Integrative VETERINARY CARE VOLUME 6 ISSUE 4
DIABETES
–CAUSES AND NATURAL TREATMENT RESEARCH
STUDIES SHOW THESE NATURAL SUBSTANCES CAN DECREASE OR REVERSE THE EFFECT OF PROBLEMS CAUSED BY HIGH GLUCOSE. — P. 32
HERBS FOR THYROID DYSFUNCTION
PREVENTING JOB BURNOUT
THE CASE AGAINST GONAD REMOVAL
NONI FOR DEGENERATIVE DISEASE
EQUINE ENDOCRINE DISEASE
WHAT’ S NEW
Regulating the thyroid gland is key to preventing problems. Find out which herbs can help your patients. — P. 20
FALL ISSUE 2016
www.IVCJournal.com
Spaying or neutering a dog raises the risk of serious health problems, according to a number of studies. — P. 24
Read about four horses successfully treated with an integrative approach, including homeopathy and veterinary spinal manipulation. — P. 44
Work-related stress can take a toll on you and your staff. These strategies help enhance your mental wellness. — P. 56
This fruit has great potential for the treatment and possible prevention of many diseases, from allergies to cancer. – P. 36
• What breeds are more prone to cancer? • New equine biosecurity standard in Canada • Compassion fatigue in veterinarians • Saying goodbye to a homeopathy pioneer
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FEATURES
STUDY OF CANINE VACCINE ANTIBODY RESPONSES
By Lea Stogdale, DVM,
DIPLOMATE ACVIM
Canine distemper and parvovirus vaccines are high potency, highly effective biological injections that affect the immune system. Their judicious use should maximally benefit patients while minimizing side effects.
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HERBAL INTERVENTION FOR THYROID DYSFUNCTION
By Laurie Dohmen, VMD, MS
It is important to keep the thyroid properly regulated, because it affects so many metabolic processes in the body. The herbs discussed here are useful for regulating the gland and hormone pathways.
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SPAY-NEUTER CONSIDERATIONS By Chris Zink, DVM,PhD,
DACVSMR, CCRT, CVSMT, CVA
DACVP,
Numerous studies show that removing a dog’s ovary or testicles can increase the risk of orthopedic problems, cancer, behavior issues and other conditions.
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TECH TALK
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INTEGRATIVE PRACTICE
MANAGING AN INTEGRATIVE VETERINARY PRACTICE
By Michelle J. Rivera, MT, VDT
In order to be successful and prosperous, you must have a well-educated staff and clientele, and a management style that keeps everyone happy and healthy
BUILDING RESILIENCE AND PREVENTING BURNOUT
By Barbara Fougere, BSc, BVMS (Hons), BHSc (Comp Med), MHSC (HERB MED), GDVCHM, GDVWHM, GDVA, CVA, CVBM Learn coherence strategies that enhance your mental wellness, help prevent stress-related disease, and assist you in taking better care of yourself so you can enjoy practice without burning out.
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INTEGRATIVE APPROACH TO CUSHING’ S DISEASE By Lena McCullough, DVM, CVA
As Cushing’s becomes more prevalent, more clients are requesting holistic treatments over merely conventional approaches. Building health from a young age can also lessen the risk of this disease.
CAUSES AND NATURAL TREATMENT RESEARCH FOR DIABETES
By Nancy Scanlan, DVM, MS, CVA
A number of natural substances can decrease or reverse the effect of problems caused by high levels of glucose, which lead to glycation. Although they will not cure diabetes, they can slow its advance.
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NUTRITION NOOK NONI FRUIT
By Ihor Basko, DVM, CVA
Noni has great potential for the treatment and possibly prevention of many degenerative diseases in pets.
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INTEGRATIVE TREATMENT OF EQUINE ENDOCRINE DISEASE
By Jody Bearman, DVM, CVA, CVCH, CVSMT
In horses, the main endocrine diseases are Cushing’s and Equine Metabolic Syndrome/ Insulin Resistance Syndrome. Read four case examples of horses treated successfully with homeopathy and veterinary spinal manipulation.
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advisory board 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, 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 codirector of the AHVM Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works.
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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.
COLUMNS & DEPARTMENTS
5 Advisory board 8 Editorial
Dr. Joyce Harman, DVM, MRCVS, graduated in 1984 from Virginia Maryland Regional College of Veterinary Medicine. She is certified in veterinary acupuncture and chiropractic and has completed advanced training in homeopathy and herbal medicine. Her practice in Virginia uses holistic medicine to treat horses. Her publications include The Horse’s Pain-Free Back and Saddle-Fit Book – the most complete source of information about English saddles.
s new 11 What’ 23 From the AVH 29 From the WAEO 41 From the VBMA 42 Veterinary resource guide 48 Industry innovations 49 From the AHVMF
Dr. Steve Marsden, DVM, ND, lectures for the IVAS, the AHVMA and the AVMA, and is co-founder of the College of Integrative Veterinary Therapies. He is a director of the National College of Natural Medicine, and authored the Manual of Natural Veterinary Medicine. Dr. Marsden is extensively trai ned in alternative medicine, including Chinese herbology, acupuncture and naturopathic medicine. He has a veterinary and naturopathic practice in Edmonton, Alberta. In 2010, Dr. Marsden was named Teacher of the Year by the AHVMA.
