PetVet February March 2021 by Barkleigh Productions

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VOL. 4 ED. 1 • FEBRUARY / MARCH 2021

ways to detox and decompress

the importance of gut health in pets

STRONG, SPIRITED AND SPEAKING OUT!

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FEBRUARY / MARCH 2021

CONTENTS 4

PetVet Advisory Board

Veterinarian Life Advice

Love, Grief and the Veterinarian

A Helping Hand to Transform Animal Welfare

Addressing Canine Anxiety: Owner Advice and In-Practice Techniques

Tremendous Teamwork in 5 Simple Steps

Dr. Tierra Price: Strong, Spirited and Speaking Out!

A Practical Guide for Pet Health Professionals

32 PetVet 10: 10 Things to Do

This Month

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VOL. 4 ED. 1 • FEBRUARY / MARCH 2021

ways to detox

and decompress

the importance of gut health in pets

STRONG, SPIRITED AND SPEAKING OUT!

ON THE COVER: DR. TIERRA PRICE

PetVetMag @PetVet_Magazine

Copyright February 2021. PetVet Magazine is published bimonthly by Barkleigh Productions, Inc, 970 West Trindle Road, Mechanicsburg PA 17055. Postmaster: Send change of address to Pet Vet Magazine c/o Barkleigh Productions, Inc., 970 West Trindle Road, Mechanicsburg PA 17055. No part of this publication may be reproduced without written permission of the publisher. Editorial offices: 970 West Trindle Road, Mechanicsburg PA 17055. (717) 691–3388 FAX (717) 691–3381 Email: info@barkleigh.com

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ADVISORY BOARD

Meet our EDITORIAL ADVISORY BOARD!

Courtney A. Campbell DVM, DACVS-SA

Jenifer Chatfield DVM, Dipl. ACZM, Dipl. ACVPM

“My passions ultimately drove me towards becoming a veterinarian, but when I was growing up I briefly flirted with the idea of becoming a magician. As a veterinarian, the ability to save lives, keep animals healthy, and strengthen the human–animal bond makes me realize there’s nothing more magical than that.”

“I have had the privilege of working with a variety of animals in my career and my passion has allowed me to be involved in teaching veterinary students, interns, residents and other veterinarians. I continue to enjoy going to work every day to help critically ill dogs and cats, and love the client interactions as well. I am proud to be a part of this advisory board to help teach and spread my love for this profession to others in the veterinary community.”

Jill López DVM, MBA “Do something every day to make an animal’s life better.” 4

PetVet’s advisory board is here to help ensure quality content to motivate & educate Veterinarians and their staff.

Lisa Powell DVM, DACVECC

Julie Legred CVT

“People should be so lucky as to get to be a veterinarian. The broad-based education empowers us to be successful in multiple fields and affords us the opportunity to choose how we spend our professional time.”

“I have worked in many areas of veterinary medicine and veterinary technology over the last thirty five years, and it is amazing how far our profession has grown and paved the way for the betterment of animals' lives and happiness, as well as improving public health issues. It is an honor for me to be a part of this advisory board to offer additional education and opportunities to grow in our profession.”

STAFF

Executive Editor Rebecca Shipman

Publisher Barkleigh Productions, Inc.

Art Director Laura Pennington

President Todd Shelly

Senior Graphic Designer Jenn Barraclough

Vice President Gwen Shelly

Web Master Luke Dumberth

Chief Operations Officer Adam Lohr

Marketing Consultant Alex Hammersla

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Director of Marketing & Client Relations James Severs Administrative / Marketing Assistant Karin Grottola Social Media / PR Coordinator Evan Gummo

VETERINARIAN LIFE ADVICE

LITTLE STEPS

is a personal reminder to pay attention to the details in your daily life and the importance of goal setting. It also stresses the essential act of starting something, no matter how small or insignificant those first steps may seem. Each day I take time to reflect on whether my daily ‘little steps’ are moving me closer to a ‘big journey.’”

Ernie Ward, DVM, CVFT Author, Entrepreneur and Innovator

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client services

Love, Grief

AN D T H E V E T E RI NAR I A N By Kaleel Sakakeeny "When the love grows, the depth of the pain also grows." - Nathaniel Hawthorne

ou’ve just taken the life of a pet you know well; one you probably nurtured from the first months of the animal’s life. Then there’s the bereft pet parent with whom you also probably share a very caring relationship. You and she chose to end the life of the one being she loved unconditionally. Her pain and grief are bone-marrow deep, as likely are yours. Euthanasia isn’t just a painful part of your profession, but also an inevitable one. And the fact that veterinarians are at higher risk for depression than the general population1 arguably has something to do with the stress and heartbreak of taking a beloved animal’s life. Dr. Katja Lang, a veterinarian at the Heart of Chelsea Animal Hospital in New York, affirms that, “euthanasia is emotional, even for professionals who regularly perform it.” And says, “As vets, we get to know the patients, we get to know the clients. So, we’re invested emotionally.” You took an oath to “solemnly swear to use my scientific knowledge and skills for the benefit of society through the protection of animal health and welfare, the prevention and relief of animal suffering…”

