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dogs'exam

Just like with us, in Veterinary medicine, early diagnosis and screening tests can save lives.

Often, when symptoms are already present a certain amount of damage has happened, and at times this damage is not reversible and lead to long term consequences.

In my practice I recommend every 6 months some basic and non invasive tests, such as: urine analysis, and complete blood work, that will help us detect signs of possible illness before they become clinically apparent. A urine analysis can detect signs of a urinary infection, renal disease, diabetes, among other serious diseases.

Complete blood work gives us an indication as to how the internal organs are functioning, and at time can help in detecting early signs of certain cancers.

I also often advise screening ultrasounds, as they do not involve radiation, and give us a non invasive visual on the structure of vital internal organs.

In conclusion: Early diagnosis and screening tests are an essential tool in the maintenance of our pets’ health. As, sadly, the life expectancy of our pets—dogs and cats—is much shorter than ours, our pets move quickly from infancy, to adulthood, to middle age, and before we know it they are senior-citizen-pets.

The more we know about their health, and the earlier we know it, can keep them with us alive and happy for as long as possible.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida.

954-972-5900

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Dogs-Heartworm-Disease1

My Philosophy in medicine is of a measured and conservative approach, and to try and look for less invasive, safer, and less costly treatment options.

In this regard I have been using the so called “European protocol” for treatment of Heartworm disease. It is so called because a research paper first published in Milan, Italy described the protocol. The protocol has been used in the States also by various veterinarians that are familiar with it. It involves the use of Doxycycline and Ivermectin based Heartworm preventive. It’s a slow kill of worms approach, and that is why I like it, as I find it safer–as compared to fast worm kill–and less costly. Of course each patient is an individual and a veterinarian needs to asses him and discuss with the pet owner the options.

My bottom line is always: if it safer and appropriate for the patient it should be the first choice.

Dr. Ehud Sela

Gentle Vet Animal Hospital

954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

 

 

THE ART OF MEDICINE

the art of vet medicine

 

Medicine is an art, good medicine that is, both in Veterinary medicine and human medicine.

In Veterinary medicine this art is more difficult as the patients can’t tell the doctor what is bothering them.

Therefore, a complete physical exam, and a detailed history is imperative in order to achieve a diagnosis.

Of course, an experienced eye with many years in practice is an essential element.

Unfortunately medicine has become in some instances not an art, but a blanket approach in which based upon algorithms–and not critical thinking–a myriad of tests are done, and these tests can be costly.

I believe in diagnostic tests; they are essential, but I also believe in a logical approach and fine tuning the tests to the case in front of me.

I regard in many cases the art of medicine to be like a detective work in which a methodical and logical approach is applied.

Yet, always remembering that the first rule of medicine is do no harm.

And, always remembering that in front of me is a pet that feels and is a member of the family.

The Art of Medicine is not just a cliche but something to strive for and always practice.

And like any form of art, there are good artists, not so good artist, and exceptional artists. 

In medicine the exceptional doctor has that additional spark of compassion and wisdom that sets him apart.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida

954-972-5900.

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

google-bad-practices-p

First Part, 7/12/16

To the public at large and those among you that are small business owners and professionals: Google deliberately fosters, festers and harvests with glee bad reviews. It’s a money making machine for them, as within not a long period of time afterwards they will address you with online ads’ offers. Yelp for example requires a head photo before posting a review and take their time approving it; of course for Google such rules do not apply. In my opinion any merchant that finds that through Google reviews he has been maliciously hurt, do not listen to their advice as to the response, as it only serves them, but respond truthfully and strongly to defaming words. Unfortunately, through their friends in congress Google is immune from defamatory law suits when publishing them–a thing that the print media does not have, and rightfully so. Let us hope that we the people will be able to change this unsavory and cozy relationship of money and power.

Let us all try from now on not to “Google it” But let us “Bing It.”

 

Second Part, 7/15/16

Let us expand more about Google shady practices: This actual conversation took place and it is here brought not verbatim, but the essence of the conversation and its content and meaning and implication are  accurate. Of course this is a brief synopsis of the conversation.

Phone call to Google Merchant Services:

Myself:

I would like to report a fake malicious review by a person that is homeless goes online by the name of  Gutter Punk–on multiple online platforms–and has been found on the property when the office is closed at midnight, eating, drinking and loitering, causing a sensation of fear and discomfort to exit the vehicle and attend to a sick patient late at night that I had to get some medications for a house call.  The police has been informed and I’m presenting to you all the information on this person and its lifestyle and activity including arrests and loitering and voiding body fluids in public. This person boasts online of its lifestyle and trespassing and living on the streets. Also, this person is not a client of the business and never set foot inside the office.  Yelp has been informed of the above, given exactly the same information and immediately this person was removed from Yelp. Finally Google, you have promoted this individual to a local guide and reward him with gifts and seek reviews from him. What is wrong with you, don’t you even bother doing a minimum of screening?

