The Ohana Way – What to Expect As Our Client

Over the past few weeks, we have had multiple people ask us if their pet doesn’t get better can they simply come back to see us or should they go to ER? We reassured every single one that as clients of Ohana Animal Hospital we do everything in our power to keep you and your pet out of the ER. Now of course there are true emergencies that a general practice can’t handle, special surgeries that are needed, or specialist opinions that we just can’t avoid. Also, if we are closed and your pet is sick, ER is going to be the best option for your pet. However, if you are our client and your pet is sick, and truly needs to be seen today, we will do everything possible to get him or her in TODAY.

Lab

At Ohana Animal Hospital we always start off by taking a thorough history and performing a physical exam, which allows us to make the best recommendations for you and your pet. Sometimes those recommendations include simple things, and other times in our sick patients, it can include tests like blood work, urine tests,  X-rays, and sometimes even hospitalization on IV fluids and other medications. Sometimes we talk about all these options, but if your pet is acting stable we may decide together as a team to start off simple, and leave those more advanced tests for if we don’t start feeling better over the next 1-2 days.

cat2

This is where the Ohana Way comes into play. Our philosophy of treating you and your pets like family isn’t just a cute thing we say- we named our hospital for this philosophy. What this means is you have nothing to fear if you say “hold off on the blood work today”, because if your pet still isn’t feeling well after a couple of days and you want to do that test NOW, even if we are completely booked up, we will find a way to see you. Whether its working you in between appointments or offering you a drop-off exam, we will make sure you aren’t turned away and forced to go to ER, unless that is in your pet’s best interest.

We hope you appreciate our way of doing things. Now if its something simple and non-emergent like a skin rash in an otherwise healthy dog, well, we might make you wait until tomorrow! 🙂

The Doctors at Ohana Animal Hospital

Advertisements

Ohana Animal Hospital’s Guide to Being Prepared For Rattlesnake Season in the Livermore and Tri-Valley Area

The weather is finally starting to warm up around the Livermore and Tri-Valley areas. As the weather warms up we will likely start to hear about more rattlesnake encounters. You do not need to fear rattlesnakes, but you should try to keep your distance if possible. It is well established that the most common demographic for rattlesnake bites are young males, and especially those who have been drinking. As a reptile enthusiast, and self-proclaimed beer connoisseur, I understand the drive to play with the rattlesnake you encounter out on the hiking trail. I am here to be that little voice on your shoulder, and to tell you to take a picture from a safe difference, post that pic all over Facebook and Instagram, but keep yourself and your dogs at a safe distance. I am a huge proponent of appreciating nature, but let’s do it in a safe way for our pets, the native wildlife, and ourselves.

rattler

 

Since this is a veterinary blog, let’s talk about what you can do to keep your dogs safe this rattlesnake season (cats are occasionally bitten, but it is much less common). You may want to consider getting your dog the rattlesnake vaccination if you live in an area with a large rattlesnake population. This vaccination is designed to generate protective antibodies to rattlesnake venom, which should theoretically make reaction to envenomation less severe in the case your dog is bitten. The vaccine is given initially, boosted in one month, and then boosted annually. It is very important to note that you must still seek veterinary care ASAP if your dog is bitten, but it is designed to help buy you enough time to get to see your veterinarian. We do carry this vaccination at Ohana Animal Hospital, and we would be happy to talk with you about it more at your next visit!

The main goal is to prevent your dog from being bitten by one of our friendly (I know, how I could I possibly think that a rattlesnake is friendly??!! What can I say? I am a reptile guy!) local rattlesnakes (Crotalus oreganus/Northern Pacific Rattlesnake in the Livermore and Tri-Valley area). You can help prevent unwanted encounters by walking your dog on a 6-foot leash when you are in areas known to have rattlesnakes present. Most dogs bitten are not on a leash, and the owner was not able to remove them from the encounter fast enough to prevent the bite. Avoid hiking in areas with rocky or dense brush, or tall grass if possible, as this tends to be good rattlesnake habitat. It is best to stay on the worn trails when hiking, as it will be easier to spot a snake if it does happen to be in the area. At home it is best to keep your grass short, and remove any brush or rock piles, which are great areas for resting and sunbathing rattlesnakes.