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However, no matter how medically necessary euthanasia was; no matter how much the act was a “prevention and relief of suffering,” it’s not how the pet parent experiences it. Clearly and patiently, you delivered the diagnosis. But she was numb, exhausted and distressed, her heart unconvinced and unaccepting. She will, very shortly, enter the throes of denial and bargaining: Is this really happening? If only I had done… what if we tried…. did the vet really do all he could? To her, as to most of us, knowing and accepting are as different as the heart is from the mind. You’ll be asked many times to explain exactly why her pet’s life was taken. She’ll want to know why the euthanasia absolutely had to be. Of course, you’ll do your best to explain the reasoning. And so, the grief journey begins. Gradually the story unfolds of the first cough, the loss of appetite, the call to the emergency vet…days, weeks or even years after a pet’s death, someone is still reliving that day and that moment in your clinic. Because euthanasia has less to do with the mind and everything to do with the heart and soul, those who seek psychotherapy for their pain and sadness are often unsatisfied and unhealed. Few therapists are trained in grief work, almost none are trained in pet grief work and few veterinarians are seriously trained in pet grief work. There are, of course, grief-related studies in progressive veterinarian schools which make a significant difference in how a client is helped to cope with her loss, but the actual, sustained work with the bereaved is usually someone else’s responsibility. The dominance of the medical model in our society makes it difficult to accept that a broken heart is not a mental health issue. There are pills for depression; none for sadness. And depression is usually where unexpressed, unaddressed grief ends up, for both pet parent and

The death of a pet can also trigger the unmourned, unexpressed grief of other deaths, perhaps that of a parent or another loved one, usually from long ago. even the veterinarian. The death of a pet can also trigger the unmourned, unexpressed grief of other deaths, perhaps that of a parent or another loved one, usually from long ago. The goal is not to help the bereaved pet parent “move on” or “let go,” but to help her “move forward;” move toward a belief in a future where she will love another animal again and remember the one that died with more joy than pain. Seeking closure is another common, unhelpful grief assumption. No one who has loved ever really wants to “close” anything. The goal

is reconciliation; reconciling the loss, integrating it into the lives of the bereaved as they move forward. Accepting the reality of the death is absolutely critical for any of this to happen. Without this fundamental step, no progress is possible. Veterinarians are front-line workers who triage unfathomable grief on the spot, and often into the future. You’re never forgotten. You’re remembered in detail as a blessing and a curse… and you pay a steep price. So, what can you do to make the necessary evil of euthanasia a little easier on your grieving clients?

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TIPS TO MAKE EUTHASIA EASIER FOR GRIEVING CLIENTS < “Justifying” a pet’s death by pointing out how necessary and medically called for it was only disenfranchises grief. Believing the necessity of the death is critical but there will be time for these kinds of explanations later. < Listen to and answer all your client’s questions, even though some may be repeated over and over. < Realize there’s nothing for you to “fix” because nothing is wrong. < You should encourage tears and realize that they’re natural responses to losing a loved one. Inhibitions to public displays of emotion are harmful. < Lean in and close the space between you. In principle, touching and physical contact are taboo, and probably discouraged during the pandemic, but touch is a

It’s also important to take your own advice—show compassion to yourself, take grief breaks, spend more time with loving and supportive people, stay

powerful way to connect and say, compassionate act that softens “I’m here.” A touch on the arm the pain. can be deeply reassuring < Grief never ends, but you may < Death can take a long time to be in a position to say that be accepted. The body, mind relationships and love never and heart resist the reality—life end either. Ritual actions taken without life’s companion. Let to secure the relationship after clients know you’re available to death—ceremonies, tree-planting, try to answer their questions. shrines with photographs and Encourage them to make an mementos, and art and letterappointment to talk. writing to the deceased pet keep < Because “naming and sharing” the spiritual connection and are great healers, encourage memory alive and strong. clients to spend time with under- < Encourage self-care and self-comstanding, non-judgmental friends passion. Grief places a huge and family who will listen to their burden on the mind and body, so story no matter how many times self-compassion, self-care and forthey’ve heard it. giveness are essential prerequisites < Leave something of sympathy. for the journey. Good advice is Some animal hospitals place a to eat well, take grief breaks, go rose or some other flower after for walks and stay in touch with the euthanasia. It’s a simple loving, caring people.

healthy and, of course, cry when you need to. Those who have lost a loved one tend only to remember the last days of death and illness, but since we

don’t just focus on the end of a movie, suggest that they remember the entire beautiful life that was shared.

References 1. When Working With Animals Can Hurt Your Mental Health, https://www.sciencedaily. com/releases/2019/08/190809113026.htm Reverend Kaleel Sakakeeny is the director of Animal Talks (animaltalksinc.com) a nonprofit, 501(c)(3) animal charity. His work in the emerging field of pet grief has been recognized by People Magazine, the Boston Globe, Pet Gazette, ABC/TV, Dogster and Caster magazines, and other media. Kaleel also has BS, MFA and MA degrees, and meets with pet parents regularly by phone or zoom. He welcomes inquiries and comments at Kaleel@ animaltalksinc.com. He invites conversations about pet grief and the healing journey.

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lifestyle

WAYS TO DETOX & DECOMPRESS Cleanse yourself of 2020 as you careen into the new year!

