Did You Know.... Puppy Vaccine Series are Age-Dependent?

One of the more frequent comment we hear from clients with new puppies:
She only needs one more puppy vaccine.  The breeder already gave her three 4-in-1 shots.

Even assuming those three 4-in-1 shots or DA2PP (DHPP) vaccines --- as the combination vaccine for distemper, adenovirus-2 (infectious hepatitis), parainfluenza, and parvovirus is commonly known --- were given every 3 weeks, the above comment is true only if the puppy is currently at least 14-16 weeks old.  If the breeder gave the vaccine at 6 weeks old then again at 8 weeks and 10 weeks (we usually recommend and follow a 3-4 weeks interval but it is not uncommon to see puppies coming in with 2 weeks intervals), that puppy would still need at least 2 more vaccines to complete the puppy series.  In this example, we would have postponed the vaccine until 3 weeks after the last one (puppy would be 13 weeks old then) and give the last of series 3 to 4 weeks after that (puppy would be 16-17 weeks old).  If there is a question about the puppy's immune status, we sometimes would give another one so that the puppy's last of series vaccine would be at 5 months of age.  Why?  Because even though we know that maternal antibodies are gone from most puppies immune system by 4 months of age, some puppies may take up to 5 months of age.

Maternal antibodies protect puppies (and kittens) from diseases that their immature immune system are not able to handle.  However, the presence of maternal antibodies also prevent puppies from producing their own antibodies.  Maternal antibodies neutralize or inactivate the vaccines (virus) before the puppy's immune system has a chance to "see" the virus to produce his own antibodies.  If we stop the vaccine series when maternal antibodies are still present and the puppy is later exposed to the virus (most commonly parvovirus) after maternal antibodies are gone, the puppy, not having adequate appropriate antibodies of his own, will succumb to the infection.  It is no surprise then that parvo infection is often seen in unvaccinated (or incompletely vaccinated) puppies around 14 to 24 weeks old.

An 8-weeks old puppy that will receive three DA2PP (DHPP) vaccines, one given every 3-4 weeks (ending at 15-16 weeks old), will likely have adequate protection.  So would a 15-weeks old puppy with two DA2PP (DHPP) vaccines, one given every 3-4 weeks (ending at 18-19 weeks of age).  However, not that we recommend this, a 6-weeks old puppy that will receive four DA2PP (DHPP) vaccines, one given every 2 weeks (ending at 12 weeks old) may not have adequate protection. 

Bottom line, it does not matter if the puppy received two, three, or even four DA2PP vaccines already.  What matters is the time interval and when that last one was given.

For more information on vaccines, please visit Vaccine FAQ and General Information and 2006 AAHA Canine Vaccines Guidelines, Revised.

Timing of vaccines is only one aspect of the vaccine protocol.  Add to that, the different vaccines, the pet's lifestyle, health status and risk exposure and you can see why the best vaccine protocol is one that is tailored to your pet's needs.

Clinic Beautification Underway

You know what they say about the best laid plans.... 

We took advantage of our 3-days "weekend" to have the building painted (yes, the graffiti on the posts are going --- unless new ones appear before the paint dry).  The plan was to have the front part painted and ready for us to re-open tomorrow morning.  The crew will continue to work on the side of the building and in the back lot.  That way, our clients will still have access to our office and the noise (and fumes) exposure to the patients will be minimized.

As it turns out, some additional work is needed on the wooden beams in front of the clinic.  Hence, the paint crew may be working up front tomorrow.  Clients should still be able to access our parking lot and front door.  Even though we have asked the crew to reserve the noisiest work for the times when patients are not around, the clinic environment will surely be unusually chaotic this week.  Please have your dogs on short leashes to keep them from rubbing against any "Wet Paint" areas.  Cats should be safely confined in carriers, even while in the lobby, as sudden noises may startle them.

 

Over the years, we strive to provide quality personal care for our clients and patients.  Much of our efforts were focused on medicine and service, our inner beauty.  It is past time for us to work on our exterior and physical structures to better reflect the pride we have in our practice.

Please excuse any inconvenience arising from our clinic beautification project.  We greatly appreciate your patience and support.

Notes and Thoughts on Gopnik's "Dog Story."

August 8th's The New Yorker magazine has an article titled “Dog Story,” by Adam Gopnik, that examines the complex bond we have with our canine companions. “Dog Story” begins with the author’s persistent daughter (April) lobbying her reluctant parents into purchasing a Havanese puppy. Although Gopnik is an avowed dog-phobic (the result of a dog bite he suffered as a youth), “Butterscotch” quickly becomes a part of the Gopniks’ family. Butterscotch spurs the author’s interest to investigate the allure of the canine species further.



What Mr. Gopnik discovers is that in important ways our views about our closest companions disagree. Worse, not only is there often no consensus, there is often dispute. Even when it comes to the origin of the species itself, (what he calls “dog history”), there is disagreement. When and why did dogs break apart from their wild, wolf brethren and become domesticated? Did dogs begin their domestication as our allies, helping early man hunt, or did they originate as dependents of us from the beginning, scavenging in packs for our throwaways in much the same way as dogs do now in developing countries?

The range of stories such as the two above, Gopnik argues, demonstrates a key facet of our relationship with our companions - that part of our attraction to them is the stories we tell about them. Just as Butterscotch loves certain types of music, many (most?) of us proclaim our companions to have complex emotions (including jealousy, hope, anxiety, guilt and even depression, for example), and behaviors. As examples of myth-making Gopnik cites Millan's (the dog whisperer) pack-animal theories of dog behavior and Grogan’s (the author of the celebrated book “Marley & Me”) portrait of the all-sympathetic dog. At the other extreme we tell stories that try explain those behaviors in mechanical, instinctual terms. Gopnik cites Horowitz, the author of “Inside of a Dog: What Dogs See, Smell and Know,” who argues that characteristics we frequently attribute to our canine companions, such as the complex emotions mentioned above, are illusory projections of our own emotions.



