Selasa, 19 April 2011

Food Allergies in Dogs

by Dr. Laci Schaible, DVM

When my friend Jana Rade asked me to help write on food allergies in dogs, I was delighted to. I know Jana and her dog Jasmine have been to hell and back when they were struggling with what would take years to diagnose as Jasmine's food allergies.

Food allergies are gaining more and more recognition, both by pet parents and by veterinarians.

I am happy to take this opportunity to explain just what they are and how a diagnosis can be reached.

A food allergy is a reaction to the food by the body's immune system.

Food allergies are not food intolerances despite common confusion. 

Day 296 Oct 13

Food allergies are among the top three most common cause of allergies in dogs, at least allergic itching that is. The others are flea allergy dermatitis and canine atopy, both which are far more prevalent than food allergies, which compromise approximately 10% of all dog allergies.

Unlike canine atopy, food allergies are not seasonal, however, when pets present with GI symptoms they may wax and wane to some extent.

Most often, a protein in the food causes the immune system to react.  

Often the protein source is animal based, such as meats eggs, or dairy, but sometimes a carbohydrate source can be involved too.  The most common ingredients that dogs have allergies to include beef, chicken, eggs, milk, fish, horse meat, potatoes, soy, corn, wheat gluten, or additives.

The most common clinical signs are severe itching, scratching, and chewing.  

Sometimes it may be accompanied by the small red bumps, pustules, and infection.  In dogs, the paws, flank, groin, neck, and ears are commonly affected.

Dogs with food allergies often suffer from recurrent ear infections.

These signs are usually year round unlike canine atopy.

Other times, food allergies present with gastrointestinal components instead of the skin component. 

GI signs include chronic vomiting, diarrhea or loose stools, belching, and frequent bowel movements and/or flatulence.  GI signs do fluctuate a bit more than skin problems, and a long history of "troubled GI system" is not uncommon.  Dogs may suffer from both skin and GI symptoms.

Since food allergy is less common than canine atopy and flea allergy dermatitis, the vet often starts by treating the easiest of those--flea allergy dermatitis--by recommending topical flea meds.  This is reasonable in my expert opinion.

No single specific test can diagnose a food allergy.  

Allergen blood testing is available, but it is more appropriate for canine atopy and is not a reliable way to identify what food ingredients your dog may be allergic to. 

The diagnosis is slowly made by placing your pet on a trial diet in which you are introducing a new, highly digestible protein source, and/or carbohydrate source, with no food additives.  

You in essence are eliminating the potential offending allergens and thus it is often called an "elimination diet."

You can prepare this diet at home if you consult with a veterinarian with expertise in nutrition.  

Usually it is advised to select a single novel protein (such as duck, rabbit, kangaroo), a novel carbohydrate source (such as snow peas), and a source of fat.  If your pet responds and the itching decreases, it will be of crucial long-term importance to ensure the diet is balanced and complete. 

Commercial diets with novel food sources are available, but in my opinion, if you want a commercially prepared diet, it is wiser, simpler, and more affordable to choose a hydrolyzed diet. 

Hydrolyzed protein diets contain proteins that are broken down into pieces too small to to fit into the receptors that stimulate the pet's immune system.  In other words, they sneak right past the dog's allergic alarm system due to their tiny size.  
These diets are already complete and balanced for adult dogs.  It is rare for a kitten or puppy to develop true food allergies, as the dog has to be exposed to the allergen repeatedly, and it is repeated exposure that intensifies the allergies and their symptoms.

Itching may start to decrease within a couple weeks, but in most cases it does take longer (around 6 weeks).  

The test diet should be fed for two to four months. For dogs that respond positively, the diet should be continued provided it is balanced and complete.

The pet parent must remember that table scraps, treats, chews, and flavored medications (such as heartworm meds) must not be given not only while the pet is on the trial diet, but no offending allergens can be given the rest of the pet's life after the offending allergen is identified.

The prognosis for pets with food allergies is great as long as the pet is not re-exposed to the food ingredient(s) that triggered the immune response initially.  