Google’s response: Let me review the information and the review. A minute later: It does not violate our policies.

Myself: how can that be, as your policies themselves state that a review has to deal with nature of the business reviewed?

Google response after a slight giggle they couldn’t resist making: It was on your property so it’s related.

Dismayed I asked: You are kidding are you not?

Google; No we are not.

Myself: Let us take it to the extreme and let me ask: let us assume that a business owner has an argument with a person, like waiting in line somewhere or let say a minor fender-bender happened and while waiting for the police the other person finds out where you work. Let assume you wear a shirt with the business logo. Then this person goes online and writes a fraudulent malicious review about the business, I’m sure you will remove such a review, correct?

Google: No!

Myself: This is unbelievable, you must be kidding, this has nothing to do with a business reviewed and the nature of its business.

Google; No, we are not kidding.

I think it’s clear from this conversation how Google Fosters, Festers and Harvests with Glee bad reviews. It makes them money as they can try and have the merchant purchase ads.

At this point I tried a little experiment with Google and asked about a positive review.

Myself: what if an employee of a business also uses the business services and has a great experience and want to share it with the public.

Google: Absolutely not, an employee can’t do it.

Myself; what if it’s the reverse happens and the employee writes a negative review.

Google: Yes, that is allowed.


I didn’t even bother at this point to try and find what convoluted and bizarre explanation Google might come up with. So I ended the phone call.

To all professional, merchants and the public at large; Avoid the trap set by Google. Use Bing, that doesn’t get itself involved in reviews, and the obvious conflict of interests involved with it.

Dr. Ehud Sela

The Gentle Vet.

 

WHEN ADOPTING A NEW PET

dog-adoption-shelter

Adopting a new pet is a wonderful act of love.

Often, and sadly, these pets come from difficult circumstances and need an adjustment period.

I often see new adopted pets that are shy at the beginning and at times do not have the greatest appetite or interact slowly with their new family.

If the physical exam is normal I often advise patience rather than performing multiple tests that can be stressful to the new pet and at times unnecessary.

Plenty of love and reassurance and perhaps offering a very palatable pet food can improve appetite.

I always advise a followup within a week, and of course if any signs of illness develop to return immediately.

Often: “The tincture of time” and being patient is very important.

Tests should be done wisely and correctly, only if needed.

It is a wonderful act of kindness and love to bring a new pet to the household, and like every new relationship it takes time to develop.

Dr. Ehud Sela

The Gentle Vet

Gentle Vet Animal Hospital

Margate, Florida

954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

ReadingFinePrint

In my practice I strongly believe in the great value of a true wellness plan for our pets as a great tool for early diagnosis and treatment.

My concern is of wellness plans offered to the public by a major national veterinary company, like Banfield Pet Hospitals, that as an underlying current—but a potent and motivating current—intend to tie the person into the contract for the full length of the contract and with heavy financial costs associated with early termination. The inducing factor of these plans is a convenient—so to speak—monthly payment, but, of course, and here I’m more than sarcastic, a nice down payment to join a plan.

As a matter of principal, and as matter of our liberty as consumers, all plans and programs joined should be fully transparent, and the cost of cancellation cannot be punitive, but instead, just and fair.

In addition the plans should list specifically what tests are included and not just generally speaking about diagnostic blood tests or fecal tests. There are various levels of blood tests and fecal tests available and the consumer should know exactly, and by a specific name what they are.

Furthermore, there should be no ambiguity as to the terms used and what they mean. An example, from a pamphlet from Banfield Pet hospitals: using the luring term unlimited office visits, and in the same time, a few lines further down using the limiting term comprehensive physical exam (2x/year). I believe the problem here is clear: what does an office visit include if not an exam? Does it include a non complete exam, thus providing poor health care? Or does the national veterinary company offering such services intends for this so called office visit to be an occasion for a social visit with tea/coffee and some biscuits? But, sarcasm aside, we as consumers should always safeguard our freedom to choose, or change or cancel at a reasonable cost and not a punitive cost.

We should ask ourselves if the wellness plans offered to us have the health of our loved pets as their first priority, or the bottom line, is the company’s financial bottom line, disguised and sweetened so we don’t see it for what it is!

Dr. Ehud Sela

The Gentle Vet

Gentle Vet Animal Hospital

Margate, Florida

954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Cat & toy Mouse

Baxter is a 15 yrs old cat very sweet very friendly, with a few health issues.

Firstly, Baxter is a diabetic. Baxter watches his diet very carefully and his diabetes is due to his genes—the genes we come to this world with, they haunt us, alas. Anyway Baxter handles his diabetes very well and understands that he needs to get insulin injections twice a day to maintain his health.

Over the weekend sweet Baxter developed some serious neurological issues, unrelated to his diabetes. Baxter has dealt with his problem bravely and with a positive spirit, and with the excellent loving care of his owners and best friends, Baxter is walking again, slowly, but steadily improving.

