Friday, December 20, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: End Of Life discussion: Euthanasia In Our Loved Pets.

In today's discussion I would like to discuss the painful issue of terminal illness and euthanasia in our so much loved pets.

It is a painful subject, I know, but one that many of us had to face over the years in regards to our pets.

First and utmost: euthanasia is a medical procedure available to our pets and has to be done based on sound medical decisions.

The patient's well being is the first and only consideration in my mind. In my practice, I have patients that I know for many years--I'm practicing for over 20 yrs now--and knowing them, and knowing the owners is imperative as to the decision making. A good line of communication with the owner is essential in this regard as to understanding the patient's quality of life at home.

I'm very conservative in regards to euthanasia and perform the procedure only after knowing that the pet can't be helped. Life is precious and such decisions should be taken with care and concern.

If the decision of euthanasia has been made--after careful examination of the patient and conversation with the owners--then in my practice it's done with utmost attention to the patient's comfort and lack of stress during the procedure.

If the owner wants to be present they are welcome to be present.

I pre-medicate the patient with sedatives and usually have them under general anesthesia, so when they pass, it's as if they pass in their sleep.

In conclusion: first and utmost is the patient's well being. As I can't ask my patients their wishes, good knowledge of them and their health status greatly facilitates the decision process. Of course knowing the owners, and knowing that the euthanasia request is based on deep felt emotions of love and compassion for their pet is as important.

Dr. Ehud Sela

Gentle Vet Animal Hospital, Margate Florida

954-972-5900

Tuesday, December 3, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Toxicity in a puppy from accidental ingestion of over the counter cold medicine.

A 6 month old female spayed 24 lbs puppy presented with a history of vomiting, seizures and incoordination.

Blood work was done, and symptomatic treatment started.

Careful inspection of the house revealed that the puppy ate part of a cardboard box where over the counter cold medicine spilled and soaked into the box.

The puppy recovered completely and she's doing great.

This case demonstrates the risk to pets from over the counter medications.

In this case the symptoms were due to alcohol toxicity.

Many of these preparations have high alcohol content.

In this case the puppy ingested a small amount, indirectly, by chewing on the cardboard box, and yet became very ill.

Dr. Ehud Sela

Gentle Vet Animal Hospital, Margate, FL.

Phone: 954-972-5900.

Wednesday, November 20, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Perianal Mass in an older spayed female dog

A 13 yrs old spayed female Basset Hound was presented for a rapid growing perianal mass.

The patient other than the mass is in great shape and all blood work was normal. FNB of the mass was most consistent with a benign Adenoma.

These tumors are usually male hormone dependent and occur often in male dogs that are not fixed.

They are unusual in the female spayed dog population.

The patient will have the mass removed within 72 hours as it disturbs her and the owner, and it will be sent for a complete biopsy of the entire mass.

The patient's male hormone levels are elevated so further blood tests will be done to further evaluate the disease process.

We expect the patient's quality of life to improve greatly post surgery an event that will make both her and her owner very happy.

PS: The patient is now eight months post surgery and doing well with no recurrence. The patient is on a regiment of female dog hormone orally to reduce the incidence of recurrence. Both dog and owner are delighted with the outcome.

Please don't hesitate contacting us if you have any medical questions regarding your pets' health.

Dr. Ehud Sela

Gentle Vet Animal hospital, Margate, FL 33063.

Phone: 954-972-5900

Tuesday, November 12, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Feline Asthma

Feline Asthma is a serious and insidious disease of cats, that if goes untreated can be at times fatal.

The disease is most often manifested with coughing, shortness of breath and labored breathing.

In advanced and severe cases respiratory failure and a secondary cardiac failure can ensue.

The disease usually can be diagnosed with the aid of chest x-rays.

Most cats once diagnosed can be greatly helped with the appropriate use of prescribed medications.

As the disease often manifests itself early in its process with a cough, it's recommended that a

coughing cat should be immediately examined by a veterinarian.

Please don't hesitate contacting our office if you have any further questions about Feline Asthma or

any other health concerns you might have regarding your pets' health.

Dr. Ehud Sela

Gentle Vet Animal Hospital

954-972-5900

Tuesday, November 5, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Cryosurgery for a nose lesion in an older cat.

A 14 yrs old cat with a small ulcerating lesion on the nose was presented for possible surgery.

Due to the cat's age, low body weight and moderate renal disease she was considered a higher risk patient for general anesthesia.

The cat has had a malignant tumor removed from the same location a few years back.

The Cryosurgery procedure was done at our hospital as an outpatient procedure with the owner present.

The cat tolerated wonderfully a few cycles of quick freeze and slow thaw of the lesion.

The cat was released home with the owner and the prognosis for the lesion to regress is considered good, as it was treated at an early stage.

Please call our Gentle Vet Animal Hospital at: 954-972-5900 with any questions you might have regarding this or any other procedure.

Tuesday, October 29, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Cryosurgery in pets: an overview.