The pet owner must be vigilant to maintain the strict diet.

Though it is indeed a very frustrating diagnosis to arrive upon, once it is made the pet parent can breathe a sigh of relief knowing that if the offensive allergens are avoided there pet will no suffer the skin or GI side effects associated with food allergies again.

***

Dr. Laci Schaible, DVM is a veterinarian in Pennsylvania.  With her husband Dr. Jed, also a veterinarian the two have founded VetLIVE.com, the world's first and only site that allows pet owners to connect with unbiased and licensed veterinarians 24/7.  If you have a question about your pet, you can ask a vet online and get an answer immediately.

Articles by Dr. Laci:
A Tale of Many Tails—and What Came Out From Underneath Stories from My Diary-rrhea (part I)
Acute Small Intestinal Diarrhea
Acute Large Intestinal Diarrhea (Acute Colitis)
hronic Large Intestinal Diarrhea
Chronic Small Intestinal Diarrhea


Related articles:
Why Is My Dog So Itchy? Top 5 Causes Of Itching In Dogs

Sabtu, 16 April 2011

Blog The Change: Help PetFinder Win the Webby Awards

I was thinking long and hard about what cause to pick to Blog the Change.

Just this week I got a request for advertising on my blog. The email already smelled fishy to me, as it was sent from gmail address with no indication who it was really from. When I requested more details it turned out that they wanted me to advertise Ebay Classifieds puppies section!

So I was going to write this post about puppy mills.

Then I came across a post my friend Dr. Huston wrote. She blogged about helping PetFinder win the Webby Awards.

I think that's a brilliant idea!

Winning this award would provide more exposure to PetFinder and in turn promote dog adoptions.

More people might adopt. And people who adopt don't buy puppy mill dogs.

More adoptees, less puppy mills.

So I am joining Dr. Huston's cause in asking you to help PetFinder Win the Webby Awards.

What Are the Webby Awards?

According to the Webby Awards About page, “The Webby Awards is the leading international award honoring excellence on the Internet. Established in 1996 during the Web’s infancy, the Webbys are presented by The International Academy of Digital Arts and Sciences, honoring excellence in over 100+ Website, Interactive Advertising, Online Film & Video, and Mobile & App categories.”

Vote in the Webby Awards Today

The Petfinder.com iPhone App has been nominated for the Webby Awards. It’s the only pet-related app in the category, so it would be a big win for adoptable pets if the Petfinder app won.

Please help by voting today:
  1. Register to vote (you can use your Facebook account to register).
  2. Vote in the Utilities and Services Category.
  3. Ask your friends to do the same and help us help homeless pets WIN!
  4. Don’t forget to tweet and share on your Facebook pages also!
 Let's get PetFinder the award!
Jana

Rabu, 13 April 2011

Medical Terms That Sound Like A Diagnosis But Really Are Not: One-thing-or-anotheritis

There is quite a long list of conditions that fit in this category; from arthritis to vulvovaginitis—yeah, I did have to look that one up—they cover most of the alphabet.

What are they?

The suffix -itis stands for inflammation. The word before the suffix indicates the involved organ.

Arthritis is inflammation of one or more joints, dermatitis inflammation of the skin, gastroenteritis inflammation of the stomach and intestines, and so on.

henry
These all sound very authoritative, but if  you look them up and find out what the medical words stand for, they become less threatening and more understandable.

The important question is, are these good enough diagnoses to go on?

And the answer? It depends.

To better understand this, let's take a look at what inflammation is.

Inflammation is immune system's response to harmful stimuli, such as trauma, pathogens or irritants.

It is body's self-defense mechanism to protect itself and initiate the healing process. In fact, without inflammation, wounds and infections would never heal!

Ok, wait a minute—if inflammation is such a good thing, how does it become a medical issue then?

The most obvious reason is – it hurts! (or itches in case of dermatitis for example).

