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I closed out my last week of 2017 presented with 3 eerily similar canine cases that all presented severely sick. The breeds may have all been different, but outside of breed, all three dogs had striking similarities in their history, presentation, disease predisposing factors, and diagnosis.
Each dog was relatively young, between 7-9 years of age, and all three were males. The owners of each dog claimed regular wellness veterinary care, but none went beyond a discount vaccine clinic and based on records, none had been actually examined in years (there is an abysmal legal loophole in Florida that allows vaccines to be administered to patients by technicians or assistants without an examination as long as a licensed veterinarian is in the building).
All three dogs were depressed, weak, dehydrated, and not eating. Each dog had severe dental disease, a major predisposing factor for what the ultimate diagnosis would ultimately be for all 3 dogs.
All three dogs were found to have severely elevated kidney values and phosphorous in their bloodwork, a finding which led to a diagnosis of chronic kidney failure. Based on their numbers and presentation, all three dogs were given a poor to grave prognosis.
The timing of these diagnoses was very difficult for the owners in the week leading up to Christmas and New Year, with each family desperately wishing to keep their pet with them at least through the holiday season. Thus, each owner despite the odds elected to attempt treatment.
Luckily, in the case of chronic kidney failure, other than the cost, there is little to lose in attempting treatment. Consisting primarily of aggressive IV fluids, GI protectants, anti-nausea medication and antibiotics, it is not an invasive course of treatment and only takes 2-3 days to play out to see if the patient will respond. Ultimately, only one of the three would recover to the extent that he would make it through the holidays and even still, he carries a poor to grave prognosis.
I did not write about this to depressed pet owners, but instead shared my experience as a cautionary story for pet owners to learn from. The demise of these dogs was likely very preventable.
Had these dogs received proper veterinary care with actual yearly hands on examination by a veterinarian, the dental disease would have pointed out well before it reached such a severe point. Had the dental disease subsequently been treated in the early stages, a major predisposing factor for chronic kidney failure would have been eliminated.
Regular yearly wellness bloodwork starting at age 5 would have caught kidney disease in its early stages and proactive measures could have been put in place to maintain the longevity of the kidneys and subsequently the longevity of and quality of life of the patent; rather than tragically lose them well shy of their 10th birthday.
A regimen of kidney protective diet (protein, sodium, and phosphorus restriction), GI protectants, and anti-oxidants often extend the lives of chronic kidney disease patients for years.
Chronic kidney failure is only one of countless life shortening diseases that can be managed or even prevented with proper and timely veterinary wellness care.
Dr. Roger Welton is a practicing veterinarian and highly regarded media personality through a number of topics and platforms. In addition to being passionate about integrative veterinary medicine for which he is a nationally renowned expert, Dr. Welton was also an accomplished college lacrosse player and remains to this day very involved in the sport. He is president of Maybeck Animal Hospital , runs the successful veterinary/animal health blogs Web-DVM and Dr. Roger’s Holistic Veterinary Care, and fulfills his passion for lacrosse through his lacrosse and sport blog, The Creator’s Game.