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Saturday, May 31, 2008
Ultrasound images of retrosternal goiter
Xray images show a large rounded opacity in the upper mediastinum.
Ultrasound images of the thyroid show a huge gland, with inhomogenous appearance and calcification, extending to the retrosternal region. The thyroid measures more than 5 x 8 cms. These images by Mr. Shlomo Gobi of Israel were taken using the endocavity probe to better visualize the retrosternal extension of the thyroid goiter. Xray images show the goiter in the retrosternal region. You can view more such intersting ultrasound images of thyroid diseases at:
http://www.ultrasound-images.com/thyroid.htm
Friday, May 23, 2008
HOT FUN IN THE SUMMERTIME!
Menu Foods and other companies that participated in last year's massive recalls of pet foods reached a tentative settlement, as of early April, with plaintiffs in dozens of class-action lawsuits.
The recalls resulted from the contamination of ingredients from China that went into pet food in the United States. Two of the contaminants, melamine and cyanuric acid, apparently combined after ingestion to form crystals that could impair renal function. Numerous cats and dogs likely fell ill or died as a result.
The U.S. District Court for the District of New Jersey is conducting proceedings for the multidistrict litigation, which combines lawsuits from across the country. In April, the parties advised the court that mediation had produced an agreement in principle, addressing all major terms of settlement.
As of press time, the parties had not filed the definitive terms of the settlement. The defendants will fund the settlement amount. Menu Foods has estimated its recall costs at $55 million Canadian (about $54 million U.S. as of April 1).
The defendants include other manufacturers as well as retailers of pet food. Among the larger food companies are Del Monte, Procter & Gamble, Colgate-Palmolive, Nestle, and Mars. Some of the retailers are Wal-Mart, Target, Albertsons, Kroger, Safeway, Petco, and Petsmart.
The litigation also affects ingredient suppliers. The list of defendants includes ChemNutra and Wilbur-Ellis, which imported the ingredients containing contaminants, and the Chinese companies that exported the ingredients—Xuzhou Anying Biologic Technology Development, Suzhou Textile Import and Export, and Binzhou Futian Biology Technology.
Court documents for the multidistrict litigation are available at http://dockets.justia.com/ by searching for "Pet Food Products Liability Litigation."
- labored breathing,
- probably more vigorous panting,
- extreme drying of the tongue,
- walking erratically,
- and a desire to lay flat-down.
When the body temperature reaches 105 degrees, your dog will most likely collapse and might lose consciousness. Survival at this point becomes questionable and, by the time the body temperature gets to 108-110 degrees, massive organ failure takes place and survival is even less likely. Your dog is now experiencing heat exhaustion...what do you do?
- Avoid any running or excessive exercise on hot, humid days.
- When your dog is outside, be sure it has plenty of water and easily accessible shade.
- If your dog is not short-haired, keep the hair well-brushed to avoid matting.
- Especially be careful with the short-faced breeds.
- Don't EVER leave your pet in a closed vehicle...extreme temperatures are reached in minutes, even with the windows cracked open.
I recently learned of a product that can help keep your pet cool in hot weather. It's called the Cool 'N Dry Pet Shammy, and it is depicted in use below. It works like this: When applied wet to your pet's body, it helps built-up body heat escape by the evaporation we mentioned above. It also can be used to dry your pet after a bath. To learn more about this very interesting product, go to: http://www.super-cool-products.com/automarinepet/petcareproducts.html
I know that all veterinarians would join me in saying that the only hot dogs we want to see this summer are the ones on the BBQ grill! Do your part to prevent heat exhaustion!
NON-MEDICAL CONCERNS
Our topic for this week is, "Being a Good Pet Neighbor." What does that mean, especially when some of us have difficulty even being good neighbors with other people...not to mention throwing pets into the equation? In light of last week being the observance of National Dog Bite Prevention Week, Helpful Buckeye felt the natural progression would be to address the need for pet owners to have better control of their pets and the activities of their pets. While preparing this portion of this week's blog, we received an interesting e-mail from a reader:
Hello Helpful Buckeye,
How about a bit more on what to do if the dog is NOT up to date on its shots or if the owner doesn't know or care? When my daughter was about fourteen, she was bitten by a neighbor's dog. The bite tore her jeans and broke the skin. No one was home, so we called the police. The owner couldn't produce proof of shots and (I suppose) didn't want to pay for the cost of having his dog quarantined, so he shot the dog himself. This was drastic, I know, but I have encountered many wandering dogs as a walker and found many an owner not at all cooperative about getting their dogs back onto their properties. Something about "the freedom of being out in the country"?
Nancy in PA
This question actually addresses a couple of problems and we'll try to deal with the part on being a good pet neighbor right now. The part about vaccination history, quarantining a pet which bites someone, and responsibility for pet bites will be part of an upcoming blog topic on vaccines. Anyway, thank you, Nancy in PA, for the really good question! If I had a prize to give out, it would go to you for being the very first e-mailer to "Questions On Dogs and Cats!" Maybe we can get some sponsors to contribute a few prizes?
