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Vol. 3 Issue 5 - September/October 2011

Unleashed Delmarva



Bark of the Town

Pet Pests:

More Than a Nuisance This Season A. Lange Integrative Veterinary Medicine

The Unintended Consequences of

Vet Hopping

From the Publisher

Delmarva Unleashed

Calling all Delmarva Dogs!

Delmarva Unleashed announces its first “Cover Model” Search. We will be holding a series of photo shoots, throughout the year, at locations across the shore, for the covers of our six annual issues. You may attend as many shoots as you like. There will be a $20 sitting fee for a professional shoot with Nextwave Studios. You will receive a complimentary 5 x 7 photo of your dog’s “potential” cover via mail, after the shoot. The lucky winner will be notified via mail and appear on the cover of Delmarva Unleashed. Shoots are currently scheduled at the following locations: Paws & Claws, Etc… - West Ocean City - Oct 16, 2011 - Holiday Issue 2011 Bryan & Brittingham - Delmar - Date and Issue to be announced. Millville Pet Stop - Millville - Date and Issue to be announced. Tails-N-Tubs - Salisbury - Date and Issue to be announced. Remaining locations and dates to be announced. Follow Delmarva Unleashed or like us on Facebook for dates and times. Tips: 1. Leave your pedigree at home; the contest is open to all dogs. 2. Cover model candidates should be clean and groomed. 3. Props will be available and used at the discretion of the photographer. (Feel free to bring your own too!)

A Supplement of Grand Living Magazine Publisher Sandy Phillips Associate Publisher Farin Phillips Editor Lou Ann Hill Creative Sandy Phillips Farin Phillips Contributing Writers AnneMarie Lange, V.M.D John Maniatty, V.M.D. Advertising Info: (410)726-7334 Cover A lab puppy resting after a romp in the fall leaves.

DU K-9 Staff


contents Vol. 3 Issue 5 - Sept./Oct. 2011

Mr. Darcy napping while on hold...

3 The Unintended Consequences of Vet Hopping 4 Bark of the Town 6 Bloodwork 101, Part 2 10 A. Lange Integrative Veterinary Medicine 11 Pet Pests: More Than a Nuisance This Season 2

Delmarva Unleashed

and Max delivering the July/August issue!

The Unintended Consequences of Vet Hopping


by Sandy Phillips

any of us put a great deal of effort into the selection of our veterinarian. We ask friends and family where they take their pets, and about their experiences. Was the vet able to assist in an illness or an emergency? Do they take my pet insurance? What level of care is offered, and are there alternative medicine options available within the practice? If we put a great deal of effort into the selection of our vet, why do we feel the need to leave that practice? Was the outcome of a visit undesirable? Did you not like the practice philosophy? Was it becoming too expensive? Worcester County Animal Control tells Delmarva Unleashed, that people change vets often, and for a wide variety of reasons. Unfortunately, the one thing they fail to do is to take their pet’s medical records when they transition. They simply begin with a clean slate at another practice. This could prove to be a costly mistake on many levels. With no documented history to follow, the new vet will have to assume your pet has not had the required shots. If your pet is vaccinated against the typical maladies, getting a new series of shots can overtax their body, particularly if they are getting them over and over, with a high degree of frequency, when you change practices. Probably the most critical shot, the rabies shot, must have a clean paper trail, from one vet practice to another. Or you must

