IVC SUMMER 2019
Innovative PEER REVIEWED
VOLUME 9 ISSUE 3
VETERINARY CARE
DERM ATOLOGICAL DILEMM AS IN DOGS AND CATS
THE POTENTIAL FOR DIET, CHINESE HERBS AND THE MICROBIOME TO RESOLVE SKIN INFLAMMATION IN SMALL ANIMALS. – P. 14
SEPARATION ANXIETY IN DOGS
AN INTEGRATIVE APPROACH TO DEMODECTIC MANGE
HOW INTERNAL AND EXTERNAL FACTORS AFFECT EQUINE SKIN DISEASE
In the second part of this article, we’ll look at the overall results of KetoPet Sanctuary’s canine cancer program, along with some case studies. – P. 26
www.IVCJournal.com
SUMMER ISSUE 2019
INNOVATIVE VETERINARY CARE JOURNAL
KETOSIS, CANCER AND CANINES — PART 2
An integrative approach using herbs, nutrition and acupuncture provides faster resolution of canine demodicosis while also addressing underlying imbalances. – P. 34
ANAL SAC ANAL GLAND ADENOCARCINOMA Surgery, drugs and nutraceuticals for ASAGACA, from the perspective of the surgeon and oncologist. – P. 40
How using a Certified Separation Anxiety Trainer (CSAT) in your practice can help you successfully alleviate this common canine behavior problem. – P. 48
A complementary medical approach for 5 common skin conditions in horses. – P. 53
ESSENTIAL OILS IN YOUR PRACTICE
Effective modern tools with ancient origins, essential oils are an accessible starting point for adding integrative modalities to veterinary practice. – P. 61
contents FEATURES
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INTEGRATED APPROACHES TO CANINE CANCER — PART 2 By Demian Dressler, DVM
Three integrative treatment modalities that, when used in conjunction with chemo and radiation, can increase the longevity and life quality of canine cancer patients.
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DERMATOLOGICAL DILEMMAS IN DOGS AND CATS By Steve Marsden, DVM, ND, MSOM Lac. Dipl. CH, CVA, AHG
The potential for diet, Chinese herbs and the microbiome to resolve skin inflammation in small animals.
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KETOPET SANCTUARY: KETOSIS, CANCER AND CANINES — PART 2
By Chelsea Kent; Shannon L. Kesl, PhD; Stacy A. Hodges, DVM; Loren Nations, DVM, DipABVP
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In the second part of this article, we’ll look at the overall results of KetoPet Sanctuary’s canine cancer program, along with some case studies.
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EYES: ILLUMINATING THE AGING PROCESS
By Carmen M.H. Colitz, DVM, PhD, DACVO and Terri McCalla, DVM, MS, DACVO
Aging causes a gradual decrease in gastrointestinal nutrient absorption, so supplementation with antioxidants important for ocular health is essential for healthy eyes.
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AN INTEGRATIVE APPROACH TO DEMODECTIC MANGE
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RECOMMENDING THE RIGHT SUPPLEMENTS TO YOUR CLIENTS
By Alexia Tsakiris-Vasilopoulos, BvetMed, GDipVWHM, CVA
An integrative approach using herbs, nutrition and acupuncture provides faster resolution of canine demodicosis while also addressing underlying imbalances.
How the National Animal Supplement Council (NASC) is improving and standardizing the animal supplement industry with their Quality Seal program.
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ANAL SAC ANAL GLAND ADENOCARCINOMA
By Steve J. Mehler, DVM, DACVS and Craig A. Clifford, DVM, MS, DACVIM (Oncology) Surgery, drugs and nutraceuticals for ASAGACA, from the perspective of the surgeon and oncologist.
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MORRIS ANIMAL FOUNDATION’ S GOLDEN RETRIEVER LIFETIME STUDY
By Kelly Diehl, DVM, MS, Dipl. ACVIM
What 3,000 Golden Retrievers can tell us about cancer.
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AN INNOVATIVE APPROACH TO SEPARATION ANXIETY IN DOGS
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EQUINE SKIN DISEASE
By Moira Hechenleitner, DVM, CSAT
How using a Certified Separation Anxiety Trainer (CSAT) in your practice can help you successfully alleviate this common canine behavior problem.
By Joyce Harman, DVM, MRCVS
A complementary medical approach for 5 common skin conditions in horses.
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JUVENILE HIP DYSPLASIA IN THE CANINE
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ESSENTIAL OILS IN YOUR PRACTICE
By Trisha Allie, BSc, RVT
A case study involving the use of digital thermal imaging.
By Jared Mitchell, DVM
Effective modern tools with ancient origins, essential oils are an accessible starting point for adding integrative modalities to veterinary practice.