Being a good pet neighbor requires a blend of common sense, a respect for the ordinances and laws of your state and locality, and an understanding of the Golden Rule. Most localities now have some sort of "leash" law, which requires a dog to either be on a leash or "under the direct control" of its master. However, the "under direct control" part has turned out to be a joke since only professionally-trained dogs are likely to respond that well. The purpose of leash laws is not only to protect unsuspecting neighbors, joggers, walkers, and cyclists from roaming dogs, but also to protect the dogs from the dangers they face when running loose. Over the years of my practice, I witnessed the tragic results of dogs running loose on too many occasions:
- being hit by a car or truck,
- biting people,
- getting into fights with other dogs,
- being exposed to poisons (either accidental or intentional),
- being stolen or getting lost and never seen again, and
- being shot.
Ideally, the leash laws would take care of eliminating these problems, but there is no legislation that requires common sense or an understanding of the Golden Rule. So, if the laws are not enforced, dogs will still run loose, get into trouble, and veterinarians will stay busy trying to repair what has happened to these dogs.
Furthermore, nobody likes having a neighborhood dog run down the street and indiscriminately use any yard as its toilet...no Golden Rule there, huh? Always keep your dogs indoors, outdoors in a fenced yard or enclosed dog run, and on a leash...Good Pet Neighbor Rule #1!
Barking dogs also present a neighborly challenge. Except for the Basenji, most dogs will bark as a form of communication. The message will not always be the same, but the barking can happen at any time. Up to a point, some barking has to be acceptable, even in a neighborhood. Where that line is crossed is always open to debate. When a neighbor is unhappy with the barking, problems begin. There may be complaints of "disturbing the peace" or confrontations between neighbors. Dog owners should never allow their dogs to bark incessantly or to encourage them to do so. Sometimes, professional behavioral training may be necessary to help curb the barking tendency. Whatever the case, the onus of preserving the peace between neighbors almost always rests on the shoulders of the dog owner...Good Pet Neighbor Rule #2!
Just when you thought we have left out cats from this discussion...we haven't! Imagine having several beautiful flower beds and finding them torn up and damaged by a wandering neighborhood cat, looking for a fresh "litter pan." Not only is the resulting damage disgusting, but also, the strong smell of cat urine can be repulsive. If your cat needs to get outdoors for some "quality" time, stay with it and do whatever you can to keep it in your yard. Not only will your neighbors appreciate it, but your cat will also live longer...Good Pet Neighbor Rule #3!
Helpful Buckeye will catch up on the rest of Nancy's question in a few weeks. We want to hear from more of our readers...remember to voice those questions you have wondered about but were afraid to ask (with apologies to Woody Allen). Either send them via e-mail to the e-mail address listed at the top of the blog or go through the simple process of posting them directly to the blog.
WORD AND DEFINITION OF THE WEEK
"Latchkey Dog"--n. A dog that is allowed to roam the streets on its own, particularly during the day when its owners are at work; a dog left alone in the house all day while its owners are at work. As described in Word Spy at: http://www.wordspy.com/words/latchkeydog.asp
GENERAL INTEREST
This past week, two birthdays with importance to the worlds of science and medicine were observed. Carolus Linnaeus, born in Sweden on 5/23/1707, formulated the binomial naming system used even today in both zoology and botany. This system helps simplify the organization and identification of all living things. Most of you are familiar with one of these binomial names, Homo sapiens. The other birthday observation was for the American Red Cross, which was founded on 5/21/1881, by Clara Barton, who had been a nurse on the battlefields of the American Civil War.
For those of you who have been fans of Dancing With The Stars, a popular ABC show, you might be interested in another reality show closer to your "pet" side. Animal Planet Network is running the show, Groomer Has It, on Saturday nights and it deals with which dog groomer will "make the final cut." Read more about it: http://animal.discovery.com/tv/groomer-has-it/groomer-has-it.html
SPORTS NEWS
Holy Cow!...as Harry Caray used to say! The LA Dodgers actually gained 2 games on the Diamondbacks this week...we're only 3.5 games behind now. We looked pretty good in sweeping the Reds, but losing 2 out of 3 (apologies to Meat Loaf) to the Cardinals was bad! We go on the road Monday, opening in Harry Caray's old stomping grounds, Wrigley Field, home of the Cubbies. Anybody for a verse of "Take Me Out To The Ballgame?"
The San Antonio Spurs pulled an upset this week and beat the Hornets in New Orleans, winning that series 4-3. In the Western Conference Finals, they are now down to the Lakers, 2-1, although the 4th game will be at home. If we can win that one, I expect the Spurs veterans to do much better when they go back to LA for game 5...so, this 4th game will probably determine who will win the series.
