The Protector magazine
Transcription
The Protector magazine
MERIAL REWARDS PLUS PROGRAM PUBLICATION | VOLUME 13, 2014 TAKING A plus… PET TREAT RECIPES PET FUN FACTS Life Stage Approach TO VETERINARY CARE MINIMIZE BURNOUT AND COMPASSION FATIGUE BUG OFF, TICKS! protector | A healthy pets healthy lives | from merial rewards plus | volume 13, 2014 meet the labrador retriever PAGE 8 FEATURED ARTICLES 2 Life Stage Approach to Veterinary Care 10 | CLIENT HANDOUT + Bug Off, Ticks! Shifting to Lifelong Pet Care 8 Focus on The Breed The Labrador Retriever 12 Keeping Burnout and Compassion Fatigue at Bay Dealing with the Emotional Toll of the Job 14 Merial’s Commitment: To Help Drive Pet Owners into Your Practice 16 Tidbits of Pet Trivia Fun Facts You or Your Clients May Not Know 18,20 | PET SPOTLIGHTS + + Rescued by a Good Samaritan Logan Runs the Distance 21 | ACTIVITIES: FUN & GAMES + + Solve the Word Scramble Pet Treat Recipes NexGard™ (afoxolaner): The First and Only Beef-Flavored Chew that Kills Fleas and Ticks Spring is in The Air! NexGard is Available Nationwide Flea and tick season is here! To help In January, 2014, Merial, the maker of FRONTLINE® Plus Brand Products and HEARTGARD® Plus (ivermectin/pyrantel), introduced NexGard™ (afoxolaner) Chewables, the first-and-only, soft, beef-flavored chew for dogs that kills fleas and ticks. NexGard is available across the United States — only with a veterinarian’s prescription. According to studies, NexGard is highly palatable, with approximately 90 percent of dogs readily accepting the chew.1, 2 you protect your clients’ pets, make Building on Merial’s experience and technical parasiticide knowledge, NexGard combines a novel active ingredient with an innovative form, providing protection that kills fleas before they can lay eggs and continues to kill new fleas all month long. It is approved to prevent flea infestations and kill ticks. product in the News section. sure they leave your clinic with flea and tick control products. Merial has recently launched a once-a-month, beef-flavored chew that kills fleas and ticks. Read more about this Check out other important topics included in this issue: • Best practices on how to help your clients make the shift to “Explosive growth has taken place in flea and tick populations, and ticks continue to migrate into new parts of the country, so recommending a preventive program that includes flea and tick control is clearly a component of responsible pet care,” said Dr. Michael Dryden, Distinguished Professor of Veterinary Parasitology at Kansas State University. NexGard contains afoxolaner, which was developed specifically for the treatment of fleas and ticks. Afoxolaner works by disrupting the nervous systems of fleas and ticks, causing hyperexcitation and death.2 According to Dr. Hal Little, Director of Field Veterinary Services at Merial, pet owners should consult their veterinarians on which product is right for their pets. “Flea and tick control is a serious health issue for pets, and no one knows what’s right for them better than their veterinarians,” said Dr. Little. “The introduction of NexGard demonstrates how Merial continues to place the veterinarian at the center of pet care.” NexGard is approved for use in dogs and puppies eight weeks of age or older that weigh four pounds or greater.1 In both laboratory studies and real-world field studies, NexGard was shown to be safe and effective when used according to the label. NexGard is a vegetable-based, meatless, beef-flavored chew that may be a suitable option for dogs with beef allergies. There is no need to give NexGard with food.2 To learn more about NexGard, please visit NexGardForDogs.com. IMPORTANT SAFETY INFORMATION: NexGard is for use in dogs only. The most frequently reported adverse reactions include vomiting, dry/flaky skin, diarrhea, lethargy, and anorexia. The safe use of NexGard in pregnant, breeding or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures. (see page 6 for full details). Sources 1 Data on file at Merial. 2 Nexgard (afoxolaner) Chewables Prescribing Information. lifelong pet care • Educate your clients about the importance of tick control by sharing the Client Handout located on page 10 • T ips on how you can overcome burnout and compassion fatigue Thank you for your membership in MERIAL® Rewards. We’re here to support you and your entire team. Best regards, MERIAL Rewards Team LIFE STAGE APPROACH TO VETERINARY CARE HELPS PATIENTS AND CLINICS Taking a life-stage approach to veterinary care that focuses on wellness helps patients live longer, better quality lives and strengthens the veterinarian-client relationship, which can foster loyalty among owners. BY MARIE ROSENTHAL, MS 2 | protector “One of our most important jobs is to make sure owners know how to keep pets healthy, not just treat them when they are sick.” – Wendy Mandese, DVM protector | 3 LIFE STAGE APPROACH TO VETERINARY CARE The proverb “Prevention is better than cure” should be the motto of everyone in the veterinary staff, according to Wendy Mandese, DVM, and this idea can be achieved by developing a wellness care program that addresses the animal’s health and well being throughout its life.1 “Having a life-stage program for clients means that the practice focuses on preventive care topics and potential health concerns for each life stage of a dog or cat,”1 said Mandese, Clinical Assistant Professor, Primary Care and Dentistry at the University of Florida College of Veterinary Medicine. “There should always be a huge focus on wellness!” She added. “As primary care veterinarians, one of our most important jobs is to make sure owners know how to keep pets healthy, not just treat them when they are sick.”1 And the entire veterinary staff should play a role in helping clients understand the importance of wellness and life-stage care,1 added Mandese. “Veterinary staff can help by supporting the concept of wellness and creating a strong program to support it,”2 added Tony Buffington, DVM, PhD, DACVN, Professor of Veterinary Clinical Science at The Ohio State University Veterinary Medicine Center and creator of the Indoor Pet Initiative (http://indoorpet.osu.edu). The idea that education and understanding should be important components of overall patient care was emphasized in a recent report published in the Journal of the American Veterinary Medical Association.3 A recent survey of pet owners showed that many don’t understand the need for so-called “routine” veterinary visits. Among the misperceptions many owners share is the idea that veterinary care is only necessary to obtain vaccinations.3 Some owners think that they don’t need annual care anymore since guidelines no longer recommend annual vaccinations for many pets.3 4 | protector So, a focus on wellness and life-stage care that explains why it is important for clients to bring their pets in regularly can help grow a practice.3 In fact, wellness is so important that in December 2010, the American Veterinary Medical Association added “prevention of disease” to the oath that veterinarians take.4 “It is more important than ever to emphasize the value of routine wellness care. Whenever possible, encourage clients to select a primary care veterinary practice and choose a primary care