More importantly, though, often the immune system needs some help to get the job done. If you get a splinter, you can leave it up to the immune system to force it out—which eventually might work—or you can help it along by taking the splinter out.

And there also lies the answer to our earlier question.

The best way to deal with inflammation is by dealing with its underlying cause!

That is sometimes easier said than done though.

The potential causes can be many. Injuries, foreign bodies, invaders real (parasites, fungi, bacteria, viruses) or imaginary (allergies or autoimmune disease). Clearly, some of these are easier to deal with than others.

Injuries and foreign bodies are a pretty straightforward matter. Infections not so much; allergies and autoimmune diseases—those are a real nightmares.

Why would your dog's immune system need help with infections?

That is a good question. The world is full of bacteria and fungi and viruses … isn't that what the immune system is for?

True, but sometimes the defenses can be overwhelmed.  An infection isn't  really the presence of the bacteria, fungi or viruses … infection is when they make it through the fortifications and start taking over.

Inflammation is a battle in progress.
The inflammation is the problem that we see—that's what we want to treat. 

But what would be the result if we made that happen in this case? We'd be handing the enemy the key to the castle!

What we need to do, is to deal with the enemy.

To complicate matters further, each of these invaders requires different weapons.

"Never bring a knife to a gun fight!"

Antibiotics won't work against fungi or viruses, antifungal medications won't do anything for a bacterial infection ...

***

Le's say we identified an infection as a cause of the inflammation. We also identified the invaders and chased them out.

Are we done? What do you think?

It's your dog's health!
Jana

Related articles:
Medical Terms That Sound Like A Diagnosis But Really Are Not (Part I)

Selasa, 12 April 2011

Functional Strengthening Exercises: the What, Why and How

by Susan E. Davis, PT

Have you ever heard the term “functional exercises” and wondered what it means?

Not only are these helpful to human beings in physical rehabilitation or sports enhancement programs, they are also used in canine recovery and fitness. So, what are they?

For an exercise to be considered functional, it utilizes the full body, using dynamic movement.  

It is an activity that replicates or mimics something that a person or animal normally performs in their daily life. It is performed without weight or machines, relying on the body’s weight and gravity for resistance.

In human physical rehabilitation after an injury or surgery, this type of exercise can also be referred to as “closed kinetic chain” and examples include squats, lunges, step-ups, etc.

These exercises do not replace stretching, isolated muscle-specific strengthening or cardiovascular conditioning.  

They are one component of a total exercise program, needed not only in rehabilitation but in maintenance of overall fitness levels.  Think of functional exercises as those that link the entire body in a manner that carries over into everyday activities.

Why are they important?  

They are safe, relatively simple, and do not require expensive elaborate equipment.  They are efficient not only time-wise but also in improving performance by working multiple muscle groups together, optimally as cohesive units.

They prepare your dog for daily life movements, reducing potential injuries, strains, etc.

Wow—so how?

I am going to list and describe various examples of functional strengthening exercises with word of advice and caution.  It is good to be educated and aware of all possible types of exercises but even the most basic can potentially be harmful depending on a particular dog’s medical condition, age, breed, etc.  For example, some of these might not be appropriate for a young developing puppy, a geriatric dog with cardiac issues, a dog with spinal disc conditions, instabilities such as Wobbler’s, etc.

Ultimately a program should be designed and guided by your Vet (especially if they have received rehabilitation training) or an animal-trained licensed Physical Therapist who has consulted your veterinarian.  

These professionals will custom- tailor the activities and give you initial guidelines on reps, durations and other parameters so you can implement the program with your dog at home safely, with a favorable outcome.    

Here are some examples.

Step-ups:  use a raised platform such as a palette, hard durable plastic or wood box, oversized thick book or similar object that is approximately 15-20% the height of the distance measured from the ground up to your dog’s withers.  Have the dog start off with placing one front paw up onto the platform, then the other, then paws back to the ground.  During this exercise, the rear legs stay on the ground. 
Example: Up 1, Up 2, Down 1, Down 2.  Although it will appear to be strengthening the front limbs, it actually builds the thoracic and lumbar spine extensors and hip/upper thigh musculature.  This can be advanced to having the dog completely climb up on the platform with all fours, and then back down, repeated several times.
 
