Little River Veterinary Hospital, 1447 Atlantic Highway, Northport, ME (2025)

04/13/2025

By the power vested in me by the great state of Maine, due to the weather situation there will be no mention of overweight pets for the next 4 weeks.

04/05/2025

What did we learn this week?

1. People need a joke once and awhile. Over 72 thousand people saw our April Fools joke - only one negative comment.
(PS what ends up online on April Fools is usually a much watered down or completely different experience I wish to share but my level headed wife and business partner talks me out of it)

2. Parvovirus is back. I haven't seen a case in 20 years. Thanks go to our clients who follow guidance and use effective vaccines (The "Distemper" vaccine has parvo protection in it). The 2 cases we are working with were in puppies that were acquired last weekend at The State of Maine Sportsman's Show in Augusta. (Sportspeople Show?)
Someone was selling puppies. I am not sure how much contact there was with other dogs at the show. Could be a bad situation.
This is an excellent example of a disease we would much rather prevent versus treat (like measles in humans...lol). In unvaccinated young animals, signs typically include fever, lethargy, vomiting and diarrhea and in most cases death. Humans cannot get parvo from dogs but we have our own version of parvo. Signs in humans include red flushed cheeks in children.
The name Parvo comes from the latin word for small, as the virus is among the smallest known virus families. The canine virus was discovered in the late 1970s. Researchers know it came from the feline version (known since the 1920s) after 2 or 3 mutations. Think about it for a second. It jumped species. It's why people smarter than us monitor new and emerging viruses. Like BIRD influenza jumping to cats, people etc.
Treatment in the past was limited to replacement of IV fluids, anti nausea medicines and broad spectrum antibiotics to help stabilize potential secondary infections. Now we have magic in a vial. Monoclonal antibodies. Think of this as instant immune system protection. Instead of waiting 4-6 weeks for vaccines to become protective, after an IV infusion of this medicine they go right to work neutralizing the virus. So far our puppy patients have made a great recovery! Good for them and good for us not having to work in an isolation set-up. (Big thanks to Ridge Runner Vet in Winterport for having the treatment on hand and loaning us a few vials)
An aside.
There are some incredibly smart people out there who do not get credit. They were probably made fun of in school. They are probably studying instead of being on social media. I was fortunate to live with a genius during university. Instead of college football coaches leaving recruiting messages on our answering machine we had heads of science departments from CalTech, Harvard, MIT. He ended up going to a place called Scripps. Until you meet someone like this you have no idea how much smarter they are. They are the type of people who made the clear liquid in a tiny glass vial that I thawed in my hand and had a technician give through a catheter and save a life...in between appointments like it was no big deal. Thanks go to them.
Lastly - as I read the evolution of the parvovirus I came across a few sentences that are in english but I cannot understand. This is what I mean by geniuses:
"The genome is a single stranded negative sense DNA having size of 5.2 Kb [54] in length which has two promoters resulting in the expression of three structural (VP1, VP2 and VP3) and two non-structural proteins (NS1 and NS2) through alternate splicing of the viral mRNAs. VP2 (64 kDa) is an NH2-terminally truncated form of VP1 (84 kDa) and is the major component of the capsid. VP3 is derived from VP2 by posttranslational proteolytic cleavage and is present only in complete (DNA-containing) virions. Empty particles do not contain VP3 protein. Trypsin treatment of full particles cleaves VP2 to VP3 protein. CPV-2 has icosahedral symmetry, 25 nm in diameter and nonenveloped with a linear, single stranded DNA genome. The crystal structures of CPV-2 have been determined and their basic capsid organizations are similar. The 60 protein subunits, of which about 5–6 copies of VP1 and 54–55 copies of VP2 that make up the capsid have a common structure, arranged with T = 1 icosahedral symmetry [90]. There is some evidence that the VP1 terminus is internal and may help neutralize the DNA. The main structural motif is an eight-stranded, antiparallel β-barrel, which also has been found in most other viral capsid structures. The β-barrel motif contains only approximately one-third of the amino acid composition of VP2, the major structural protein in most parvovirus that comprises about 90% of the capsid [12]. The remaining two-thirds is present as large loops connecting the strands of the β-barrel. The loops form much of the capsid surface, onto which a number of biologic features, such as host species and tissue tropism, receptor binding and antigenic properties have been structurally and genetically mapped [66, 70]."