have a paper trail from a rabies clinic for proof of vaccination. All vets do not use the same type of rabies vaccine. Some use a one-year shot and some a three-year shot, following the initial one-year inoculation. In some cases, its individual to your particular pet’s situation. When faced with a potential rabies exposure, it’s imperative to know the type of protection (one or three year) your pet has, and the date the last immunization was given. Immunity from the shot wanes over time, and your pet will need a booster if exposed to the disease; this is simply the law. The tricky part begins when your pet is faced with the unintended consequences of exposure to a rabid or potentially rabid animal. As a pet owner, the burden of proof lies within your responsibility to show that your pet is protected. Animal Control must verify, with your veterinarian, the date the vaccine was administered, to be sure the pet, and the human family members, are protected from the virus. If you have changed veterinary practices and failed to take your records, it can be a difficult task to prove. According to the American Veterinary Medical Association, in the State of Maryland, vet practices are required to keep records three years after the last visit. In the State of Delaware, the rule is three years from the last entry in the medical record. If your pet had a three-year shot, and the records have been discarded, your pet may face confinement, strict isolation, or even euthanasia. Pay particular attention to the process of record transfer, if you have recently relocated to the shore. Worcester County is enduring a rabies epidemic, and neighboring counties are reporting very high incidents of infected woodland creatures. Protection is critical and it’s the law. All counties on the shore offer low-cost rabies clinics. Contact Animal Control in your county for details on an upcoming clinic. Remember, these clinics are sponsored by the county and can save you a few dollars in veterinary expense. If, for some reason, you didn’t leave your previous vet on good terms, keep in mind that your pet’s health is still the priority. It only takes a few moments, to call or send a note requesting a transfer of records to your new practice. It is a valuable step in protecting both your pet and your family from unintended consequences. “Unintended Consequences” is a four part series on rabies on the shore. To view the previous articles visit us online at

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Bark of the Town Your Dog/ Your Personal Trainer

Beach Etiquette for Dog Owners

The crowds are thinning and it’s time to head to the beach with your dog. No longer confined to the “doggie” beaches, you can run for miles along the shore. What could be more fun on a fall day than a romp on the beach? Whether your dog enjoys chasing the waves, running the shoreline, or just rolling in the sand, the cooler days at the beach were made for fetching by the sea. Ocean City permits furry four legged visitors on the beach during the off season, from Oct. 1 through April 31. They are permitted on the beach in Bethany from Sept. 30 through April 31. There’s more room to run, and frisbee’s are much easier to catch, when there are not sun bathers to navigate. Although these etiquette tips apply in most social situations, they come into particular play when at the beach. 1. Scoop your poop - Always pick up immediately after Fido makes a deposit and then dispose of the waste in a garbage receptacle. Nothing is worse than enjoying the day barefoot on the beach and stepping in doggie do. Clean up laws are strictly enforced at our beaches. 2. Obey the leash laws - Some dog-friendly beaches and boardwalk areas are “on-leash” only. This helps to prevent unwanted confrontations between other dogs and people. Look for signs in the area you are visiting. 3. Be sure your dog is under control at all times. Your dog must reliably respond to your voice commands, particularly off-leash. Do not allow your dog to approach other people or pets unless invited to do so. Not everyone welcomes an enthusiastic greeting by a wet and sandy dog. 4. Know when it’s time to go home – An hour at the beach can be exhausting, even for a high-energy pooch, particularly if they are doing a great deal of swimming and ball chasing. If your dog shows signs that he’s tired or has just plain had enough interaction, call it a day. Leave while your dog is happy and let him look forward to your next trip to the beach! 4

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You may already be living with the perfect, personal trainer. A new study completed at Michigan State University, shows people who owned and walked their dogs were 34 percent more likely to meet federal benchmarks on physical activity. “Walking is the most accessible form of physical activity available to people,” says epidemiologist Mathew Reeves “What we wanted to know was if dog owners, who walked their dogs, were getting more physical activity, or if the dog-walking was simply a substitute for other forms of activity.” Reeves also notes the social and human/animal bond aspects of owning a dog which has been shown to have a positive impact on quality of life. And since only about two-thirds of dog owners reported regularly walking their dogs, Reeves said dog ownership represents an opportunity to increase participation in walking and overall physical activity. The study showed that people who walked their dogs, generally walked about an hour longer per week than people who owned dogs but did not walk them.

Did You Know? Pumpkins are not just for carving Jack-O’-Lanterns, it may also be a great addition to your dog’s diet. Chocked full of vitamins and a wonderful source of fiber. Pumpkins are low in calories and can aid in digestion. For those doggies packing a few extra pounds, it’s a great addition to a weight loss program. Just replace a bit of their food with a bit of pumpkin for a satisfying meal that has fewer calories. For convenience, pick up a can of pumpkin at the grocer. Check with your veterinary care provider to be sure it’s the right addition for your dog.