And here are the best news of the day: Baxter is a pacifist and will not hurt a living thing, yet Baxter has a collection of toy mice that he controls and makes sure they are well behaved. Every night about 11 pm, Baxter will carry them in his mouth, bring them to the bedroom and declare in a loud meow that all mice are accounted for and the lights can be turned off and the family can sleep in peace. Baxter stopped doing it the last few nights due to his health problems, but the world can sleep in peace again, last night Baxter has returned to his toy mice duties. Who needs Superman, even more, who needs NATO; we all can sleep in peace as sweet Baxter is guarding the world’s night sleep.

I thought these are very worthy news and need to be shared….

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida

954-972-5900.

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

 

petting a dog

ETHICAL AND COMPASSIONATE VETERINARY MEDICINE

It is essential that the decision making as regards to a patient’s well being is firmly founded in Ethical and Compassionate approach.

In my mind the role of a Veterinary Doctor is, first and utmost, to try and make the pet feel better. Quality of life is essential to all of us: humans and pets.

Yes, medicine has costs—inevitable costs—associated with it. But good communication with the owner, tailoring only the needed tests—not a blanket approach that runs every possible test available—should be practiced.

Also, it’s essential that there will be a good level of trust between the doctor and the pet’s owner, so when treatment decisions are being made, they are being made with consultation and explanation of the possible outcomes.

In conclusion: The love of pets should be the guiding light as to how a Veterinary Doctor should approach his patients.

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Gentle Vet Animal Hospital-The Gentle Vet

www.thegentlevet.com

954-972-5900

old black cat

 

Target is a 17 years old spayed female cat that reaching this senior age, developed a few health issues.

Target is very particular about her privacy, so I will protect her name by calling her Patient T. Oops… I just realized I have already called her Target, oh well, I’m sure she will be OK with it, I will send her a nice email apologizing, but we’ll continue calling her Patient T, as it sounds so much more mysterious.

Patient T hasn’t been feeling very well lately. She was losing weight, was vomiting and was hiding a lot at home. Also, Patient T, is very vocal and expects her owners to wake up at a certain time in the morning and freshen up her food; giving her the well-deserved attention she needs and expect.

Her owners noticed that she was much more silent and hardly complained to them. Mind you, when she complained she was always right, she has been on this planet for 17 years and she knows what to expect.

Her concerned owners brought her to my office and we brought her back to her usual vocal self with reasonable appetite and enjoyment of life: watching the birds and lizards, and those so very dangerous squirrels….

Patient T sees me often, she was coming twice a week, but now we are on a once a week schedule and her health needs are addressed and treatments added and modified if needed.

I treat her as an outpatient as I think more often than not pets do much better treated like this, staying at their home environment; that they know and feel secure.

Last but not least, if you come across Target, please call her Patient T, as she thinks, and I agree, it adds a certain level of sophistication to her.

Dr. Ehud Sela-The Gentle Vet.

www.thegentlevet.com

Phone: 954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Standard Poodle

 

Sweet Rosie, an eight weeks old Standard Poodle puppy has reached her loving new family.

Rosie is an amazing dog, tender, loving, intelligent and within the first few hours bonded with her new family.

Rosie’s owners called me very concerned the day following her arrival because Rosie has developed what they thought were severe orthopedic and possible neurological problems. Rosie every few steps would pull one of her hind legs forward, trying, and at times reaching her body with her paws. “The owners conducted extensive research consulting Dr. Google,” and it was clear and obvious that poor Rosie had something severely wrong with her.

Upon presentation Rosie appeared happy and content and an amazing Puppy. Rosie whispered in my ears as I was examining her, that she thinks her new family thinks there is something wrong with her, but she senses that she is doing very well, and with a lick on my face asked me to tell her family that she is just fine, and that she would love to be a member of the family for many years to come.

Rosie was right! Her physical exam revealed no abnormalities at all, but when we went to the lobby and let her run with her owners, she definitely would stop every now and then and presented the above mentioned symptoms. As Rosie is still a little puppy, and a little klutzy, she would sometimes trip over and it was a little humorous, but not to offend Rosie, I kept a stoic expression.

It appeared that Rosie was trying to itch her body, but no skin lesions were seen. Why Rosie would be itchy? I asked myself, and mainly while running and playing? I further pondered, then, like in all great mysteries, the truth become apparent to me: it was her collar. Rosie received her new collar yesterday evening, and she was trying to remove it, as it was mainly bothering her while running and playing.

I removed Rosie’s collar, and all symptoms were resolved, no more neurological, orthopedic, or skin problems.

As good old Sherlock Holmes would have concluded the case, he would have called it not the “The Hound of the Baskervilles,” but The Case of Rosie’s Collar.

One final note: upon leaving the office content with all her problems resolved, Rosie told me that if the collar had diamonds, she might consider it in a much more positive light.

Dr. Ehud Sela, the Gentle Vet

Margate, Florida

954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

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