Allergy, the Miracle and Maneuvers

August 15 2011

You head out to another Sunday night emergency they come like clockwork especially during the full moon when the crazies are out and the police copter searchlights the area and now you’re stuck at La Brea near Olympic where the cops have walled off the block and you are trying to get to a whimpering pup in pain. You eventually pass the drama as the popo scans for perps and slither your way to the Larchmont hood. Two lovely English ladies and their ailing cocker Cammy (not her real name) with back pain. Except the dog is up and running around. The medication that was given for pain and inflammation had kicked in. Low and behold. It works! It is here where you picture a lovely Sunday evening tea with these fine ladies. Instead the emergency aspect turns into an allergy consult and blood screening and connecting with a nice pet owner seeing the value in the service. You feel good about that. You try to remember all the pets you’ve seen and you realize you can form a finite amount of close bonds with people and see the brilliant and the amazing stories of survival through love and care. These people out shine the horrors you have found along the way, ignorant neglect, or the holding on too long.

You come upon the strange case of Leo (not his real name) the cat at the home of a race car driver. Leo is a miracle of science. He is living with a Creatinine of 18 and that is unheard of. This cat should be a case study for the ages. You come to realize the race car driver, a man’s man, is really a pussy cat love magician. His undying faith and removal of doubt keeps the cat on an even keel with him. The unbelievable bond has defying all laws of medicine. OK, so the man is force feeding the cat and giving him a laundry list of medications designed to strengthen kidney function. There are jars of things you never have heard of that he is religiously giving to his precious Leo. It is then you realize that the owner’s unfailing drive to save his beloved cat is so powerful that it defies all reason and logic. You have never seen a cat continue to live with those numbers. But the number is not a life. It is a magical thing of beauty and mystery.

You maneuver through traffic jamming heading east at the wrong time 545PM. No westbound street is spared and you catch up on email, Facebook and your calendar. You make a game of shortcutting your way across town from Brentwood a measly 4 miles back to the clinic, but other shrewd drivers are on to your game. They swerve and accelerate up the side streets right along with you. They follow your interference boldly crossing 6 lanes of Olympic Blvd to get to the other side. Your deftly avoid collisions snake-laning inept drivers to bypass them on your quest to shave 10 minutes from the 4 mile commute. Side street, alleys and corner-cutting gas stations fill the repertoire until you finally slither only slightly against traffic when needed, pull though the private alley to the garage you call Central Service.

That’s the day before ATTACK WEEK...

Armadoggon

You enter a yard a barking leaping Boxer named after a famous one greets you behind a sideways removed room door leaned to block him and his housemates. The Boxer just returned from neutering at the shelter and still had his testosterone enough to rip a hole in the shepherd mix now nipping at your pants, ripping the invoice from your hand. The caretaker apologizes while attempting to herd the 4 dogs on the deck into the house. You avoid loss of appendage and anesthetize the victim of the Boxer's Tyson-like bite enough to repair said injury.

You are presented another dog as the caretaker tells the sad story of her family's wrongdoings and the lawyers and police and animal control's wrongdoings. The neighbors are certainly doing her wrong with complaints of barking and public nuisance of whom she claims called the POLICE from their vacation home in another State. You examine the subordinate Pitbull that did receive a superficial gash. You treat this as well while enduring additional fantastical stories of lost chances, wealth and real estate.

On your way out the Boxer leaps up to you paws on your shoulders and you take his arms and dance with him clownishly to snap the woman from her funk knowing full well this dog is exhibiting pure dominant behavior. You advise the caretaker of your concerns that the injuries will continue and yet she assures you the dogs are undergoing training and she simply loves them while attempting to corral them barking command after command. You had put a rebel dog T-shirt on the victim and she looks very cute while now awake from the anesthesia enough to nip at your pants and herd you out past the heavy door and broken gate. Give the antibiotics and pain meds you say with a smile.

You head up the 405 through that lovely Sepulveda pass becoming ever wider accelerating erosion on a grand scale simply to allow many more lanes of cars crammed along side you after this coming CARMAGEDDON... Lord save the poor animals in need of emergency attention in their homes. Except that 911 VETS will have PROVIDERS on both sides of the BLOCKADE TO the two civilizations: Valley Tribes and Westside Tribes. Fear not you think. You hope. As you reach your destination your thoughts turn to a helicopter service that airlifts pets from the home to the ASEC or AEEC or AEC ASG or many other 24-hour emergency clinics. Not yet, you think.

There's a feral cat on the driveway with impossible dreadlocks.

You rush around with the kids on Sunday and mix in a few housecalls until late afternoon when the family is begging you to hang out and start the barbeque when a call from the Service transfers you to the same caretaker with four dogs… who suddenly has none. You discover the Boxer attacked the others again and turned on the woman trying to pry them apart ripping gashes in her arm sending her to the ER for repairs. The Boxer now awaits trial in the County Shelter from whence he came. A nice dog who simply needs to live as the only dog but now has a scarlet letter of red tainting him for future adoptability due to liability. The rebel dog and the cohorts now reside in doggy sleepover camp for a piece. Hopefully together away from the others.

You recommend the woman receive adequate care except that her Insurance company is guilty of wrongdoing as is the Emergency Room. You hold fast to your non-culpability in the incident as a wrongdoer and remain the champion of animals you think you are. You envision a bark-free night on her block as the poor woman heals from a tough lesson in dog pack management.

The Service wakes you again at 3:45AM. Monday starts early this week.

Veterinary Home Care Providers Have Unique Insight

Throughout my career in veterinary medicine, I have practiced both in numerous facilities as well as practicing as a mobile veterinarian since the mid-eighties. I have discovered that those vets who choose housecall practice have a unique insight into the health of the pet living in the home environment. While obtaining the history of my patient, I find myself looking around the home for factors that might contribute negatively to their health. I observe the interaction between humans and other animals. I see, smell, and feel the environment. My history is affected by the situation in the home. In contrast, the clinic veterinarian is only able to hear and believe what is told by the owner in the exam room.

The number one reason people state as to why they chose a housecall is the negative experience simply getting to the hospital. People report that their pet becomes very agitated, eliminates all over, becomes aggressive, or causes considerable damage to humans or themselves. The majority of these pets, when examined in their home, remain calm and friendly when trust is gained and are gently handled. Even the most fearsome pets can be examined, permit laboratory sample collection and receive treatment without sedation. Sedation can be used if there is no other option and can safely facilitate needed care.

Behavioral issues almost always require a home visit to observe the pet while exhibiting the undesired behavior. At the time of the visit a remote pet-cam video recorder may be strategically installed to further determine cause and effect. In multiple pet households where behavior problems may be complicated and magnified it is particularly beneficial to manage and treat in situ when the natural balance of interactions can be assessed. The advantage of a veterinarian Provider over a trainer or behaviorist who may or may not be licensed, is the ability to rule out medical problems masquerading as a behavioral problems can be ruled out before pursuing behavior modification or treatment. Many times the busy hospital practitioner is limited in time, and as in human medicine is more likely to throw a psychotropic medication at the problem.


In summary, the unique perspective of the housecall veterinarian combined with the reduced role of stress on all parties involved, makes home pet medical care a valuable and often necessary choice. Please feel free to comment on your experiences with housecall service and what services you would like to have handled at home.