The Legend of Maryland’s Own. In 1807, according to legend, two Newfoundland dogs survived a shipwreck off the coast of Maryland. These dogs, although not directly mated, were supposedly bred to local coonhounds, giving rise to the Chesapeake Bay Retriever. These dogs tirelessly returned waterfowl for hunters who would take them to market to earn their living. The breed was notably territorial, and the “Chessie” would also stand guard aboard their master’s boats, when not hunting. In 1878, the American Kennel Club registered its first Chesapeake Bay Retriever. By then, a definite body style had evolved, with characteristics well suited for the duck hunting conditions around the Chesapeake Bay. This breed is intelligent, versatile and very loyal. They have a characteristic double coat consisting of a coarse, wavy outer coat with a fine, wooly undercoat and natural oils which help protect them from the icy Chesapeake waters. In 1964, the Chesapeake Bay Retriever was declared the official dog of Maryland.

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Blood Work 101: Part 2 A Reference John Maniatty, V.M.D.


n the previous issue of Delmarva Unleashed, we went through a complete blood count. Now to cover the blood chemistry and what all the acronyms and numbers mean. We’ll break it down as it references to organs and type of enzymes or minerals measured. This way, when we call, you this can be a quick reference. Liver- Fights infection and detoxifies the blood. The main enzyme measurement tests are: • ALT- Alanine transaminase- An enzyme found mostly in the liver, but also smaller amounts in muscle, heart, kidney, and pancreas. When liver cells are damaged, this enzyme is released into the blood stream. Elevation of this is fairly liver specific. • AST- Aspartate aminotransferase- Like ALT, found mainly in the liver. In conjunction with ALT and ALKP helps to quantify liver disease. • ALKP- Alkaline phosphatase- Found in the liver, bile ducts and lesser amounts in the bones. In veterinary medicine, it is common to see ALKP elevated in older animals due to damage to the bile ducts, or problems with the gall bladder. Elevation does not always mean severe liver disease. A lot of times no clinical symptoms are present, despite quite high values. Needs to be interpreted with ALT and AST. • TBILI- Total Bilirubin- Bilirubin comes from the hemoglobin in red blood cells. When old red blood cells are removed from the blood vessels and broken down, the bilirubin is released into the blood stream. The liver removes this and changes it so it can go into the bile in the gall bladder. The gall bladder contracts when a meal is eaten and bile goes into the gastrointestinal (GI) tract, and the bilirubin then passes out in the stool. Elevated values mean the liver is not filtering properly. • Alb- Albumin- Protein produced by the liver and found in the blood. Transports hormones, fats, along with bilirubin, and draws fluid back into the blood vessels when it leaks out. Low levels means either the liver is not producing enough or it is leaking out through the kidneys. High levels most likely mean dehydration. 6

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Kidney- Detoxifies the blood by filtering out waste. The main enzyme tests are used to measure function as opposed to tissue damage: • BUN- Blood Urea Nitrogen- This is a product made from protein which has been used by the cells and converted into ammonia. The liver then transforms it into urea so the kidneys can filter the waste out and remove it from the body. Elevation can be due to pre-renal (prior to the kidneys) problems, such as the lack of blood flow to the kidneys, elevated protein diet, GI bleeding. Renal (Kidney) damage will cause elevations as well. • Creat- Creatinine- This is bound to phosphate in the muscle, and when the muscle contracts they are split. The phosphate helps make energy. The creatinine is released into the blood stream for excretion, which is solely through the kidneys. It takes moderate damage to the kidneys for this to show up in the blood work. In chronic cases about 2/3 of the kidney has to be damaged before we see this problem. In acute cases, a quick loss in function has occurred so that the remaining kidney has not had a chance to swell and take on the additional work load. Blood flow has less of an impact, so this is more kidney specific test. • Phos- Phosphate is found in the muscles, bones and teeth and helps nerves to function. Excess is excreted by the kidneys. It is balanced in the blood with calcium, referred to as calcium phosphorus ratio. If phosphorus is high, the calcium levels will drop and vice versa. This can have affects on the bones, nervous system, and muscles. This value helps to quantify kidney disease and also bone or parathyroid disease. Parathyroid/ Bone- Bones are constantly being remodeled to deal with changing workloads. The cells initially reabsorb the minerals then lay down new bone with the minerals. Parathyroid hormone triggers the reabsorption of bone and helps maintain the calcium phosphorus levels in the blood. • Ca- Calcium- Along with hypersecretion of parathyroid hormone, excess Vitamin D in the diet, and bone cancer can cause high values. Excess calcium can be excreted through the kidneys or stored in the bone. Consequences of remaining high are calcification of the tissues or developing bladder or kidney stones. If it’s due to excess bone reabsorption, then weakening of the bones and fractures can occur. Next issue part 2B thyroid, pancreas and electrolytes.