PERSONAL STUFF
I know that some of you think I have been avoiding talking about cats. Even though it might seem that way, It's not true. Considering the generalities of the initial issue of the blog and the subject matter in the early topics, it has just worked out that dogs have been more highly represented. Fear not, Helpful Buckeye will have some cat stuff very soon...and some cat pictures!
Unrelated to the subject of this blog, but very closely related to the overall health of Helpful Buckeye, I would like to make an appeal to all of you who drive cars or trucks to be a little bit more observant of the presence of bike riders on the highways and streets. This past week, I was run off the road, while riding my bike in a 10-ft. wide bike lane, by a guy who was talking on a cell phone while driving a car. Most states and localities have traffic laws that provide for the protection of bike riders and all car/truck drivers should make the effort to be aware of those laws...and then, obey them! Helpful Buckeye thanks you for sharing the road with courtesy!
Lastly, if you enjoy a funny cartoon from time-to-time, you might want to sign up for this free e-mail service. The New Yorker magazine offers a daily pet cartoon which it will send you by e-mail for free...all you have to do is sign up for it: http://www.arcamax.com/newyorkerdogsandcats
Woof, Woof...Meow, which is pet talk for...See you next week!
~~The goal of this blog is to provide general information and advice to help you be a better pet owner and to have a more rewarding relationship with your pet. This blog does not intend to replace the professional one-on-one care your pet receives from a practicing veterinarian. When in doubt about your pet's health, always visit a veterinarian.~~
Sunday, May 18, 2008
WEEK 1 FROM THE "CYBER OFFICE"
- Current News of Interest
- Diseases, Ailments, and Medical Conditions
- Non-Medical Concerns
- Interesting Anecdotes
- Word (phrase) and Definition of the Week
- E-mails From Readers
- Thoughts From Desperado (Helpful Buckeye's Assistant Head Coach and Office Manager)
- Items of General Interest to Pet Owners
- Sports News & Updates
- Personal Stuff
OK, here we go......hope you enjoy the ride!
The American Veterinary Medical Association (AVMA) has joined with the United States Post Office (USPS) and the American Academy of Pediatrics (AAP) in sponsoring Dog Bite Prevention Week, May 18-24th, 2008, to help prevent dog bites. Small children are the most common victims, followed by older people and USPS employees.
"Every year approximately 800,000 Americans receive medical attention for dog bites, and half of these victims are children, so this is a very serious problem," says Dr. Gregory S. Hammer, AVMA president. "About a dozen dog bite victims die every year. What's most important is that dog bites are largely preventable. Through appropriate dog training and education of adults and children, these numbers could be dramatically reduced. That's why Dog Bite Prevention Week is so important, because it brings to attention this preventable medical problem."
Wow, that's a lot of people who get bitten by dogs each year! Wouldn't it be nice to know how to prevent most dog bites? Well, the AVMA brochure helps with that too:
Important dog bite prevention tips include:
Pick a dog that is good match for your home. Consult your veterinarian for details about the behavior of different breeds.
Socialize your pet. Gradually expose your puppy to a variety of people and other animals so it feels at ease in these situations; continue this exposure as your dog gets older.
Train your dog. Commands can build a bond of obedience and trust between man and dog. Avoid aggressive games like wrestling or tug-of-war with your dog.
Vaccinate your dog against rabies and other diseases.
Neuter or spay your dog. These dogs are less likely to bite.
Teach your child to ask a dog owner for permission before petting any dog.
Let a strange dog sniff you or your child before touching it, and pet it gently, avoiding the face, head and tail.
Never bother a dog if it is sleeping, eating or caring for puppies.
Do not try to run past a dog.
If a dog threatens you, remain calm. Avoid eye contact. Stand still or back away slowly until the dog leaves. If you are knocked down, curl into a ball and protect your face with your arms and fists.
Using these suggestions, you and your child should be able to avoid being bitten. However, in the unfortunate event that someone is bitten, the brochure continues with this advice:
If bitten, request proof of rabies vaccination from the dog owner, get the owner's name and contact information, and contact the dog's veterinarian to check vaccination records. Then immediately consult with your doctor. Clean bite wound with soap and water as soon as possible. If the attack victim is bleeding from a dog bite, immediately take them to a doctor or emergency room.
For further information and to view the entire brochure, visit the AVMA at their web site:
To help educate the public about dog bites, the AVMA has developed a brochure, "What you should know about dog bite prevention," offering tips on how to avoid being bitten, what dog owners can do to prevent their dogs from biting and how to treat dog bites. For more information on National Dog Bite Prevention Week and to access the brochure online, visit www.avma.org/press/publichealth/dogbite/mediakit.asp
Desperado has some memories she'd like to share from a painful bite she received:
OK, readers, repeat after me.......do NOT disturb a sleeping dog and do NOT try to run past a dog that is upset. Desperado probably would have been better off to change her jogging path to the other side of the street when she noticed the snoozing dog, right? However, that being said, joggers and bike riders tend to day dream a little when they are moving and can get into a situation like this before they realize what is happening. Desperado was lucky the attack wasn't any worse. She did verify the dog's rabies vaccination status with the owner and got proper treatment for the wound.