Sit to Stand: best done from a tight corner with the dog’s hind end backed into the corner.  Repeat 5-10 times.  If you do not have a good corner to use, place the dog’s stronger side next to/ against a wall and have him/her stand from there. 
You may find that some instructions tell you to place the weaker, surgical side next to the wall, but I have found that placing the strong side up next to the wall forces the dog to shift weight away from the wall and on to the weaker side, achieving a better result.

Dancing:  You can hold your dog’s front paws, but I prefer holding the dog’s upper arms, just below the shoulders for better control.  Have the dog hold the dance position in a “standing still” or” static” position. Then sway from side to side or “dynamic”.  
Progress the exercise by having your dog take dance steps with you going forward, to the left, to the right and backward.  Backward or “retro” dance walking is the hardest. Dancing can also be performed in a pool, with “chest high “water level. 
Wheel barrowing:  this involves standing behind your dogs, holding up the hind limbs and having the dog bear weight on the front limbs.  You can gently guide them forward to take a few steps with the front paws.  Be careful and check with the vet first if there is elbow dysplasia, spinal conditions. 
Weight shifting while your dog is standing on a piece of foam or thick carpet:  gently pick up a front paw; hold a few seconds, then place it back down.  Then the other front paws.  After that, lift a back paw, followed by the other.  
Progress the exercise by simultaneously lifting an opposite front/back paw at the same time, called “contralateral” (left front paw with right back paw).  Follow this by the right front paw with the left rear paw.  Final progression is lifting both right paws at the same time, then both left, called “ipsilateral”.  
Jana’s /Jasmine’s vet likes to recommend using a foam mat or pad 4-8 feet long, ¼ to ½ inch thick , then thicker as the legs get stronger, to encourage higher hip flexion by the dog actively raising up of the paws, also called “High Stepping”  Have the dog walk back and forth on it, turning around at the end.  You can also try using a toy or treat to have them take some steps backward on the foam. 
High Stepping can also be performed over a ladder placed horizontally on the ground, or logs spaced a few feet apart or low hurdles. 
Use toys for functional play.  
One of the best is “tug of war”, using a braided rope toy, encouraging the dog to “crouch down”, bending knees and elbows and to move sideways (“lateral”) and backward.  Use caution if there are any dental or neck issues.  If your dog likes to play with balls, you can quickly roll a small ball sideways between your palms to encourage the dog to lunge from side to side in response, following the ball. 
Rolling:  assist your dog to roll from side to side, initially by placing your hands on his/her shoulders and hips.  Progress this by using a toy or treat and moving it from side to side over the dog’s head, encouraging them to roll and “follow” the toy.  You can also hold the toy or treat over their tummy area and have them “reach” for it, simulating a partial “curl-up”.  These exercises will work the abdominal core region of their body.  
Timed Up And Go (TUG):  use a stopwatch (you may have this function on your cellphone) to time your dog, starting from a sitting position at a distance of 8-10 feet away.  Ask them to come to you and measure the speed at which they stand up and come to you across the room.  This is a basic measure of their mobility skills and is helpful for older arthritic dogs that show slower movements in getting up to stand.  Make it a fun game for them, gradually getting faster.  Currently there are no standards for this test in the canine world, so just start with your dog’s initial time as your baseline and try to increase it 5-10% per week.  In my experience, an older arthritic dog should be able to do this in 7-10 seconds. 

There are many other examples of functional strengthening exercises, but hopefully this list will give you a good starting resource. Functional strengthening activities offer great variety for your dog to exercise efficiently and effectively from head to tail!


Further reading:
Walking with Your Dog: A Fun and Cheap Form of Dog Physical Therapy
A Dog Workout: Exercises and Activities

***

Susan E. Davis (Sue) is a licensed Physical Therapist with over 30 years of practice in the human field, who transitioned into the animal world after taking courses at the UT Canine Rehabilitation program.  She is located in Red Bank, New Jersey.