veterinarian for each of their pets,”4 suggested the veterinarians who wrote the AAHA (American Animal Hospital Association) Canine Life Stage Guidelines. “By doing so, “It is more important than ever to emphasize the value of routine wellness care.” a strong relationship can be formed between the veterinarian and the client. Familiarity with the patient, the client and the family unit and their specific needs, allows the veterinary team to guide pet owners in optimal preventive care and disease prevention starting at the puppy stage.”4 Buffington, who works in the community practice section at OSU, emphasizes that the initial vaccination visits, far from being “routine,” may be the most important interactions veterinarians can have with clients and their new pets.2 Education during these visits can shape owners’ behaviors to ensure that their pets live healthy, happy lives, and avoid the greatest risks, which in most areas, include behavior problems, obesity and infectious diseases.2 All puppies and kittens should get a thorough physical examination when they are seen by the veterinarian.1 During the puppy and kitten visits, owners should be provided detailed information about vaccination protocols and counseling about sterilization,1 according to Mandese. In addition, it is really important to discuss behavior and training.4 Pets need to begin being socialized and handled as early as possible. They should become used to grooming by their owner and desensitized to as many stressors as possible, such as loud noises, and unfamiliar people and animals of all ages.2,4 Buffington added that cat owners should be taught about the importance of feline enrichment, especially for indoor only cats.2 An environment that satisfies the cat’s curiosity and need to hunt and explore will improve its quality of life.2 “Because an un-enriched environment is a risk factor for so many health and behavior problems with cats, I want to make sure that the environment is enriched. I often suggest things like food puzzles instead of food bowls and offer other options they (pet owners) can explore with their cats,”2 Buffington said. “Good client education for owners of puppies and kittens is important, including a discussion of preventive issues, such as diet and feeding recommendations to promote life-long weight management, preventive dental care and parasite control,”1 Mandese said. Every visit should include a discussion about parasite control, and the staff should make sure that each client has a sufficient amount of flea/tick control and heartworm preventive for each pet.1 To increase compliance, Merial offers email reminders to clients to help them remember when to give monthly products. “Owners of adult pets should be counseled regarding the same health maintenance topics as puppies and kittens, Every visit should include a discussion about parasite control. Weight and nutrition are very important discussions. A yearly examination should include discussion of agerelated issues. i.e., maintaining a good body condition, behavior and infectious disease control and preventive care. Although many of these topics are discussed in puppyhood and kittenhood, yearly reminders are important,”1 Mandese said. Weight and nutrition are very important discussions for cat and dog owners. Owners often equate food with love, so they need to understand that obesity leads to all kinds of conditions that can shorten their pets’ lives and decrease the quality of that life. Exercise, fun activities that don’t involve Sources: 1 W. Mandese, DVM, interview held via e-mail on January 22. 2014. 2 T. Buffington, DVM, interview held via e-mail on January 6, 2014. food, enrichment and good nutrition are important for every stage of a pet’s life.2 As pets age, a yearly examination should include discussion of age-related issues, such as arthritis, pain and cognitive function.1 “A life-stage, coupled with preventive care, discussion with clients helps strengthen the veterinarian-client relationship, which automatically strengthens the practice. Owners need to know that our main goal is to keep their pets healthy and happy, and that will encourage trust,“1 Mandese said. Volk JO, et al. Executive summary of the Bayer veterinary care usage study. JAVMA. 2011:238:1275-2082 4. AAHA Canine Life Stage Guidelines. 2012 at JAAHA.org 3 protector | 5 CAUTION: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Description: NEXGARD™ (afoxolaner) is available in four sizes of beef-flavored, soft chewables for oral administration to dogs and puppies according to their weight. Each chewable is formulated to provide a minimum afoxolaner dosage of 1.14 mg/lb (2.5 mg/kg). Afoxolaner has the chemical composition 1-Naphthalenecarboxamide, 4-[5- [3-chloro-5(trifluoromethyl)-phenyl]-4, 5-dihydro-5-(trifluoromethyl)-3-isoxazolyl]-N-[2-oxo-2-[(2,2,2trifluoroethyl)amino]ethyl. Indications: NEXGARD kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis), and the treatment and control of Black-legged tick (Ixodes scapularis), American Dog tick (Dermacentor variabilis), and Lone Star tick (Amblyomma americanum) infestations in dogs and puppies 8 weeks of age and older, weighing 4 pounds of body weight or greater, for one month. Dosage and Administration: NEXGARD is given orally once a month, at the minimum dosage of 1.14 mg/lb (2.5 mg/kg). Dosing Schedule: Body Weight 4.0 to 10.0 lbs. 10.1 to 24.0 lbs. 24.1 to 60.0 lbs. 60.1 to 121.0 lbs. Over 121.0 lbs. Afoxolaner Per Chewable (mg) Chewables Administered 11.3 One 28.3 One 68 One 136 One Administer the appropriate combination of chewables NEXGARD can be administered with or without food. Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes to ensure that part of the dose is not lost or refused. If it is suspected that any of the dose has been lost or if vomiting occurs within two hours of administration, redose with another full dose. If a dose is missed, administer NEXGARD and resume a monthly dosing schedule. Flea Treatment and Prevention: Treatment with NEXGARD may begin at any time of the year. In areas where fleas are common year-round, monthly treatment with NEXGARD should continue the entire year without interruption. To minimize the likelihood of flea reinfestation, it is important to treat all animals within a household with an approved flea control product. Tick Treatment and Control: Treatment with NEXGARD may begin at any time of the year (see Effectiveness). Contraindications: There are no known contraindications for the use of NEXGARD. Warnings: Not for use in humans. Keep this and all drugs out of the reach of children. In case of accidental ingestion, contact a physician immediately. Precautions: The safe use of NEXGARD in breeding, pregnant or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures (see Adverse Reactions). Adverse Reactions: In a well-controlled US field study, which included a total of 333 households and 615 treated dogs (415 administered afoxolaner; 200 administered active control), no serious adverse reactions were observed with NEXGARD. Over the 90-day study period, all observations of potential adverse reactions were recorded. The most frequent reactions reported at an incidence of > 1% within any of the three months of observations are presented in the following table. The most frequently reported adverse reaction was vomiting. The occurrence of vomiting was generally selflimiting and of short duration and tended to decrease with subsequent doses in both groups. Five treated dogs experienced anorexia during the study, and two of those dogs experienced anorexia with the first dose but not subsequent doses. Table 1: Dogs With Adverse Reactions. Oral active control N2 % (n=200) Vomiting (with and without blood) 17 4.1 25 12.5 Dry/Flaky Skin 13 3.1 2 1.0 Diarrhea (with and without blood) 13 3.1 7 3.5 Lethargy 7 1.7 4 2.0 Anorexia 5 1.2 9 4.5 Number of dogs in the afoxolaner treatment group with the identified abnormality. 