Newsletter
The veterinarians and staff at the Bronx Veterinary Center are pleased to provide you with an online newsletter. This fun and fact-filled newsletter is updated on a regular basis.
Included in the newsletter are articles pertaining to pet care, information on our animal hospital, as well as news on the latest trends and discoveries in veterinary medicine.
Please enjoy the newsletter!
Current Newsletter Topics
Older cats have special health needs and may require more attention and care than younger kitties. The aging process varies between species - if you own a senior dog, your cat may not be considered a senior, even if they are the same age! You should consider your cat a senior around 10 years of age. As your cat ages, changes occur in his physical condition that warrant more frequent visits to the veterinarian. If medical problems are recognized and treated when they are first detected, the treatment may be easier for your cat and less costly for you. Twice-a-year wellness examinations are recommended in order to diagnose medical problems during the early stages.

A geriatric exam is more extensive than a simple check-up and includes a complete physical exam, oral and rectal examinations and a recording of body weight and body condition. The veterinarian will also examine your cat's ears, eyes and various internal organs. Some laboratory work may be done, including a complete blood count, urinalysis, fecal exam and perhaps endocrine blood tests and other complementary examinations. Establishing a base line is an added benefit and can ultimately help, should there be any changes, even small ones, to your cat's health.
As cats grow older, their organs may become less efficient and they may be less resistant to infections and other diseases. As a responsible cat owner, you want your cat to remain healthy and active for as long as possible. It is important to be aware of any condition that may warrant our attention.
General Tips for Your Aging Cat
Diet - There are several reasons why a special diet may be needed for an elderly cat. He or she may be less active than a younger kitty and, therefore, may require fewer calories. The digestive organs may become less efficient in digestion and absorption, and a highly digestible diet may be more appropriate. Phosphorus and protein content may need to be decreased if your cat has kidney problems. Under certain circumstances, the vitamin and mineral needs of an elderly cat may change as he or she ages. Some of the special senior feline diets have mineral and vitamin content carefully adjusted to help provide the appropriate balance for elderly pets, especially those with failing kidney or heart functions.
Joints - As your cat ages, joint pain and stiffness may develop. This may mean that your cat becomes less active and his or her energy level may decrease. Your cat may become tired more easily and want to nap more often. Muscle tone tends to reduce, which may further reduce your cat's ability to run, jump and climb. This decrease in muscle tone and exercise also contributes to the stiffening of joints.
Senses - Hearing, sight and smell can all become less acute with age and you may need to make allowances for these changes. Watch these changes. Unfortunately, hearing aids and contact lenses still have yet to be fit for cats! Be cognizant of indications of impaired sight, such as bumping into furniture, or loss of hearing, such as if your cat stops reacting to its name or familiar sounds. Eye infections, cataracts, decreased night vision, or even blindness is common; however, these can also be symptoms of a larger problem.
Dental - Older cats are more likely to develop tooth and gum conditions. If your cat has sore gums or loose teeth, he or she may be reluctant to eat, or it may cause food to drop out of his or her mouth. Gum disease not only leads to loss of teeth, but can also cause heart and kidney infections if bacteria enter the bloodstream through enflammed gums. Examine your cat's mouth regularly and ask us for advice if the teeth or gums do not look healthy.
Urinary - Urinary incontinence or inappropriate urination is common in an aging cat. Inappropriate urination may also be the result of a urinary tract disorder, prostate problem or symptomatic of a larger problem. Changes to your cat's litter or litter box location may also trigger urinary issues. Consult our veterinary staff if your cat suddenly becomes incontinent or begins to urinate more frequently.
Behavior - As your cat ages, his or her behavior may change significantly. You might interpret this as simple aging, but it actually might be due to a treatable geriatric disease like cognitive dysfunction. Some typical signs include confusion, disorientation, decreased activity, changes in the sleep/wake cycle, loss of litter box training, or signs which suggest a decrease in your cat's interest in, or ability to interact with, his or her environment or with you.

Kidneys - Excessive thirst and frequent or uncontrolled urination are often signs of kidney problems or diabetes. Since the kidneys process and eliminate waste products into the urine, it is important that these organs remain healthy. If your cat's kidneys are not functioning properly, your vet may recommend a diet specially designed for kidney problems. These diets contain a low phosphorus level, to slow down the progression of the disease, and a lower protein level to reduce the build up of harmful waste products in the blood.