For the last 3 years she has been providing PT services to dogs and other animals through her entity Joycare Onsite, LLC in pet’s homes and in vet clinics.

She also provides pro bono services each week to a shelter and sanctuary for neglected and abused animals.  Sue is the proud “dog mommy” to Penelope, a miniature Dachshund with “attitude”.  For more information see her website www.joycareonsite.com , or follow on Twitter @animalPTsue.

Further reading: 
Assessing Lameness
Comparative foot morphology
Measurement method on static weight distribution

Articles by Susan E. Davis:
Functional Strengthening Exercises: the What, Why and How
One Thing Leads To Another: Why The Second ACL Often Goes Too
Compensation: An Attempt To Restore Harmony
Paring Down to the Canine Core
Canine Massage: Every Dog ‘Kneads’ It”
Photon Power: Can Laser Therapy Help Your Dog?  
Physical Therapy in the Veterinary World  
Reiki: Is it real? 
Dog Lessons: Cooper  
The Essentials Of Canine Injury Prevention: 7 Tips For Keeping Your Dog Safer 
It's Not Just Walking, It's Therapy! 
Treatment And Prevention Of Canine Intervertebral Disc Disease (Part I)
Treatment And Prevention Of Canine Intervertebral Disc Disease (Part II Physical Therapy)
Range Of Motion: It’s A Matter Of Degree…
The Weight Of Water And How It Helps Dogs 
By Land or By Sea? A Comparison of Canine Treadmills 
Unraveling The Mystery Of Fascia And Myofascial Trigger Points (Part I)
Unraveling The Mystery Of Fascia And Myofascial Trigger Points (Part II) 
Scar Tissue: Is it Too Much of a Good Thing? 
Physical Therapy Tip Of The Month: Ramps! 
Physical Therapy Tip Of The Month: Indoor Duo Dog Exercises!
Physical Therapy Tip Of The Month: Best Practices After Your Dog’s Surgery 
Physical Therapy Tip Of The Month: Ideas to Chew on - Can Physical Therapy Help with my Dog’s Digestive Problems? 
 
Related articles:
Don’t Forget the Physical Therapy
Why The Second ACL Often Goes Too
Compensation: An Attempt To Restore Harmony

Jumat, 08 April 2011

Eagle's Den Rescue: Hope For The Desperate

This is another story from Eagle's Den Rescue. These people are true angels, offering hope to dogs who have none. You might remember the story of heartworm positive Hunter, we helped raise money for his treatment.

Today I will share a happy update. But so many dogs need help!

Boo Boo... the ash tray puppy.

My name is Boo Boo. I started life out very confused because at a very young age, when I still needed my mother, I ended up at a place called the County Animal Shelter. I was all alone and so tiny in a huge kennel all by myself. I cried all the time and I was so hungry and cold. I could not eat the large kibble in my bowl because all of my teeth were not in.

Then, one day, a kind volunteer saw me there all alone and crying. 

She really did not know what to do except to put me in with a nursing mother and her two pups. And from that day on, I was confused with a Staffordshire Terrier.

The mother and all of us pups were so tiny that no one really noticed I did not belong there. I was better for awhile, but I still hurt all the time.

My stomach hurt because I had worms, and there were these sores on me that people would make comments about.

Then one day something terrible happened.  The mother that I had come to depend on was declared a dangerous dog and they were taking her from me too. The three of us were going to either starve or have to die before we started to live. What did we do? That is all the other two could think, and I was wondering that same thing, even though I was here quite by accident.

Then an amazing thing happened. It was a sad day, because we lost our “mother,” but this lady came and took us away.

She refused to let them kill us too. 

She cried over our mother, and so did we... and she whispered to us that we had to live for her now. I don’t think anyone thought we were going to live. We were a sad sight.

They pulled me out of the food dish, there curled up in the kibble. I was so small I thought they were not going to see me. The other two were a lot bigger than me.