2 Number of dogs in the control group with the identified abnormality. 1 xng222320_LaunchTradeAd-Protector-PI-8.5x11_Rsg.indd 1 6 | protector To report suspected adverse events, for technical assistance or to obtain a copy of the MSDS, contact Merial at 1-888-637-4251 or www.merial.com/nexgard. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at http://www.fda.gov/AnimalVeterinary/SafetyHealth. Mode of Action: Afoxolaner is a member of the isoxazoline family, shown to bind at a binding site to inhibit insect and acarine ligand-gated chloride channels, in particular those gated by the neurotransmitter gamma-aminobutyric acid (GABA), thereby blocking pre- and post-synaptic transfer of chloride ions across cell membranes. Prolonged afoxolanerinduced hyperexcitation results in uncontrolled activity of the central nervous system and death of insects and acarines. The selective toxicity of afoxolaner between insects and acarines and mammals may be inferred by the differential sensitivity of the insects and acarines’ GABA receptors versus mammalian GABA receptors. Effectiveness: In a well-controlled laboratory study, NEXGARD began to kill fleas four hours after initial administration and demonstrated >99% effectiveness at eight hours. In a separate well-controlled laboratory study, NEXGARD demonstrated 100% effectiveness against adult fleas 24 hours post-infestation for 35 days, and was ≥ 93% effective at 12 hours post-infestation through Day 21, and on Day 35. On Day 28, NEXGARD was 81.1% effective 12 hours post-infestation. Dogs in both the treated and control groups that were infested with fleas on Day -1 generated flea eggs at 12and 24-hours post-treatment (0-11 eggs and 1-17 eggs in the NEXGARD treated dogs, and 4-90 eggs and 0-118 eggs in the control dogs, at 12- and 24-hours, respectively). At subsequent evaluations post-infestation, fleas from dogs in the treated group were essentially unable to produce any eggs (0-1 eggs) while fleas from dogs in the control group continued to produce eggs (1-141 eggs). In a 90-day US field study conducted in households with existing flea infestations of varying severity, the effectiveness of NEXGARD against fleas on the Day 30, 60 and 90 visits compared with baseline was 98.0%, 99.7%, and 99.9%, respectively. Collectively, the data from the three studies (two laboratory and one field) demonstrate that NEXGARD kills fleas before they can lay eggs, thus preventing subsequent flea infestations after the start of treatment of existing flea infestations. In well-controlled laboratory studies, NEXGARD demonstrated >94% effectiveness against Dermacentor variabilis and Ixodes scapularis, 48 hours post-infestation, and against Amblyomma americanum 72 hours post-infestation, for 30 days. Animal Safety: In a margin of safety study, NEXGARD was administered orally to 8- to 9-week-old Beagle puppies at 1, 3, and 5 times the maximum exposure dose (6.3 mg/kg) for three treatments every 28 days, followed by three treatments every 14 days, for a total of six treatments. Dogs in the control group were sham-dosed. There were no clinicallyrelevant effects related to treatment on physical examination, body weight, food consumption, clinical pathology (hematology, clinical chemistries, or coagulation tests), gross pathology, histopathology or organ weights. Vomiting occurred throughout the study, with a similar incidence in the treated and control groups, including one dog in the 5x group that vomited four hours after treatment. In a well-controlled field study, NEXGARD was used concomitantly with other medications, such as vaccines, anthelmintics, antibiotics (including topicals), steroids, NSAIDS, anesthetics, and antihistamines. No adverse reactions were observed from the concomitant use of NEXGARD with other medications. Storage Information: Store at or below 30°C (86°F) with excursions permitted up to 40°C (104°F). How Supplied: NEXGARD is available in four sizes of beef-flavored soft chewables: 11.3, 28.3, 68 or 136 mg afoxolaner. Each chewable size is available in color-coded packages of 1, 3 or 6 beef-flavored chewables. NADA 141-406, Approved by FDA Treatment Group Afoxolaner N1 % (n=415) In the US field study, one dog with a history of seizures experienced a seizure on the same day after receiving the first dose and on the same day after receiving the second dose of NEXGARD. This dog experienced a third seizure one week after receiving the third dose. The dog remained enrolled and completed the study. Another dog with a history of seizures had a seizure 19 days after the third dose of NEXGARD. The dog remained enrolled and completed the study. A third dog with a history of seizures received NEXGARD and experienced no seizures throughout the study. Marketed by: Frontline Vet Labs™, a Division of Merial Limited. Duluth, GA 30096-4640 USA Made in Brazil. 1050-4493-02 Rev. 4/2014 ™NexGard and FRONTLINE VET LABS are trademarks of Merial. ©2014 Merial. All rights reserved. 6/6/14 4:41 PM It’s a soft chew. Kills both fleas and ticks. It’s prescription only. Now a pprov to kill m ed ore ticks! NexGardTM (afoxolaner) is the protection you asked for, and patients will beg for. NexGard is FDA-approved to kill fleas, prevent flea infestations, and kill Black-Legged (deer) ticks, Lone Star ticks and American Dog ticks. NexGard is available only with a veterinarian’s prescription, and features anti-diversion technology monitored by Pinkerton® Consulting & Investigations. NexGard and FRONTLINE VET LABS are trademarks of Merial. ®PINKERTON is a registered trademark of Pinkerton Service Corporation. ©2014 Merial Limited, Duluth, GA. All rights reserved. NEX14TTRADEAD (06/14). TM IMPORTANT SAFETY INFORMATION: For use in dogs only. The most common adverse reaction is vomiting. Other adverse reactions reported are dry/flaky skin, diarrhea, lethargy, and anorexia. The safe use of NexGard in pregnant, breeding, or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures. protector | 7 FOC U S O N T H E B REED THE LABRADOR RETRIEVER 8 | protector WHETHER A FAMILY PET, HUNTING COMPANION OR WORKING DOG, THE LABRADOR RETRIEVER IS A FINE DOG, WHICH IS WHY YOU SEE SO MANY IN YOUR CLINIC. The Labrador retriever is the most popular dog breed in the United States1, according to the American Kennel Club, which registers more than 100,000 per year.2 And they have held the title for more than 10 years.2,3 Labrador Retrievers, first described in Newfoundland, Canada, were originally called the lesser Newfoundland, St. John’s dogs, or St. John’s water dogs. These dogs were known for their sense of