Second opinion: Read the Rx label!

I recently was stopped by a couple riding their bicycles in my neighborhood. My reputation as a veterinarian who gives advice hit a fever pitch in my community during the pandemic.

Mr. and Mrs. Snowbird just came back from their home in upstate New York. They, like so many people, adopted a pet during the pandemic and drove their new dog Rascal, a one-year-old Corgi, down last weekend.

Prior to traveling to Florida, they brought Rascal to their veterinarian because they thought he had allergies. Rascal was shaking his head a lot and vocalized when you touched his ear.

The question that they had for me referenced back to their other dog, Ruby, a 14-year-old Schnauzer who had terrible allergies. She constantly licked her paws, scratched all the time, and rubbed her face. I recommended that they talk to their local veterinarian about Apoquel or Cytopoint allergy treatments.

The schnauzer was a happy dog after starting the medication. They were hopeful that Rascal didn’t have allergies because the medication was expensive, but Rascal seemed very uncomfortable.

I asked them about the working diagnosis. They told me that their New York veterinarian thought that Rascal had an ear infection. Two weeks ago, Rascal’s ears were red, inflamed, and painful. The veterinarian took a sample from the ear to look under the microscope and sent it out for culture.

The doctor started Rascal on an ear cleaner and pain medication and told the couple they would start treatment once the culture results came back.

The couple told me the technician at the hospital called and told them that Rascal had a bacterial ear infection and the vet wanted to start him on antibiotics. They also told them to clean his ears once a day and to continue him on the pain medications if he was still uncomfortable.

After two weeks of medication, ear cleaning, and pain medications I told them that Rascal should be feeling and looking better. They said he wasn’t and wanted to know if I could look.

As we walked to their house, Mr. Snowbird said that Rascal is not clinically better. He doesn’t seem to be in as much pain, but the veterinarian said that he would only need the medication for a few days, and he is still on them.

Rascal also hates it when Mr. Snowbird puts the medication in his ear. He mentioned that it seemed kind of cruel to put cold ear medication in an ear but what does he know. I was puzzled because I don’t know any ear medication that needs to be refrigerated, but maybe the medication was compounded specifically for Rascal.

Rascal is a sweet Corgi. He jumped up on me when I entered the house and, true to form, he smelled sour. When I investigated his ear, it was inflamed and sensitive and full of white material.

I was hoping it wasn’t pus. Mrs. Snowbird brought me the medication and it was Clavamox, an amoxicillin product that was meant to be refrigerated and given orally. I asked them if they are giving the medication orally or putting it into the ear.

I have never seen such finger pointing towards each other. Obviously, someone didn’t read the label. Mrs. Snowbird laughed and told me at least I had a funny story to tell people. Little did they know that I write articles.