3. On Wednesday, in the office at the same time were pets called Teak, Tinsel and Tinker!

4. Be warned. Not all rescues are created the same. Most vets are seeing horrible adoptions weekly. It seems like 20% are simply puppy mills in the south that list themselves as rescues to funnel dogs to the north. DO NOT SUPPORT THEM.
How to tell?
They should have health certificates from a vet in the south listing vaccines, minimum 2 doses of distemper, hopefully 2 of lepto and a rabies if over 3 months old. It's also a red flag if they are not neutered or you need to leave the state to pick them up.

5. Lots of skunks, porcupines and ticks about. Be mindful before heading out.

6. We have started opening up our schedule again for new clients. We understand all vet hospitals have different business models and ways they like to practice medicine. We may not be the right fit for everyone. Honestly - we are not the cheapest vet around. We pay our employees the maximum we can. As a result we offer a blend of high tech medicine, great communication and common sense.
For new patients - we ask to see them before they may be due for their vaccines to help us figure out pre existing medical issues before an emergency presents itself. It's no fun trying to work up a sick dog when they have 30 pages of prior problems.
New puppies will go to the front of the line so they can be protected asap.

7. We are using a new All-in-one heartworm flea and tick medicine. I learned that new heartworm meds will contain a newer version of ivermectin (moxidectin - not really new but new in canine formulations) This is only in the USA. In the south of the country there are two strains of heartworm that are resistant to the older medicines. What I learned is that these strains are known to researchers by their unique names: "Junk Yard Dog" and "Miss Piggy"

All for now. Think warm weather thoughts!

"Hector" 4 year old Chihuahua

04/01/2025

CRISIS AVERTED!!!!!!

We have just been notified LITTLE RIVER has been granted a Conditional Emergency License to help deliver HUMAN babies in Waldo county.
Yes you read that correctly.

Due to the lack of foresight over the last 25 years on behalf of state and federal governments Waldo county has no answer for the pregnant woman looking for a traditional hospital delivery.
Using our skills and just like FedEx, we aim to deliver on time!

Our equipment might be a bit unconventional but hey, a baby is a baby.
We won't take insurance (no one can afford it anyway). Our fees will be exponentially cheaper.
In certain situations we might take payment in the form of garden vegetables, spices, cookies, homemade furniture.
All newborns will be microchipped, nails clipped, tick collars applied on both ankles and given a complimentary rabies shot.

If you need our help please text when your on your way: 555-338-4125

Waldo County Strong 💪🏻

03/08/2025

What did we learn this week?

1. For all would be home groomers, please use a pair of electric clippers instead of scissors. Every so often we get a pet who moves suddenly and their owner accidentally cuts the skin. This week, we had a bit more of a snafu. Pup was having her beard trimmed. One thing led to another and suddenly we had a forked tongue! Two points to Slytherin?
All patched up, but the amount of blood from a cut tongue is impressive. Housekeeping nightmare.
Kudos to Dr J for stitching together what feels and acts like Jello.

2. Saw 2 dogs this week with uveitis. Inflammation of the structures of the middle eye. Presents with squinting, red and sometimes painful eyes. Can be caused by a variety of things. Last summer we had some triggered by tick infections. Usually it's autoimmune related but these cases this week I suspect were caused by UV light. Sunny days and bright snow reflecting can put a significant amount of strain on some eyes. The future's so bright gotta wear shades...or use some steroid drops.

3. People have questions. They come by email or phone. It's impressive the amount of trust people put in us thinking we can answer most things over the phone. Alas it can't always be. We had a few more than normal this week and I was reminded of my old boss, Dr Stu. I can still hear a tech relaying a question and he saying "Hard tellin not knowin", meaning he didn't have enough information to make a good guess. Another one of his favorite sayings when something just couldn't be done remotely was, "Like getting a haircut over the phone".
At the time we were large animal vets and I got to hang around with some pretty funny famers who loved old sayings like that. I can remember being in a pickup truck going by Hilltop Store in Knox with Ron Price and a teen boy hurtling past us on a motorcycle and he yelling, "That boy is wilder than a 3 balled billy goat!"

4. FYI. I reached out to our suppliers and distributors of vet products. At this point we have no indication any tariffs will be affecting any of our high value products, like flea, tick and heart worm medicines. It is a global economy and some of them are produced outside our borders. If I hear otherwise I will let you know in case people want to stock up.