smell, ability to retrieve, and athleticism. There are three recognized colors of Labrador Retrievers - black, yellow, or chocolate; and they have a characteristic short, dense coat that is water-resistant.1 Many Lab-owners note that their dogs tend to shed a lot (usually seasonally), but this can be helped by regular brushing. A hallmark of this breed is its characteristic “otter tail.”1 As a member of the veterinary clinic team, you likely have a favorite Labrador Retriever that frequents your clinic. This patient may be smart, eager to please, and outgoing. These are some of the traits that also make Labradors great as family pets. Families with playful, strong Labs often note that dogs of this breed are kind and gentle around children and other pets. They are also intelligent and easy-to-train, which likely explains why these dogs are often used as working dogs. Labradors are utilized in a number of roles including as police, military, rescue, and detection dogs. They also are used as therapy dogs for numerous individuals with special needs. And of course, they love to retrieve and are still commonly used as hunting dogs. As puppies, training is important, as is patience and persistence.2 As long as they receive adequate exercise, Labradors can share a home with a family in about any environment from a city apartment to a farm. However, it is important to remember, that these dogs really want to be a part of the family and need to receive plenty of attention from their owners. Labrador Retrievers love to eat. Sometimes this can be a problem – it is important for the veterinary staff to help pet owners understand the importance of maintaining a good body condition. Obesity is a common problem for many breeds, including Labradors. This is one condition that can be easily prevented with proper education regarding nutrition and the importance of regular exercise. Encourage your clients to take their dogs with them on walks and let the kids throw a ball around for the dogs to catch. Sometimes a puppy’s appetite can cause problems other than obesity. For certain dogs that are indiscriminant eaters, pet owners may need to restrict access to concerning items. Foreign body ingestion can be a very serious problem, requiring surgery.2 Working in a clinic, you know that many pet owners are aware of the possibility of joint problems in Labradors – especially hip and elbow dysplasia.2,3 These can be serious conditions that often require lifelong management. Large breed dogs, including Labradors, are also at increased risk for injury to the cranial cruciate ligament2,3 LABRADORS’ AVERAGE HEIGHT MEASURED FROM THE WITHERS (THE RIDGE BETWEEN THE SHOULDER BLADES) ARE: MALES 22½” TO 24½” FEMALES 21½” TO 23½” 1 A MALE IN GOOD BODY CONDITION SHOULD WEIGH BETWEEN 65 AND 80 LBS AND A FEMALE BETWEEN 55 TO 70 POUNDS.1 THEY LOVE THE WATER, A LABRADOR IS MORE LIKELY TO ROLL IN A MUD PUDDLE THAN PASS IT BY.2 Sources: American Kennel Club website. Labrador Retriever. Accessed at http://www.akc.org/breeds/labrador_Retriever/index.cfm on January 12, 2014. 1 Vetstreet. The Labrador. Accessed at http://www.vetstreet.com/ dogs/labrador-Retriever#overview on January 12, 2014. 2 (in the dog’s knee). Labradors are commonly diagnosed with skin allergies.2 You have likely experienced a few Labs visiting your clinic that were diagnosed with a skin or ear condition likely related to an underlying allergy. There are a number of other medical conditions that have been recognized in the Labrador retriever including, certain types of eye disease, epilepsy, and an uncommonly diagnosed condition known as `exercise induced collapse.’ As with many breeds, certain types of cancer can be seen in Labradors3 – usually in older dogs. Given all that we know about the Labrador, it is easy to see why this big, social dog is so popular. They are smart, friendly, and love people. Labradors were bred to be companions and have been America’s favorite for over a decade. Petplan Pet Insurance Company. The Labrador. Accessed at http://www.gopetplan.com/condition-check/labrador-Retriever on January 12. 2014. 3 protector | 9 BUG OFF, TICKS! HOW TO HELP PROTECT YOUR BEST FRIENDS A number of factors, including increased numbers of tick hosts (deer, turkeys, etc.), changes in climate, and growing suburbs have caused an increase in tick numbers in many areas of the country. Here’s important information to help protect your pet. 01 Know your pet’s risk. • Have you seen ticks on your pet or a member of your family? • Do you let your pet romp in areas where there may be ticks? • Do you ever travel with your pet to areas that have ticks? If you are not sure about the risk of ticks in your area, you should ask your veterinarian about the types of ticks and tick-borne diseases that your pet may be exposed to where you live and travel. You can also check resources like the CAPC (Companion Animal 10 | protector Parasite Counsel) website, www.capcvet.org, where you can find a lot of useful information, including tick-borne disease incidence maps that can show you which tick-borne diseases have been reported in your area. Even if you have never seen a tick before, that doesn’t mean that they are not quietly waiting in the bushes to latch onto your dog or cat. Your pet may have already been exposed to ticks without you even knowing it. Some life stages of certain ticks are only a few millimeters in length making it difficult to see them, even if you have been looking for ticks on your pet. Not to mention the fact that most dogs have hair-coats that could easily conceal these parasites. Ticks may also attach in areas that are not easily visible and feed silently. In addition to causing skin irritation, tick bites can lead to more serious consequences for your dog. Some species of ticks can cause tick paralysis, an acute flaccid paralysis that is caused by a neurotoxin produced by female ticks of certain species. Ticks also serve as vectors for a number of serious diseases including Lyme disease, ehrlichiosis, anaplasmosis and Rocky Mountain spotted fever. SHARE THIS CLIENT HANDOUT BY MAKING COPIES OF THE FACING PAGE OR DOWNLOADING IT FROM WWW.MERIALREWARDSPROGRAM.COM. client handout 02 What can you do? REDUCE YOUR PET’S RISK. Whenever possible, limit your pets’ exposure to ticks by limiting their access to areas with high tick burdens. It would be ideal to prevent free roaming of dogs and to keep cats indoors. For pets that do go outdoors, check them daily for ticks and remove any that are found on your pet – you should consult with your veterinarian about the proper way to remove ticks from your dog or cat. You can also do a number of things in your pet’s environment to make these areas unsuitable for tick development and make them unattractive for other tick hosts (such as deer, feral cats, raccoons and opossum). Such measures include: keeping the lawn closely cut, removing any leaf litter or debris and limiting ground cover around the home. You can also eliminate items that attract other tick hosts. For example, you can remove any plants that attract deer, eliminate access to trash cans which can attract urban wildlife, etc. MONITOR YOUR PET’S HEALTH. outine wellness visits to your R veterinarian are essential for your pet’s overall health. During