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I just listened to The role of client communication and euthanasia for the veterinarian | VETgirl Veterinary Continuing Education Podcasts with Professor Jane Shaw from Colorado State University.
What a great explanation of aspects of best practices in communication on sensitive issues like euthanasia and of the gaps there can be across pet owner and veterinarian perceptions.
This is worth listening to for both vets AND for anyone who has had, or will have, the experience of humanely letting go of a dear pet. Dr. Jane explains, with examples, some of the complex human issues in these kinds of visits and gives practical pointers on how communication can be improved. Her message is to vets, but I think owners can learn from this as well. Not every veterinarian has had the benefit of 20-plus hours of communication training from someone like Jane. Some veterinarians can struggle with euthanasia discussions. So, a knowledgeable client can be proactive in bringing up their concerns, and should not feel that their personal and emotional issues about their pet, or issues in their life, are irrelevant to the situation. Feel free to ask questions and share with your veterinarian.
We know that everything to do with pets is built on human-animal interactions. It can be challenging, but the complicated, complex human side is often as (or more) important than the medical facts. Only good can come from improved veterinary-client communication*.
It was my honour to work with the authors of the paper on which this interview was based (see below). And to have personally known Smokey the dog who was the canine patient in the study. Not every dog would say how thrilled he was to go to lots and lots of vet visits in the last months of his life, but Smokey seemed delighted with the outings! The contributions of the animals, their owners, and the innovative approach of the researchers combined to bring this important work to fruition.
J Am Vet Med Assoc. 2019 May 1;254(9):1073-1085. doi: 10.2460/javma.254.9.1073.
Comparison of veterinarian and standardized client perceptions of communication during euthanasia discussions.
Nogueira Borden LJ, Adams CL, Bonnett BN, Ribble CS, Shaw JR.
Matte, AR., Khosa, DK., Coe, JB., Meehan, MP. (2019) Impacts of the process and decision-making around companion animal euthanasia on veterinary wellbeing Veterinary Record 185, 480.
A qualitative study using group and individual interviews involving 10 veterinary hospitals in Wellington County, Ontario, explored how the practices involved in euthanasia-related care impacts the wellbeing of veterinary professionals.
*Also see DogWellNet.com's articles:
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Do you know if the JADD in NSDTR is simple mendelian or complex? UC Davies genetics lab is offering a test. Do you know if it is a reliable test? Do you think the test should be mandatory for NSDTR used for breeding given its early age of onset and serious impact on an affected dog's health and welfare? I would be very grateful for your comments.
Anon UK NSDTR Breeder
Dear NSDTR Breeder,
It is my understanding that the JADD (Juvenile Addison's Disease) genetic test that is available is a simple inheritance (autosomal recessive) and based on the published discovery research, it seems likely at this time that this test for the NSDTR has a 75% penetrance. According to the researchers, this means that the dog that is tested as genetically affected for JADD has a 75% risk of going on to develop the clinical signs of the disease. This is sometimes referred to autosomal-recessive, with incomplete penetrance. They don't know why 25% of genetically affected dogs don't get the disease, and they don't know for sure that this mutation is the only one associated with developing the disease. We don't yet know how "common" this disease or the risk is. This makes it difficult to know how important it is as a disease to test for. It may be worth you contacting the UK NSDTR Breed Club, as they appear to be aware of the disease, but also seem to only have noted 1 reported case in the UK. (you can find links to their club website, including health pages below) It is very possible for a disease to be more or less common in different countries.
As for UC Davis, I believe they worked closely with the research team (who is also based at UC Davis) to develop the test, so while it isn't to say that other test providers aren't also doing a good job, it is a general good idea to have the test performed by the team who discovered it, or who worked closely/collaborated, as they should be familiar with any technical challenges. They are also, I believe still working with breeders in furthering research for this disease, so they may be hoping to have a better idea of prevalence in the future, and perhaps addressing that unknown 25% aspect. (see reference below)
As for it being a mandatory test for breeding, I guess you mean the Kennel Club registered dogs? It is hard to know. I believe the test can have value, and that the researchers are providing most of the information needed to help with breeding decisions, but it is not as black and white as a classic autosomal recessive disease, with 100% penetrance. In an ideal world, a club might organize (or researchers might somehow support/collaborate) to test dogs randomly across the population, and get some idea of how common the mutation is. This would help them determine how to prioritize testing for this disease.