5. Back to emails. We get a lot. (everyone gets a lot! Too many!)
Anyway, here is a sampling of the subject lines that I think are representative and funny:
Gronk ate a donut
Cheddar nose pic update
Clara's bum
Rudder vomit
Tilley's eyes

6. All you good pet owners who walk your dogs rain, snow or shine. I have seen a few come in this week lame from sprains and tears from postholing. This is when we (or our dog) is walking/running on the crusty snow and then suddenly you break through and you hyperextend your leg. Try not to encourage larger dogs to run in these settings if possible. Only takes a second to tear an ACL and months of recovery,

7. Sign we are nearing the End of the World. One can now order via mail, sections of grass sod to train your puppy to p*e on when there is snow outside. Delivered once a week.
Facepalm

8. Keep it straight: one day this week I saw "Rosie" Robertson and later "Roxie" Rolerson.

9. Had the pleasure to have a vet student shadow this week. She hopes to return to Waldo county upon graduation in May. The community needs her. Good to have some young blood in the area. Too many old crotchety vets.

All for now. Yucky weather. Keep thinking sunny thoughts.

~ "Mulligan"
(9 year old guy battling a snotty nose like the rest of us. He is one of a few cat patients who will actively eat treats in a room - it's why he is such a good model - he's focused on the reward)

03/01/2025

What did we learn this week?

1. It's been a cold winter. One unusual way to tell without fancy Apps, meteorologists or satellites is when vets get pictures in their email inbox of hotspots on scrotums of intact male dogs.
Yeah. That's not a hot spot. That's frostbite.
Ouchy momma
If you have an intact male dog under your care be aware it doesn't take long for extremities to get frostbite.

2. Another solution to a problem that doesn't exist. Heard reports that North Carolina is limiting prescriptions of gabapentin to a few days. Vets like to use it for chronic neurologic pain and/or sedative effects for pets who travel.
NC is trying to minimize human abuse of the drug...
In Maine we have an opioid plan in place for pets who get prescriptions. I have yet to hear if it has really made a difference. I doubt it.

3. Had a Lyme case this week. Why is this news? Frankly we don't see many cases at LRVH anymore. The only cases we see are dogs who are not vaccinated. Which among our client base is very rare.
(It's almost like the vaccine works or something?)
Interestingly - we all know how tough it is to get money out of big Pharma, the Lyme vaccine we use, from Elanco, is actually guaranteed if a dog is appropriately vaccinated and using their monthly anti-tick oral medication, Credelio.
We have had to call them on it once. A young dog who was vaccinated and on meds, became mildly ill, tested positive for Lyme. They reimbursed treatment and diagnostic costs. Pretty stand up service in my opinion.

4. Why arent the antibiotics working? We get a lot of urine samples dropped off every day. Looking for reasons why accidents happen. Could be infections, diabetes, kidney troubles, incontinence...it's a puzzle. So when we get what looks like a simple infection in a young female dog that doesn't respond to an antibiotic the first time, we get a little bit curious. When a second antibiotic fails to improve the situation then we get more aggressive with diagnostics. This week our 2 year old patient who had signs of sudden urges to p*e in and out of the house, seemingly out of the blue, was diagnosed with 1 very large bladder stone! Yup. No antibiotics are going to fix that. (see pic in the comments below)
Surgery to remove the stone, analysis to identity of the stone type, diet modification will hopefully allow this to be a one-time occurence.

5. Spring Fever: Oh February and March you are such a tease! The weather on Tuesday and Wednesday was spectacular. Smelled like spring. Birds were happy. Made me think about tapping Maple trees. For the record we have 10 patients called "Maple". Good solid name.
What wasn't good, was the crazy water and frost blowing up our driveway. Many thanks to Cameron Paving for stepping in, fixing another company's work and patching the road so we could remain open and help our patients. They will return in late spring early summer and make it beautiful again. If you're looking for quality work from a local business, they are the place to call.

All for now, think spring!

~ "Hook"
8 month old stray who found a nice shed with a heated workspace, all the food he can eat and a plumber with a big soft heart for a dad.
Cool markings

02/25/2025

Heads up
LRVH driveway bit the dust today. Water and time always wins.

There will some temporary resurfacing applied tomorrow to help tide us over until spring/summer allows permanent repaving.

If you don’t need to come to the clinic tomorrow please hold off a day or so to pick up supplies or what not.

Thanks

02/15/2025

What did we learn this week?