a wellness exam, your veterinarian may recommend screening your dog for common tick-borne diseases such as Lyme disease, Ehrlichiosis and Anaplasmosis. This simple test can be performed in conjunction with your dog’s annual heartworm test on the same blood sample and can provide useful information regarding your dog’s exposure to one of these tick-borne diseases. The diseases that are transmitted by ticks can cause a number of signs, but some of the more common signs described include lethargy, loss of appetite, joint pain or changes in water consumption. Talk to your veterinarian if you have any concerns about your pet’s exposure to ticks and/or tick-borne diseases. If your dog is at risk of being exposed to Lyme disease, you can also ask your veterinarian if you should have your dog vaccinated to help protect against this disease. USE A TICK CONTROL PRODUCT. There are a number of tick control products available for dogs and numerous factors (severity of tick exposure, frequent swimming or bathing, exposure to other family members such as cats or children, and owner preference) that may impact the decision regarding which products would be suitable choices for your dog. There are fewer options for tick control in cats. It is very important that flea and tick control products are used according to their labeling – never use a product designed for a dog on your cat. Your veterinarian is the best person to help you understand the differences in these products and to guide you in choosing the appropriate product for your pet. ©2014 Merial Limited, Duluth, GA. All rights reserved. MKT14VOL13PROTECTCH (04/14) protector | 11 MINIMIZE BURNOUT AND COMPASSION FATIGUE I N T H E WOR K PL AC E BY MARIE ROSENTHAL, MS It’s pretty obvious that working in a veterinary hospital will be physically demanding; however, members of the veterinary staff face many challenges on a daily basis that can lead to burnout or compassion fatigue. From handling the emotional needs of pet owners, to long hours and minimal pay, to caring for very sick animals and euthanasia, burnout and compassion fatigue are common challenges in veterinary medicine.1 12 | protector “We start with the dream to help animals, but once we get into the workplace, we realize the job is more difficult than we expected,”1 admitted Katherine Dobbs, RVT, CVPM, PHR, of interFace Veterinary HR Systems, LLC in Wisconsin. Dobbs speaks and writes about many practice-management issues, including burnout and compassion fatigue. “We begin feeling negative emotions and question ourselves.”1 Although burnout and compassion fatigue are different and occur for different reasons, they have similar characteristics. Burnout centers around the exhaustion we feel after dealing with the stresses of our jobs and can even lead to diminished interest in our careers, according to Dobbs. A number of things contribute to it, including long hours, unsupportive management, faulty equipment and low pay.1 “Back when we got our first job in animal care, we were so excited to realize our dream that the low pay wasn’t as much of a factor. But as we spend time on the job, the stresses, the negative emotions, it becomes a situation where ‘you just can’t pay me ENOUGH to do THIS job!’ We lose the emotional satisfaction that carried our dream.”1 While burnout evolves from external stressors, compassion fatigue evolves from the relationship between the caregivers (veterinary personnel) and their patients and clients.1 “Compassion fatigue is the internal aspect of caring for and about those who are suffering some sort of trauma or difficulty,” she said. “Everyone from the administration staff, client service staff and medical staff can suffer from compassion fatigue because we all form relationships with our clients and patients. It can be difficult to hold back our emotions and control our empathy [when faced with a difficult case, such as a euthanasia] so we can continue with the day. It is actually the effort needed to control our empathy in the moment that can lead to exhaustion from caring so much for these patients and clients.” SIGNS OF BURNOUT & COMPASSION FATIGUE » LACK OF MOTIVATION » DREADING THE WORKPLACE » SENSE OF ALIENATION » AGGRESSION AND ANGER » STRESS-RELATED HEALTH PROBLEMS, SUCH AS HEADACHES AND LOSING SLEEP 9 STEPS TO AVOID BURNOUT 01 | Figure out what is causing you to be stressed out.2 02 | T hink of a way to overcome that negative emotion and make it part of your routine.2 03 | S ay “no” to new commitments and responsibilities until you recover.2 04 | Delegate what you can.2 05 | Take breaks between big projects.2 06 | S ocialize outside your professional network.2 07 | Leave the job at the job.2 08 | Find your sense of humor.1 09 | Consider a support group.2 Signs of burnout and compassion fatigue include poor motivation, the dread of going to work and can even affect us physically (see sidebar).2 There are steps you can take to overcome burnout, according to Psychologist Sherrie Bourg Carter, who wrote a book about burnout, High Octane Women: How Super Achievers Can Avoid Burnout.2 If you can overcome the stress or find a way to deal with it, you might just rediscover your passion, says Dr. Carter.2 Sometimes, you can’t change your situation, said Dobbs, and in those cases, it might help to find a new job. We don’t always fit, and finding a new veterinary hospital might be best for everyone. “If you change your environment, you might be able to find a job with less workplace stressors (closer to home, better hours, nicer facility),”1 Dobbs said. “However, if what you are feeling is compassion fatigue in animal health or human health, you will carry compassion fatigue with you. The only solution for compassion fatigue is to take better care of yourself,”1 she said. And taking better care of yourself — by eating right, getting enough rest and exercising — will also help you deal with stress.1-3 Sources: 1 Interview with Katherine Dobbs held on December 16, 2013 by telephone. 2 Bourg Carter S, Overcoming Burnout: 10 Steps to Reignite Your Flame and Shine Brightly Once More Psychology Today. Accessed on December 25, 2013 at http://www.psychologytoday.com/blog /high-octane-women/201104/overcoming-burnout 3 Baili S. Overwhelmed? 