Cryosurgery is the surgical use of freezing in the treatment of certain skin diseases.

It is mainly used for the treatment of certain skin cancers. In my facility: www.gentlevetanimalhospital.com I use this less invasive surgical procedure for certain patients that would benefit from it.

The advantages of the procedure resides mainly in the fact that it doesn't require general anesthesia.

This is especially important with high anesthetic risk patients.

The procedure is done as an outpatient procedure, and usually the patient is out of the office within half an hour.

For larger lesions local anesthetic is used, for very small lesions, usually there is no need for it.

Like anything else in medicine, the procedure can have its down sides. Mainly, it might take a few weeks for a lesion to regress and heal, and some lesions may require a follow up treatment.

Another possible down side, is the fact that as the lesion responds to treatment, the area may look inflamed, or reactive, or sometimes in very large lesions it may look necrotic.

Every effort is made to avoid as much as possible damage to normal surrounding tissues, but occasionally this may happen.

Usually a biopsy of the lesion will be done before the freezing.

In conclusion: Cryosurgery is a very valuable tool, and gives an additional treatment modality for our pets.

Please do not hesitate contacting our office at: 954-972-5900 with any questions you might have.

Dr. Ehud Sela
 
Gentle Vet Animal Hospital
 
Margate,
 
Florida.

Thursday, October 24, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Hyperthyroidism in cats.

Hyperthyroid disease in cats is a common and insidious disease of our feline friends that if goes undiagnosed and untreated can become life threatening.

The disease usually affects older cats and is manifested mainly with severe weight loss despite the presence of a good appetite.

The disease can have many other clinical manifestations including but not limited to vomiting and diarrhea.

The disease affects multiple organ systems among these the liver and kidneys. And if goes undiagnosed and untreated can cause severe damage to these organs.

Luckily hyperthyroid disease can be easily diagnosed with comprehensive blood work that include thyroid tests.

The good news for our feline friends is that currently the disease can be managed with a prescription diet that in many cases avoids the need of the use of medications.

Weight loss in our feline friends is in many cases an indication of health problems and it's advisable to seek veterinary help as soon as it's noted.

Please do not hesitate contacting us if you have any further questions about hyperthyroid disease in cats, or any other health questions you have regarding your pets.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida.

Office number: 954-972-5900.

Wednesday, October 23, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Pet Adoption

At Gentle Vet Animal Hospital we strongly believe in the need to find a home for all homeless pets.
Millions of pets are left behind in shelters every year.
These pets are in desperate need of a loving and comforting home.
Gentle Vet Animal Hospital, will examine free of charge, any pet, of any age, that is adopted from any adoption organization, the Broward County humane society, the SPCA, any pet shelters, the Broward County animal control or purchased from a Pet Store.
The free exam will be a comprehensive exam, which will permit you to also ask any questions you may have regarding your new friend.
The exam will also include a free fecal parasite test.
The exam will be done by a Veterinarian, and not by an assistant.
Even if your pet has been already examined in another facility, we will provide this service to you.
In order to receive this one free physical exam, and one fecal exam, you will need to bring your adopted pet within one month of his adoption - also please bring with you his adoption papers, or pet store purchase papers.

Gentle Vet Animal hospital

Margate, Florida.

Phone: 954-972-5900

Tuesday, October 22, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: The importance of balancing a pet's complete history and quality of life before embarking on invasive procedures.

I believe that a pet's quality of life--age and owner's expectation--should be discussed in detail with the owner, especially in regards to the advantages and risks involved, before extensive surgery is performed.

As we can't discuss with our patients the possible outcome of certain procedures, it's imperative to have an open and frank line of communication with the owner.

A recent case that comes to my mind is of an older cat--14 years old--with a large fluid cyst in the neck area. Fine needle biopsies, as an out patient, and fluid drainage analysis were inconclusive.

The cat is feeling great and not bothered by the cyst; we do drain it if needed, but it's needed very rarely.

Given that surgery will be exploratory in nature and involve the vicinity of large blood vessels and the thyroid and parathyroid glands area--with possible severe complications--I have decided, after extensive conversations with the owner, not to operate.

We perform many and extensive surgeries in our hospital, but in this case, given the cat's advanced age, possible complications of the surgery and excellent quality of life that the cat has, a decision was made not to intervene surgically.

It is not a risk free approach, but nothing in life is risk free and each patient is an individual case and all aspects of the pet's well being should always be considered.

Please feel free to contact us with any pet health questions that you might have.

Dr. Ehud Sela,

Gentle Vet Animal Hospital,

Phone: 954-972-5900.

Friday, October 18, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Lipomas in dogs.

Lipomas are relatively common tumors in dogs. Lipomas usually involve the subcutaneous tissue.

Lipomas are considered benign tumors. Rarely a lipoma can convert or begin as a Liposarcoma which is a very aggressive tumor.

It is advisable that all lesions should be evaluated by a veterinarian.