By Brendan Howard

f this past year in veterinary practice wore you out, you might need a fresh start. And while we can’t say how long it will take for life to slowly return to normal in 2021, it is time to take up old hobbies, defend your personal time and give yourself a special treat at the end of a long day. Here are five tried-and-true ways to help lower stress, get your tired brain back into shape, and help to maintain your calm and composure when work is hard and the monotony of daily life is getting you down:

1. TAKE A BREAK FROM THE PEOPLE & REMEMBER THE PETS In a year of pandemic stress, many people around you were reacting emotionally and not managing themselves properly. That might have made normal work with people even more stressful for those who (typically) like working with pets more than people. “You deserve, every day, to decompress without people, if that’s what helps,” says Melissa Detweiler, DVM. “Our family lives out in the country, with two neighbors within

PETVET MAGAZINE

The work of a veterinarian can be relentlessly cerebral and highstakes. Sometimes you need to get back to the basics and stop and think about what would sound nice, smell nice and feel nice.

three miles, so I can get a little isolation,” Detweiler says. “The stress of practice is from the people, not the pets.” Her husband and kids know to give her time if she comes home from work, puts on her shoes and heads out on a three-mile country route to walk when she gets home. “I have to be disconnected from everything for a bit,” she says. “My dog is running through the creek, covered in weeds, tongue hanging out the side of his mouth. It reminds me why I do this.”

2. Get in touch with your senses The work of a veterinarian can be relentlessly cerebral and highstakes. Sometimes you need to get back to the basics and stop and think about what would sound nice, smell nice and feel nice. “I am addicted to salt baths,” Sarah Wooten, DVM says. “I spend an embarrassing amount of time bathing.” Wooten also quiets down the world at least twice a day with meditation and escapes the noise and pollution of the city life by getting back into nature. What sights do you miss? What smells bring you joy? What would feel good on your skin? You need to love on your body the way you love on your mind. “Self-care is not a luxury,” Wooten says. “It’s a survival skill.”

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3. Honor your inner child & play

Some veterinarians play video games. Some veterinarians dance or sing or play guitar. Some veterinarians jump on trampolines or ride their bikes. What used to make you happy when you were young? “Sometimes at night if the family is home and we’re watching TV, I like to color in coloring books,” Detweiler says. “It helps me disconnect, be creative, and look at all the pretty colors.” Coloring is so different from her job, she says. She indulges herself with fun office supplies and new pens and daydreams about what she’d be doing if she weren’t a veterinarian. “I would open up an arts & crafts supply store,” Detweiler says. “No stress, nobody dying.” Your responsibilities are real and your work is important, and that’s why it might be time to reach back, a little bit each day or each week, to a time when the world wasn’t weighing on your shoulders.

4. Cut down on social media and connect with close friends Participating in groups for veterinary professionals on social media where sympathizing with each other’s struggles is good, but sometimes veterinarians’ tendencies to stay in problem-solving mode turn sessions of sharing into sessions of correction. “I don’t post about too many cases,” Detweiler says. “I guess because somebody will comment and say, ‘Well, why didn’t you do it this way?’ But I just wanted to vent.” Instead, when she needs to talk about work but in a more personal, less professional way, she has particular colleagues and friends who hit the right tone. “You need to talk to people within the profession who get it, but they know I don’t need them to solve my problems,” she shares. Ask yourself how you feel when you talk to certain people online and when you participate in certain groups online. Can you find the right coworker, mentor, colleague or close friend who gets you? Try connecting with them instead, one-on-one,

rather than consulting a group who doesn’t understand your whole situation.

5. Get creative Aside from child-like fun, are there other ways you used to be creative that you haven’t tapped into lately? Or maybe there is a new activity or hobby you have thought about trying out but have yet to find the time? Writing is something creative that Dr. Detweiler enjoys. Sometimes that means articles or content to be read by others, but sometimes her art is just for her. “I’m just purging; getting the words out, and that’s sometimes something I need,” she says. She also combines her creativity with time with friends on her podcast, DVM Divas (dvmdivas.com), which gives her the chance to mix comforting and challenging conversations in with her joy of making audio. What did you used to do that got your creative juices flowing? What have you

always thought about trying out? Don’t overwhelm yourself by dreaming up some new, creative side hustle for money or fame (unless that’s thrilling). Find a small way to try it out and bring that creativity back into your life. Stop what you’re doing right now, take a deep breath and think about what you’d like to do when you get home. Enjoy a moment of peace and quiet away from people or a cuddle with your cat? Maybe play a video game, strum on the old guitar or dance to a song? Relax in a bath with a sweet-smelling candle or take a walk in the park? Last year was a rough year. You need a break, doc. Brendan Howard is a freelance writer in Olathe, Kansas. He’s worked on cool content, audio and video with veterinarians and veterinary professionals for more than 13 years.

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why it matters

a helping

hand to

Photo of Terry Lazin by As If Magazine

By Jen Phillips April

hanks to a landmark $3 million dollar gift, the Lazin Animal Foundation will help the Arizona Humane Society (AHS) do more of what they do best—transform animal welfare. Over the past seven years, AHS has provided a safety net for the region’s most vulnerable animals. Located in fast-growing Maricopa County, AHS has established a comprehensive medical, behavioral rehabilitation, surrender intervention and spay/neuter program that has saved an additional 115,000 lives in its seven years. AHS Vice President of Development, Lauren Martich says, “Our President and CEO, Dr. Steven R. Hansen is a visionary and gives people the chance to act on their visions. One of those visions was saving Parvo pups. We began the Parvo Pup ICU seven years ago. From there it was natural to enact other life-saving programs like our Second Chance Animal Trauma Hospital™, Mutternity Suites, Kitten Nursery, and Bottle Baby Kitten ICU. Overall, we’ve 14

realized an 82% reduction in euthanasia over the last seven years.” The generous grant contributes to a state-ofthe-art medical facility in the Phoenix area for these at-risk animals. In October 2021, AHS will break ground on the Lazin Animal Foundation Second Chance Animal Trauma Hospital™. It will be the largest shelter-based trauma center west of the Mississippi. Martich says, “The new hospital will offer life-saving medical care as well as complex ventilation systems and flexible isolation spaces to reduce illness, expand and contract for hoarding and other large-scale intake situations, and treat conditions commonly considered untreatable in the shelter environment. Our life-saving teams are so ready to have more space and technology to do what they do. We are excited and grateful for this gift. It really makes a statement about the value of the animals' lives.” Martich continues, “Every day, I meet