Dr. John Maniatty is a board-certified veterinarian in practice at the Ocean City Animal Hospital, Ocean City, MD, and now at the Ocean View Animal Hospital, Ocean View, DE.

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Food for Thought A cookie or a piece of chesse may seem like a little treat to you, but it’s like a whole meal for your dog. Too many snacks add up fast. Avoid unhealthy snacks and table scraps; especially if you’re tryng to help your dog maintain a healthy weight


Fed to a 20-lb dog

Human Caloric Equivalent* Number of Hamburgers OR Number of Chocolate Bars (2oz)

1 small cookie =

1 oz cheddar cheese =

1 hot dog =

Information Supplied by VCA Delmarva *An average woman

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Grand Opening of Paws & Claws, North Ocean City

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Today’s Mouser Cats perceive their world a bit differently than we do. Generations of domestication may have given rise to the feline that likes to be waited on, but today’s cat maintains their true hunting abilities. According to scientific research, cats hear better than dogs. They hear many sounds far beyond the capability of the human ear. Their sense of hearing can reach ultrasonic ranges of up to 100,000 hertz, compared to 20,000 for the average human. There are about 200 million odor-sensitive cells are found in a typical cat’s nose. Humans only have five million. They not only use their noses to identify food, they also rely on sense of smell to communicate with each other.





Whiskers and paws do the investigative work for a cat. If you look closely, you will find that cats have long hairs or “whiskers” on the backs of their front legs, in addition to their face. Whiskers are used to feel out objects around them and determine things like whether they can squeeze through a narrow opening. Whiskers can help cats stalk that pesky mouse in the house, even in dim light. Your cat’s sight is extraordinary, especially peripheral vision. A cat’s pupils can dilate to capture a panoramic view of their world. They are also specialists in detecting movement; a trait honed over thousands of years of hunting. It’s interesting to note, however, that cat’s do have a blind spot right under their chins. Despite their amazing sight, they can literally overlook something right under their nose.

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A. Lange Integrative Veterinary Medicine


ow alternative medicine for our pets is available locally. The new house call practice of Dr. AnnaMarie Lange offers conventional Western medicine, while integrating a range of alternative therapies. Increasingly frustrated by Western methods, which treat chronic diseases, often with no resolution, Dr. Lange began formal training in alternative treatments by studying Traditional Chinese Veterinary Medicine (TCVM) and acupuncture in 2009. While most people are familiar with acupuncture in Chinese medicine, acupuncture is only one of the five branches of treatment used in that field. Traditional Chinese physicians combine acupuncture, food therapy, massage, herbs and Tai Chi to treat their patients. Indeed, the majority of treatment starts with diet. “Let food be your medicine and medicine be your food” is an idea originally promoted by Hippocrates, the Father of Modern Western Medicine, around 2000 years ago. In China, this philosophy was expanded to the use of specific food regimes for different diseases, and also for health maintenance and disease prevention. Indeed, it is almost impossible to resolve certain conditions without making dietary changes. Accordingly, this year, Dr. Lange has completed a course in Chinese Food Therapy. She now uses food therapy with great success, both on her patients and her own dogs. She plans to further expand her medical “toolbox” by next studying herbal medications. While TCVM has been extremely helpful in treating chronic conditions, acute conditions are often best managed by Western medicine. A combination of the two is often ideal. For example, a dog with a complex fracture might require orthopedic surgery to properly realign the bones. Acupuncture can then be used to provide pain relief and aid in supporting circulation to the area, to speed healing. Appropriate dietary and exercise plans can also facilitate recovery. Physical therapy for pets is yet another rapidly growing field in veterinary medicine, which could also be used in this case. 10

