Glucose monitoring is a necessary, but difficult, part of caring for a diabetic pet.  Timing is important.  You have to prick your pet (sometimes more than once), then you have to get the info to your vet.  Glucose curves are often needed to help your vet interpret a pet’s response to insulin therapy.  This either means a stressful day in the hospital for the pet or an owner’s time commitment to prick their pet at least 8- 12 times (once an hour!).  Yuck!   Well, GOOD NEWS FOR PARENTS OF DIABETIC PETS!

Continuous glucose monitoring  for pets has arrived! Continuous Glucose monitoring system for diabetic pets is here

  • No pricking your pet’s lip, pads, or ears!
  • Get a Blood glucose curve at home, every day, for up to 14 consecutive days!
  • Glucose curves are Better than at home or in the hospital: Blood glucose is measured every MINUTE, averaged and recorded every 15 minutes, for 14 days!
  • Cost effective: a single sensor that can read 14 days of hourly blood glucoses costs about the same as a single 8 hour curve in the hospital with only 4-6 blood glucose samples
  • Stress free– no stress factor to adversely affect the glucose readings!

 

The Freestyle Libre for dogs and cats has been used innumerable times by Board Certified veterinary internists with terrific success!

Internists are recommending applying a sensor whenever:

  • A pet’s blood glucose readings aren’t “making sense”
  • Every 3-4 months when owners don’t want to do blood glucose monitoring at home
  • Whenever a pet’s Frucotsamine levels aren’t well managed
  • To get control of newly diagnosed diabetics

 

How Does It Work?

FreeStyle Libre is easy and comfortable for petsYou will be prescribed a FreeStyle Libre Reader (seems to work better than the cell phone app, according to recent comparative studies) and a Sensor.  Your veterinarian will shave and clean an appropriate location on your pet’s body to place the sensor.  The sensor is placed with its special applicator device.  The sensor will be bandaged to your pet. Then, your will wear a jacket, shirt or harness for the next 2 weeks to protect the sensor.

The sensor reads the glucose level in the interstitial tissue, rather than a direct blood glucose.  This is fine since there is only a lag of about 15 minutes between the  amount of glucose in the blood and the amount in the fluid between cells, the “interstitium”.

shirts protect your pet's continuous glucose monitoring device

The Sensor stores Glucose readings for 8 hours, so you have to read the sensor with it’s Reader at least every 8 hours for the time that the sensor remains in place.  IF you miss the 8 hour window, there will be a little gap in the data.  However, in the big picture of 14 days worth of data, it’s not super significant.  You will then download the data to your pet’s account on the LibreView website (your vet will help you with that), so your vet can analyze it.

The biggest challenge with animals is that they don’t always leave the sensors alone, hence the post-insertion bandage and dressing.   If a pet dislodges the sensor, as long as you have at least 12 hours of data, you’ve gotten better results than a standard old-fashioned glucose curve for the same price, so no worries!

Here’s a video of the application process

If you are interested in Continuous Glucose Monitoring in your cat or dog (or have a friend with a diabetic pet), please ask your veterinarian!

  If you (or your friends) are local in Tucson, please feel free to call us at 520-886-1125!

 

Starting Monday, May 17, 2021, we will be opening our doors to our Pet Parents again!

 

The CDC, the United States’ leading authority in science- based COVID-19 recommendations has said: “Fully vaccinated people can resume activities without wearing a mask or physically distancing, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.”

Even so, there are still things that we all need to consider to hold onto the progress we’ve made against Covid:

  1. How long will our vaccinated immunity last?
  2. How well will the vaccine protect us against emerging variants?
  3. Not everyone is vaccinated or completely vaccinated, so their risk is still high.

 

We, at Cimarron AH, feel that it is our responsibility, as health care workers and participants in the OneHealth collaborative, to continue to support disease control, especially in the face of Covid-19 uncertainties.   So, we will be practicing the same intensive contagious disease control for humans as we do for animals throughout the clinic:

  • Wiping down high touch areas in the lobby and exam rooms frequently.
  • Limiting the number of people in the clinic to avoid crowding.
  • We may not hug you or shake your hand as we used to do.  Or if we do, we may disinfect afterwards.  Don’t be offended!  It just means that we wanted to make the human connection, but still had to be safe!

