Veterinary Trend: Dog-only Clinics

Dr. Carr Kelsey, a veterinarian at the Kelsey Canine Medical Center in Collierville, Tenn., spends his day with Cavalier King Charles spaniels, beagles, Yorkies, golden retrievers, Labradors and labradoodles. He sees dogs with everything from ear infections and itchy skin allergies to heartworms and fleas. On his schedule, most days are the “midterm exams” that he emphasizes senior dogs should receive every six months.

What you won’t find -- or hear -- anywhere around the Kelsey Canine Medical Center is a meow or a purr; the Kelsey Center only serves dogs. “We’re really honing in on veterinary medicine just for dogs,” says Kelsey, who opened his dog-only clinic in 2007. “There aren’t a lot of other distractions. Veterinary medicine does grow and expand, and it’s hard to keep up with everything these days. Being able to focus on one species makes my practice better and more enjoyable for me.”

The Benefits of a Dog-only Clinic
An American Veterinary Medical Association article published a few years ago made an argument for more dog-only practices. That made sense to Kelsey, a lifelong dog lover. He faced some skepticism when he opened his clinic, but now some dog owners travel a considerable distance because they prefer the dog-centric focus, Kelsey says.

Dog-only clinics are still relatively uncommon, but these practices are expected to expand. The potential benefits of using a dog-only clinic include:

  • Expertise: Kelsey focuses his continuing education on dog-related health issues. He’s particularly tuned in to health matters that affect certain dog breeds. The repetition of seeing dogs each day helps in making diagnoses and developing familiarity with dog-related medical problems.
  • Dog behavior: Cat owners often choose cat-only practitioners to avoid the stress of sharing a facility with dogs, but being around other species can be upsetting for dogs as well. Your dog might be calmer and behave better in a dog-only clinic. “A lot of the dogs that might have had problems at other clinics act really good here,” says Kelsey.
  • Facilities: At Kelsey Canine Medical Center, the exam rooms are a bit roomier. Two exam rooms feature lift tables so that large breeds can be easily transported from ground level to a comfortable exam height. At Gilroy Veterinary Hospital in Gilroy, Calif., Dr. Greg Martinez is a dog-focused veterinarian, though he does treat cats. However, he accommodates his dog patients with bigger exams rooms and plenty of space to walk a dog.
  • Allergies: If you own a dog but are allergic to cats, you may prefer a dog-only clinic.

The Value of Dog and Cat Clinics
There are also reasons to choose a traditional veterinary practice that treats both dogs and cats. First, it may be difficult to find a dog-only practice in your area. If you own both cats and dogs, you may want the convenience of using just one veterinarian.

There may be medical benefits as well, says Dr. William M. Fraser, a veterinarian who runs Mentor Veterinary Clinic and Brightwood Animal Hospital in Mentor, Ohio. “I can treat the whole pet family,” he says. “For example, if I find a parasite issue in the cat, I can check to see if the dog is also carrying the parasite. If there are behavioral problems with either the dog or cat, I can work with both to resolve the problem.”

Find the Right Fit
It’s important to make sure your veterinarian understands your dog’s breed or size. For example, Fraser provides medical and surgical services for micro-breed pooches that weigh less than 5 pounds. “Lots of species have specific health problems,” notes Martinez.

You want to choose a veterinarian who genuinely likes dogs and feels comfortable with your dog specifically. “We’re the dog’s advocate,” says Kelsey. “You’re helping dogs that can’t speak for themselves. The time has come for somebody veterinary-wise to focus in on dogs’ problems.”

High-Maintenance Hounds Abound at National Dog Show

He is well on his way to becoming a champion show dog and sports the gorgeous, impeccably groomed coat and bearing that epitomize canine royalty. Still, the bottom line for Kilkenny's Handsome Hound -- better known as Murphy -- is the same as for any other dog: There are times when he needs to have that bottom wiped. And "showtime" is certainly one of those times.