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Other problems, such as behavioral issues, are generally difficult to address in any field of veterinary medicine. However, using an approach that examines not only the whole pet, but his or her history, environment, diet and other factors, may be able to provide some relief for these issues. Integrative Medicine means combining treatments from various fields of medicine, to develop an individualized plan for that patient. As one-size-never-fits all, each treatment prescription is carefully tailored to the needs of the individual and reassessed on a regular basis as needs change. It is a holistic or “whole animal” approach, which takes into consideration all aspects of the patient, not just the presenting complaint or the most obvious problem at the time of the visit. Often owner participation is a key ingredient in the healing process. Most owners seem to enjoy playing a part in their pet’s recovery. Dr. Lange feels that client education is an integral part of both treating sick pets and preventing problems in the first place. The more the owner understands a disease and the treatments being used, the more the owner is able to help their pet to heal. Also the more the owner knows about how to promote and maintain the health of their dog, the more they can do to improve the lives of their pets in general. Utilizing “the best of East and West for the health of your pet,” Dr. Lange is available for house-call visits by appointment. Her practice includes visits as simple as Rabies vaccination, to more complicated procedures such as electroacupuncture, and most everything in between (except surgeries which can be arranged on a referral basis). She finds that the patients (and owners) are much more relaxed in their own homes. It also allows her to see the pet interact in their normal environment, which is helpful in putting together a comprehensive picture of each individual case. Dr. Lange received her Ph.D. in Microbiology and Immunology from Thomas Jefferson University before attending the University of Pennsylvania School of Veterinary Medicine. Prior to continuing her career in medicine, she worked as a microbiologist in hospital laboratories. Dr. Lange also teaches the training course for Veterinary Assistants at WOR-WIC Community College.

Pet Pests: More Than a Nuisance This Season


lenty of pests pose health risks to humans, but there are also those that can be dangerous for other beloved family members — your pets. The National Pest Management Association (NPMA) advises that summer and fall are prime season for ticks and fleas, which can pose serious health risks to pets. Ticks are vectors of Lyme Disease and Rocky Mountain Spotted Fever, which can be transmitted to humans, but they can also cause “tick paralysis” in dogs. This can cause muscle weakness, loss of coordination, and even death, if the chest muscles become paralyzed, causing respiratory failure.

Though often thought of as an itchy annoyance, fleas can also pose a serious health threat to pets if left unchecked. Beyond the fact that they breed with lightning speed, fleas’ saliva can cause anemia, dermatitis, and can even transfer tapeworms. “While pet owners enjoy playing in the yard and walking in the woods with their animals, they should also be aware of the dangers their pet could encounter,” said Missy Henriksen, Vice President of Public Affairs for the NPMA. “It’s important for owners to be vigilant about inspecting their pets frequently throughout the season.” NPMA offers the following tips to prevent fleas and ticks: • Check pets frequently for fleas and flea dirt. Be aware of excessive scratching, licking and nibbling grooming behavior in pets. • Avoid walking in tall grass, where there is a greater chance of encountering fleas and ticks. • Bathe pets after walks or playtime with other animals. • Wash pet bedding, collars and plush toys, frequently. • Wash bed linens and vacuum carpets, floors and furniture frequently. • Empty vacuum bags in an outside receptacle. • Speak to a veterinarian about flea and tick prevention treatments. • If you suspect an infestation, contact a licensed pest professional immediately to treat the problem. The NPMA, a non-profit organization with more than 7,000 members, was established in 1933 to support the pest management industry's commitment to the protection of public health, food and property. For proper pet pest management, contact a local NPMA member, Ladybug Pest Management at 302-846-2295.

Dog Days of Summer July 31, Tails N Tubs, Salisbury

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Nov/Dec 2011 Cover

Date: October 16 Time: 1:00 p.m. - 3:00 p.m. (Registration begins at 12:30 p.m.) Location: Paws & Claws, Etc... West Ocean City

Sitting Fee: $20 Fee includes a professional shoot by NextWave Studios, a complimentary 5 x 7 photo, and a chance to have your dog appear on the cover of Delmarva Unleashed! More Info: 410-726-7334

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