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.

Something about him was familiar

Best Christmas story or nightmare. You choose.

One day I had a new client come in with a 7-year-old Bernese mountain dog. Chewy presented with a lack of appetite, diarrhea, and vomiting. When the clients came in, I immediately recognized their dog. He had an unusual white stripe on the forehead. The puppy I remembered had the same color pattern and white stripe as Chewy. So, I asked my technician to leave the room and look up Bernese mountain dogs that I have seen over the past 7 years.

I asked another technician to come in to help me perform the physical examination on Chewy. Chewy was clinically dehydrated, his abdomen was tense, the fur on his face smelled like vomit, and his rear end had remnants of diarrhea still on the fur. I told the clients that we would need to start with some blood work and x-rays, and my technicians recruited some help to pick up this 135-pound beast onto the x-ray table. I went back into the exam room and started to talk about the other Bernese mountain dog with similar markings.

Looking back, it was about 7 years ago when a young couple bought a puppy from a breeder. It was in December and the young couple went away for Christmas and left the puppy with their friend and my client. They didn’t leave a cage or toys and the young woman who took care of the puppy left him in a spare bedroom where the puppy did tremendous damage.

One day the puppy got out of the bedroom and destroyed their Christmas tree. He knocked it over, ripped open presents, chewed up ornaments, and ate the stockings. I remember informing the young woman when she brought him in that I was going to have to perform surgery to retrieve all the things that he ate. It ended up being a problem because we couldn’t communicate with the owners based on their travel, but the surgery was an emergency. I ended up performing the surgery which went without complications. The friend ended up paying for the surgery and I found out later that the whole ordeal ended their friendship.

My technician who was doing the deep dive into the research came in and told me that my instincts were correct and it was the same dog. His name was John. When the new owners found out that his name was John they asked if the original owner’s name was Hortensia. It was.

Same dog, similar situation. I ended up telling the new owner my history with John. They adopted John about a year ago, hated the name and call him Chewy because he always has something in this mouth.

My technicians came back in with Chewy and we put the radiographs on the examination computer and we could see the problem right away. Chewy had  about 9 pacifiers in his stomach. I asked the owners if they have a child and they did. Each parent thought it was the other one that got rid of the pacifiers, but it was Chewy. I told them that Chewy needed surgery. The fact that there are 9 pacifiers means that they are not passing. I thought it was fortunate for them that when they adopted John the previous owners transferred the insurance to them, and they never canceled it. And I told them that they never will. Best holiday news ever. Love, Chewy.

In the blink of an eye

I guess we are all getting older, but occasionally, there is a situation that reinforces the fact that you have become part of the older generation. That situation happened to me this past spring when I was lecturing at Auburn Veterinary School. I was part of a group of speakers talking to the veterinary students about life post-graduation. Speakers from around the country were mentoring young minds, eager to hear about their profession. There is nothing more rewarding.

While I was waiting to speak, I decided to walk around the veterinary school. It was cold outside, so I stayed inside and walked by a man and woman. When I walked by, I could hear them talking about me, and I heard the woman tell the man that she knew me but could not remember where.

I continued to walk around the building when I heard her loudly say down the hall, “she knew it,” and before I knew it, she was walking briskly to catch up to me. She tugged at my jacket and apologized, but she wanted to say hi to me.

She introduced herself as Paulette and said that I might not remember her, but her mother, who recently passed away, was a client, and I would remember Rocko the Rottweiler.

Dr. Glenn Kalick

Rocko the Rottweiler was one of a kind. The owner used to call the dog stupid because I performed four exploratory surgeries to remove foreign bodies from his intestines. A little biology lesson here: Rottweilers have large diameter intestines, so a foreign body would have to be large to obstruct Rocko. Interestingly, each of the four foreign body surgeries was for either the husband’s athletic socks or the knot on the end of a large rawhide dog bone. Rocko was one of a kind. He got into the fishing tackle box and got a fishing hook stuck in his tongue, and the one time he went to the beach, he got stung by a jellyfish. Thank god the owner had pet insurance.