This somewhat undignified ritual was a necessary part of getting the 19-month-old Irish Setter ready for his turn in the ring at the National Dog Show in Fort Washington, Pennsylvania, on November 15. But for Murphy's proud owner, Arline Hughes of Douglasville, Pennsylvania, having to deal with her dog's back end was well worth the thrill of going to the show.

"When Murphy's there in the ring, it feels like you're seeing your kids in a soccer game or a school concert," Hughes says. "You get the same jumpy feeling in your tummy, and you feel so proud."

Getting Murphy into the ring involved extensive preparation. "I comb his coat every night," Hughes says. "And I give him a bath once a week, and haircuts whenever he needs them. Also, he runs on our three-acre lot all day long so that he gets enough exercise." Despite such exercise, however, Murphy is still on the hyper side, so Hughes has enrolled both him and herself in obedience classes.

Murphy is by no means the only dog that requires extensive grooming before heading into the ring. For Egan, a four-year-old Tibetan Terrier whose formal name is Atisha's Eternal Fire, the pre-show ritual takes two and a half hours. According to René Stamm, who grooms Egan before show time, Egan submits to a bath, a blow-dry and extensive brushing before having his moment of glory. His owners are Lori J. Toth of Mason Neck, Virginia, and Mark Stamm of Quakertown, Pennsylvania.

You can learn more about the many dogs entered in the 2003 National Dog Show by watching the NBC broadcast on Thanksgiving Day, immediately after the traditional Macy's Thanksgiving Day Parade. If you can't wait until then to find out the results, log on to the official National Dog Show website

Veterinary Care at Your Doorstep

As Dr. Nancy R. Powel drives her mobile veterinary clinic around Baltimore and its environs these days, she makes house calls to dogs and cats -- great and small -- like a modern-day James Herriot.

Years ago, Powel read the All Creatures Great and Small books from Herriot, the English veterinary surgeon who wrote about traveling from farm to farm caring for animals in the 1900s. “The era might be a little different,” says Powel, who has been providing mobile veterinary care since 2006. “We have better pharmaceuticals and better diagnostic equipment today, but the stories could be the same.”

Mobile veterinary clinics are growing in availability from the San Francisco Bay Area to Orlando, Fla., and everywhere in between. Based on the old tradition of veterinarians making house calls in farming areas, these services now tend to focus on dogs and cats. Many mobile vets operate from vans or converted RVs that are equipped with everything they need to administer vaccinations, conduct checkups, do blood work and treat minor ailments. Some even perform surgeries and are nicknamed “neuter scooters.”

Mobility Brings Benefits
“I would never go back to a normal veterinary clinic,” says Lynne Moore of Charlotte, N.C., who has three dogs that are visited for care by Dr. Mike Thomann of Greater Charlotte Mobile Veterinary Services. She says her pets are not stressed when Thomann gets there. “They’re not taken into a back room where I can’t be with them. They just love him. They jump inside when they see him.”

Other benefits include:

  • Less stress to the animal For dogs that don’t travel well, having a vet drive up to your door is a clear advantage. Additionally, the dog doesn’t have to sit in a noisy waiting room for 10 to 20 minutes or more with other animals it doesn’t know.
  • Health benefits The mobile vet takes one patient at a time, so your dog isn’t intermingling with other pets that may have contagious ailments. “You don’t have fleas from other pets to contend with,” says Moore.
  • Convenience for the pet owner The service is perfect for dog owners who have more than one pet, animals that don’t travel well, the elderly or infirm, and people with young children. “I think about the young moms who have an infant on their hip, a 2-year-old by the hand and a Lab dragging them across the parking lot,” Powel says. “This way, the infant can nap, the 2-year-old gets a lollipop and it’s not an all-day ordeal for mom.”
  • Recuperation at home When surgery can be provided on a mobile basis, the canine patient can often recuperate at home. “They recuperate much faster when they’re at home as opposed to being in the hospital,” says Moore.