1. Went to a promising CE last Friday. "Updates in dermatology". In Portland. Got there early. Got my free muffin and yogurt. Set up my computer to record all kinds of wonderful tips and tricks to share. The "Golden Nuggets" you get at conferences with experts. Instead the meeting fell flat. It came across as someone who knows a ton but mailed it in with regards to the conference prep. Slide after slide of obscure things that really don't apply to most general vets.
Oh well. You win some. You lose some.
Lunch was good. The main thing I overheared was vets just sharing all the worst cases they see and complaining about construction costs.
LOL - everyone has a gripe these days.

2. Who is watching season 5 of All Creatures? It's ok. Not as much animal content as I would like. The best actors/characters in the show are "Tricki Woo", Tristan and Siegfried. Googling how to spell Tricki, played by a dog called Derek, took me to a curious tidbit on the PBS site: Fun Fact: Derek was taken in by animal trainer Jill Clark after his elderly owner died and he was put in a rescue shelter. Clark told the Mirror (UK) that “He’s a very clever dog and very easy to train.” And apparently, he wore makeup: “A bit of foundation on his cheeks because his face is too dark and they want to see his eyes.”

3. Saw a nice pair of Cavalier King Charles spaniels this week. Two characters. The older, Nik, is starting to show his age a bit more. One thing in particular is his "Spaniel nose". I am sure you have seen dogs with these crusty noses. Usually cockers, bullies, boxers, some beagles and bassets. It is more appropriately called Nasodigital hyperkeratosis. Affecting the nose and sometimes feet, the cells start to grow excessively and fail to shed off - creating these wild crusty noses and strange lesions on footpads. Looks painful but it isn't. A variety of topicals may help. The current recommendation is OTC Kerasal. The stuff sold at the back of the pharmacy to people who want to try to cure the bizarre fungus that afflicts toenails making them hard, misshapen and usually unrewarding to treat.

4. I spoke too soon. I said tick borne disease was quiet. Had an older lab in the clinic on Tuesday. Hard for the owner to verbalize what was wrong. "He just isn't himself". It can be hard to tell what's wrong when a senior lab comes in. They sleep most of the day. Go on short walks. Eat. This patient was still eating but his personality was different. They had stopped tick preventatives two months ago. He was ill for about 2 weeks.
Lab results were good except a strong anaplasmosis positive result. He must have been bitten before we got all this snow. Happy to report he is on the mend.

5. Name game. Had the pleasure of seeing two well behaved orange kitties on Friday. "Frick" and "Frack". Good names for sisters. Ironically we see two other cats called the same names.
Along the name line: we see 1 LOVEy, 1 BraveHEART, 6 ARROWs, 2 REDs, 3 COCOAs and 1 SWEETIE

All for now. Tough week on the senior pet front. Said goodbyes to start the week and then cap off the week. Right decisions. Still hard to do.
Enjoy your friends! Happy snow day. Back in the shop on Monday - "Presidents Day" isn't celebrated by most.

~ "Sweetie" - our one and only
7 year old wonderful Havanese derivative. She lives up to her name. A great companion to her mom.

02/13/2025

Two quick updates

1. We are planning to be in tomorrow. Depending how conditions are we might head out early. Give a call first if you’re picking up supplies

2. For first time pet owners of SENIOR dogs we are quickly entering the special phase of “any p**ping outside is acceptable”. Stomping around in the deep powder is hard on their creaky joints.
Porches, back decks, driveways are all fair game.
Pro-tip: plow or shovel a special zone for them

No tick checks !

02/08/2025

What did we learn this week?

1. It was a sad day for Dr Sarah last week. Her original stethoscope passed away. No more retrofits. It was time to buy a new one. Some new techies say that the stethoscope is outdated and that newer instruments should be used. But I think most Drs feel naked if they don't have one draped around their neck or in their coat pocket. It's a trusted tool for vets. Alerting us to abnormal heart sounds, fluid in the lungs, quiet gut sounds in horses that are colicking, slow rumen contractions or large gas filled displaced stomachs in cows. For many patients, we hear the last beat of the heart before it goes still.
The device has a neat history. First invented in 1816 by the French physician, Lannaec. Prior to its development Drs would put their ear to a patient's chest and directly listen. However one day he had a "large" female patient with signs of heart troubles. He was frankly embarrassed and knew he would not be able to hear anything. He had seen children recently using a wooden tube and amplifying sounds so he rolled up a paper into a funnel shape and could make out some sounds. Using his skills as a flute maker he fashioned wooden stethoscopes. The name comes from 2 Greek words: stethos (chest) and skopein (to view).
As the device gained wider use, human physicians who tended to the poor utilized longer scopes so they could be farther away from the patients who frequently suffered with flea infestations and some pretty foul smells. (We are talking about humans here!)
The first double eared scope like we use today was developed in the 1850s.
It is fun to have kids listen to their pet's heartbeat. Their eyes open wide and they usually start grinning or laughing. Then I give them a large animal re**al sleeve (plastic glove) as a balloon and then I know I have about 4 good minutes to communicate with the parent.