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advisory board
61 COLUMNS & DEPARTMENTS
Dr. Richard Palmquist, DVM GDipVCHM(CIVT) CVCHM (IVAS), graduated from Colorado State University in 1983. He is chief of integrative health services at Centinela Animal Hospital in Inglewood, California, former president and research chair of the AHVMA, and an international speaker in integrative veterinary medicine. Dr. Palmquist is a consultant for the Veterinary Information Network (VIN) and a past president of the AHVM Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works. Michelle J. Rivera, MT, VDT, is an instructor at the University of Wisconsin and The Healing Oasis Wellness Center, a post-graduate educational institution offering state-approved programs. She is co-owner of The Healing Oasis Veterinary Hospital, offering massage, rehabilitation, chiropractic and Chinese and Western Herbology. Michelle completed the Chinese Herbal Medicine program from the China Beijing International Acupuncture Training Center, and is certified in Chinese Medicine by the Wisconsin Institute of Chinese Herbology.
8 Editorial 13 2019 IVC Award Nominees
— call for nominations
25 Business profile
— Hope Science Vet
31 From the AAVA 37 From the AVH 38 Industry innovations 52 From the AHVMA 57 From the VMAA 60 Business profile
— Golden Needle
Dr. Joyce Harman, DVM, MRCVS, graduated in 1984 from Virginia Maryland Regional College of Veterinary Medicine. Her practice is 100% holistic, using acupuncture, chiropractic, herbal medicine and homeopathy to treat horses to enhance performance and those with a variety of chronic conditions, with an emphasis on Lyme Disease. Her publications include the Pain Free Back and Saddle Fit Books, and numerous articles in lay and professional magazines. She maintains an informative website: www.harmanyequine.com. Dr. Steve Marsden, DVM, ND, MSOM, Lac. Dipl.CH, CVA, AHG lectures for IVAS, the AHVMA, the AVMA, and numerous other organizations. He is co-founder of the College of Integrative Veterinary Therapies and is a director emeritus of the National University of Natural Medicine in Portland OR. He authored the Manual of Natural Veterinary Medicine (Mosby); and Essential Guide to Chinese Herbal Formulas (CIVT). Dr. Marsden is extensively trained in alternative medicine, including Chinese herbology, acupuncture and naturopathic medicine. He has holistic veterinary and naturopathic medical practices in Edmonton, Alberta. In 2010, Dr. Marsden was named Teacher of the Year by the AHVMA; and Small Animal Veterinarian of the year by the CVMA in 2009. Dr. Jean Dodds, DVM, received her veterinary degree in 1964 from the Ontario Veterinary College. In 1986, she moved to Southern California to establish Hemopet, the first non-profit national blood bank program for animals. Dr. Dodds has been a member of many national and international committees on hematology, animal models of human disease, veterinary medicine, and laboratory animal science. She received the Holistic Veterinarian of the Year Award from the AHVMA in 1994.
64 From the VBMA 65 Marketplace 66 News bites
Dr. Barbara Fougere, DVM, CVAA graduated in 1986, and was named the American Holistic Veterinary Medical Association Educator for 2011. Dr. Fougere is the principal and one of the founders of the College of Integrative Veterinary Therapies. She has continued studying over the last 26 years, and has three Bachelor degrees, two Masters degrees, three post Graduate Diplomas, several Certifications and numerous other courses under her belt.
Dr. Christina Chambreau, DVM, CVH, graduated from the University of Georgia Veterinary College in 1980. She is a founder of the Academy of Veterinary Homeopathy, was on the faculty of the National Center for Homeopathy Summer School and has been the holistic modality adjunct faculty liaison for the Maryland Veterinary Technician Program and is the former Associate Editor of IVC Journal. Dr. Chambreau teaches classes in homeopathy for animals, lectures on many topics, speaks on Radio and TV, and is the author of the Healthy Animal’s Journal among other titles. She is now on the faculty of the Holistic Actions Academy, which empowers members to keep their animals healthy with weekly live webinars.
IVC Summer 2019
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PEER-REVIEWED
AN INNOVATIVE APPROACH TO
SEPARATION ANXIETY IN DOGS By Moira Hechenleitner, DVM, CSAT
How using a Certified Separation Anxiety Trainer (CSAT) in your practice can help you successfully alleviate this common canine behavior problem.
Statistics tell us that over 17% of dogs in the US suffer from separation anxiety. In fact, this condition is one of the primary reasons for surrender, abandonment and euthanasia — not only here, but worldwide. As a veterinarian, you most likely have clients whose dogs have separation anxiety, and know that it can be challenging to overcome. In this article, we’ll look at how a Certified Separation Anxiety Trainer (CSAT) can help your practice successfully solve this common behavior disorder.
A BIT OF PERSONAL BACKGROUND After becoming a veterinarian and working for many years as a behavior consultant and Bach Flower therapist, I had the opportunity to specialize in canine separation anxiety. Through a Separation Anxiety Certification Program designed by Malena DeMartini, I became a CSAT (Certified Separation Anxiety Trainer), forming part of an amazing group of behavior consultants who work to help dogs and their families overcome this condition. In becoming part of a league of healers who work to mend the emotional aspect of separation anxiety, I also became a healer of their guardians’ spirits, thereby achieving my inner purpose of bringing hope to them.