Coat - As cats get older, their temperature sensitivity increases because their coats are often poor and not as resistant to temperature changes. Tolerance of cold temperatures and wet conditions decreases, and the need for a dry, draft-free, sleeping area is a priority. If your cat does go outside, do not leave him or her outside for long periods of time in cold or wet weather. In hot and humid weather, use air conditioning and/or fans to help keep your cat cool.
Grooming - Provide regular grooming. This helps to remove dead hair and prevent hair balls that may cause vomiting or intestinal impaction. Grooming also gives you a chance to inspect your cat for parasites, skin disorders and unusual lumps or lesions that may require our attention. Besides the health benefits, many older cats enjoy the extra physical contact!
Even if your cat seems perfectly healthy, regular geriatric check-ups are important to manage many of the changes associated with aging. Cats over seven years of age should have a veterinary examination twice a year. A complete geriatric health maintenance program can provide a means to target age-related health problems, institute preventive health care measures, and detect any disorders early enough to provide appropriate medical treatment. Cats can be the most rewarding when they reach middle or old age; they know you, have a special routine, and have spent years as a companion to you. Maintaining the health of your aging kitty is a part of your mutually beneficial relationship and can provide both of you with many more years of love and companionship.
Looking at the results of laboratory tests done on your pet can be very confusing, overwhelming and at times, even frightening. As your pet's care giver, it is important for you to have a general understanding of laboratory tests and what their results mean. This information can be valuable when it comes to deciding medical treatment options that are important as well as available for your pet.
Generally, in order to conduct a test, a sample of your pet's blood and/or urine is collected. Once collected, it can be stored in various kinds of tubes to help preserve the sample and provide the laboratory technicians with a clean specimen.
Blood Cell Counting
So what does it mean when your veterinarian says she needs to run some blood work on your pet? Blood work (pre-surgical or otherwise) is usually a combination of a complete blood count (CBC) and a blood chemical analysis. Blood work is a basic evaluation tool. It also helps your veterinarian diagnose a pet's disease or monitor the progression of a disease.
The cellular elements of the blood are examined in the CBC. The CBC determines the number of erythrocytes (red blood cells), the number and type of leukocytes (white blood cells), the number of thrombocytes (platelets), the hemoglobin level and the hematocrit (packed cell volume or PCV). Erythrocytes carry oxygen throughout the body. Leukocytes fight infection and are part of the immune system. There are actually five different types of white blood cells: neutrophils, lymphocytes, basophils, eosinophils, and monocytes. Platelets are clotting proteins and can indicated how fast your pet's blood cans; slow clotting can be a serious problem. A CBC can tell your veterinarian if your pet has an unusual number of red blood cells, white cells or platelets. The numerical values for these cells can indicate if your pet's health is improving or deteriorating.
The results of a chemistry panel can indicate how well your pet's kidney and liver are functioning and the level of electrolytes in the blood. Blood chemistries are run on the fluid portion of the blood sample, not the cells in the blood. The chemistry panel usually includes the following tests, though there can be more: alkaline phosphatase (SAP, ALP), alanine transaminase (ALT), blirubin total (T Bili), blood urea nitrogen (BUN), creatinine and creatinine kinase (CK, CPK), sodium, potassium, glucose, total protein, and albumin. Alkaline phospatase, alanine transaminase, bilirubin, and albumin give your veterinarian information about your pet's liver function. Blood urea nitrogen, creatinine and creatinine kinase give your veterinarian some insight as to how well your pet's kidneys are functioning.

Below are descriptions of each indicator and what an abnormal result could possibly mean. Please note that an isolated abnormal value may not indicate a problem.
Alkaline phosphatase: Used extensively as a tumor marker, it is also present with liver injury, bone injury, pregnancy, or skeletal growth (elevated values). Growing animals have normally higher levels of this enzyme. Low levels are sometimes found in protein deficiency, malnutrition and a number of vitamin deficiencies.