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Photos by Arizona Humane Society

“Terry Lazin was so dedicated to the most vulnerable animals. She had beloved dogs and wanted to help dogs have a second life.” - Lauren Martich, AHS Vice President of Development generous people who love animals and want to help them. Terry Lazin was so dedicated to the most vulnerable animals. She had beloved dogs and wanted to help dogs have a second life. We also believe those animals need and deserve that second chance. We’re so grateful for this gift that moved the needle.”

Why It Works The Central Campus & Animal Medical Center will be known as the Lazin Animal Foundation Second Chance Animal Trauma Hospital™. It replaces a 1957 building and represents an opportunity for Arizona’s animal population to receive state-ofthe-art care in a modern facility. There is also an educational element. Children will be able to learn about animal welfare and see surgeries through the glass. In addition, there will be externship opportunities for veterinary school students. The AHS is an independent non-profit and not affiliated with any other humane societies. As a result, they raise all of their own funds. This grant is a milestone in animal welfare and will provide medical and behavioral rehabilitation for the most vulnerable animals. And, in the fastest-growing county in the country, it’s important to keep a handle on pet overpopulation, keep them off the streets and help them find loving homes.

Why It Matters The Lazin Animal Foundation seeks to honor the legacy of its founder, Terry Lazin. Terry had illustrious careers in government service, as a corporate attorney and ran a consultancy

that worked with high-profile clients like the NFL Players Golf Club as they raised money for nonprofit organizations. But at the heart of her life was her love of dogs. Terry established the Lazin Animal Foundation in 2011 to provide grant monies to organizations that care for and protect at-risk dogs. Susana Della Maddalena, Chairman of the Board of the Lazin Animal Foundation says, “Terry loved dogs and in particular the underdogs. She had a soft spot for dogs seen as problem breeds.” Since AHS takes in dogs from the community who otherwise probably wouldn’t have a chance, the missions of the two organizations are well-aligned. Della Maddalena adds, “The scope of what they’ll be able to do within the community will be impressive. They’ll be able to accept the dogs, treat them, and ultimately, get them adopted. It’s a great thing to put her name on the trauma center because it’s a great tribute to her love for animals and the positive impact she wanted to have on their lives.”  A web writer since 2005, Jen’s written over 1000 articles on pet-related topics. She works with veterinarians and pet professionals around the world to help them attract and retain customers through effective content marketing practices. Passionate about both pets and digital marketing, you can find out more at jenphillipsapril.com. When not working with her fabulous clients, you can find her eating tacos and practicing her Spanish in her adopted home of the Riviera Maya.

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best practices

How can you spot the signs of anxiety in dogs? While every animal is unique and may express their emotions in different ways, there are several common behaviors which can be used to identify anxiety in dogs, some of which could be displayed while in the clinic or described by the owners. The main signs to look out for include:

A Daddressing DRESSING

CANINE ANXIETY

Owner Advice & In-Practice Techniques By Dr. Scott Miller

difficulty that affects all dog owners is being able to identify the non-verbal cues indicating that their canine friend is under stress. Physical issues such as an injured leg or irritated skin can be displayed by a limp or excessive scratching; however, when it comes to a dog’s mental wellbeing, it becomes far trickier to spot the signs. That is where we come in as vets. It is our responsibility to spot the tell-tale signs of anxiety in dogs and give the best advice to owners on how to support an anxious dog.

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• Barking or howling when the owner is leaving or isn’t at home • Constant pacing & panting • Shivering or shaking • Wanting to be alone by either running away or hiding in the house • Constant irritability or not being able to settle • Digging or destroying furniture or other property • Excessive licking, chewing or Scratching at themselves • Refusing to eat or drink • Urinating more frequently Not all of the signs of anxiety are so clear. Some more subtle signs of an anxious dog, if displayed regularly, could present as:

• Licking their lips or excessive yawning • Showing whites of the eyes or looking away • Lifting a paw

What general advice can you provide to owners of anxious dogs? It is important to ensure that the owner approaches the situation calmly as to not overstimulate their dog, which can heighten the dog’s stress. Below are few additional changes that can make a dog's life less stressful.

them to go down to the dog’s level and call them in an encouraging tone—if the dog comes, reward them with a treat. This will help the dog to be more comfortable and trusting.

Control the dog’s surroundings Controlling body language While it might be tempting to smother and cuddle a stressed or anxious dog in an attempt to comfort them, this could heighten their stress levels. Sometimes the best thing to do is to give them some space while also keeping an eye on them. Let them make the first move in approaching you when they are ready. Owners should also avoid approaching their anxious dog head-on and making direct eye contact, as this can make an already stressed dog feel more anxious. You should advise

While it may not always be possible to control everything about the dog’s surroundings, owners should try to keep things as open as possible. You should advise them to avoid crowded or busy areas, and if the dog is anxious around other dogs, they should avoid any head-on confrontations in enclosed spaces. If they notice their dog is stressed in any of these situations, they should calmly remove their dog from that environment and use distraction techniques (such as treats or games) to draw their mind away from a perceived threat.