Quality of Life for Vets
Veterinarians say they also enjoy life on the road, as opposed to being cooped up in an office. “What appealed to me was that it’s a much more personal service you can provide and you can create stronger bonds with your clients and their pets,” says Powel.

There are sometimes drawbacks, such as when pets have to be referred to an animal hospital because the procedure is not one that can be done on the road.

Many veterinarians say that they would have a hard time returning to an office. “It’s a much more relaxed pace,” says Powel. “For each animal visit, I block off an hour of time. Some of that includes getting to the home and setting up at each stop. But I can also spend more time with people and do a better job of listening.”

Top 10 Questions for Your Dog’s Veterinarian

One thing all dogs have in common is this: They can’t tell the veterinarian what’s wrong. That’s when pet owners have to step up and ask the right questions.

“If you are coming in for your annual wellness visit or a sick visit, write down your questions ahead of time, just like I do when I go to my doctor,” says Dr. Elizabeth A. Dole, who practices at Stack Veterinary Hospital in Syracuse, N.Y. “When I get there, I typically can’t remember everything.”

Questions to Ask
Most veterinarians start your dog’s exam by asking you questions to rule out any serious canine diseases. They may ask whether your dog has been losing hair, had diarrhea or shown any change in thirst, urination or appetite.

After fielding those queries, it’s your turn to do the questioning. Here is a list of the top 10 questions to ask.

1. Is my dog at the appropriate weight?
Obesity is a growing concern in pets, as it is in people. One extra pound for a 25-pound dog is the equivalent of about 6 or 7 pounds for an adult human. “It has all sorts of health implications for the heart, joints, liver and kidneys,” says Dr. Bonnie Beaver, former president of the American Veterinary Medical Association and a veterinary professor at Texas A&M University.

2. How are my dog’s teeth and gums?
Tooth deterioration, tartar buildup and gum disease get worse as an animal gets older. “Infections of the gums can spread to other areas of the body,” explains Beaver. It’s important that puppies get used to having their mouths cleaned to allow you to brush their teeth and remove tartar buildup.

3. When should my dog have blood work done?

Blood tests can pick up certain congenital ailments, such as kidney disease or hormonal imbalances. Some vets take a baseline screening on a pet’s first visit, but it’s a good idea to have a screening done for a large dog after age 6 and for smaller dogs after age 8.

4. What should I feed my dog and/or puppy?

Feed your dog food that carries the Association of American Feed Control Officials (AAFCO) seal for complete and balanced nutrition. You should also have conversations with your vet on the types of foods to feed your pet.

5. Does my dog need exercise?

Dogs need regular walks and exercise to keep them fit. Ask your veterinarian if there are certain places you should not go to -- such as local dog parks where there may have been a disease outbreak, advises Beaver.

6. How often should I bring my dog in?

Pet owners usually get in the habit of bringing dogs in for an annual checkup, although sometimes that stretches to 16 months between visits. Senior dogs require biannual visits. “It’s best if we can catch things early so we can intervene and help prolong and improve the quality of a pet’s life,” says Dole.

7. What are the latest recommendations on vaccines?

The latest recommendation is that the last round of dog vaccines should be administered after a puppy is 16 weeks old, according to Dole. It’s also critical to have your pet get any follow-up booster shots. 

How can I administer my dog’s medication properly?
“You should always ask for clarification on the directions,” says Beaver. “If you give your pet medication the wrong way, it doesn’t help and can potentially have serious consequences.”

9. Is generic medication available?

Prescription medications for dogs can be as expensive as those for humans. Ask your vet if generics are available. If they are, find out the difference -- if any -- compared to brand-name products.

10. How much does it cost?
Don’t be afraid to question your veterinarian’s recommendation, particularly if it calls for an expensive surgical procedure. “You should also ask whether there are alternatives,” says Dole. And don’t be afraid to ask for a second opinion.