“I’d rather shake hands and disinfect than not shake your hand at all!  This elbow touching is just not the same!” ~ Dr Bohnke

  • Checking people out in the exam room and sending you out the “bat exit”, rather than through the lobby

 

We will continue to offer Curbside and Drop-off appointments as sooo many of our clients have come to find those options so convenient. Just let us know whether you would like Curbside, Drop-Off or an In-Person exam for your pet’s visit!

**If you are NOT vaccinated, we still recommend you take advantage of our Curbside service- for Your protection- as we can’t really social distance across pets during exams and even vaccinated people can carry the virus.  

If you choose an In-Person visit, we ask our clients to respect our support of the big picture of world health (cuz who, better than vets, do you want watching after YOUR Herd Immunity?).

  • Please notify us that you are at the clinic by calling us at 886-1125 or Texting  us on our PetPro Connect App (download it to your phone now!) so we can manage the flow of people through the clinic. We will call you or escort you into the clinic when it’s time for your pet’s visit.
  • Please check in with the Client Service Rep at the front desk to have your temperature taken.
  • Apply some hand sanitizer, available at the front desk.
  • Please wear a mask the whole time you are in the clinic.  This is especially important if you’re standing close to your pet during its examination. (It’s hard to social distance across a chihuahua! lol!)

“Your mask protects me. Your vaccine protects you.”

We are looking forward to meeting all the new Pet Parents that have brought their pets into us this last year!  And, of course, we are so anxious to rekindle the close bonds that we have with so many of our established clients.  We’ve missed you!  It’ll be good to SEE you again!

Cimarron's new App is available!It’s a new, better way of communicating with us!

PetPro Connect is your phone app to get in touch!

 

  • Two-way texting let’s us get your texts and respond to them directly!
  • Notify us of your arrival at the clinic-
    • for your pet’s Curbside or dropoff visit
    • have your pet food or prescriptions delivered to your car! (we have people hired to do just that!   It’s no trouble!  Avoid the stairs and sun!)
  • Re-order your pet’s prescriptions
  • Request Appointments
  • See, send or print your pet’s vaccination history
  • Print a medications list for your pet sitter!

It’s super easy.  If you can download it from the your App Store on your phone, you can use it!

Download from the Apple StoreFree on Google Play Store

We have a new, improved App! ” It’s so easy to use, even I figured it out in a jiff!”- Dr Deb Bohnke

Cimarron's new App is available!

  • Request Appointments
  • Request and pay for prescriptions!
  • Text us!
    • Text us when you get to the clinic for your pet’s Curbside Appointment
    • Text when you get to the parking lot and we’ll bring your pet’s food or medications right to your car!
    • Text when arrive to drop your pet off for a procedure.  (If you’ve filled out your paperwork online, it’s a *SNAP*!)
    • Got a question?  Text!
  • Video Teleconferences available with your vet for rechecks, post ops and behavior consults– cheaper than an office call
    • Perfect veterinary visits for anxious pets!
  • Download, view, share your pet’s medical history at your fingertips
    • Perfect for dogsitters, boarding and grooming facilities

We can’t wait for everyone to get signed up!!

Free from the Apple StoreFree on Google Play Store

Takethe "pet' out of Petrified with Happy Visits at the vet!

“Happy Visits” at the Vet take the “pet” out of Petrified!

Vet Visits can be stressful for pets and their owners.  In fact, it can be so bad that some owners just don’t bring their pets in at all- at least not until there is a dire condition! If your dog or cat freaks out about going to the vet, you should ask them if they encourage “Happy Visits”.  “Happy Visits” are all about fun. No thermometers or needles! No toenail trims or [other offensive things we do to pets]!   Just Fun, Love, Petting and Treats! or Balls!  Whatever makes them happiest!   The next time exam will be so much easier after a few (or a half dozen, depending on your pet) “Happy Visits”.  They don’t have to be a big deal or take a lot of time out of your day: 5 or 10 minutes is all!  Maybe 15 minutes if your pet is having a REALLY good time!

“Happy Visits” are best scheduled during quieter hours of the day around the vet clinic.  Call your vet to see what time would work best.

