Dr Brigitte’s in-home medical consultation and assessment allows her the opportunity to observe your pet in his or her home environment, giving her insight into pain and discomfort levels, as well as challenges with daily activities. She will inquire about care and limitations as owner schedules and time constraints may complicate in-home palliative and hospice care protocols.
The in-home medical consultation and assessment is designed to help Dr Brigitte Sonnendrucker guide you in determining whether:
- Palliative or hospice care is appropriate for your pet, and if so, what level of care is needed.
- The kindest option at this time is to consider euthanasia
He's doing well for his Age!
Fleas, ticks, heartworms and intestinal worms – for their small size, these parasites pack a lot of misery for you and your pet. Besides driving your faithful companion crazy, they pose a hazard to pets and people. It is important to routinely check your pet for internal and external parasites not only to keep them healthy, but also because some of these parasites can be transmitted to humans. It is especially important if there are any children, elderly, or immuno-compromised (e.g., pregnant, ill) individuals at home.
Fortunately, you’re not without the means to fight back. I can help you make an informed decision on the products available.
Vaccinations or Titers ?
Infectious vaccines, on the other hand, cause the body to mount the same type of immune response that it would mount if the pup were actually infected. These types of vaccines may contain the entire virus, but it is attenuated (damaged) so that it can’t cause the disease.We already know that we have to vaccinate puppies in a series because we are fighting maternal antibodies, which are very powerful. This is absolutely necessary for protecting puppies against infectious diseases.
What about puppies who are over 16 weeks and receiving their first vaccination? Should they get an entire series of each vaccination?
The short answer is, maybe. For some vaccines, like the canine distemper vaccination (modified live or recombinant), and the canine parvovirus (modified live), one dose is considered protective if given after 16 weeks of age. This is true of many of the core vaccinations (for an explanation of core vaccines, see last week’s blog). The exceptions are usually the non-core vaccines. Now, on to titers — otherwise known as antibody testing. Basically, antibody testing measures your dog’s immunity to certain diseases. Not every infectious disease has a currently available titer. Titers are a good way to measure immunity for canine distemper virus, canine adenovirus, rabies virus and canine parvovirus. Titers are a snapshot in time. They don’t tell you how long your dog’s immunity will last, but they do tell you what her status is right now.
If you are interested in titers, you can start to titer your dog after his or her series of puppy vaccinations have been completed so that you will know how well she is protected against certain infectious diseases. This seems like overkill to me, because the majority of pups will be protected by the series. When your dog is about 16 months old, she will be due for boosters of the core vaccinations. We know that long-term immunity will be present in most dogs for at least canine distemper virus and canine parvovirus after they receive this 16 month booster. In most cases your dog will not be due again for a booster of the core vaccines for three years after her 16 month appointment. At that point (your dog is about 4 ½ years old now), your veterinarian may recommend that you check your dog’s titers.
Canine distemper virus and canine parvovirus (modified live vaccines) have been shown to induce immunity for five years; so why not wait five years to vaccinate all dogs? Because some dogs are genetically non-responders. This means that their immune systems may not respond to the vaccine like normal dogs. If your dog has this defect, a titer will catch it and your veterinarian will know whether or not to vaccinate your dog.
In the end, veterinarians are about finding what is right for your individual pup — now and as she ages. Make sure to have these conversations with your veterinarian early so that he or she can plan the right vaccination schedule for your dog.
Titers. There is no science to support annual boosters and in fact there is evidence to the contrary.
– how to say good-bye to your pet
– whether or not you will view your pet’s body if you are not present when your pet dies
– how you will take care of your pet’s body after death
– how you will memorialize your pet
Being able to make choices allows you and Doctor Brigitte to work together to make your pet’s death as comforting and meaningful as possible.
Nutrition What diet to feed
The body’s functions, energy and daily renewal processes depend upon the food taken in. If that food is not of top quality, then the functions and structure of the body cannot be of best quality. Make no mistake, there is no short-cut to health and food nutritive quality is central to any health program. No medecine is effective alone, without the support of a healthy diet. This article is short, necessitating brevity. Doctor Brigitte will guide you in feeding regimes catered specifically for your pet. Pros and Cons of Raw. Pros and Cons of Manufactured diets etc..Our bodies are driven to balance dietary ingredients over a period, taking what is needed from our daily intake. Balance does not occur in any single meal but over the weeks. We are driven to seek variety, both by instinct and by biochemical processes, in order to ensure that the body is offered sufficient variety from which to select and glean its needs. This is no different for our pets
Needle Aspirate Cytology
Dental Exams and Oral Care
Geriatric animal exams
Individualized consultations that considers both the pet caregiver’s level of ability and participation, while addressing the pet’s comfort and medical needs. Consultations available for quality of life and end of life care, and longevity.
How to medicate ?
Failure to give medications as directed can cause : additional, sometimes more serious health problems, long extended illnesses or unnecessary pain for your pet. Nearly 80% of pet owners admit their pets spit out pills. I will demonstrate how to administer your pet’s medication. I will work with you in finding the right formula that will eliminate the struggle.
All necessary medical therapy, especially multimodal pain management according to protocols of the International association of Veterinary Pain Management (IAVPM) will be administered as necessary.
- A Complete medical history and a physical examination is necessary to determine the cause of your pet’s ear problems. I will pay close attention to the size of the ear canal, presence of pain, smell of ears, presence of hair or foreign material, masses or polyps, character of discharge/exudates, soundness of the ear drum, and general health. Some of the tests that might need to be done are : Cytology and/or Cultures. Cytology involves taking a swab of the ear discharge. Cytology is used to identify parasites, yeast organisms, bacteria and cellular components. This test will help to determine the cause of otitis externa and choose the proper treatment for your pet. Culture and sensitivity tests are used in cases of recurrent infections, as there are some organisms that are often resistant many antibiotics.