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 IVAS 65 Marketplace 66 Events
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. Dr. Chambreau teaches classes in homeopathy for animals, and lectures on many topics. She is the author of the Healthy Animal’s Journal and the co-author of the Homeopathic Repertory: A Tutorial.
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Study of canine vaccine antibody responses By Lea Stogdale, DVM, Diplomate ACVIM
T
he canine distemper and parvovirus vaccines are high potency, highly effective biological injections that affect the patient’s immune system. Their judicious use should maximally benefit our patients while minimizing overt and subclinical side effects. This article summarizes a review of canine distemper and parvovirus titer test results for 15 years of patient records. Most dogs remain antibody positive for many years and do not require repeated vaccinations. There are many benefits of titer testing, medically, professionally and financially, for the clinician, the owner and the patient. These results lead to vaccine titer testing and vaccination recommendations.
THE REASONS FOR SELECTIVE VACCINATION Canine distemper virus (CDV) and parvovirus (CPV) vaccines are considered core vaccines due to the severity of these diseases.1 They are modified live, high potency injections that significantly impact the immune health of the patient and can cause adverse reactions.2,3 The immune system is extremely complex, with the cellular and humoral components interacting and balancing each other. When we inject a vaccine, a high
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potency antigenic load, we initiate a series of reactions that initially suppress the immune system over ten to 14 days, then stimulate it over the next two weeks.4,5 In most patients, the immune system rebalances itself back to normal. When the immune system is suppressed, for any reason, there is an increased susceptibility to infections. When the immune system is stimulated, for any reason, there is a risk, in predisposed patients, to the development of allergies or auto-immune disorders.1,3 Current distemper and parvovirus vaccines are modified live virus (MLV), high potency products that are highly effective at immunizing and protecting dogs against these diseases.1,3 These attenuated modified live vaccine viruses multiply in the patient’s body, infecting the dog without causing clinical disease. They do result in the production of viral-specific antibodies which can be measured in serum.6,7,8,9,10 These vaccines are now high potency or high titer, with CPV having more than ten million live viruses in each dose. Our clients are questioning why we vaccinate every dog with every vaccine every year. With a selective vaccination approach at the annual examination, we are frequently not giving any injections. To add value to these consultations,
we need to give more attention to a thorough history, nutritional information and physical examination, often including an ophthalmologic examination. We also need to listen to our clients, affirm and compliment their good care of their pets, and show compassion and understanding. Laughing with the client strengthens the vet-client bond. I use the acronym ALL for each appointment: Affirm, Laugh, Learn. As Dr. Ronald Schultz, professor and chair of the department of pathobiological sciences at University of Wisconsin-Madison states: “Be wise and immunize, but immunize wisely”.11,12 Current (2011) American Animal Hospital Association (AAHA) recommendations for canine distemper and parvovirus vaccination are to vaccinate puppies at 12 and 16 weeks of age, booster at one year if the last puppy vaccine was at less than 16 weeks of age, then re-vaccinate greater than or equal to every three years.1 However, AAHA then goes on to say that the efficacy of the vaccines is at least five years: • “Among healthy dogs, all commercially available distemper vaccines are expected to induce a sustained protective immune response lasting at least five years. • “Among healthy dogs, all commercially available MLV-CPV-2 vaccines are expected to induce a sustained protective immune response lasting at least five years.”
PERSISTENCE OF DISTEMPER AND PARVOVIRUS ANTIBODIES AFTER VACCINATION Total immunity against viral diseases includes:
1 Local IgA and IgM 2 Humoral immunity of IgG antibodies, both those present in the blood and those that can be produced quickly when the antigen is present 3 Cellular immunity or memory 4 Other mechanisms. When we measure antibody titers, we are only documenting the IgG antibodies present in the bloodstream. A negative antibody titer does not mean the patient is susceptible to that disease; it means that no antibodies are present in his blood. That patient may or may not be protected.3 At this time in veterinary practice, serum antibody titers are the only tests we can do. We have limited information about the length of vaccine protection as it requires either challenge or large epidemiological studies, both of which are extremely expensive. Although a number of publications have looked at whether dogs have protective neutralizing antibodies present after vaccination, this author was unable to find any that sequentially studied CDV and CPV titers in client-owned dogs with known vaccination histories.
THE STUDY
Objective: To report on the length of time after vaccination that antibodies persist in dogs. Data collection: The patient records of Aesops Veterinary Care were reviewed from 2000 to 2014 for CDV and CPV antibody titers measured at the annual examination. Continued on page 16.
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