Paulette introduced her husband, who also said he recognized me. He told me I probably would not recognize him, but he spent a day shadowing me for a school project when he was in high school. He told me that he was the kid who fainted when watching me in surgery.

I told him that it happened all the time, and he should not be embarrassed. He said that experience changed his career aspirations from wanting to be a human surgeon to pursuing his love for numbers, and now he is an accountant.

It was great to see Paulette and her husband, but it was strange that it happened at a veterinary school in Alabama.  I asked her if she was here because her pet was sick. She said she didn’t currently have a pet because she was too busy traveling. So, I had to ask her again, why is she there? My daughter is in Vet school at Auburn, and we are taking her out to dinner after the conference.

So, here is the circle of life. I took care of the grandmother’s dog, and I am lecturing to the granddaughter at veterinary school. Where did the time go? I ended up going to dinner with the happy family and hope to continue to mentor the young veterinary student throughout her career.

I know Mickey’s not Mom, but still…

I don’t think I’m losing it, at least I hope not, but as Mickey grows, I have the strangest feeling that something about him reminds me of my mother.

It isn’t that he looks like my mom but when he looks at me I immediately think of my mom. At first, I thought the obvious (lol), my mom was reincarnated into my life as my dog. Although I am open to forces beyond my comprehension, this is not my real belief, so I continued to think about this strange feeling.

My second idea was that I was missing my mother in this second year after her death. I was experiencing what psychologists call transference, substituting my absent love for her onto Mickey. That just didn’t seem like the answer either. I have had plenty of love from my husband, family, and friends, so I didn’t think this answered the feeling either.

After more thought and soul searching, I think I realized what it is. There is nothing in this world like a mother’s love for her child. This love is unconditional, boundless, and always, always there. And how does the child feel their mother’s love? Through touch and care, but most of all in the absolute love that shines in their mother’s eyes.

That look is often the way Mickey looks at me. The love between people and dogs is a popular theme of endless books and movies. Who else greets you each and every time you return home with love with unlimited joy. Who else kisses you endlessly with their licks just to show how important you are to them. And who else looks at you with unconditional love and joy simply because you are in their lives. The answer is, of course, your dog. That wonderful look that Mickey gives me reminds me of my Mom and brings me to joy and tears.

One of the benefits of getting Mickey was that I have met a whole host of people in my neighborhood that I never knew before. These are all the dog owners that I meet while out walking Mickey.

Among the dogs we have met, one of Mickey’s favorite is Bailey, a cavapoo owned by Jodi. Every time our walks coincide, both Mickey and Bailey are joyous, and Jodi and I have really good conversations. I think she is a kindred spirit.

Jill and Mickey

I had to share my thoughts about Mickey and my mom with Jodi, whose mom had passed away a number of years ago. I started by saying that I had something strange to share, that Mickey reminded me of someone. Before I had a chance to go further Jodi finished my thought. She said, ”He reminds you of your mother doesn’t he?

Well, I was completely amazed. “How did you know that?” I asked. She said that Baxter, her other dog, reminds her of her mother. She feels that Baxter has her mom’s spirit and was sent to watch over her. She said, “It is all in the eyes.” It couldn’t have been coincidence that we both felt the exact same feeling and I don’t think either of us are crazy. I explained my theory to Jodi, and while she sees my point, she believes it is spiritual not just the love I described. Who knows and it doesn’t really matter.

How lucky we are to have this feeling and enjoy the love of our dogs and wonderful memories of our mothers. We can’t be the only ones believing their dog reminds them of someone loved and lost, but I have not yet shared my thoughts with others. Now I am sharing my feelings with you. I wonder if you have experienced this as well?

One last thought, I am reminded about the importance of our eyes since we are now wearing masks. Without seeing another person’s smile or facial expression, without enjoying a hug or handshake, the eyes have to communicate all our emotions. From our dogs to our moms, it is all in the eyes.