If pushed, I'd probably personally test for JADD, based on the potential welfare impact, and for contributing to further research. But, not at the expense of not doing hip scoring, or tests for the more common eye conditions.
I hope that helps!
New genetic mutations are being discovered all the time. It is important to consider why you are considering genetic testing, and to prioritize what is important for your dog’s welfare, and consider what is best for the breed/population as a whole.
When a test isn’t a straightforward “simple” inheritance, it may mean that you don’t have the full-picture of the disease and its inheritance. It can still be beneficial to test – you’ll get some information about your dog, you might want to incorporate it into breeding plans, and you’ll probably be contributing to the research – especially if you are engaging with the original test developers/researchers. But, these tests will not provide any yes or no answers.
If the inheritance is complex, or the test is still essentially in a research phase, you shouldn’t necessarily prioritize a new test over the conditions and concerns that are established in your breed. If you have limited resources, focusing on established DNA tests for common diseases in your breed, any clinical screening such as hips/elbows/eyes/hearts/etc., and breeding for soundness and behavior should be your first priorities.
References/Further reading and resources:
TWO NEW DNA BASED TESTS AVAILABLE FOR THE NSDTR Written by Danika Bannasch DVM PhD; Professor Department of Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis Published Spring 2012 Issue-Quacker. http://nsdtrc-usa.org/pdf_files/2012/Quakers-JADD-CP1-0512.pdf
UK-Based Breed Club, with Health resources: www.toller-club.co.uk
Assessment of welfare and brachycephalic obstructive airway syndrome signs in young, breeding age French Bulldogs and Pugs, using owner questionnaire, physical examination and walk tests
Authors: Aromaa, M; Lilja-Maula, L; Rajamäki, MM
Source: Animal Welfare, Volume 28, Number 3, August 2019, pp. 287-298(12)
Publisher: Universities Federation for Animal Welfare
- (Internal) Assessment of welfare and brachycephalic obstructive airway syndrome signs in young, breeding age French Bulldogs and Pugs, using owner questionnaire, physical examination and walk tests.pdf
Study based on Finnish data... Publication date: August 1, 2019
BOAS signs limit the daily activities of dogs - walk tests performance appears to be a more accurate reflection of tested dog's exercise tolerance than owner's perceptions.
"Only four out of 95 French Bulldog and Pug owners reported that the BOAS signs limited the daily activities of their dogs. However, according to the physical, examination-based veterinary BOAS grading, 31/95 of the dogs had moderate to severe BOAS signs. In both breeds, the more severely affected dogs performed both exercise tests more poorly than those with no or mild BOAS signs. The longer exercise, namely the 1,000-m test, seemed slightly better able at differentiating between affected dogs and less affected ones. The results of this study further support the use of exercise tests as an important part of the breeding selection in French Bulldogs and Pugs. By influencing the breed standards set by Kennel Clubs and by using breeding selection tools, the harmful impacts of brachycephaly can be diminished."
"By combining information from the physical BOAS assessment, namely the functional BOAS scale, nostril stenosis and exercise capacity, the breeder has the opportunity to make responsible breeding decisions related to BOAS."
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National Kennel Clubs are major stakeholders in the governance and regulation of dog breeding. As such, they have been the targets of major criticism related to dog health issues. It is therefore interesting to investigate to what extent health and welfare is a priority for kennel clubs (KCs), and what are the capacities and actions implemented to deal with those issues.
A survey was sent in 2017 to 40 KCs with 15 answers received from 11 European (Austria, Belgium, Denmark, France, Germany, Ireland, Latvia, The Netherlands, Norway, Sweden and the UK) and 4 non-European countries (Australia, Mexico, Uruguay, and the USA) aimed at describing and comparing information across countries in dog breed health management (Wang et al. 2018).
First, in order to determine the population of dogs under the responsibility of KC, the percentages of all dogs being registered as ‘pedigree’ dogs were estimated considering the 15 surveyed KCs, as well 35 other countries, using sources such as the FCI online statistics. Across countries, the average and median percentage of the entire dog population that were registered pedigree dogs, respectively was 20% and 14%. However, there was a large variation across countries, with European Nordic countries showing, in general, a larger proportion of pedigree dogs (see Figure 1). This aspect is of importance, since it is expected that the responsibility toward general dog health, as well as the capacity to improve the situation, relates to the proportion of dogs that are at least to some extent under the influence of the KCs.
