Have you ever heard this saying before? If not in the Latin,
then most likely you have heard it in the English form. Another form might be
“Forewarned is Forearmed.” We all see this in daily life and often make
decisions, or change decision based on this premise. A simple traffic report on
television or the radio may alter your route to work today. Knowing your friend
has had too much to drink would make you take away their keys and get them a
cab. The weather forecasts shape our wardrobes, choice of transportation, and
our vacation destinations. In essence, the more you know the better choices you
can make and the more negative experiences you can avoid.
We see this daily in veterinary medicine as well. The
cleaner a pet’s teeth are kept, the fewer kidney, liver, and heart diseases
they tend to have. They also have less oral pain when eating, feel generally
better, and are less “offensive” to the nose to have around! The more we in the
profession can educate owners about dental health issues, the better off the
animals are.
Let’s face it. We are all busy. Between our families, our
jobs, our hobbies, our pets, our educations, our health, and just daily living
we are all stretched very thin. I personally do not have the time, energy,
experience, or training to know the best way to fix an electrical problem at
the clinic: that is why I pay an electrician to do those things. I am not up to
date on all of the changing tax laws: that is why I have a CPA. I cannot fathom
all of the nuances of the federal and state laws: this is why I have an
attorney. In all of these cases I rely on the knowledge of another in a
particular field to help guide certain important decisions in my life.
In our profession, a large part of what we do is education.
Part of my philosophy has been that in the end, it is each owner’s decision as
to what they do or do not do with their pet. I believe that it is our job to do
all we can to make any such decisions about your pet as informed as we possibly
can. Part of that education is verbal, but part is diagnostic.
We have an incredible arsenal of diagnostic tools at our
disposal in veterinary medicine. We have the basic physical exam which helps us
narrow down our choices quite a bit. Then we have x-rays, ECG, ultrasound,
blood work, urinalysis, bacterial culture, biopsy, cytology, and in the more
advanced cases we have CT and MRI in town!
We routinely recommend testing based on the symptoms found
during our exam of your pet; but there are times when testing without symptoms
can be invaluable! We often recommend wellness diagnostic testing for just this
reason. Some people take advantage of it, some do not. That is their decision
of course. I would like to relate a few cases of owners who chose to take advantage
of this service. The knowledge obtained gave them the power to better the lives
of their pets.
Case 1 is a middle aged small breed dog that was in for
routine vaccinations. When presented with the wellness diagnostics, the owner
said it sounded like a good idea. The dog was outwardly asymptomatic. The
wellness testing revealed he had a life threatening, rapidly progressing
condition called immune mediated hemolytic anemia (IMHA). In this condition,
the immune system decides one day that the red blood cells are foreign invaders
and it starts attacking and destroying them. We were able to stop this in its
tracks with the proper medical therapy and avoid a bad negative outcome because
we had the knowledge to do so in a timely manner.
Case 2 is a female large breed dog who was less than a year
and a half at the time of presentation. Again this one was asymptomatic and the
testing was run with the intent to set a baseline for future reference. After
the testing, we determined that the dog had a raging bladder infection. But
further diagnostics showed that she had bladder stones which had set the
environment for the infection. Surgery and antibiotics fixed both issues. But
the owner had no idea at the outset that there was a problem.
Case 3 is a large breed male dog who again had routine
wellness testing. There appeared to be an issue with the liver, but outwardly
one would never know. After basic treatment, there was no improvement in the
lab values, but the dog was again outwardly fine. After sending to the
specialist for an ultrasound, they determined that the live looked very
abnormal. One biopsy later and it is revealed that the dog has severe cirrhosis
of the liver and is a lot sicker internally than he appears externally. Although
the liver disease cannot be cured and cannot be reversed, it can be slowed and
the quality of life improved for a longer quantity of time that if we did not
have this information.
Case 4 is an older female dog who, although not in for the
full wellness testing, was about to undergo a dental cleaning. The pre-surgical
blood work (about 75% as comprehensive as the wellness package) hinted at a
leukemia. This was confirmed at the specialists and chemo has been started. The
foreknowledge gained by these tests has most likely helped us to extend what
might have been 3-6 months of time to 1-2 years of good quality life.
To some people “ignorance is bliss,” but I suspect that to
these owners, knowledge is far more valuable and they are much happier for having
run the tests. So keep that in mind the next time you are presented with the
opportunity to run screening heath tests on your pets, or yourself.