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usually anxious. If the owner reports abrupt weight gain or loss, or a random change in behavior, it could be a sign of illness-based anxiety. You should advise dog owners to contact the practice if they notice a sudden change in behavior, as this could be the sign of an undiscovered health issue.

General anxiety

WHEN CAN DOGS FACE ANXIETY? One of the best ways to identify which treatment is the best for an anxious dog is to spot what is triggering the anxiety in the dog. There are several factors, both biological and environmental, which could make a dog anxious.

Separation anxiety This is a very common issue. Dogs are social animals and not many actually like being left on their own. This type of anxiety is often triggered by boredom, loneliness or if they have had a negative experience when left alone in the past. Dogs with separation anxiety often become destructive, go to the bathroom in the house or howl/bark when their owner leaves. If a dog owner comes to you with concerns about separation anxiety, you could recommend the following tips: • Tire the dog out before they leave the house, either by playing with them or taking them for a walk. • Give them a treat, toy or chew to keep them occupied when they leave. • Don’t make a fuss about leaving. If the owner makes a big deal about leaving, the dog will think it is a big deal!

Change in environment Several environmental changes can trigger anxiety for dogs, whether it be a house move, traveling or being adopted from a shelter, as they may have traumatic memories. One of the best ways to tackle this is to establish a routine in the dog’s life. Advise the owners to draw up a predictable and consistent routine with regular walks and feeding times and make sure they stick to it.

Illness It is common for a dog to become stressed or anxious as a response to an illness or disease, even for a dog that isn’t 18

For generalized anxiety, it is not always possible to determine the exact cause, and certain breeds can be more prone to anxiety than others. This type of anxiety is common, but the symptoms are often passed off as “typical behavior” for certain breeds of dogs. In this case, advise owners to keep a calm and consistent environment for their dogs. Natural supplements are a simple but effective way to help reduce anxiety and encourage relaxation in a nervous or stressed canine, easily added to the dog’s food or given prior to or during a stressful event. Also, pheromone diffusers can work well to promote a sense of wellbeing and calm in any home. In more difficult or severe cases of anxiety, prescribed medication or antidepressants can work. These medications should be used concurrently with the recommendation of therapy from a local dog behaviorist to help balance pharmaceuticals with positive behavioral therapy.

How can you calm a dog’s anxiety if it is triggered by their vet visit? A visit to the vet can be a stressful experience for a dog and can trigger anxiety. The dog might be separated from their owner, associate the building with illness or feel uncomfortable being approached by an unknown person in an unfamiliar place. In order to help destigmatize trips to your practice, you should invite owners to visit with their dogs, even when they don't need a check-up or procedure. A treat and some affection from the staff can help to lessen the stigma of a visit to the vet. To help keep the dog calm, you should first establish that you are not a threat. If the dog is particularly stressed, put yourself at their level and use positive reinforcement with treats to help them feel comfortable. When possible, keep the owner near so that the dog feels secure and safe. You should also allow the dog to familiarize themselves with the setting of the clinic by letting them walk around and sniff so they can explore their surroundings and feel safe. Dr Scott is Head Vet at Front of the Pack, a start-up leading a revolution in pet health and manufacturer of high-quality canine supplements to target overall health, joint and mobility support and anxiety. Dr Scott is passionate about helping dog owners provide the support and comfort their dogs need to navigate these unsettling times. With 22 years of experience as a clinical practising vet, he is keen to help guide pet parents to ensure their dog stays fit and healthy both

physically and mentally. PETVET MAGAZINE

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HEALTH

IN PETS

An Integrative Veterinary Approach By Katie Kangas, DVM, CVA,CVCP

ore than 2,000 years ago, a Greek physician, who came to be known as the Father of Medicine, stated, “All disease begins in the gut.” While many traditional medical systems acknowledged the primary role of the gut in overall health, modern research continues to confirm the ancient wisdom of Hippocrates and Western medical systems are now placing a larger focus on gut health. In addition, it has become increasingly clear that many metabolic, autoimmune and cognitive diseases start with gastrointestinal disturbances or imbalances. Therefore, these findings support that optimal health in pets (and people) cannot be achieved without a healthy gut. The GI tract actually has numerous important roles beyond basic digestion. It hosts trillions of bacteria, fungi and other organisms, houses 70%

of the immune system, performs the majority of neurotransmitter production, influences metabolism, contributes to energy homeostasis, mitochondrial function and much more. All veterinarians certainly recognize that chronic inflammation of the gut and IBD (Inflammatory Bowel Disease)-related disorders are a rapidly growing health issue for dogs and cats. However, it may not be commonly recognized that chronic GI issues are often associated with a myriad of other health conditions in our veterinary patients, such as allergies, chronic skin conditions, autoimmune diseases, cancers, neurologic and cognitive diseases, and even chronic inflammatory joint disease. Furthermore, the absence of GI symptoms does not necessarily equate to a healthy gut. Total gut health takes into account the diversity

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and balance of the gut microbiome and the integrity of the gut barrier amongst other factors. Dysbiosis and intestinal hyper-permeability (i.e., leaky gut) are incredibly common and may not present with obvious symptoms. Leaky gut occurs as a result of inflammation in the gut lining which leads to separations in the cellular tight junctions of the gut barrier. Once the gut barrier is compromised, it allows for the penetration and absorption of unwanted particles, toxins and pathogenic microorganisms to get into systemic circulation, which can lead to massive immune system disruption and inflammatory changes affecting any or all organ systems. Simply said, a leaky gut puts pets at a higher risk for food sensitivities, allergies, chronic skin disease, autoimmune conditions and metabolic disorders. Furthermore, it is well understood that a healthy gut barrier is critically important for optimal immune function, as this barrier also

LEAKY GUT

A leaky gut puts pets at a higher risk for food sensitivities, allergies, chronic skin disease, autoimmune conditions and metabolic disorders.