When asked about the current challenges, KCs ranked exaggerated morphological features and inherited disorders as the most important issues, showing those two problems are now clearly identified as priorities (Figure 2). By contrast, issues such as economic constraints to breeding were rarely viewed as problematic for dog breeding. Kennel clubs also commented on challenges related to the difficulty to find balance between increased regulation and the risk of losing members; to achieve consensus and compliance of breeders and clubs toward breed health strategies; as well as lack of capacity regarding information provision and education.
Surveyed countries showed great diversity in terms of information management, implementation of breeding strategies, recommendations, requirement, restriction and tools. Most KCs indicated that information on genealogies, breed standards and dog shows were recorded in their data base for most, if not all breeds; however, health information (e.g. screening examinations, genetic tests) was more sparsely recorded and provided to the public, both for breeds within countries and across countries (Figure 3). For instance, KCs from Austria, Australia, Denmark, France, Germany, The Netherlands, Norway, the UK and the USA provided health information status on pedigrees and in online data bases, but in general, not all breeds were covered. When considering implementation of breeding strategies, six countries indicated that there were no breeding strategies implemented by any breed clubs, while in three countries (Austria, Sweden and the Netherlands) it was reported that each breed club had its breeding strategy.
Several countries indicated that they were planning to develop breeding tools and provide health information to users, and for instance, France and Belgium reported having ongoing work to develop tools to provide online pedigree with health information or estimate breeding values for complex disorders such as hip dysplasia.
Although limited by the relatively low number of countries considered, this survey showed that despite large differences in their approach to breeding policies and management, the awareness to improve breeding and health of pedigree dogs was strong among the surveyed Kennel Clubs. The dog breeding world is increasingly global in scope. The understanding of both the diversity of health initiatives and the potential for coordinated actions internationally is key to further efforts to promote dog health and welfare.
There is probably still a lot of progress to be made in term of information provision and collection, as well as planning breeding strategies considering dog health. In particular, finding a consensus in terms of constraints and priorities for breeding, is expected to be particularly challenging for Kennel Clubs and breed clubs in order to implement those strategies. Although the situations differ across countries, exchanges of experiences may surely help to find the most adequate solutions toward improvement of health and welfare.
Wang, S., Laloë, D., Missant, F. M., Malm, S., Lewis, T., Verrier, E., ... & Leroy, G. (2018). Breeding policies and management of pedigree dogs in 15 national kennel clubs. The Veterinary Journal. https://doi.org/10.1016/j.tvjl.2018.02.018
Brenda’s blog gave a great overview of the American Kennel Club National Parent Club Canine Health Conference we attended earlier this month in St. Louis, Missouri. I am grateful for the sponsorship from the Orthopedic Foundation for Animals provided to myself and the 31 other veterinary students in attendance.
This conference, like the 3rd International Dog Health Workshop, was an opportunity to learn more about cutting edge research that is improving dog health. Topics were varied and included tick borne disease, epilepsy, lymphoma, and reproductive health. It was exciting to see my Colorado State University (CSU) Immunology professor, Dr. Anne Avery, present on her lymphoma research.
Right: View from the top of the St. Louis Gateway Arch
After completing a CSU clinical orthopedics rotation a few weeks prior to the conference, it was especially interesting to hear what I had learned about Omega-3 fatty acids in my rotation be reiterated by presenter Dr. Wendy Baltzer from Massey University. Her Purina funded study described that a diet high in Omega-3 fatty acids post-surgical correction of cranial cruciate ligament disease is helpful and results in less progression of arthritis and lameness.
I’m am looking forward to graduation in 9 months and continued involvement in dog health. The opportunities I have received since first starting my IPFD project have been endless and I am very thankful for the DogWellNet.com community!
Left: Veterinary Student Attendees at the AKC National Parent Club Health Conference
Well, it's been 10 weeks... and I've learned quite a lot. I hope you have, too! As my project comes to an end, Nina and I wanted to give our viewers a big thank you. I hope you enjoyed this blog series and feel more confident about what your role is in solving antimicrobial resistance (AMR). We would also like to extend a huge thank you to the Skippy Frank Fund who sponsored this entire project, and a thank you to Dr. Jason Stull and Dr. Brenda Bonnett for being wonderful mentors every step of the way.