Automatic Dog Eyedrops in the Works

When Gora, a bomb-sniffing German shepherd working for the Department of the Navy, began to have chronically red eyes and discharge, her Washington, D.C., caretakers took the professional pooch to her veterinarian. Gora was diagnosed with a common autoimmune condition called pannus. The veterinarian prescribed eyedrops, but Gora’s eye problem didn’t end there.

The hardworking canine loathed her new eyedrop routine. Her condition grew worse. Gora’s veterinarian sent her to Dr. Sinisa Grozdanic, DVM, at Iowa State University. The dog’s eyedrop-resistant condition made her the perfect candidate for Dr. Grozdanic’s experimental surgical treatment -- the implantation of a slow-release medicinal pellet inside the tissue surrounding the eye. In essence, Gora became one of the first dogs to be outfitted with automatic eyedrops.

Chances are that your dog, too, may very well end up with an eye problem. Below, Dr. Grozdanic shares crucial information about common canine eye problems, as well as his innovative solution.

Signs and Symptoms
Dog eye problems show up in the form of redness, squinting, tearing, cloudiness, sudden loss of vision, pupil dilation or swelling. These symptoms can signify a host of issues ranging from insignificant soreness to an advanced ulcer or even cancer. If you notice any of these symptoms for more than a day, or if your dog suffers any kind of injury in or around its eyes, prompt veterinary attention is crucial.

According to Dr. Grozdanic, three common conditions, other than injury, can cause eye discomfort in dogs. Each is thought to have a genetic component, so they can be treated, but not entirely prevented.

  • Pannus, also known as corneal disease, is the problem Gora faced. It causes cells in the cornea to multiply in response to UV light, such as sunlight. The cells become pigmented and scarred, making the tissue look red and meaty. “Owners notice the changes almost immediately, so it’s rare that it progresses enough to cause severe visual impairment,” says Dr. Grozdanic.
  • Pigmentary keratitis causes natural pigment to run over the eye, potentially causing blindness. This condition occurs most often in pugs, Boston terriers and other dogs with bulging eyes. It’s thought to be caused by dry eyes and exposure to the elements. “Owners will notice a brownish haze start to grow over the eye,” explains Dr. Grozdanic.
  • KCS, or dry eye disease, can result from either skin allergies or an autoimmune response that causes your dog’s immune system to attack its tear glands. In both cases, the lack of lubrication causes irritation -- which your dog may deal with by rubbing -- and scarring. Medicinal eyedrops can generally stimulate moisture production.

When Eyedrops Don’t Help
Treatment with eyedrops is impacted by the human factor. Pet owners may forget a dose or have trouble getting it into their furry friend’s eyes. But even with successful administration, not all dogs respond to the medicine. “The majority of the patients we’ve treated [with surgery] have been on eyedrops without success,” says Dr. Grozdanic. Drops fail to work in about 10 percent of the population. We’ve developed this treatment to try to close that gap.”

The outpatient procedure, currently available only with Dr. Grozdanic at Iowa State, involves numbing the eye with a topical anesthetic before injecting a biodegradable pellet into the tissue surrounding the eye. The medicine releases gradually, treating the eye for an entire year. “The polymer is so small, we make only a tiny slit and then one simple suture,” says Dr. Grozdanic. The sole risk of the procedure is associated with general anesthesia, which is only required if a lighter sedation does not keep the animal still.

Eight dogs have undergone the procedure to date. “Knock on wood, we haven’t had any problems,” reports Dr. Grozdanic. “The dogs are happy, and the owners are happy. It’s remarkable how much the animals improve.” Dr. Grozdanic predicts that the implant, currently making its way through the FDA’s regulatory process, will be widely available within the next two years.

As for Gora, the performance problems caused by her pannus have disappeared. Automatic eyedrops have allowed her to get back to work helping to protect people -- a result that can leave all of us just a little more confident and happy.