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5 Proactive Solutions For

MAINTAINING A HEALTHY GUT

IN DOGS & CATS

1. Feed a well-balanced diet that is optimally fresh or low-processed in format and contains species-appropriate ingredients. Heavily-processed foods that contain high carbohydrate percentages alter the gut microbiome and cause inflammation in the gut which can lead to leaky gut syndrome, digestion problems, immune system compromise, etc.

2. Feed a serving of fermented food daily or provide a quality probiotic product. Beneficial bacteria will support a healthy microbiome. Fermented foods naturally provide a wide diversity of beneficial bacteria/microbes, digestive enzymes, minerals, etc. This promotes healthy digestion and a healthy intestinal environment.

3. Add a digestive enzyme supplement to meals. The ancestral diets of dogs and cats were not cooked, and especially not at the high temperatures used in modern-day food processing. Enzymes are destroyed at high temperatures which means that most pet foods are devoid of digestive enzymes.

4. Provide colostrum as a daily supplement. Bovine colostrum is extensively studied for its benefits as a safe and effective nutraceutical supplement. Colostrum provides immune factors to protect and rebuild the gut lining and the immune system, as well as growth factors to repair and heal. Choosing a liposomal form of colostrum is ideal to allow for optimal absorption and utilization of these specialized nutrients.

5. Avoid excessive use of medication such as antibiotics, antacids and other prescriptions. There are numerous supplements, nutraceuticals and natural options which can effectively address health conditions and provide preventative health benefits.

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protects the GALT (Gut Associated Lymphatic Tissue) which comprises 60-70% of the immune system and creates up to 80% of antibodies. Chronic inflammation in the gut and subsequent hyper-permeability of the gut lining is also associated with a disturbance in gut microbe populations. A healthy microbiome consists of vast communities of beneficial bacteria, fungi and viruses. Rather than just casual colonizers, these microbe populations make essential nutrients, provide immunological signaling, perform detoxifying functions and influence neurotransmitters and hormones, and even metabolism. Veterinarians are very familiar with the obesity rates in our canine and feline patients, and the health risks associated with this common health issue. And while there are many casual factors involved here, there is quite a bit of interesting research demonstrating a clear association between obesity or body weight issues with the microbiome populations in both mice and people. It is also clear that many neurotransmitter chemicals and hormones used by the brain and nervous system such as serotonin, dopamine and GABA are produced in the gut. Serotonin impacts mood and anxiety, and has actually been termed the “happy chemical” because it contributes to happiness and wellbeing. And, conversely, low levels of serotonin have been associated with depression. It is estimated that 70% of serotonin is made in the gut. Dopamine is involved in motor function, mood, decision making and control of other hormones as well. Reports estimate about 50% of dopamine is produced in the gastrointestinal tract by enteric neurons and intestinal cells.

GABA regulates stress, anxiety and sleep patterns, and is known to be modulated by bacteria in the gut microbiome. Indeed, bacteria in the gut actually communicate with the brain and the connection between the gut and brain is called the Gut-Brain Axis. New research may have us looking more at gut health in addressing behavioral disorders of pets as well. A recent groundbreaking study at the University of Oregon has shown a clear link between aggressive behavior of dogs and the microbes that live in the dog’s gut. This study analyzed a population of similar-breed dogs in a shelter setting and compared evaluations of behavior with microbiome status, via testing a series of their fecal samples. While this study

could not distinguish the exact relationship between cause and effect, it reveals that the gut microbiome may contribute to aggression or its severity, and that manipulation of the microbiome, via probiotics or dietary changes, may modify behavior. Furthermore, the results of this study suggest that analyzing the canine gut microbiome may have some predictive value in diagnosis of canine behavioral disorders. With a deeper understanding of the diverse actions of the gut and the critical role it plays in systemic health, metabolism, immune function, behavior status and overall wellbeing, it becomes clear that supporting a healthy gut environment is a powerful proactive approach in maintaining the health of our veterinary patients. 

Dr. Katie Kangas owns and operates Integrative Veterinary Care, a private practice in San Diego, California, offering holistic and integrative health care options for pets. Dr. Kangas achieved her CVA certification at the Chi Institute in 2008, followed by additional training in Advanced Acupuncture, Food Therapy, Herbal Medicine and Veterinary Orthopedic Manipulation (VOM). She has authored several articles published in veterinary journals and pet magazines, and shares her passion for pet wellness education by lecturing and presenting locally, nationally and internationally. Additionally, Dr. Kangas has a background in shelter medicine, with 15 years of contribution to the homeless pets in her community and previously served as the medical director of the San Diego Humane Society & SPCA.

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BEYOND THE STETHOSCOPE

ow do we motivate others, lead and inspire a team when struggling with the day-to-day uncertainties and stressors in our own lives? This was a question that dominated 2020 and the SARS-CoV-2 pandemic. It will continue to be relevant and essential, even after we get back to normal…and I have a feeling that it will be an all new normal when we overlay the ever-evolving technological advances of the fourth industrial revolution. When in doubt, get back to basics. Maybe you've heard about the “KISS” process and that infamous acronym, Keep It Simple Silly (KISS), or perhaps it's a new concept for you. Either way, it's one that reminds us that when we feel doubtful, stressed, overwhelmed or on the brink of burnout, to take a deep breath and get back to basics. The tried-and-true basics of leading a team no matter the industry, in my opinion, with experience and training as a military officer, veterinarian, politician, certified high performance coach, entrepreneur and podcast host, can be broken down into these five simple concepts and action steps: 1. 2. 3. 4.