Alanine transaminase: Increased levels are seen in liver damage, kidney infection, chemical pollutants, or myocardial infarction.
Bilirubin (total): Elevated in liver disease, hemolytic anemia, low levels of exposure to the sun and toxic effects to some drugs. Decreased levels are seen in people with an inefficient liver, excessive fat digestion, and possibly a diet low in nitrogen bearing foods.
Blood urea nitrogen: Increases can be caused by excessive protein intake, kidney damage, certain drugs, low fluid intake, intestinal bleeding, exercise, or heart failure. Decreased levels may be due to a poor diet, malabsorption, liver damage, or low nitrogen intake.
Creatinine: Low levels are sometimes seen in kidney damage, protein starvation, liver disease, or pregnancy. Elevated levels are sometimes seen in kidney disease due to the kidneys job of excreting creatinine, muscle degeneration, and some drugs involved in impairment of kidney function.
Glucose: Elevated in diabetes, liver disease, obesity, and pancreatitis due to steroid medications, or during stress. Low levels may be indicative of liver disease, overproduction of insulin, or hypothyroidism.
Total protein: Decreased levels may be due to poor nutrition, liver disease, malabsorption, diarrhea, or severe burns. Increased levels are seen in lupus, liver disease, chronic infections, leukemia, etc.
Albumin: High levels are rarely seen and are primarily due to dehydration. Low levels are seen in poor diets, diarrhea, fever, infection, liver disease, inadequate iron intake, third-degree burns and edemas, and hypocalcemia.

In addition to a blood test, your veterinarian may ask for a urine sample to run a urinalysis. A urinalysis can provide information about several organ systems. The concentration, color, clarity, and mircroscopic examination of the urine sample can help your veterinarian diagnose certain health problems in your pet. Urine may be obtained by catching a sample during normal urination, by passing a catheter into the bladder or by placing a small needle through the body wall into the bladder, a procedure called cystocentesis. Depending upon why the urine sample is being collected, one collection method may be preferred over another.
Color - Urine color will vary between species, but it is normally some shade of yellow depending on the concentration. Abnormal color changes in the urine could be due to drugs, increased urinary pigments or red blood cells. Occasionally, unusual colors may be caused by dyes associated with food or drugs.
Clarity - Urine is normally transparent. In small animals, turbidity or the lack of clarity, suggests the presence of cells, casts, or crystals. Often refrigeration will cause the sedimentation of crystals in the urine, producing a cloudy appearance. This is usually of no significance.
Odor - Urine has a characteristic smell that varies slightly by species and concentration of the sample. A particularly foul odor may occur in the presence of bacteria. Thus, strong smelling urine is common in cases of infection. Sweet smelling urine can also indicate abnormal renal function so it is always important to note any strong odor associated with your pet's urine.
pH - Urine pH will be affected by many things including the diet, handling of the sample, and acid-base balance of your pet. An alkaline pH is most indicative of an infection. Normal pH is between 6 and 8 for most animals depending on their diet.
Glucose - In the normal animal there should not be glucose in the urine. If glucose is present, it is a classic response to hyperglycemia and should instigate an investigation into the possibility of diabetes in the patient.
Ketones - In the normal animal there will be no ketones in the urine. An animal that is undergoing fat metabolism or is deficient in carbohydrates will have ketones in the urine. Ketones may also be found in the urine of malnourished animals or those with diabetes.
Sedimentation - Urine sedimentation may contain cells, casts and crystals and is examined microscopically after centrifugation of the urine sample. A very small amount of all of the above mentioned sediments is normal. Concern begins when any of these components is significantly elevated.
Protein - Finding protein in the urine can be a difficult assessment. Concentrated urine can contain small amounts of proteins. Protein in your pet's urine is generally caused by inflammation, hemorrhage or protein losing kidney disease.
Blood - There should never be blood in the urine of a normal animal. Collection methods could cause blood to appear in the urine but other causes include infection, neoplasia, or trauma.
You may have heard the saying, "You own a dog but you feed a cat." It is true that cats value their independence a bit more than their canine counterparts. If you've ever been around cats, you already know they crave and require love and companionship. Cats make wonderful pets and most easily adjust to a variety of lifestyles and living spaces. Every cat is a true individual though, so it's important to take the time to choose a four-footed friend who's right for you. A cat's personality, age and appearance, as well as the kinds of pets you already have at home, are all things you should keep in mind when making your selection.