It is important to keep in mind that science is an ever-changing field that is constantly updated with new material. For example there's a new study that just came out suggesting that not finishing a course of antibiotics may not cause resistance, which is contrary to the current belief. Here is the link to this article if you would like to read more about it. Even though this blog is over, I hope that you continue your AMR education as new scientific data arises.
To complete my summer project, I have constructed a poster that I will be presenting at The Ohio State University College of Veterinary Medicine's Research Day.
Take a look!
Here is the downloadable PDF version:
Be sure to keep checking www.DogWellNet.com for more information on dog health and wellness!
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The Finnish Kennel Club (FKC) has finished the protocol and the instructions for fitness (walk) testing of breeding dogs in brachycephalic breeds. The test is similar to the one used by the Dutch Kennel Club.
Finnish test instructions have been developed by veterinarians doing research on BOAS. Their results concerning the Bulldog have already been published. The researchers are still continuing their research and testing Pugs and French Bulldogs, whose results will be published later.
According to the Finnish guidelines, a dog gets an approved walk test result if he/she walks 1000 meters in 12 minutes or less, and recovers sufficiently from the walk within the recovery time. In the future, it is also possible to have different time limits for different breeds. The test result is failed if
The FKC arranged the first pilot test in February, and the second pilot will be arranged in May. Also orientation for veterinarians will be held at that second pilot. After that, breed clubs are able to arrange the tests by their own. The tests have to be carried out in accordance with the FKC's Guideline for walk tests, in order to get the test result recorded in the FKC breeding database.
The FKC is following the development and use of different tests in other countries. It is also having close collaboration with the other Nordic Kennel Clubs on this subject. The aim is, in the long run, and with the help of accumulated experience, to develop the test further, to be as appropriate as possible.
All the information on the Finnish walk test can be found here.
The walk test is meant for short-muzzled (brachycephalic) breeds that have symptoms caused by upper respiratory tract disorders. These breeds include Pug, English Bulldog and French Bulldog. The dog's exercise tolerance and the ability to breathe normally are evaluated in the walk test and the clinical examination included in it. In the walk test, the dog must walk a certain distance in a defined maximum time and recover from the exercise within a defined time frame."
IPFD Board Member Dr. Patricia Olson was the keynote speaker at the Inaugural One Health Program at Midwestern University on October 8, 2015 (Downer’s Grove, Illinois).
Midwestern University also has one of the newest veterinary schools in the U.S. (Phoenix, Arizona). Physicians were paired with veterinarians to deliver lectures on obesity, pneumonia, osteochondritis dissecans and epilepsy. Dr. Olson’s lecture was on collaborative research, using the clues from animals to help advance both human and animal health/welfare.
See the pdf of her thought-provoking talk here:
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Recent EntriesLatest Entry
Once a year, in October, the SKK Breeding Committee organizes a weekend course for
breeding officials based on the book Dog breeding in theory and practice by Sofia Malm (SKK genetic expert) and Åsa Lindholm.
The Genetic Expert and The Breeding Consultant of the SKK Department for Breeding and Health are in charge of the course.
The aim is to give breed clubs education and tools they need to work with breeding plans and breed-specific strategies.
The contents of the course include basic genetics and guidance in how to conduct work at club level.
There’s also a certain amount of self-directed studies.
Every other year, in April, this education is held specifically directed to hunting dog breed clubs.
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On the podium:
1st : Meisterhaus Signet Higher'N Higer ; Breed: Basenji ; Owner: Lise DURLOT and Dimitri HEBERT ; Breeder: Brenda CASSELL and Tad BOOKS
2nd : Fall In Love Forest Ohara Of Bloom White ; Breed : Samoyede ; Owner: Mira MITKOVA ; Breeder: Elisabeth FAUCON
3rd : Eternal Drago Of Nordic Forest ; Breed : Siberian Husky ; Owner and breeder: Valérie CHARNEAU
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The contents of these blogs are for informational purposes only and represent the opinion of the author(s), and not that of the International Partnership for Dogs (IPFD). This is not intended to be a substitute for professional, expert or veterinarian advice, diagnosis, or treatment. We do not recommend or endorse any specific tests, providers, products, procedures, opinions, or other information that may be mentioned on, or linked to from these blogs.