Set intentions and boundaries. Role model behavior. Invite others to participate. Recognize and celebrate achievements. 5. Work on your personal development. When I reflect on all of the training I've received, serving in varying and diverse roles throughout my veterinary career, these are the five concepts that keep appearing and re-appearing as a common thread, and they are behaviors that also lead to success. Four of them were referred to as the “Four Vital Behaviors” in one such training. Powerful stuff.

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1. set Intentions and Boundaries First we need to set our intentions and boundaries. You may have heard this referred to as “setting your vision,” “your why,” or “getting clear about your goals.” This is important because it's what keeps the train on the tracks and prevents us from getting derailed along the way. Think about that difficult conversation with a friend, family member or co-worker. If you took time to first ask, “What are the goals or outcomes I'd like to achieve here? How do I want them to feel? How do I want to feel?” and really thought about these questions and set some internal intentions before that conversation, would it have gone better? Would you feel calmer and more prepared when you are clear about wanting to also serve their needs and improve the outcome for all? When new groups come together, the leader must share their leadership style, vision, goals and boundaries. Boundaries can simply be what the

leader expects of the employees by giving them guardrails and allowing them space within those barriers to create new and innovative solutions for the group's betterment. For example, saying something like, “I care about you and your families and understand we are navigating a new situation. I expect clear communication, and here is our new policy to help everyone meet their personal and professional needs right now. If you believe this policy is missing something important, please take that to HR so we can evaluate it promptly and consider your viewpoint.” Great leaders then follow up, hold another meeting sharing any issues that were brought up (anonymously), how the issues were addressed and why—considering both the company’s and employees’ needs—and acknowledging any unresolved feelings or problems. It's okay to be transparent and communicate clearly with others; in fact, it's often necessary and how we build trust.

2. Role Model Behavior

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If we want to see change, we first must be the change we want to see in the world. This statement is often attributed to Mahatma Gandhi. His full quote, which I feel is much more powerful yet not as catchy, certainly speaks to role-modeling behavior: "We but mirror the world. All the tendencies present in the outer world are to be found in the world of our body. If we could change ourselves, the tendencies in the world would also change. As a man changes his own nature, so does the attitude of the world change towards him. This is the divine mystery supreme. A wonderful thing it is and the source of our happiness. We need not wait to see what others do."1 In other words, role-model the behavior. It's not always easy, but I do believe it's necessary; after all, even Gandhi suggested as much.

3. Invite Others to Participate If we find ourselves wondering why more people aren't participating, or if we’re saying statements like, “No one wants to participate,” or “We can't get anyone to be involved,” the question we need to ask is, “How many people have I personally invited to participate?” The days of “I sent the email, and no one responded” are over. People need community; it's one of our basic human drives for a sense of connection to others. People need to be personally asked to participate—and they want to be asked. Sometimes, as leaders, we have to go the extra mile,

pick up the phone or look someone in the eye and simply invite them to participate. You could say something like, “I noticed how great you are at training the kennel staff and working as a member of our team. We could really use your voice and perspective during our staff meetings. Is there a reason you don't speak up more often?” In this example, we acknowledge the behavior we want role-modeled, invite them to participate and ask if there is a barrier or hurdle. We might learn something valuable as a leader in this scenario, and have an opportunity to improve our skillsets here as well as their experience. Win-win!

5. Personal Development

4. Recognize & Celebrate Achievements No matter how big or small, it is important to recognize and celebrate achievements. As busy professionals, we sometimes forget to celebrate our own achievements because we consistently strive for more. Taking a moment to recognize all that we've accomplished before moving onto that next goal or task can have an incredibly positive impact on our mindset and wellbeing. Let's do that for others as well! What are three achievements that you can recognize and celebrate others for? Who can you surprise today with a text, note or statement of appreciation? It doesn't have to be a big thing, but don't we all like to be recognized for a job well done? We sometimes think we are already doing this until we challenge ourselves to make this a daily practice. As soon as I started recognizing and appreciating team members' efforts and actions more consistently, my whole life improved. The teams I led, both inside and outside of the exam room, became more driven, dedicated and committed to excellence. Even at the end of long, hard days, I make sure to thank everyone for their hard work, acknowledge that I know they did their best and appreciate how committed everyone was to work through it.

Lastly and perhaps most importantly, we must address our commitment as leaders to our own personal development. Each of us, myself included, has blind spots and weaknesses. Part of being a leader is committing to continuous learning, growth and trying new things to improve ourselves, our attitudes and our mindset. What's one skillset that you are committed to improving this year? Write that down and take consistent, daily action— even just five to 10 minutes. I'll bet you improve that area of your life and achieve your goal in record time. It’s easy to overlook one or more of these steps during uncertain times or when we feel overwhelmed and are just trying to survive. A mantra that helps me find the calm and strength to take a step back, get out of the weeds and truly support team members is, “Leaders are positive and calm when there is chaos.” It reminds me that taking the time to reflect on these five areas, listen to team members and make additional time for others to build positive relationships, both at work and at home, can have a much more positive impact than completing one more task or sending one more email ever would. Dr. Angela Demaree is the CEO and Principal Consultant for PAWS Consulting, a public health and political consulting firm. Angela recently retired as a Major in the United States Army Reserves, is a Certified High Performance CoachTM and the host of Beyond the Stethoscope, the podcast for veterinarians and busy professionals who want actionable, implementable solutions surrounding work-life balance, accomplishing your goals and living your dreams. She spends her free time with her horse, Tommy and teaching her Quaker Parrot the Purdue Fight Song. You can connect with Angela on Twitter and LinkedIn @DemareeDVM.