For Dogs:

Bring their most favorite thing(s)- treats, balls, frisbees, toys.  At our clinic, we will play with your pet all over the clinic, getting him used to the environment and us!  When it’s time for his next medical visit, you can bring all his comfort things with him and it won’t be half so bad!

Click HERE to learn some tips for Fear Free vet visits for dogs

For Cats:

We keep things a little more low-key for cats.  They get to start in our Fear Free Cat exam room.  The air is filled with subtle anxiety-relieving “happy kitty” pheromones.  Classical music encourages relaxation.  The carrier is opened so the kitty can come out when she’s ready.  Treats and/or catnip are placed around the room to encourage exploration.

Click HERE for our tips on Getting your kitty to Vet with less stress

Happy Visits at the vet take the "Pet" out of Petrified

Here’s a great article that really explains even more!

 

 

Arthritis in cats is a very common condition!

Cat arthritis happens in over 40% of cats! 

90% of cats over the age of 12 years have radiographic signs of osteoarthritis!

If your cat is 7 years of age or older, it PROBABLY has arthritis!  But what can you do about it?

MULTI-MODAL ARTHRITIS TREATMENT FOR CATS INCLUDES:

Environmental Modification

Make it easier to get around.  Provide ramps or steps to favorite high perches.  Use low-sided litter boxes to ease and encourage use. Put the food and water on the floor.

Dietary modulation/ Nutraceuticals

Omega 3 fatty acids– Rx- strength EPA fraction is anti-inflammatory for everything in the body!  Rx foods are available with the omega 3s supplemented.

Disease Modifying Medications

Adequan(R) -(not FDA approved for use in cats but safe and effective)- Adequan provides strong anti-oxidants to the joints, improves the viscosity or “slipperiness” of joint fluid, and can even heal cartilage!

Weight loss if required

Trying to haul 30% or more extra body weight around, esp to the top of the table or counter or favorite perch is hard on the joints!  Absorbing the impact of that extra weight when you jump down is painful!  Maintaining a healthy weight goes a long way toward easing pain and enhancing mobility when you have arthritis!

Physical therapy

Massage and range of motion exercises aren’t for every cat, but can be helpful to those that tolerate them!

OK.. maybe more like this:

Exercise

Train your kitty to walk on a harness or play to get moving. Joints stay more flexible and less painful with just a little movement throughout the day.

Pain Management 

NSAIDs (Non-Steroidal AntiInflammatorieS) MUST be managed under the direction of a vet and NEVER give human medicines!  Human NSAIDs are toxic to cats!  There are a couple of veterinary NSAIDS that are labeled for long-term use in cats in other countries, just not the US.  This makes US veterinarians a little leary about prescribing them.  Used cautiously, however, NSAIDs can be a terrific help to cats who have not responded to the above recommendations.

Gabapentin is a medication used in the human world for “neuropathic pain”.  It is the most commonly used pain medication for cats because of it’s safety and efficacy.  While you might think “well, arthritis is not “nerve pain”, you might be surprised to learn that recent studies HAVE found a neuropathic component to arthritis pain!  It doesn’t help all the pain, but can help a lot of it!

Opiods can be used in cats to relieve pain of all kinds.  They have to be carefully dosed and prescribed by a vet.

On the Horizon: Anti- Nerve Growth Factor monoclonal antibody medication

It’s not available yet, but it’s in development and very exciting!

Click Here to learn more

Your cat is “slowing down”:

  • Doesn’t run with enthusiasm any more
  • Slower to catch moving objects
  • Less interest in playing
  • Hesitant to jump up
  • Pulls herself to get up, rather than making a clean jump up
  • Pauses on the stairs going up or down
  • Walk up stairs instead of bounding
  • Hides more or sleeps more, rather than exploring

These are all subtle signs of pain in cats!

40% of all cats show signs of Arthritis! 

90% of cats over the age of 12 years have radiographic signs of arthritis— whether they are showing signs or not!  That’s nearly TWICE the number of dogs with arthritis in the same age group.

Yet, dogs are very often treated for arthritis and aging cats are rarely treated!  Why do cats get neglected so?  Because we humans are so bad at recognizing the subtle signs of discomfort in cats and they are masters of hiding weakness and pain until the very late stages!  We need to do better for our beloved kitten companions!

What about your cat?