8 tips to avoid burnout and balance your life. Psychology Today, May 8, 2013. Accessed on December 25, 2013, at http://www.psychologytoday.com/blog/prescriptions-life/201305/ overwhelmed-8-tips-avoid burnout-and-balance-your-life protector | 13 AT THE HEART OF MERIAL HEALTHY PETS ANIMAL HEALTH AND WELL-BEING IS AT THE HEART OF EVERYTHING THAT MERIAL DOES. Critical to that philosophy are the relationships that the company builds with veterinarians and their staff. The pet owner education that Merial provides reinforces the human-animal bond by helping pet owners realize the importance of routine veterinary care to enable their best friends to live longer, healthier lives. This brings them to your clinic and your clinic brings Merial to the pet owner. TO SUPPORT PARTNERING CLINICS, MERIAL PROVIDES THE FOLLOWING PROGRAMS: The CLIENT CONNECTION® PLUS POWER OF 12 is designed to support clinic program drives pet owners to your education that centers on the importance of practice with coupons/information that year-round heartworm disease prevention. technicians who can offer advice on several appears to come from your practice. Power of 12 includes staff training tools, client aspects of flea and tick control, such as flea With targeted mailings and coupons, education materials and a Program Overview biology, efficacy and proper application CLIENT CONNECTIONS Plus is designed Guide, including monthly educational instructions. If, for any reason, your clients are to build relationships with clients on your materials for staff and clients as well as not completely satisfied with the FRONTLINE® clinic’s behalf. product coupons good toward HEARTGARD® Plus Brand Products that they purchase from The program identifies pet owners Plus (ivermectin/pyrantel) purchases. possible care for animals. Pet owners have access to specially trained your practice, they may be eligible for: most likely to benefit and act upon education SATISFACTION PLUS GUARANTEE about the importance of parasite control. reinforces your recommendation for flea and • A replacement product, or You can then tailor your clinic’s message tick control. Through the program, you can • A free home inspection and in-home and special offers to these clients. offer clients greater access to support for TM their flea problem at no cost to veterinarians allowing them to focus on providing the best 14 | protector • A refund, or treatment by TERMINIX®, if necessary For complete details, visit www.frontline.com. MERIAL® REWARDS PLUS recognizes Giving Shelters A Leg Up and rewards your clinic’s continued dedication to protecting patients. It’s To successfully re-home shelter pets, make sure they get a healthy start. Through the Partners in Protection® program, Merial brings together animal shelters, pet adopters and local veterinary clinics to provide that start. Participating shelters commit to treating adopted pets with FRONTLINE® Plus Brand Products, FRONTLINE Spray, HEARTGARD® (ivermectin) for cats and HEARTGARD Plus (ivermectin/pyrantel) for dogs. Shelter staff receive training and merchandising kits to help educate pet adopters about pet health and parasite control. The kit includes co-branded wall and kennel clings, shelter program detailers, a new adopter booklet with healthy pet tips and product coupons to take to their local veterinarian. Merial’s way to show appreciation to staff members for recommending MERIAL products to their clients. MERIAL Rewards Plus members earn award points for coupon submission activities. Once enrolled, each eligible coupon an individual or team submits earns points that can be used toward rewards on their MERIAL Rewards Plus Visa® Prepaid Card. They can buy lunch, purchase gasoline, pay for a day at the spa, or even use on their own pet’s care. EFFICACY: HEARTGARD Plus Chewables, given orally using the recommended dose and regimen, are effective against the tissue larval stage of D.immitis for a month (30 days) after infection and, as a result, prevent the development of the adult stage. HEARTGARD Plus Chewables are also effective against canine ascarids (T. canis, T. leonina) and hookworms (A. caninum, U. stenocephala, A. braziliense). ACCEPTABILITY: In acceptability and field trials, HEARTGARD Plus was shown to be an acceptable oral dosage form that was consumed at first offering by the majority of dogs. PRECAUTIONS: All dogs should be tested for existing heartworm infection before starting treatment with HEARTGARD Plus which is not effective against adult D. immitis. Infected dogs must be treated to remove adult heartworms and microfilariae before initiating a program with HEARTGARD Plus. chewables CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian. INDICATIONS: For use in dogs to prevent canine heartworm disease by eliminating the tissue stage of heartworm larvae (Dirofilaria immitis) for a month (30 days) after infection and for the treatment and control of ascarids (Toxocara canis, Toxascaris leonina) and hookworms (Ancylostoma caninum, Uncinaria stenocephala, Ancylostoma braziliense). DOSAGE: HEARTGARD® Plus (ivermectin/pyrantel) should be administered orally at monthly intervals at the recommended minimum dose level of 6 mcg of ivermectin per kilogram (2.72 mcg/lb) and 5 mg of pyrantel (as pamoate salt) per kg (2.27 mg/lb) of body weight. The recommended dosing schedule for prevention of canine heartworm disease and for the treatment and control of ascarids and hookworms is as follows: Dog Weight Chewables Per Month Ivermectin Content Up to 25 lb 26 to 50 lb 51 to 100 lb 1 1 1 68 mcg 136 mcg 272 mcg Color Coding 0n Pyrantel Foil Backing Content and Carton 57 mg 114 mg 227 mg Blue Green Brown HEARTGARD Plus is recommended for dogs 6 weeks of age and older. For dogs over 100 lb use the appropriate combination of these chewables. ADMINISTRATION: Remove only one chewable at a time from the foil-backed blister card. Return the card with the remaining chewables to its box to protect the product from light. Because most dogs find HEARTGARD Plus palatable, the product can be offered to the dog by hand. Alternatively, it may be added intact to a small amount of dog food.The chewable should be administered in a manner that encourages the dog to chew, rather than to swallow without chewing. Chewables may be broken into pieces and fed to dogs that normally swallow treats whole. Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes after administration to ensure that part of the dose is not lost or rejected. If it is suspected that any of the dose has been lost, redosing is recommended. HEARTGARD Plus should be given at monthly intervals during the period of the year when mosquitoes (vectors), potentially carrying infective heartworm larvae, are active. The initial dose must be given within a month (30 days) after the dog’s first exposure to mosquitoes. The final dose must be given within a month (30 days) after the dog’s last exposure to mosquitoes. When replacing another heartworm preventive product in a heartworm disease preventive program, the first dose of HEARTGARD Plus must be given within a month (30 days) of the last dose of the former medication. While some microfilariae may be killed by the ivermectin in HEARTGARD Plus at the recommended dose level, HEARTGARD Plus is not effective for microfilariae clearance. A mild hypersensitivity-type reaction, presumably due to dead or dying microfilariae and particularly involving a transient diarrhea, has been observed in clinical trials with ivermectin alone after treatment of some dogs that have circulating microfilariae. Keep this and all drugs out of the reach of children. In case of ingestion by humans, clients should be advised to contact a physician immediately. Physicians may contact a Poison Control Center for advice concerning cases of ingestion by humans. Store between 68°F - 77°F (20°C - 25°C). Excursions between 59°F - 86°F (15°C - 30°C) are permitted. Protect product from light. ADVERSE REACTIONS: In clinical field trials with HEARTGARD Plus, vomiting or diarrhea within 24 hours of dosing was rarely observed (1.1% of administered doses). The following adverse reactions have been reported following the use of HEARTGARD: Depression/lethargy, vomiting, anorexia, diarrhea, mydriasis, ataxia, staggering, convulsions and