Vaccine

It is important to have a plan in the case your dog is bitten by a rattlesnake. The first thing you want to do is calmly remove yourself and your dog from the snake’s area. Do not try to collect the snake, and definitely do not try to kill the snake. The snake did not want to bite your dog, but it was scared that it was going to be attacked, and the last resort for the snake was fighting back (I understand how angry you might feel as I had one of my dog’s bitten by a rattlesnake many years ago). The main focus needs to be getting your dog to the veterinarian, and specifically a veterinarian who carries antivenin. At Ohana Animal Hospital we are always stocked with antivenin in the case your dog is bitten by a rattlesnake. It is always good to call ahead to the office to make sure your vet has antivenin stocked, and they can start getting everything ready for your arrival. I have treated roughly 30 cases of rattlesnake envenomation, and with appropriate care and antivenin therapy, I have yet to see one not respond favorably.

Antivenin

Prevention is the always the best medicine, but being prepared for disaster can be life saving in an emergency. I have worked on rattlesnakes as a veterinarian, they are great for pest control in the environment, and they are some of my favorite animals. I personally love seeing a rattlesnake in the wild, but I also have a very healthy respect for them. I hope the above information will help keep your dog safe this rattlesnake season, but if you do happen to have an unhappy encounter, you know we are waiting and ready for you.

Schedule an appointment today!

Zachary Steffes, DVM and the Ohana Animal Hospital Team

Does Itchy Skin Have Your Pet Feeling Down?

Livermore is finally warming up, and the trees and plants are blooming once again. That’s great for those of us who have been waiting for spring, but it has also been bringing with it fleas, ticks, and environmental allergies. I don’t know about other veterinary hospitals, but here at Ohana Animal Hospital we have been seeing red and gooey eyes, and itchy dogs, cats, and rabbits all day long! Poor Dr. Steffes has been sniffly and sneezy as well, so he is extra understanding of how your pet feels now as well! Let’s take a little while to discuss what we can do to keep our pets comfortable in the safest, and most effective ways possible.

First of all, let’s take a look at what we are using to prevent pesky fleas from causing your dog, cat, or rabbit unwanted discomfort. Unfortunately, there is not just one product that works the best for every animal, and not all products do the same thing. My favorite products for dogs are currently Nexgard and Bravecto, and there are a couple of reasons why. I have found that dogs LIKE THE TASTE of the chew treats, and we all know how difficult it can be to give a dog medication. When the dog likes the chew tablet it much less stressful for you at home. They Work, and they seem to keep dogs from being itchy, which is our whole reason for using them in the first place. I have also found them to be Very Safe, and I know that is often one of the biggest concerns owners have when using flea and tick products. These products are even being shown to be effective for other parasitic diseases such as demodex and sarcoptes mites!!

For cats and rabbits my favorite product is Revolution. Revolution is a topical, spot-on product, which is very easy to apply to the neck and back of cats and rabbits. I don’t know if you have ever tried to give a rabbit a pill, but let’s just say there are simpler tasks. I lean towards Revolution currently because it has been shown to be safe, effective, and easy to use. I actually use Revolution in rabbits and other exotic animals to treat many other skin diseases as well, so there are lots of benefits to using this product. Hedgehogs are really difficult to medicate, but a topical product makes treatment simple. Revolution even helps prevent heartworm disease, which can be a problem for cats and ferrets.

Revolution

Have you noticed your dog’s eyes being red, scratchy, and building up yellow debris lately?? You are not alone! This week has been full of environmental irritation causing redness of the eyes, irritation, and gooey buildup near the eyes. Of course environmental allergies are not the only cause for a red eye, and it is important to discuss this with your veterinarian. Your vet will likely want to test the tear production in the eyes to rule out a disease called keratoconjunctivitis sicca (KCS), test for a corneal ulcer with a fluorescein stain (green dye that helps find tears in the cornea), and may even recommend testing the pressure in the eye to rule out glaucoma and inflammation in the eye. Environmental allergies will result in normal test results, and can generally be very easily treated with some special drops. Don’t let your dog’s eyes be irritated and scratchy, give your vet a call so they can fix the problem!

IMG_1236
KC is a much happier dog when her allergies are under control!!!

Worried about the cost of the newest and most effective flea and tick products? We want your animals comfortable just like you do, and we have some ways we make it very affordable for you to get your hands on these products. Stop by Ohana Animal Hospital, or give us a call, and we can tell you about our individual monthly dose plans! We all want the best for our pets these days, and we are here to help. If you have another flea or tick preventative that you love we are not going to try to change your mind, but if you need a little help this year let’s talk.