SEPARATION ANXIETY IS A FRUSTRATING PROBLEM When dog guardians reach out to us for help, they feel they have already tried everything. They have read all the information they can find on separation anxiety, and are almost at the point of giving up. They are confused because different specialists from different fields have given them different explanations and different advice, and in their despair they have tried it all, making the problem worse in the process. Furthermore, they have limited their social lives in
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CSATs (Certifi ed Separation Anxiety Trainers) are a group of experienced behavior consultants who work to help dogs and their families overcome separation anxiety.
order to avoid leaving their dogs alone, and many times have lost the support of their families and friends. Common in all these cases is the dog’s irrational fear of being left alone.
STEPS FOR SUCCESS: TEAMWORK As a veterinarian, behavior consultant, and CSAT, I have been privileged to see how truly beneficial an integrated holistic approach to healing can be. We know there are many parts to a dog (or family) that might need healing. In response, our society has created a diverse range of professions to accomplish this, including veterinary medicine, dog training, behavior consulting, and dog walking, among others. Additionally, we have created further divisions of focus within each of these categories.
Working as a team is the key to success. It allows us to utilize the best of each field to help dogs and their guardians overcome separation anxiety successfully. A problem arises when we, as healers, who seek the best for our patients and clients, have to make the decision of asking someone else to help us. We often don’t want to share our patients, and we act as if we are afraid that something bad could happen to them if someone else touches them or adds his or her expertise. In treating canine separation anxiety from both veterinary medical and behavioral perspectives, I have observed that veterinarians often don’t trust behavior consultants, and vice
versa; and although everyone tries on their own to do their best for the dog, they fail in navigating the problem as a whole. This isn’t only an issue in the US. The country I come from, and many others I have had the opportunity to visit, suffer from this same dynamic. Maybe we should take a step back and remember why we are here, why we are doing this, and trust in one another’s skills and fields, in order to provide dogs with the best opportunity for healing and enhanced quality of life. We need different specialists and skills to successfully treat separation anxiety as a whole: • A veterinarian, who can help rule out any physical problems the dog might be suffering from, and whose field of expertise includes knowledge of behavior pharmacology, and/or holistic medicine and therapy.
• A specialist in separation anxiety behavior modification, who puts a behavior program into practice to help the dog overcome that part of the issue.
• Additionally,
we may need another dog trainer or behavior consultant who can focus on other behavior problems the dog might be showing.
CLEAR COMMUNICATION AMONG TEAM MEMBERS IS VITAL Treating canine separation anxiety is a straightforward process, but not a particularly easy or rapid one. As such, it is imperative that all team members communicate clearly with one another, and offer support and guidance from their own areas of expertise for the benefit of the dog. When we start working with a separation An open communication channel among team members working to help a dog overcome separation anxiety will optimize results and increase the likelihood of a better prognosis.
anxiety dog and her guardian, we offer to get in touch with their vet, dog walker, trainer, daycare, etc., so everybody knows what’s going on and what each person can do to support recovery. We emphasize that everyone’s efforts are valuable and essential pieces of the puzzle.
ADDRESSING PHYSICAL HEALTH AND ENVIRONMENTAL FACTORS In order to maximize chances for a successful outcome, it’s important to identify and address any physical problems with the dog’s health that could be influencing his behavior. Any necessary environmental adjustments need to be explored as well. Research has shown a high correlation between general anxiety, noise sensitivity and separation anxiety, and as such, there may be a genetic predisposition to the condition. This suggests these dogs may be suffering from a chemical imbalance in which hormones and/or neurotransmitters aren’t working as they should, either due to a pathophysiological issue, a threshold alteration at the nervous system level, or over/under production. Environmental factors such as stressful changes, new noises or traumatizing events might trigger the onset of separation anxiety at any age. Once these factors are addressed, our task as CSATs is to start the behavior modification program.
THE CSAT BEHAVIOR MODIFICATION PROGRAM The program is designed to guide and coach the guardian through daily training sessions that seek to desensitize the dog to his person’s departure and absence. They include several strategic steps that help the dog adjust to his guardian approaching
A single training task Focusing on only one training task during the behavior program is essential. Assigning a long list of daily tasks for guardians to accomplish in order to help their dogs, even if the tasks are appropriate, won’t sustain their participation and involvement. Sooner or later, they will get tired and stop performing all the tasks, likely quitting after a short period. Teaching guardians to do only one thing, consistently and on a daily basis, will promote faster results in terms of behavior modification, and will keep motivation, compliance and hope high.
Benefit s of a remote behav ior program • Daily support for dog and guardian, permitting a proactive rather than a reactive approach.
• Avoidance of mistakes when selecting the next session’s training criteria.
• More accurate assessment of the problem, without adding other influencing factors such as the presence of a consultant when leaving the house.
• Real time reading of the dog’s body language. IVC Summer 2019
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