Consider Adopting A Cat
If you've ever been to a shelter, you have probably noticed that some cats meow and head butt the cage door while others simply lie back and gaze at you with a look of total ambiguity. There are as many different personalities of cats as there are cats in the shelter. Which disposition is best for you? YOU have to decide.
Regardless of individual personality, look for a cat that is playful, active, alert, and comfortable while being held. At the shelter, ask an adoption counselor for assistance when you wish to spend some time with individual cats. Because they are in an unfamiliar environment, some cats that are usually quite social may be frightened or passive while in the shelter.
As a general rule, kittens are curious, playful, and full of energy, while adult cats are more relaxed and less mischievous. Kittens also require more time to train and feed. Cats are only kittens for a few months, though, so the age of the cat you adopt should really depend on the level of maturity you are looking for. Young children usually don't have the maturity to handle kittens responsibly, so a cat that is at least four months old is probably the best choice for homes with young children.

They All May Be Cute, But Which Is Right For You?
Though dogs also have differences in coat, choosing the length of coat on a cat is a little different. Because the hair is generally finer and cats generally shed more, hair length can be an important part of your decision. Cats can have long, fluffy coats or short, dense fur, and the choice between the two is chiefly a matter of preference, availability, and your willingness to devote time to regular grooming. Short-haired cats are generally easier to come by since they're the most popular and the most common. Keep in mind that long-haired cats require frequent grooming to remain mat-free. Felines with short coats also require brushing, though less frequently. Most cats enjoy a regular brushing and look forward to this daily ritual.
If you already own a cat or dog, you're probably wondering how easy it is to add a cat to the family. The good news is that cats can get along with other cats, and despite the common stereotype, most dogs can get along with cats too! Unfortunately, introducing a new cat to a home with other pets can be time consuming and require patience on your part.
The best way to handle adding a new cat to the home is to provide time for a period of adjustment. You can do this effectively by isolating your new feline in a room of his own for a while, something that is a good idea for a new cat anyway. After several days, supervise meetings between the animals for periods of increasing length. Most cats will soon learn to accept each other. Some dogs simply won't tolerate the presence of a cat, but by carefully introducing them, most problems can be solved.

Most Pets Will Accept Each Other Over Time With Supervised Meetings
No matter which kind of cat you choose, remember that you're making a commitment to love and care for your new feline friend for his or her lifetime. That could mean 10, 15 or even 20 years! So choose you new companion carefully and be a responsible pet owner. In no time at all you'll know how wonderful sharing your home with a cat can be.
On July 30, Procter & Gamble Pet Care division expanded its July 25 pet food recall to include additional veterinary formulas and some specialized Eukanuba dry pet food products as a precautionary measure. The original recall, just five days earlier, involved Iams feline renal dry food formulas. Although no illnesses have been reported, the possibility of salmonella contamination prompted P&G to recall the following dry pet food brands:
-- Iams Veterinary Dry Formulas: All dry sizes and varieties, “Best Buy” dates: 01Jul10 - 01Dec11; All UPC Codes
-- Eukanuba Naturally Wild: All dry sizes and varieties, “Best Buy” dates: 01Jul10 - 01Dec11; All UPC Codes
-- Eukanuba Pure: All dry sizes and varieties, “Best Buy” dates: 01Jul10 - 01Dec11; All UPC Codes
-- Eukanuba Custom Care Sensitive Skin: All dry sizes, “Best Buy” dates: 01Jul10 - 01Dec11; All UPC Codes
These products are manufactured in one specialized facility where testing by the Food and Drug Administration detected salmonella. As a precaution, P&G is recalling the products voluntarily in cooperation with the FDA. The contamination is limited to this facility, but affects all the products listed above.
Consumers who purchased the specific dry pet foods listed should discard them. People handling dry pet food can become infected with salmonella, especially if they have not thoroughly washed their hands after touching the products or containers. Salmonella can also be transferred to surfaces in contact with the products.