To explain, Gopnik describes how Butterscotch sits by the door before their daughter (April) comes home from school. One explanation of this behavior may be that Butterscotch likes April’s companionship, and looks forward to it. But another competing theory may reduce this behavior by arguing that Butterscotch sits by the door all afternoon because she associates that behavior with food stimulus (treats that April often gives her). Under this theory, dogs are the ultimate scam artists: we provide them with food stimulus, and they provide us with the illusion of love. Both competing theories describe the same empirical phenomena, but which one is true? For us dog lovers the second theory is very difficult to accept - could our entire set of beliefs about our canine companions be illusory mirages that disappear upon further examination?



Perhaps we should assume there is some virtue in attempting to navigate towards an Aristotelian middle-course. Indeed, as Gopnik notes we can find a little bit of breathing room in the middle if we remember that while we could also reduce inter-human accounts in the above manner (for example turn love for a partner into disguised sexual appetite and love of our children into a desire to continue our genetic pools) for the most part, in our everyday lives and transactions with each other we don’t.

In fact, many of us already attempt this “middle course.” Gopnik argues the advocacy for animal liberation that Rudy argues for in “Toward a New Animal Advocacy” seems extreme to most of us. At the other extreme, beating a dog or starving it because it doesn't have feelings like ours also seems extreme to most of us. Indeed we seem to naturally favor a moderate view.

Besides, we can reach consensus in certain key respects: we can all certainly agree that our study of dogs is in its infancy. The tensions in the accounts above certainly provide evidence of that. In addition, we can all appreciate that the human-canine bond is rare, and perhaps unique in nature. While there countless intra-species relationships, the human-canine bond is unique in that it’s so familiar to most of us, yet, as the above discussion points out, remains shrouded in mystery. Difficult as it may be, we continue to try to peer into our companions’ souls.

“Dog Story” touches me personally as well; like the author I too had a dog phobia that also began from

a German shepherd bite in my youth. Now, having shared my life with a canine, I also can attest to the warmth, joy, and love that can only come from having experienced dog-ownership. (R.I.P. Mousey, I love you.)

This brings me to a final point, that dog-ownership is one of those experiences that, like child-birth or falling in love, just isn't translatable in verbal terms. The warmth you get when your companion is always around you, the pleasure of a simple game of fetch, the heartbreak when you say your final goodbyes - they're all necessarily experiential. You can describe the experience of owning, loving, and caring for a dog, but no matter how good your description, it doesn't come close to the experience itself.

Gopnik’s article is thought provoking and interesting. It is well-written and well-researched; I highly recommend it. It is in the August 8th issue of The New Yorker. The issue is about $6; alternatively you can sign up for a free trial of the magazine and get free access to the article online at newyorker.com.

Website Update

We've finally managed to complete a task long planned - a small but we hope useful update to our website, thefamilyvet.net.

We've eliminated all use of flash on the site, reduced file sizes for all pages and simplified navigation options. We also eliminated the need to visit a secondary site (alas, thefamilyvet.mobi links will no longer work) for prescription requests and echeck-ins.

Our primary objective was to make the site easier to access and use from most mobile devices, including iPhones, iPads, and BlackBerries and Android phones, while retaining its core functionality. So go ahead, visit our site and submit a prescription request, check-in before your visit, or check-out our twitter feed or our blog -- it's now faster and easier than ever!

Preparing for Google Calendar Appointment Requests

Last month, Google introduced appointment slots in Google Calendar.  We plan to add this feature as an alternative way for clients to request appointments.  We currently offer to schedule appointments via email but, as you can imagine, if the initial offered / requested time is not acceptable, it can result in a lot of back-and-forth emails.  Appointment slots in Google Calendar appears to be a promising feature that will make online appointment request more efficient.  All appointments are requests only until we confirm them with you either via email, phone call, or Google Calendar confirmation.  More details will be posted later when we start implementing this feature.

We are posting this brief tutorial prior to introducing our Google Calendar appointment request option to help prepare our clients who may not be familiar with Google Calendar.  You need a Google account to access our appointment slots in Google Calendar.

If you do not have a Google account, you can easily create one:

Click on image to enlarge

Once you have an account, we need to set up Notifications for your Calendar.  From your Gmail page, you can access your Calendar from the menu bar:

Click on image to enlarge

A list of your calendars is located on the left side of the screen.  If you are new to Calendar, you probably will only have the one calendar that is defaulted to your email address.  You can change the name of the calendar in the settings but, for the purpose of this tutorial, we will skip all that and just do the Notifications.  Access Notifications either through the Settings option or right-click on the arrow.

Setting up Notifications (click on image to enlarge).


Then select the Notifications tab to continue with your settings.

Notifications (click on image to enlarge)

In Notifications, you can select reminder options.  If you are new to Calendar and/or do not already have a reminder preference, we recommend at least email notifications for all new or changed invitations ("appointment requests").

Email Notifications (click on image to enlarge)

Save your changes.
Once you have that set up, you will receive email notifications regarding invitations or appointment requests later.

Email Notifications (click on image to enlarge)

That's it.  You are all set to take advantage of our online appointment request feature later.
We hope we included the details needed to help those not familiar with Google Calendar prepare for the Appointment Slots feature.  Let us know if you need further assistance.  We will post additional information once we start the online appointment request option.