enter a new and better suited family situation. When a Good Neighbor finds a lost pet and is hoping to adopt them as a new companion, they need the assurance that the pet does not already have a good, stable home.  At Lombard Animal Hospital, we can scan for a microchip.  If one is found, we contact the owners to find out if they would like the pet back or if they would rather relinquish the pet to a new home.  In cases where the original owner is unable or unwilling to care for the pet, this is a winning situation for both the found pet and his or her new family!

Lost pets are found injured or ill by Good Neighbors and brought in as emergencies to Lombard Animal Hospital, we are able to contact the owners for permission to treat beyond basic stabilization.  This means faster treatment with a better chance of recovery for the pet!

In some sad cases, deceased pets are found after being hit by a car or sustaining other traumatic injuries.  At Lombard Animal Hospital, we have been able to provide closure for families by identifying their microchipped pets and calling to deliver the sad news.  
On a lighter note, microchips simply save time.  Many times, we are able to identify and contact the owners of lost pets before they even have time to print out fliers for the neighborhood! And, microchips save time for the "finder" because they don't have to look for the owners by posting photos and knocking on doors.


At Lombard Animal Hospital we increase the quality of life for pets and their people through education, nutrition and wellness.  To support our mission and community, 
we are offering $5 off all microchips this March.

Please call to schedule an appointment for your pet today: 503.285.2337

Visit our website: www.lombardanimalhospital.com


Saturday, February 9, 2013

Gracie's Story: Her Dental Day at Lombard Animal Hospital


The following is a photo-documented summary of 
Gracie’s StoryHer Dental Day at Lombard Animal Hospital 
located in Portland, Oregon

Gracie’s teeth were assessed during her annual exam.  At that time, Dr. Preston noted moderate tartar and plaque on most teeth, with some teeth more heavily affected than others.  Plaque was pushing up against the gum line causing some gingivitis. Dr. Preston recommended an anesthetic dental procedure to assess the teeth thoroughly for periodontal disease beneath the gum line and to remove the plaque, preventing further damage to the teeth.
Gracie checks in early this morning (7:30 am) with Alese and Lauren, Lombard Animal Hospital Veterinary Assistants, for pre-operative preparations. :

  •  Blood draw and analysis – helps determine the patient’s health status and ability to process anesthetic drugs and medications.
  • Pre-medication: pain medication and a mild sedative given before placing an IV Catheter.  Provides relaxation and pain relief for the patient. An antibiotic and anti-inflammatory injection are also given in most cases. 
  •  IV catheter placement – provides a port for anesthetic drug administration, supportive IV fluids, and emergency medications if necessary.

Once the IV catheter is in place and all of the equipment is ready to go, Dr. Preston administers the IV medication necessary to put Gracie under anesthesia (pictured below).


 Dr. Preston intubates Gracie with an endotracheal tube (pictured below) in order to:
  •   Maintain consistent anesthesia with gas and oxygen
  •   Provide an open airway at all times
  •   Prevent backflow of saliva and fluids into the trachea and lungs
During the entire dental procedure, an Assistant or the Doctor measures and records Gracie's vital signs: Heart Rate, Respiratory Rate, Capillary Refill time, Temperature.  A heated water blanket is used to keep the patient's temperature as close to normal as possible.  Blood pressure is monitored using a Doppler machine.  IV fluid therapy helps to keep blood pressure normal, hydrates the patient and flushes anesthetic byproducts from the system.  



The only way to truly assess your pet’s mouth is to perform an examination while your pet is under anesthesia.  The veterinarians at Lombard Animal Hospital in Portland, Oregon use a dental probe (pictured above) to measure any loss of attachment around each tooth. In Gracie’s case, a slab fracture was discovered in one of her right upper premolars.  It was also noted after scaling the plaque away from the teeth that her gingivitis was more severe than noted during her annual exam 5 months ago.  Her gums bled very easily due to the inflammation.

 If there is loss of attachment, a pocket of infection, a fracture, or other dental lesion, we take
  digital dental radiographs (X-rays, pictured below) to assess for bone loss, abscesses, unhealthy roots and other problems. The radiograph determines whether or not extraction of the tooth is the best choice for your pet.  In Gracie’s case, the the radiograph revealed an enlarged pulp chamber (pulp/root infection). Due to infection and the likelihood of pain, Gracie will benefit from extraction of this tooth.  


Extractions are performed using sterile dental tools and/or a high speed dental drill (drill pictured below). Drills are not as scary as they sound. In fact, they allow the veterinarian to extract the tooth more quickly, with less damage to surrounding tissue. In teeth with multiple roots, like Gracie’s premolar, the tooth must be divided by the drill (below, right)  so that it can be extracted with the least amount of damage to the pet’s gum. Many times the extraction sites will heal on their own. In some cases, sutures (stitches) may be required. 


Extraction Site Pictured Below 

Once all teeth have been evaluated by the Doctor and the necessary radiographs and extractions performed, a veterinary assistant finishes scaling and polishing the teeth.  The mouth is thoroughly rinsed and inspected one more time by the veterinarian.

BEFORE AND DURING SCALE AND POLISH (ABOVE AND BELOW)


AFTER SCALE AND POLISH (BELOW)
Now that Gracie’s dental procedure is finished, anesthesia is turned of and she enters the  Post-Operative or Recovery Period.  During this time, her vital signs (heart rate, respiratory rate, temperature) are closed monitored by the Doctor and Assistant.  Once she is alert and able to swallow, the endotracheal tube is pulled out and monitoring continues until she is fully awake.  Most pets stay with us at Lombard Animal Hospital until between 3:30 and 5 pm.  This way we can ensure that they are fully functional before heading home to spend the evening with their people. 



Gracie is bright-eyed and ready to go home!  She will feel much better without that infected tooth and her breath will be fresh too!


During Gracie's discharge appointment, the Doctor goes over the procedure with her owner.  
They discuss lesions, X-rays and extractions.  
The Assistant goes over post-operative pain medications and antibiotics that will be administered at home.  Preventative dental health measures, such as tooth brushing and supplements, are recommended. 
We also prepare the owner on monitoring for abnormal swelling, discharge or other symptoms that may indicate a complication.  Most pets are groggy for the first 24 hours after an anesthetic procedure, but should perk up and eat normally within 36 - 48 hours.  Most patients are able to eat their usual food, but if not, diet recommendations will be made.  

An assistant will call in the morning to check on Gracie. At Lombard Animal Hospital in Portland, Oregon, we always offer one complimentary post operative exam to ensure that the gums and extraction sites are healing appropriately.  
We'll be happy to see Gracie again in 5-7 days. She is a wonderful patient!

February is National Pet Dental Month.  At Lombard Animal Hospital in Portland, Oregon we offer 10% off the entire procedure for each pet, whether they require only a prophylactic cleaning or major extractions. 
 Please call us at  503.285.2337 to schedule your pet's exam or dental procedure. 
 We would love the opportunity to provide a "pawsitive" experience for you and your pet!

Lombard Animal Hospital
607 NE Lombard Street
Portland, Oregon 97211
www.lombardanimalhospital.com


**The contents of this article are not intended to replace professional medical advice.