Pets infected with salmonella may have decreased appetite, fever and abdominal pain. Left untreated, pets may become lethargic and develop diarrhea or bloody diarrhea, fever and vomiting. Even healthy pets can become carriers and infect other animals or humans.
Consumers may receive product refunds by calling Procter & Gamble toll-free at 877-340-8823.
The starting point for a healthy litter of puppies is a healthy, active bitch. It is important to have vaccination and de-worming programs updated before the bitch is mated. Heartworm prevention should be continued throughout her pregnancy.
About a month after the breeding, a veterinarian can conduct a pregnancy exam. False pregnancy, a physiological condition in which the bitch displays all the signs of pregnancy, except having puppies in her uterus, can fool owners and lead to undue anxiety.
Nutritionally, everything a bitch needs for the duration of pregnancy is in a good quality, balanced, commercial (not generic) dog food. Large doses of supplemental minerals or vitamins may only unbalance a balanced diet.
During the first six weeks of the pregnancy, it is recommended to feed the usual pre-pregnancy maintenance diet. The mother's caloric requirements don't increase dramatically until the last three weeks of pregnancy. During this time, the pups grow significantly in size and the nutritional requirements increase proportionately. This increase in food continues during the first three weeks after delivery, when she is producing the most milk. You should gradually increase her daily food over this six-week period from the maintenance quantity to three times that amount.
Set up a whelping area early so that the mother has time to become comfortable. A whelping box should be big enough for the bitch to stretch out and turn around, bedded with sheets or towels that can be easily cleaned, and located in a quiet, secluded, draft-free area.
The bitch's rectal temperature indicates when she is about to whelp. A dog's normal temperature is 101 or 102. In late pregnancy, it runs below normal, around 100. Within 24 hours before delivery, it drops to 97 or 98. Toward the end of the pregnancy, the dog's abdomen balloons out, her mammary glands enlarge and may drip milk, and she displays nesting behavior. However, the only sure sign of impending labor is the drop in rectal temperature. It is recommended to take the bitch's temperature twice a day (always at the same time each day) so as not to miss it.
Labor begins with contractions of the abdominal muscles and uterus. The amniotic sac protrudes, followed by a pup and placental membranes. Puppies are generally born in pairs, maybe 15 minutes apart, followed by a rest period that lasts up to an hour or, in large litters, even longer. The mother may take a break and walk around during this rest time.
Each pup is delivered enclosed in an amniotic sac that the mother breaks open. The mother then chews the umbilical cord and cleans the pup. The placenta is delivered with or right after each puppy. The bitch often eats the placenta, but it is not necessary for her to do so and can cause vomiting and diarrhea. The mother also licks the pups' bottom in order to stimulate urination and defecation. If the bitch does not do these things, you should get the pup out of the amniotic sac (so it can breath), tie off (one inch from the body) and cut the umbilical cord, dry the pup, disinfect the navel, and let the pup nurse. Use a warm wet hand towel to lightly stroke the pup's anal and genital areas in order to stimulate urination and defecation.
Any of the following conditions call for veterinary assistance in delivery:
- The rectal temperature drops and labor does not begin within 24 hours
- The temperature does not drop within a week after the due date
- Labor contractions continue for more than 30 minutes without producing a pup
- All the pups are not delivered within 24 to 36 hours of labor
- There is not a placenta delivered with each puppy.
Healthy puppies nurse right away and then every few hours. The pups must nurse from their mother within 12 hours of birth to receive colostrum (antibodies against disease). After 12 hours, their stomachs do not absorb antibodies. After this first 12 hours, if the mother does not have enough milk, or if her litter is too large, the pups' diet can be supplemented with commercial puppy milk replacement. Cow's milk is nutritionally inadequate for puppies.
Supplemental heat should only be used for orphan puppies if the room's temperature is too cold for the mother's comfort. A newborn pup can't generate body heat until it develops the shiver reflex; this occurs at about two and half weeks of age. Orphan pups need an environmental temperature of about 97 degrees the first week, in the mid 80s the second week, then in the 70s. If the mother is there to keep the pups warm, high temperatures are unnecessary and make her uncomfortable.