Watch this video to see signs of arthritis in cats

If you think your cat might be showing ANY of these signs of arthritis,
Fill out this survey and email it to your vet to get your kitty the help she deserves!  (You can also email to us for our opinion on next steps!)

Here is a great blog by one of the world leaders in cat and dog arthritis pain relief (sorry it is Big Pharma, but what they are saying is legit).

We are developing more and more arthritis treatments for cats, so it’s worth exploring with your vet!  Does your cat have arthritis and what can you do about it to help your kitty be active and happy throughout his Senior years!

COVID-19, human coronavirus not contagious from pets, but you still need to protect them if you get sick.

Many people are still worried about the relationship between COVID-19 and their pets.  This  new virus has us changing our game plan weekly, it seems.  But this is what we know so far:

 

 

THE FACTS:

  • Cats and Dogs can (rarely) naturally contract the COVID-Sars-2 virus. They rarely get sick, but it they do, it has been mild and self-resolving
  • Minks (and therefore, presumably Ferrets– although *I couldn’t find any professional references to pet ferrets/ COVID-19*) can naturally contract and become symptomatic with COVID-19.  Minks have developed respiratory signs AND gastrointestinal disease. Some died.  This demonstrated that they were able to pass the disease amongst themselves.
  • In the LABORATORY setting (where research animals have been super infected), cats, ferrets and hamsters have been found to pass the virus to animals of the SAME species.
  • Domesticated animals (as far as we know to date) canNOT transfer COVID-19 directly to humans.
  • It does not seem that pets from COVID-19 households can transfer the virus to a human.

RECOMMENDATIONS FOR PET PARENTS WHO BECOME SICK WITH COVID-19

  • Stay away from your pets, especially your ferrets (whose genetic lineage seems to more seriously affected).  Sorry no snuggling while you are feeling lousy in bed. 🙁
  • Have someone else in the family care for the pets, if possible.   If that’s not possible, wear a mask and gloves while tending to your pet.  Avoid petting or intimate contact.  Keep them out of your quarantine room/ bedroom.  Consider asking a friend to care for your pet while you are ill.

For more detailed information, please see the CDC’s Page on COVID-19 and Animals

 

 

George before his dental treatmentWatch George’s dental treatment video  Here

 

 

Ever wonder what all goes into a  dental treatment?  This video shows you a “Basic Dental Treatment” at Cimarron. (Most dogs don’t get George’s super cool neck wrap, but dogs with neck problems do!)

 

 

Have you wondered why  pet dental treatments cost so much?  When you watch George’s dental treatment video, you will see all the equipment it takes to anesthetize George, monitor him, x-ray, clean and p

 

olish his teeth.  George  didn’t even need extractions or periodontal treatments which take longer and utilize even more equipment!  A dental treatment without extractions in a dog George’s size (about 35 pounds) takes about one and a half to two hours from setup to tear down and cleaning/ sterilizing all of the equipment. That’s with about 3 people working on the project!  That’s a lot of manpower and a lot of detail to ensure not only the patient we are working on stays safe, but the next patient we treat will be safe too!

 

Telemedicine consults for pets, telehealth consults for pets, virtual vet visits

Mr Weasley does Telemed consults too!

Cimarron Animal Hospital is now offering  Telehealth Consults (also called Telemedicine)- Virtual Veterinary Health Care –  for our patients!  While there is a fee, it’s still less expensive for you AND less stressful for your pet!  They are a nice way to do recheck exams- when the Doctor doesn’t need to lay hands on the pet.  We can communicate through Skype, Face Time or Phone.

Our Doctors do have to have a “valid Veterinary-Client-Patient Relationship” to be able to do Telehealth Consults.  The Doctor participating in the virtual care communication needs to have seen a patient, in person, within at least a year. They need to be intimately knowledgeable of the pet’s current medical condition and have established a relationship with members of the pet’s family.  If any of those factors is not in place, a Telehealth Consult is not appropriate.

Some examples of how we might use Telehealth Consults:

          • Allergy rechecks  ($25.00)
          • Diet and Medication change rechecks/ consults  ($25.00)
          • Behavioral Consults ($40.00)

Create a Skype account if you don’t have FaceTime/ iphone.

Call us if you would like more information about our Virtual Veterinary Health Care options!  520 886-1125

To see other new services, click here