But the lady took us to a place called the vet and I heard her tell him: PLEASE HELP THEM TO LIVE. GIVE THEM WHATEVER THEY NEED TO LIVE.

That was a relief. And the vet did. He gave me blood and I felt so much better after. 

The other two began to do better with regular food and an IV and ... all I know is I was not hurting any more.  Then the lady came back for us just like she promised. She was so surprised to see us... looking so well.
That is when the vet told her about me.

I was a little scared when I heard him say that I did not belong with the other two. 

I was worried I would be taken back to that place where I was always cold and alone.

Then I heard them talking about the sores, now scars, on me. 

The vet said they were burns. And they looked a lot like cigar burns. He had been putting some special ointment on them that made me feel so much better.

So, now I was really scared though. Now they knew that I had been used as an ash tray. 

Would they take me back to be alone and cold and to eventually die?

Then the most wonderful thing happened. The lady picked me up and held me very close and whispered to me that I would never be hurt that way again. She kissed my scars and told me my name was Boo Boo. I KNEW THAT! But I was glad she did. And I was glad to feel the kisses on my sore skin. But mostly, I was glad to be rescued.

TLC worked wonders for Boo Boo. But he still needs a home.

He had a place to go twice, that backed out. Finally we decided to help him to heal... he has and needs a soft heart where he can land.

***

If you would like to donate to help our animals... your donations ARE tax deductable and 100% goes to the care of the animals.

Eagle's Den Animal Haven & Rescue, Inc
We are located in Southeastern NC, in Bladen County. If you would like to contact us you may do so at our mailing address
PO BOX 281
Dublin, NC 28332

Thank You and May Creator smile upon you.
Eagle's Den Rescue

Rabu, 06 April 2011

Reading About Heartworm Is One Thing; Watching A Dog Suffer Is Another

Ashley of Swamp Dog Blog agreed to share her first hand experience with heartworm infection.

It is one thing to hear about it, and it is another to watch an actual dog suffering. 

Next time you hear or read about the importance of heartworm prevention, don't only take note, take action.

To read more about heartworm, check out Don't Let Heartworm Become A Heartbreak! by Dr. Lorie Huston.

Newton's Story
First time I met Newton was on his last leg of transport from Ohio, USA to Barrie, Ontario, Canada where he would live in foster care with me for the next month or so.

Newton entered into rescue (Barlee's Angels Rescue Network) having tested positive for heartworm.


He wasn't the first heartworm positive dog that the rescue had brought in, but he was the first I'd had direct experience with.

I'd heard the term heartworm before, seen the posters and prevention brochures in vet clinics, and definitely researched it before he arrived, but seeing the effects of the disease and treatment first hand was a totally different ball game.

When I brought Newton home, I was immediately hit with the realization that this dog was really not healthy.


All of my foster dogs before had been young and in tip-top shape. Newton just couldn't seem to lie down and sleep enough. He moved slowly, fatigued extremely quickly, and occassionally coughed.

Going up the stairs to go out to pee and then back in the house made him lay down and go to sleep for hours. He also had the stinkiest pee I have EVER smelled. However, his big ol' tail thumped away whenever you spoke to him, looked at him, or even muttered to yourself.

A few days after transport, we were off to the vet for x-rays, bloodwork, and urinalysis. He was nearing 6 weeks or so post treatment by then. Thankfully, despite all of the signs being there, there was minimal enlargement of his heart. Urinalysis results were odd, but turned out to be a false alarm.

Slowly, Newton began to show signs of improvement.

He began showing more interest in my own dog, and then one day, they were playing! (Video of them playing)

Newton has moved on to a new foster home, and he's absolutely thriving. I got the chance to see him again not long ago, and he is a completely different dog.
He may not feel the effects of heartworm anymore, but I will never forget how terrifying it was seeing a dog so sick, where the treatment is as excrutiating as the disease.

Prevention is a negligible price to pay compared to the potential alternative.