2. Doggy daycare goers be aware. Papillomas are around. If you see a white growth on the tongue, lips or roof of the mouth of a young dog, more likely than not it is a benign oral wart. Viral in origin they are a minor nuisance. No good therapy despite what social media will try to sell you. Let them run their course.
Note - if you have a middle aged or older dog with a growth in the mouth, have your vet sneak a p*ek. Many oral tumors will have better outcomes the sooner they are addressed.

3. Few updates on Avian Flu (H5N1). It is thought to have originated in wild birds in Europe. First documented in the US in a commercial poultry flock in 2022. It can be spread by many species but primarily wild birds. It is thought to be devastating to our song bird numbers. Also wide reports of marine mammal die offs. Seals and sea lions seem to be highly affected. Argentina reported one colony with 97% of pups dying along with 17K adults. (Two years ago in Maine we had a few hundred seals die from H5N1 jump)
It is in our cattle.
In our cat friends more "reported" cases are coming in. Twelve cases in 2023, 49 in 2024 and 13 so far this year. Mostly on the west coast. Some cats are aquiring it from being outside hunting birds or in close proximity to livestock that carry it. A few cat cases linked to raw milk or raw turkey ingestion.
Why the fuss?
In cats it is highly fatal - reports of over 70% mortality.
The MUCH bigger problem is if it mutates and humans become much more affected and potentially become active spreaders.
If that happens, C19 will look like a test run. Which we failed miserably.

4. Yay for old pets! Had a few super seniors in recently. Based on our computer records we see 7 dogs that are 17 years and older!
There are 49 cats 17 years and older. The oldest we have is 21+ years “Stevie".

5. Like many in rural counties I am not a huge fan of giant corporations, shadowy private equity (CHEWY) or billionaire family legacies that don't give back to the world. But like democracy, social security and personal privacy they are here to stay forever (LOL - bad joke this week)
Anyways. The largest owner of veterinary hospitals is the Mars family. (A very secretive family. Try looking them up. You get about 5 pics and a half page summary on Wikipedia. Pretty weak for the second richest family in the world valued over 100 billion.)
They own VCAs and Banfield. Not too many in our neck of the woods. Like many big corps they collect data. (All the better to market to us)
Looking up info on when best to spay large breed dogs I stumbled across a neat statistic on longevity between "fixed" pets and those unaltered. Have a look:
"In 2013 that report was based on analysis of data from 2.2 million dogs and 460,000 cats. Looking at longevity compared to spay/neuter status they discovered that:

Spayed dogs lived 23% longer than intact dogs
Neutered dogs lived 18% longer than intact dogs
Spayed cats lived 39% longer than intact cats
Neutered cats lived 62% longer than intact cats"
The most important take home? Bob Barker was right!

All for now. It's a bit quieter at the clinic. Tick disease has slowed. Allergies for the most part are also good.
Back in the office Monday.

~ "Rocky"
(10 week old Heeler Cross)

02/06/2025

Although both beautiful - the curly haired Doodle and Corvette are both useless in the snow.

02/01/2025

What did we learn this week?

1. Human viruses are still spreading. Drs seem to be up to full power but techs are dropping.
With all the sickness, people are understandably reaching for pain meds, cough suppressants and the like. We have been treating a very sick dog who got into children's ibuprofen. It does a number on their kidneys and GI tract. If you're not sure if something your dog ate is toxic at the very least call us or the E-clinic after hours. Some meds we want to have the patient throw them up asap. Others (like a call this week for a dog who ate a pill used by the owner for osteoporosis) we don't want to bring back up because it can do more harm to the esophagus.

2. I think part of a good exam is taking a history of the major organ systems.
"Can your dog sleep through the night without needing to go to the bathroom?"
"Does your cat regurgitate more than you think is normal?" etc
I hear pretty commonly about dogs who sneeze when excited, happy or playing. For some doggos this appears to be a non verbal communication. Like wagging or licking.
Nothing to worry about.