How Often Should My Exotic Pet See The Vet?

“When do I need to bring my pet back to Ohana Animal Hospital to see you again Dr. Steffes?” That is the most common question I hear at the end of an appointment with my exotic animal clients, and I think one that it’s time we discuss. At the beginning of my career as an exotic animal veterinarian I would answer with once a year, but was not so sure how much I really meant it. I was young, and did not yet have the experience under my belt to be able to answer that question with absolute confidence. At this point in my career, I realize that many of the issues that arise in our exotic pets could have been easily prevented with a yearly, or bi-yearly health evaluation. So, when I am now asked that question I answer without any doubt in my mind, “once yearly in young pets, and twice per year once your pet reaches his/her senior years.”

 

“Why should I bring my pet to see the veterinarian when it seems healthy Dr. Steffes?” I knew that was what you were thinking, so let’s address that. The majority of exotic pets are very good at hiding signs of illness. If you appear sick and weak in the wild, you are most likely going to be some predator’s next meal. This is one of the main reasons why so many people have stories that go like this: “My bearded dragon was acting completely normal, but it had not eaten for the last 4 months. Yesterday it started to act lethargic so I figured it was time to bring it to the vet. The vet put my beloved beardie on medications, and it died the same night! The vet killed my bearded dragon with the medications he/she gave, and now I will never bring my exotic pet to the vet again because they can never fix these pets anyway.” I understand this thought process, but I want to try to help us move past this. Is it possible that the medication caused the demise of your beloved lizard? I suppose it is possible, but it is much more likely that your dragon was too sick to be saved. I never blame an owner for coming in too late, and I never try make people feel bad. It can be very hard to tell when your exotic pet is sick, and we exotic animal veterinarians know this. That is why it is beneficial to go to your exotic animal veterinarian once to twice per year, even if your pet looks healthy. We are here to help you, and you should not be afraid to use us. Believe me, we are much less likely to bite than your hamster or green tree python. 🙂

Another reason why it is so important to bring your exotic pet in to see the veterinarian, even though it appears healthy, is that we can help you keep it that way. There is a good chance that with a good physical exam we will find issues well before your pet will ever show signs of disease. We may find early signs of pododermatitis (irritation on a rabbit or rodent’s feet that can lead to serious bone infection), and we can help you redesign your housing. We may palpate a mass in the abdomen of your monitor lizard, and with early diagnosis we may be able to save your pet before disease spreads. We may find out that we need to adjust the diet you are feeding your panther chameleon, or that you need to switch the multivitamin supplement you are using for your insectivore because it lacks preformed vitamin a. You may not have known that we can almost completely prevent ferret adrenal disease with the implantation of a deslorelin implant every 16 months. We may find that your animal has a parasite on a fecal test, and by treating it early we can prevent weight loss and gastrointestinal disease. There is great value in preventative medicine, and believe me it will save you money and heartbreak in the long run.

 

I have learned over time that many of the issues I encounter in exotic animal medicine could have been prevented with early diagnosis, or early adjustment of basic husbandry. Exotic animal medicine has unfortunately been very reactionary in nature, and we often start working on these pets when they are very ill, and the prognosis for recovery is poor. I have started to see a shift in exotic animal clients though, and many people are now interested in preventative care, just like they are for dog and cat family members. This is allowing us to keep many of these exotic pets healthy, and in the home with their caregivers for a much longer time. I am not going to lie and say that by seeing us you will never have a problem with your exotic pet. That is, unfortunately, not how medicine works. If we partner together, and we both take an active role in care, we can provide your exotic pet the best opportunity to thrive.

Here at Ohana Animal Hospital we are doing our best to keep you and your pets together as long as possible. Dr. Zach Steffes can’t wait to meet you and your exotic pet! If you do not live in the Bay Area, a good place to start looking for a good exotic veterinarian is on the ARAV (association of Reptilian and Amphibian Veterinarians), AEMV (Association of Exotic Mammal Veterinarians), and AAV (Association of Avian Veterinarians) websites. They have excellent find-a-vet sections, and are a great resource when you are looking for a vet who sees exotic pets.

Thanks for reading!

Zach Steffes, and the Ohana Animal Hospital Team