Good health can be monitored by weighing the pups every day. A healthy pup's weight increases daily. A sick pup does not gain weight but can lose weight. Weight loss is generally the first sign of illness. Good health can be maintained by disinfecting the pups' navels with half-strength tincture of iodine a couple times a day until it dries up and falls off. The most common cause of puppy death is infection via the belly button.
Within a day of delivery, the bitch should be taken to the veterinarian for an examination. The examination is to make sure that there are no remaining puppies and to make sure that all placental remnants are expelled from the uterus. Normal vaginal discharge can last for two to three weeks.
Good planning is the key to having healthy puppies. Most bitches whelp without a problem. However, when a problem occurs, time is very critical. Plan in advance with your veterinarian and discuss emergency and after-hours procedures.
Cats are well-known for their independence and resistance to doing as they're told. Training a cat to do most anything is a difficult task, but according to a new study, cats are masters at training their people. A study in the latest issue of Current Biology found that cats use a unique purr - a sort of cry or meowing sound combined with the purr you might hear while petting your cat - to prod humans into feeding them or giving them attention.

Loud meowing might not get a cat what he or she wants, according to Karen McComb of the University of Sussex, one of the study's authors. But insistent purring - which McComb called "solicitation purring" - sends a kind of subliminal message that taps into a person's nurturing instincts, McComb said. The solicitation purr contains a high-pitched sound that somewhat resembles an infant's cry, which is part of the reason why humans can't help but rush to meet their feline friend's desires.
McComb's own cat, which wakes her up in the mornings with a prodding purr, inspired the study. After talking with other cat owners, she found that other felines use a similar tactic when craving food or attention. To identify the purr that cats use, McComb's study team had cat owners record their cat's cries (the researchers found early on that cats did not use solicitation purring when strangers were present). The cries were then played back and humans were asked to judge the cries based on urgency and pleasantness.
"We found that the crucial factor determining the urgency and pleasantness ratings that purrs received was an unusual high-frequency element - reminiscent of a cry or meow - embedded within the naturally low-pitched purr," McComb said. "Human participants in our experiments judged purrs with high levels of this element to be particularly urgent and unpleasant." When the high-pitched sound was removed from the solicitation purr and played back for the human test subjects, they reported the purr was less urgent.

Not all cats use this purr, according to McComb; however, some use it exceedingly well and might "dramatically exaggerate it when it proves effective," she said. Most often, the insistent purr is used in smaller households where a cat is likely to have a close relationship with his or her owner. When other cats or many people are present, McComb believes cats find a regular old meow to be the best way to get noticed.
While the phenomenon of solicitation purring may be news to scientists, cat owners have always known the old saying is true - dogs may have masters, but cats have servants.
An exercise partner makes hitting the gym and staying active fun, and a new study by the University of Missouri College of Veterinary Medicine found that your dog may be the best exercise partner of all!
The study found that people who walk dogs exercise more consistently and show more improvement than people who walk with a human exercise partner. The study, conducted by the Research Center for Human-Animal Interaction (ReCHAI) at the University of Missouri College of Veterinary Medicine, focused on 54 older adults at an assisted living home. Of the participants, 35 were asked to walk five days a week for 12 weeks (the remaining 19 functioned as a control group). Among the walkers, 23 elected to walk with a friend or spouse; the other 12 partnered with a dog from a local animal shelter for the daily walks.

According to the researchers, those walking with dogs exercised more consistently than walkers with human partners. Rebecca A. Johnson, the director of the research institute, said that human partners often discouraged each other from exercise. However, the prospect of walking with a dog encouraged the other participants in the study to walk each day, she said.
Dog walkers also showed improvement in their physical mobility: the study found that walking speed among dog walkers increased by 28 percent, while walking speed among human walkers increased only by 4 percent. According to Johnson, by the end of the study, dog-walkers also were able to rely less on canes and walkers to help them get around.
A previous study conducted by ReCHAI found that when people are responsible for walking a dog, they exercise more and lose more weight - one ReCHAI study group lost an average of 14 pounds in one year, according to Johnson.
With obesity rates on the rise for both people and pets, regular exercise benefits both you and your canine companion. If you need to shed a few extra pounds, or simply need a nudge to get outside and be active, look to your dog for help. After all, he or she will never say no to a walk!