3. At a high school swim meet last week it was reported to Drs Tomalty that a large pick up of local eggs was made by another parent. The "secret" per the chicken mom was using cayenne pepper in the chicken feed to keep them warm and lay through the winter.
Yes. More magic. People want to believe in magic.
There have been studies done on feeding meat birds cayenne pepper as a potential alternative to antibiotics (which enhance growth rates). Some minor implications were found but nothing major.
I am pretty sure that if there was a cent to be made or saved feeding anything, "Insert Giant Corporate Egg Farm Name here" would have found it out by now.

4. Saw a dog this week with HGE. Hemorrhagic gastroenteritis. Sudden profound bloody diarrhea. Usually p**ping out straight blood or something resembling strawberry jam. It gets your attention. Common in younger toy breeds, but can happen to any dog. "Pretty Boy" wasn't feeling so pretty at 2:30 when he woke his Mumma up needing to go out.
We aren't exactly sure what the cause is. Might be a bacteria species called Clostridium perfringens and a toxin they produce when they are disrupted. Related to C. diff that I think plaques human hospital goers.
What I learned is that we are not supposed to call it HGE anymore. Now it is more accurately called Acute hemorrhagic diarrhea syndrome (AHDS). Since the stomach is not involved (the gastric word)
Either way, usually it is a self limiting condition. Some meds to calm the gut, fluids and some probiotics and we are back in the saddle.
As a recovering bovine veterinarian this condition (AHDS) is the junior varsity version of Winter Dysentery. This was one of those conditions when I read about it in vet school I wanted to see in person. I was fortunate(?) to see it 3 times. Imagine an old stanchion barn - like you drive by on your way to your yoga class. Now imagine 40 cows lined up in stalls. Rear facing rear. A center aisle way typically clean and full of fresh shavings. Now picture Quentin Tarantino has unleashed fire hoses full of blood all over the place. It's wild. Also self limiting. Very low mortality. Unlike the canine condition we know the causative agent. You've probably heard of it.
Bovine Coronavirus.
Yup.

All for now. Back in the shop Monday.

~ "Dr S and Dexter"

(dreaming of sunnier, warmer days and shelling peas with a buddy)

01/25/2025

What did we learn this week?

1. Based on the number of masks worn by staff and clients, tissues in trash cans, cough drop wrappers on tables, one can conclude it is still virus season. Sorry for the schedule interruptions. Hopefully LRVH can kick it to the curb over the weekend and be at full power Monday.

2. I listened to another continuing education last week. About a new all-in-one flea tick heartworm medicine coming to market soon. It was a 2 hour meeting that was an hour and 45 minutes too long. Here are the interesting nuggets I took from it - and yes I take everything with a grain of salt as it is essentially a 2 hour long infomercial.
- fleas bothered dinosaurs, 150 million years ago and were 10 times the size as todays varieties
- flea larvae will live by eating adult flea p**p, they then turn into a cocoon stage and can wait 6 months before turning into adults
- 95% of fleas are in a stage we don't see (eggs, larvae, pupae)
- to transmit Lyme ticks need to feed over 24 hrs
- other tick borne diseases can be as short as 3 hours
- tapeworms: the lab tests to find them in stool sample aren't as accurate as other parasites, we are likely missing many cases
-a newer species of tapeworm that is affecting canids is very small - not seen with naked eye (1-5mm) and associated with GI troubles (bloody diarrhea), it seems to be acquired by association with rodents(who carry it)
- dog parks can be a source of parasites in soil, so travelers who visit should be aware
- the active ingredient in the primary tick medicine we use, lotilaner (credelio) is used by human opthamologists for demodex blepharitis, a chronic eye condition caused by demodex mites that colonize the eyelids/lashes
-lastly, maybe more importantly, they are starting HUMAN TRIALS with credelio for the prevention of Lyme disease with the same medicine your dog takes (credelio)

All I got. Wash your hands and stay away from kids in school. Filthy creatures.
As it stands, I am trying to find out the toxic dose of menthol in VapoCOOL lozenges.

~"Toby"
(8 year old "Norfolk" terrier - an offshoot of Norwich terriers, distinguished by their folded ears. Developed in the late 1800s to hunt vermin, they later became popular as pets by students at Cambridge because they were small enough to be kept in dormitory rooms. They thrive with human contact.)

Little River Veterinary Hospital

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