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.

Rampant Allergies? The eyes have it

This summer, your immune system certainly isn’t the only part of your body you should be looking after.

As residents of South Florida, taking care of our eyes should certainly remain a top priority as people begin to flock to the beaches and their backyards. Summer weather and activities, in particular, can cause excessive strain, irritation, or permanent damage.

Luckily, there are a plethora of practices we can follow to combat these effects, while still participating in a summer of fun. Dr. Adrienne Florczyk, an optometrist in Coral Springs, offers a few tips that families everywhere can follow.

A mask shouldn’t be the only protective accessory you’re investing in.

Wearing sunglasses that are 100% UV protection polarized are the most efficient in blocking out harmful rays to make sure you don’t get a sunburn of the eye. A broad-brimmed hat can also be helpful for shading your eyes from direct sunlight. Additionally, shoppers can order UV protection contact lenses if they are contact users.

Watch out for water parks

Waterparks, pools, and beaches can all contain bacteria or chemicals that irritate the eyes. Wearing waterproof goggles is one way to protect your eyes, but if you have children who aren’t so fond of them, Dr. Florczyk recommends buying preservative free artificial tears that flush out the eyes after spending some time in the water.

Yard work can put your eyes at risk

While any outside activity can dry out or trap bacteria in your eyes, yard work, especially, requires some attention. If you are spraying sunscreen, bug spray, or other chemicals that may get in your eyes, you should wear safety goggles or polycarbonate sunglasses that won’t break during landscaping. They also act as a shield from any falling brush or debris.

Spending your relaxation time inside? Your eyes still need protection!

A lot of our down time is spent staring at a television, computer, or phone screen. Unfortunately, it can cause excessive eye strain, especially from the blue wavelengths emitted by these devices.
If you’re staring at a screen, follow the 20-20-20 rule—every 20 minutes, take a 20 second break, and look 20 feet away. This gives your eyes a needed break to keep them healthy. Blue
light glasses, a newer product, also filter out the blue light from screens by using anti-glare coating. Because blue light has been proven to disrupt your natural sleep cycle, this type of eyewear is growing increasingly popular.

By Madison Smith