Reference: 1. Repository of Authentic Information on the life and thoughts of Mahatma Gandhi. (n.d.). Page 158, Retrieved December 22, 2020 from https://www.gandhiheritageportal.org/cwmg_volume_thumbview/MTI=

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petvet profile

Tierra Price

Dr. STRONG, SPIRITED &

SPE AK I NG OU T !

wo years ago, Dr. Tierra Price could not have imagined how her last year in vet school would turn out. She was in her third year at Maryland Virginia College of Veterinary Medicine and enjoying life. She was completely focused on the prize: the D.V.M. degree and diploma. Then, in March 2020, the U.S. Government declared a national health crisis in the form of the COVID-19 pandemic, as did countries across the world. “2020 was surprising in many ways. The pandemic affected so many lives across the

By Jill López, DVM, MBA

globe. It even changed how veterinary students were educated this year,” says Price. Like most, 2020 saw Price transitioning to a remote education, video-conference interviews and planning a virtual graduation ceremony. Many found it difficult to adjust; however, Dr. Price pushed back. She became the unofficial spokesperson of the call for greater diversity within the veterinary profession following the murder of George Floyd in May 2020 and the resulting impact on the Black Lives Matter movement. In addition, she founded Black

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Like most, 2020 saw Price transitioning to a remote education, video-conference interviews and planning a virtual graduation ceremony. Many found it difficult to adjust; however, Dr. Price pushed back.

DVM Network, a community for the empowerment of Black veterinary professionals. “The network is a resource for Black veterinarians—we offer webinars, a members-only forum, a directory, job boards, and even discounts for helpful services,” says Price. To top it off, Price was interviewed about diversity in the profession, and the lack thereof, by Time magazine. After graduation, Dr. Price finds herself living her dream. She works as a high-quality, high-volume spay and neuter surgeon and provides primary care to underserved communities in Los Angeles. “2020 was not going to break me,” she says. While the world continues to attempt to stem the tide of the pandemic, Dr. Price says that she is

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After graduation, Dr. Price finds herself living her dream. She works as a high-quality, high-volume spay and neuter surgeon and provides primary care to undeRserved communities in Los Angeles.

doing what she does best; “adapt and excel.” For her, that means getting up at dawn and having a hot cup of coffee while she watches the sun rise. Then, Dr. Price commutes to her clinic, spends the morning performing surgery and the afternoon providing curbside care to her patients. “Shelter veterinary life definitely keeps me busy. But, I love it,” says Dr. Price. When she’s not at work, Dr. Price is busy creating programs and advertising opportunities for Black DVM Network. Somehow, she still finds the time to hike, practice yoga and meditate. She also enjoys “Zoom dates” with her love interest, who lives more than 2,000 miles away. What does the future hold for Dr. Price? Anything is possible! 

Photo by Rhonda Dunn

For more information on Black DVM Network, visit www.blackdvmnetwork.com

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PETVET TOp 10 1 LOVE IS in the air, 2

Ten things to DO Clients facing

so update your

financial hardship?

dating app profile!

connet them with waggle!

You may not be getting the right matches in part because your bio or photos aren’t showing people who you really are. Consider getting more specific with your interests or adding photos of yourself doing what you enjoy.

Waggle.org aids pet owners in saving their pets when financial euthanasia is their only option.

Get creative, involve your family and

MAKE something scrumptious

with “cooking crafts.” We literally started playing with our food in 2020, and will see that to continue into 2021. From the TikTok-famous Dalgona coffee to pancake cereal, what Instagrammable food can you create that will probably take hours to make and seconds to eat?

February is national Spay/Neuter

Awareness Month AKA “beat the

5 WAS your 2021

resolution to get fit?

month”

In addition to feeling and looking better, a new study found

Consider hosting a spay/neuter clinic or offering

that the incidence of anxiety

a discount in the month of February to help out

and depression was significantly

your community and “beat the heat!”

lower in people who were fit.

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this month

6 animal lover’s day WITH Make a quarantined

Treat your canine clients to a special treat! February 23rd is National Dog Biscuit day. Bake your own or buy locally-made biscuits to handout to your clients, or simply spoil your own dog with a special snack.

Animal Farm Foundation’s free virtual program, Pets Together (petstogether.org), allows those who are socially isolated due to COVID-19 to enjoy friendly, virtual interaction with pets and critters of all varieties (and people, too!)

Need another reason to become a Cat Friendly Practice ® (CFP)?

The American Association of Feline Practitioners (AAFP) announced a policy update ending elective declawing procedures for felines in all designated Cat Friendly Practices®.

9 March 3rd is National

“If Pets Had Thumbs Day!”

Ask your social media followers to share what they think their pet would do if it had thumbs—turn it into a contest awarding a gift card for a retail item at your practice for the most creative or humorous idea.

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Looking for

10 a new read? Check out Glennon Doyle’s Untamed. In her most revealing and powerful memoir yet, Doyle explores the joy and peace we discover when we stop striving to meet the expectations of the world and start trusting the voice deep within us. 