In my office I advise doing a fine needle biopsy of all suspicious lesions.

It is done as an outpatient procedure and most pets tolerate it very well with no discomfort at all.

The patient does not need to be hospitalized and the procedure is done in the exam room with the owner present.

If the biopsy confirms a lipoma then often there is no need to intervene surgically unless the tumor is located in a place that disturbs the patient--such as limbs, for instance, or the tumor is fast growing.

Of course, monitoring the lesion at regular intervals is always advisable.

Please feel free to contact our office if you have any questions regarding your pets' health.

Dr. Ehud Sela

Gentle Vet Animal Hospital,

954-972-5900.

Thursday, October 17, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Patients' Recovery After Surgery.

I believe that patients do best at home--people and pets--therefore at Gentle Vet Animal Hospital we reduce patients' hospitalization to the minimum needed.

We have recently operated on two geriatric dogs, one with multiple large and infected skin tumors, the other with an invasive leg tumor that required amputation.

Both patients did very well under anesthesia and once recovered and able to stand and walk--usually within a couple of hours--they were sent home for owner supervision and care.

Of course they were sent home with the appropriate medications and instructions of care.

This approach makes both owners and pets more comfortable as it reduces the stress and anxiety of hospitalisation.

We stay in close communication with the owners and I'm available to address any concern they have 24 hours a day.

Please do not hesitate contacting us with any further questions you might have regarding your pets' health and the surgery, diagnostics, and treatments we offer at Gentle Vet Animal Hospital.

Dr. Ehud Sela

Gentle Vet Animal Hospital

954-972-5900.

Wednesday, October 16, 2013

Gentle Vet Animal Hospital, Dr. Ehud Sela: Less time hospitalized benefits our pets.

It is my belief at Gentle Vet Animal Hospital that pets do best at home if they are ill.

The old saying: there is no place like home is very true and at times of illness I try to avoid or reduce as much as possible my patients hospitalization.

Of course if it’s a very ill patient that needs constant treatment and supervision hospitalization is a must, but once the pet’s health has improved and stabilized, the patient will be much better in the comfort of his home with the love of his family.

At Gentle Vet Animal Hospital, if medically feasible, an outpatient approach with follow-ups is the preferred approach.

Often our pets will eat better, be much less stressed and recover faster at home.

I regard it as good medicine, ethical medicine, and also less costly medicine.

Please do not hesitate contacting us if you have any questions regarding your pets’ health.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida 33063

Phone: 954-972-5900.

Gentle Vet Animal Hospital, Dr. Ehud Sela: Our cats’ behavior can give us many clues as to their health status.

Our cats’ behavior can give us many clues as to their health status.

If our feline friend alters some of his/hers regular daily behavior, it might indicate a change that needs to be evaluated by the veterinarian.

For example, if the cat usually greets us at the door and suddenly stops, or hides, or sleeps more than usual, it could be an early sign of a health problem.

As our feline friends can’t express what’s going on with our human words, these changes of behavior can be an important clue that they might not be feeling well.

If a cat runs away fast from the litter box, after using it, or cries while using it, or does not use it, it can be a sign of discomfort that needs to be quickly evaluated.

Of course any changes in appetite and water consumption—increased or decreased—are also valuable indicators to their health status.

In conclusion: our feline friends are creatures of habits—just like us, often—and changes in habits and daily behavior should be quickly evaluated as they can indicate a problem that early diagnosis can cure.

Please do not hesitate contacting us if you have any questions regarding your pets’ health.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate Florida

954-972-5900.

Gentle Vet Animal Hospital, Dr. Ehud Sela: Cryosurgery on a large skin mass in a dog.

Cryosurgery, tumor freezing, was performed on a large cutaneous mass on a six years old male dog.

The location, near the knee, and size of the mass might have caused incision healing problems if approached by routine surgical excision, therefore cryosurgery was chosen for this patient.

The procedure was done as an outpatient in our facility with the owner present.

The mass was injected with local anesthetic before the freezing. Using a cryo-spray attached
to a cryo-chamber the mass was frozen two times using a quick freeze an a slow thaw approach.

The patient experienced no discomfort at all. The prognosis for the patient is considered good, and the mass should regress within the coming weeks.

Please call our office if you have any question regarding cryosurgery or any other procedure for your pet.

Gentle vet Animal Hospital: 954-972-5900.

Gentle Vet Animal Hospital, Dr. Ehud Sela: The Importance of early diagnosis and screening tests.

Just like with people early diagnosis of potential illnesses can be life saving.

In my practice I advise at least every six months complete blood work and urinalysis to detect any early changes. These test can be useful in detecting blood disorders, metabolic disease, such as diabetes, cushings disease, renal disease and liver disease.

I also routinely advise screening radiographs to detect internal disease not manifested in the blood test, and an ultrasound studies for the same reasons.

Early diagnosis can save a life for both pets and humans and is highly advisable and beneficial.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Phone: 954-972-5900.