hypersalivation. SAFETY: HEARTGARD Plus has been shown to be bioequivalent to HEARTGARD, with respect to the bioavailability of ivermectin. The dose regimens of HEARTGARD Plus and HEARTGARD are the same with regard to ivermectin (6 mcg/kg). Studies with ivermectin indicate that certain dogs of the Collie breed are more sensitive to the effects of ivermectin administered at elevated dose levels (more than 16 times the target use level) than dogs of other breeds. At elevated doses, sensitive dogs showed adverse reactions which included mydriasis, depression, ataxia, tremors, drooling, paresis, recumbency, excitability, stupor, coma and death. HEARTGARD demonstrated no signs of toxicity at 10 times the recommended dose (60 mcg/kg) in sensitive Collies. Results of these trials and bioequivalency studies, support the safety of HEARTGARD products in dogs, including Collies, when used as recommended. HEARTGARD Plus has shown a wide margin of safety at the recommended dose level in dogs, including pregnant or breeding bitches, stud dogs and puppies aged 6 or more weeks. In clinical trials, many commonly used flea collars, dips, shampoos, anthelmintics, antibiotics, vaccines and steroid preparations have been administered with HEARTGARD Plus in a heartworm disease prevention program. In one trial, where some pups had parvovirus, there was a marginal reduction in efficacy against intestinal nematodes, possibly due to a change in intestinal transit time. HOW SUPPLIED: HEARTGARD Plus is available in three dosage strengths (See DOSAGE section) for dogs of different weights. Each strength comes in convenient cartons of 6 and 12 chewables. For customer service, please contact Merial at 1-888-637-4251. If the interval between doses exceeds a month (30 days), the efficacy of ivermectin can be reduced. Therefore, for optimal performance, the chewable must be given once a month on or about the same day of the month. If treatment is delayed, whether by a few days or many, immediate treatment with HEARTGARD Plus and resumption of the recommended dosing regimen will minimize the opportunity for the development of adult heartworms. Monthly treatment with HEARTGARD Plus also provides effective treatment and control of ascarids (T. canis, T. leonina) and hookworms (A. caninum, U. stenocephala, A. braziliense). Clients should be advised of measures to be taken to prevent reinfection with intestinal parasites. ®HEARTGARD and the Dog & Hand logo are registered trademarks of Merial. ©2014 Merial Limited, Duluth, GA. All rights reserved. IMPORTANT SAFETY INFORMATION: HEARTGARD® Plus (ivermectin/pyrantel) is well tolerated. All dogs should be tested for heartworm infection before starting a preventive program. Following the use of HEARTGARD Plus, digestive and neurological side effects have rarely been reported. For more information, visit www.HEARTGARD.com<http://www.HEARTGARD.com>. xhg223403_Protector-8.625x5-PI_rsg.indd 1 5/2/14 12:21 PM protector | 15 TRIVIA TIDBITS & PET FUN FACTS DOMESTICATED PETS ARE COMPLEX CREATURES. Have you ever wondered why they do some of the things they do? Your cat seems smart, but how sharp is his memory? Why can your dog always outrun you? Here are some interesting facts bound to keep you (or your client) guessing. Enjoy! FACTS ABOUT DOGS FACTS ABOUT CATS • Dogs only sweat from the bottoms of their paws; the only way they can discharge heat is by panting. • Cats do not have sweat glands. • Dogs have about 100 different facial expressions, most of them made with the ears. • Cats have five toes on each front paw, but only four toes on each back paw. • Dogs have about 10 vocal sounds. • Dogs do not have an appendix. • Cats have over one hundred vocal sounds, while dogs only have about ten. • There are more than 350 different breeds of dogs worldwide. • A pack of kittens is called a kindle, while a pack of adult cats is called a clowder. • Dalmatians are born spotless: at first pure white, their spots develop as they age. • A n adult cat can run about 12 miles per hour, and can sprint at nearly thirty miles per hour. • Contrary to popular belief, dogs aren’t color blind; they can see shades of blue, yellow, green and gray. The color red registers on a grayscale in a dog’s vision. • A cat’s tongue is scratchy because it’s lined with papillae — tiny elevated backwards hooks that help to hold prey in place. • Most domestic dogs are capable of reaching speeds up to about nineteen miles per hour when running at full speed. • The nose pad of each cat has ridges in a unique pattern not unlike a person’s fingerprints. • Using their swiveling ears like radar dishes, experiments have shown that dogs can locate the source of a sound in 6/100ths of a second. • Cats’ bodies are extremely flexible; the cat skeleton contains more than 230 bones (a human has about 206), and the pelvis and shoulders loosely attach to the spine. This adds to their flexibility and allows them to fit through very small spaces. • Domesticated for more than 10,000 years, the dog was one of the first animals domesticated by humans. • A cat can jump as much as seven times its height. Up to 19 MPH Up to 30 MPH Article reprinted with permission from VPI Pet HealthZone® MyPetHealthZone.com 16 | protector Give dogs all the Lyme protection they need and none of the antigens they don’t. It only takes a single protein, OspA, to block the transmission of Borrelia burgdorferi in the United States.1,2,3 Help protect Protect your patients with nothing less, expose them to nothing more. RECOMBITEK® Lyme - the only vaccine with OspA in a nonadjuvanted formula 1 2 ®RECOMBITEK is a registered trademark of Merial. ©2013 Merial Limited, Duluth, GA. All rights reserved. REC12NARECOMBITEKAD (12/12). 3 Straubinger RK, Chang YF, Jacobson RH, Appel MJ. Sera from OspA-vaccinated dogs, but not those from tick-infected dogs, inhibit in vitro growth of Borrelia burgdorferi. J Clin Microbiol. 1995;33(10):2745-2751. Rice Conlon JA, Mather TN, Tanner P, Gallo G, Jacobson RH. Efficacy of a nonadjuvanted, outer surface protein A, recombinant vaccine in dogs after challenge by ticks naturally infected with Borrelia burgdorferi. Vet Ther. 2000;1(2):96-107. Probert WS, Crawford M, Cadiz RB, LeFebvre RB. Immunization with outer surface protein (Osp) A, but not OspC, provides cross-protection of mice challenged with North American isolates of Borrelia burgdorferi. J Infect Dis. 1997;175(2):400-405. protector | 17 RESCUED BY A GOOD SAMARITAN SHARED BY: EMILY JONES | SMART VET CO. | NORMAL, IL Photo courtesy of Emily Jones, Smart Vet Co. 18 | protector A few months ago, a friend of mine who works with a rescue group was called about a Saint Bernard that had been seen along a two-lane highway. It was mid-November and we were experiencing occasional scattered snow storms. The dog was a large Saint on a very short chain and looked as if she (or he) was near death. After numerous calls to the local animal control, an officer was assigned to check the property. The animal control officer found five chained dogs, an empty food bowl and a particular female Saint. The officer forced the owner to relinquish two of the five dogs and promised to return in a day or so to check on the others. The Saint had to be gently pried from the ground by the officer as to not