 ***

Ashley grew up on Vancouver Island, British Columbia. After completing one year of university at Malaspina University-College (now Vancouver Island University), I transferred to the University of Guelph to complete he Bachelor of Science with a major in Zoology. In 2008, she graduated, and contemplated what to do with her life.

She still doesn't know what she wants to do with her life. (
That's a lie; but it's a secret.)

You can connect with Ashley on Twitter.

Note: fostering is a mighty good life mission, Ashley.

Further reading:

Related articles:

Senin, 04 April 2011

Medical Terms That Sound Like A Diagnosis But Really Are Not (Part I)

“Diagnosis that offers neither a solution
or an explanation is not a diagnosis.”

—Gregory House, MD

What really is a diagnosis?

According to wikipedia, a diagnosis (from an ancient Greek word that stands for discernment) is the identification of the nature and cause of [an illness].

In other words, getting to the bottom of a problem.

Why is this important?

A good diagnoses answers not only the question of what, but also the question of why.

The why is where the true solution lies.

I spent several days trying to come up with a good way to illustrate my point. And then the right story fell into my lap.

Recently, my mom got a fish tank with a few fish.

About a week ago she mentioned that it seemed that couple of the fish were not eating. She did go the the pet store she got the fish from, but the owner wasn't there, and the clerk told her that they definitely must be eating. Well, perhaps.

The other day she noticed that one of those two fish broke out with some kind of rash.

She took the fish out of the tank, put it in a glass and went to the pet store again. This time the owner was there.

He checked out the fish and told mom to take it back home; he was going to come over that afternoon.

He showed up equipped with an arsenal of vials and diagnostic thingies. He scrutinized the other fish, the tank, and the water chemistry.

Apparently, nitrate levels were off the charts!

Then he interrogated mom and found out that—with best intentions—she was overfeeding the fish! That's what led to the high nitrate levels, which then led to the fish getting sick.

He did treat the water with a liquid from one of his vials. He also treated the water with the sick fish, which he then took with him to see if he can bring it back to health. Then he gave mom detailed feeding and tank care instructions.

I am not an expert on fish, but I assume that the fish probably had ichthyophtirius, or something like that.

What is the point of this story?

Ichthyophtirius certainly sounds like a diagnosis, doesn't it? He could have easily stopped there, couldn't he?

But would that address the REAL problem?

Not for long.

*** 

The mother of all lame diagnoses is idiopathic “one-thing-or-another.”

Such a diagnosis admits three things:
  1. we know that there should be a discernible cause for whatever is wrong (otherwise there would be no need for the qualifying adjective)
  2. we have no idea what the cause is
  3. we gave up trying to figure it out

“Idiopathic, from the Latin word idiot; meaning we're idiots cause we can't figure out what's causing it.”
—Gregory House, MD

Such a diagnosis really is an admission of defeat. 

Unfortunately, such a diagnosis often means that present medical science doesn't have the tools to get to the root of the problem.

What if sometimes the answer is hiding in plain sight?

This silly joke comes to my mind:
Patient: “My eye hurts when I drink coffee.”
Doctor: “Next time try taking out the spoon.”

Of course one could attempt to treat the eye somehow or manage the pain .. taking out the spoon, however, is much better solution, don't you think?

That's why getting to the bottom of things is so important.

In defense of idiopathic “one-thing-or-another” diagnoses, I have to say that I met with much worse.

As with Jasmine's chronic diarrhea, where the conclusion—as we were told then—was. that she has a delicate system. Or just recently, when my friend's dog was diagnosed with very sick intestines.

To top it off, both of these conditions got treated!

Quite often, though, you might encounter a medical term that truly does sound like a diagnosis.

Dermatitis, uveitis, otitis … just for a couple of examples. They do indeed describe the problem; in this case inflammation of the skin, eye or ear, respectively.

What do you think, are these final diagnoses?


It's your dog's health,
Jana

Related articles:
Medical Terms That Sound Like A Diagnosis But Really Are Not: One-thing-or-anotheritis