WORD AND DEFINITION OF THE WEEK
"Heinz 57"--a fairly descriptive and somewhat humorous name for a mixed-breed dog of uncertain parentage; it is derived from the Heinz food company slogan of "57 varieties"; needless to say, if the mixed-breed pup is the offspring of 2 mixed-breed parents, then the "varieties" really increase. What mixed breed dogs have you enjoyed and why?
GENERAL INTEREST
Those of you reading this blog who have dogs and cats probably already have a regular veterinarian for your pets. For the purposes of this next topic, I would be interested in hearing your reasons for choosing the veterinary hospital/clinic you currently patronize. Don't worry about being original.....just be honest and sincere. What attracted you to the facility in the first place? Then, when you feel that you have answered that one to your satisfaction, what are the reasons that keep you going back to the facility? If we get enough responses, perhaps we can draw some conclusions about how these choices materialize. Helpful Buckeye will contribute some ideas from his years of practice when we tally the results.
E-MAILS
Yes, please do! Of course, you can add posts of your own to this blog, but sometimes an e-mail does just as well. Simply use Helpful Buckeye's e-mail address as listed at the top of the header. The only two things we ask from you, if you send an e-mail, are that you state that we can either use or NOT use what you send as material for a future posting on this blog, and that you let us know if we can use your name and/or geographical location in the posting. We will provide the fuel for the engine of this blog. Your contributions will be the "gas pedal" that will drive this blog. So, don't let the engine run on its own...accelerate it!
SPORTS NEWS
The Dodgers lost today to the Angels, but what's new about that! They beat us regularly. I think it comes from the Angels feeling like "bridesmaids" in their own town. With the Diamondbacks winning, we are now still in 2nd place, but 5.5 games out.
The Spurs are tied, 3-3, with the Hornets, and the 7th game will be played in New Orleans on Monday, the19th. The winner will face the Lakers for the Western Conference Championship. So far, the home team has won every game by a convincing margin. It might be tough for the Spurs to break that trend.
PERSONAL STUFF
Helpful Buckeye promises to make every effort to deliver only information that is accurate and verified. If we feel that something is "sketchy" and not verifiable, we will say so and let you decide how to use it.
"What a good thing Adam had. When he said a good thing he knew nobody had said it before." —Mark Twain, American writer and journalist, Notebooks, 1935. A lot of what we post on this blog will have been said elsewhere before; however, our aim is to say it, perhaps a little differently, so that it will be easier for you to understand and appreciate.
OK, that's it for now......take 2 milk bones and see me next week.
Friday, May 16, 2008
OPENING DAY!
- discussions of specific diseases,
- the natural history of dogs and cats and how it relates to how they act the way they do,
- tips and suggestions for improving the quality of your relationship with you pet,
- anecdotes from my years of practice, and
- questions from readers that reflect current concerns of dog and cat owners.
In the spirit of full disclosure, this blog is NOT intended to take the place of your regular veterinarian, NOR is it attempting to turn all of our readers into veterinary assistants. However, this blog does intend to serve as a learning center for the dispersal and sharing of helpful information which, in turn, will make all of our readers more aware of what they can do to enhance the owner/pet relationship. Whether you are already doing things correctly or incorrectly, Helpful Buckeye will provide you with the proper tools to assure that you will have the chance to succeed with your dog and/or cat. All you have to do is read, absorb, and apply the information in our blog. I know, it sounds simple, and sometimes, it can be simple. So, let's give it a try and see what happens!
Beginning on Monday, Helpful Buckeye will present a general outline of topics to be covered in our regular postings. We think all of our readers will enjoy this approach, as there should be something for everybody. Our goal is to have every reader feel as if they found one good nugget on each and every visit to this blog. We're excited about this opportunity to share our experiences with all of you, so, in the words of the home plate umpire, "Play ball!"
See you Monday!
Thursday, May 15, 2008
Interesting ultrasound images of the thyroid:
See: http://www.ultrasound-images.com/thyroid.htm Among the cases (and ultrasound pictures) I have discussed here are: 1) multinodular goitre 2) Hashimoto's thyroiditis 3) thyrotoxicosis 4) hemithyroidectomy 5) sublingual thyroid. The last is a rare enitity and I have added 6 high res. images of this lesion.
Hashimoto's thyroiditis is a common condition that afflicts a large percentage of the populace here in S. India.
---Editor