injure her frail, almost lifeless, body. She was lifted into the vehicle and driven to a high kill facility in the county. She was given a few days to see if she would even survive — and she did! We named her Zoe. Animal control tested Zoe for heartworm and found her to be positive. The shelter was told that she was four years old and unsure if she was spayed. Animal control was ready to euthanize her when the Good Samaritan, who had called the rescue group, jumped into action. All of the calling and persuading finally paid off when the animal control agreed to release her to the Illinois Saint Bernard Rescue. Within two days of being in her temporary foster home, this sweet gal starting urinating blood. After three weeks of antibiotics, she was finally transported to our Chicagoland hospital where heartworm staging and treatment began. Upon arrival, she was examined thoroughly and we discovered that she had a microchip. The chip was tracked to the original owner who lived one state away. The owner identified her as the dog they had adopted from the local Humane Society when she was two years old. They had given her away when she OUTGREW their house. After many phone calls, they were able to discover that Zoe was eight years old and had been bounced around many times. She was not only heartworm positive but she was severely malnourished. We decided to continue treating her and hope for the best. I’m happy to share that Zoe recently turned nine. The once malnourished, 98 pound dog is now at a healthy weight of 165. She pretty much gets to do whatever, whenever she wants. She is a good dog and loves going for rides or walks, but mainly sleeping on her couch. My friend comments how blessed she is to have such a wonderful Saint come into her life. For more reasons than one. The number one most requested flea and tick protection1 is also the only one that is backed by the SATISFACTION PLUS GUARANTEETM* and kills fleas, flea eggs, larvae, and ticks. The guarantee provides confidence for you and your clients and is unmatched in the industry. For complete details visit www.FRONTLINE.com. 1 Vet-dispensed; MDI Data. ®FRONTLINE is a registered trademark, and ™SATISFACTION PLUS GUARANTEE is a trademark, of Merial. ©2014 Merial Limited, Duluth, GA. All rights reserved. FLE13PLTRADE1 (01/14). * The guarantee offers your choice of a refund, product replacement, or a FREE in-home inspection and treatment, if necessary. Please see full details at www.FRONTLINE.com. protector | 19 xfl216518_PRO-5.5x7.5_rsg.indd 1 1/21/14 1:56 PM LOGAN RUNS THE DISTANCE SUBMITTED BY: CRYSTAL COFFIN | MEADOW POND ANIMAL HOSPITAL | MOULTONBORO, NH It was a typical summer day in New Hampshire and I was working at the Moultonboro Veterinary Hospital. A client of ours (and a ‘no complaint’ one at that!) walked into our hospital with a sweet little black lab puppy that was five pounds and estimated to be about four weeks old. The owner had the mother dog and while she was at work, her children went to feed the mother and the puppies that were just learning to eat. The mother chocolate lab attacked three of the puppies and two of them had to be put down due to their extensive injuries. After looking at the puppy, he had some wounds that were serious. The owner left the dog with us so we could evaluate the damage. After numerous radiographs, we discovered that the puppy had a few fractures on his lower jaw. We placed a bandage around his jaw to hold it in place — it was all we could do for him at that time. The next day, the owner called and asked when the little guy could be picked up. The doctor and I agreed that we couldn’t give the puppy back to her and feel good about it since we both wanted him to get the best care he could. After a conversation with the owner, she surrendered the dog over to the hospital. I fell in love with the black puppy and his personality. Because my husband had black labs as a child and he had always wanted another one, the little pup came home with me. After numerous surgeries and treatments and lots of TLC, he turned out perfect. We named him Logan and he has no teeth on his lower jaw and a scar to remind us of his story. Logan is the best dog that I have ever had since working in the field. Our veterinarian, Dr. Kraft, worked on Logan and made him the dog he is today. I give her my heart for helping us and giving him a chance. Logan is now 6 years old and we wouldn’t trade him for the world. Photo courtesy of Crystal Coffin Upcoming Conferences If you’re attending any of these conferences, be sure to check out what’s new at the Merial booth! American Veterinary Medical Association Denver, Colorado Jul 25–29 www.avma.org CVC Kansas City Kansas City, MO Aug 22–25 www.thecvc.com Southwest Veterinary Symposium Fort Worth, TX Sep 25–28 www.swvs.org Atlantic Coast Veterinary Conference Atlantic City, NJ Oct 13–16 www.acvc.org CVC San Diego San Diego, CA Dec 4–7 www.thecvc.com 20 | protector PET TREAT RECIPES Easy Healthy Carrot Dog Cookies Treats for Hyperthyroid Kitties Prep time: 15-20 min Here’s a great treat recipe for your thyroid kitty! Directions: Cook time: 20-25 min Yields: 20-24 cookies Preheat oven to 350 degrees. Take 2 cups of their thyroid food and blend into a fine powder. Add small amounts of water while mixing until it forms a dough consistency. Ingredients: The next step is where you can use your imagination… you can either: 1/4 cup unsweetened apple juice A. Spread the dough into an even layer and use cookie cutters to make special shapes. OR B. F orm dough into small, round balls. Then, bake your treats at 350 degrees for 30 minutes (or until crispy and brown). Make sure to flip the treats over halfway through the baking time. Submitted by: Heidi Grandeury | Capital Heights Veterinary Clinic | Baton Rouge, LA 1 medium ripe banana 1 cup shredded carrot 1/8-1/4 cup water (more or less as needed) 1 1/2 cups flour 1 cup rolled oats Directions: Preheat oven to 350 degrees. Spray baking sheet with cooking spray. Mix all ingredients into large bowl; should be a nice thick consistency for rolling dough out. Lightly flour surface and roll out dough to about 1/4 inch thick. Use your favorite pup-friendly cookie cutter shape and place cookies on baking sheet. Bake 20–25 minutes until cookies are golden brown. Remove from oven and allow to cool. Serve to your canine companion for a guilt-free treat! Submitted by: Cady Meyer | Seneca Veterinary Clinic | Seneca, MO Word Scramble 1. DRBI 11. KDUC Challenge your team to solve this word scramble as quickly as possible. The clock is ticking! 2. DGO 12. RGFO 3. OENDYK 13. TPNLEHEA 4. GFRIEFA 14. ORCDCIELO 5. GLOILARTA 15. POLNIHD 6. TAC 16. LARLIGO 7. EHSOR 17. EMSUO 8. OLIN 18. EGTRI 9. MYOEKN 19. ABRITB 10. EEB 20. ATR Solutions available at www.MerialRewardsProgram.com. http://www.sciencekids.co.nz/quizzes/wordscrambles/animal.html protector | 21 MERIAL Rewards Program Headquarters P.O. Box 1785 Minneapolis, MN 55440-1785 ®MERIAL, FRONTLINE, HEARTGARD, and RECOMBITEK are registered trademarks, and TM SATISFACTION PLUS GUARANTEE, CLIENT CONNECTION, and NexGard are trademarks of Merial. All other trademarks are property of their respective owners. ©2014 Merial Limited, Duluth, GA. ALL RIGHTS RESERVED. MKT14VOL13PROTECT-R (07/14)