Book Review: Pet Food Politics: The Chihuahua in the Coal Mine by Marion Nestle

"Pet Food Politics: The Chihuahua in the Coal Mine" by Marion Nestle (no relation to the food company) examines the causes, details, and fall-out from the pet food recall of 2007. What were the causes that led to the recall? What lessons were learned? Finally, what measures, if any, were taken to prevent future similar episodes?

Many pet owners remember that beginning in March 2007, many major pet food manufacturers began recalling popular lines of pet diets. Iams, Eukanuba, and Blue Buffalo were among the many popular brands of dog and cat food that were pulled from the shelves of grocery stores, pet stores, and veterinary offices. Anger and confusion set in among many pet owners, as foods that had been promoted as safe and healthy for our companions were removed and considered possibly dangerous. Understandably, many pet owners felt betrayed and lost trust in pet food manufacturers. Worst of all, many dogs and cats lost their lives from eating contaminated product.

Pet Food Politics begins by tracing the roots and causes of the recall. Many pet food companies, as it turns out, outsource the manufacturing of their pet foods to a pet food manufacturer. The manufacturer produces the foods in accordance with the companies'  manufacturing specifications (the "recipes," so to speak). By producing many companies' pet foods, a manufacturer (such as Menu Foods) can take advantage of economies of scale to purchase ingredients for less and consolidate production to usually produce the foods at a cheaper cost than the pet food companies could do on their own. (Thus, at least up until the recall, many  of the "high end" foods including varieties of Science Diet, Royal Canin, and Natural Balance were made by the same manufacturer that made low-cost competitors such as Walmart's Old Roy.)

Like many other products, many pet food ingredients such as wheat gluten are often available for less overseas. Menu Foods purchased its wheat gluten from Chinese companies. Oftentimes, food manufacturers find it easier to deal with a "go-between" or broker, that specializes in obtaining the low-cost overseas products for them rather than dealing with the ingredients' producers themselves. One of these companies, ChemNutra, provided Menu Foods with wheat flour that had melamine added to make it appear as the much more expensive wheat gluten.

Shortly after the food recall was first announced, Cornell researchers discovered that elevated melamine was common to the foods in the ill and dying patients. They remained perplexed however, as the only research available on melamine (all old, out of date studies), showed that it was dangerous only at much higher levels. It took a few more weeks for veterinarians at UC Davis to discover that, when mixed with the compound cyanuric acid, melamine was dangerous even at much lower doses.

As alarming as the background behind the recalls is, Nestle also details corporations quick to claim innocence and denial. All of the major players denied responsibility and tried to shift blame to others. Consider that at one point or another:

-Menu Foods blamed ChemNutra for the laced wheat "gluten" it used.
-ChemNutra claimed innocence, and stated they were only "brokers" and were never owners of the product themselves.
-Xuzhou Anying ("owners" of the product that ChemNutra provided Menu Foods), stated that they too, didn't actually manufacture product, only purchased it themselves from 25 manufacturers throughout China. Even worse, Xuzhou Anying officials were at one point quoted as stating "The poisoning of American pets has nothing to do with China."

Sadly, neither Nestle nor the FDA were able to find the actual manufacturers of the laced product, and, given the complexities of our food supply, are unlikely to ever do so.

I strongly recommend Pet Food Politics. It's part mystery, part drama, and part tragedy. It tells of a mystery illness that seemingly came out of nowhere to claim hundreds, maybe thousands, of lives. It details the drama of veterinarians, universities, pet food companies, and an understaffed FDA racing to find a cause. The tragedy is not without its villains (you'll have to read it to see who were the most egregious offenders) and its heroes: Nestle singles out the pet food maker Castor and Polluck's, the San Francisco based pet store Pet Express, and Internet journalists for being open and proactive during at the height of the crisis. (The FDA, severely underfunded and under tremendous pressure from the public, journalists, and pet food companies, also comes across fairly well.) Finally, it's a cautionary tale: Nestle details the major reforms that are needed in the way we deal with food production, both for pets and humans, if we're to avoid future episodes. And, given the interconnections of our food supply, one that can't simply be solved by avoiding pet foods altogether.

Lesson Learned and Office Closing Wed 3/28/12

Let's start with what may be inconvenient news to our clients - - -
Our Office is Closed Tomorrow, Wed 3/28/12

Elias will check phone messages and emails throughout the day.  He will help you as much as he is able but most messages may have to wait until I get back in the office Thursday.

I am scheduled for an ear surgery tomorrow morning.  I understood it was an outpatient procedure.  A couple hours to recover from anesthesia then I should be fine to go home.

Those of you who had surgery, or experienced it with family members, can probably already see the mistake(s) I made.

I have done countless surgeries on our patients but have never been on the receiving end myself.  Unbeknownst to me, in human medicine, outpatient surgery just mean I would not be admitted in hospital - - -  not that it would be a quick procedure under sedation or "light anesthesia."  I had thought I'll miss tomorrow morning but will be back in the office in the afternoon to at least answer emails and calls.  Fortunately, I called the nurse to confirm the surgery details yesterday.  She could not answer my questions so the surgeon called me today.  To be honest, the nurses were probably getting annoyed by all my questions - - -  it was my third call in as many weeks.
The bottom line is I cannot work at all tomorrow so the office will be closed. 

The nurses were nice and tried to answer my questions the times I called in preparation for the surgery.  They just were not clear on my concerns and I just did not know enough to ask the right questions.

The experience made me realize the same thing can happen to our clients and patients.  Most of our procedures are routine and familiar to clients with previous pets.  But there are clients who may be going through the procedures for the first time with their pets.  And just as with my (in)experience, they may not know what to ask to prepare for their pets before and after a procedure, especially a surgery.

We always end our instructions to our clients with "Let us know if you have any questions or concerns."  But this experience reminds me to continue to make an effort to understand the pet's home environment to help anticipate potential issues.

I am sure I'll have more learning moments in the days ahead....

Another Saturday at The Family Vet (Part 2)

Another Saturday at The Family Vet (Continued from part 1...)

 The pit puppy had a large bone stuck in the back of his mouth! Suddenly, as if aggravated by Dr. Tran's exam, he  struggled vigorously against Elisabeth's restraint in an effort to paw at his mouth again and again. He was clearly in discomfort and the situation, while not a medical emergency per se, nevertheless demanded immediate action. Dr. Tran administered a combination drug to sedate the thrashing panicked pit bull.
 Mindful that a sedated patient can still chomp down on her fingers, Dr. Tran carefully extracted the marrow bone that was wedged around the upper molar.  Even though the bone had punctured the gingiva and caused an open wound, the tooth itself appeared undamaged.  The wound was flushed and antibiotic and pain medication were administered.  A much more comfortable pit puppy soon recovered from the sedation and was once again wagging his happy tail. Throughout the procedure we remained in awe of the pit's happy attitude.

Hoover
The next day we received a welcome update from Hoover's owner; he was much more himself and was continuing to improve. The owner kept lamenting that she had given Hoover a carrot; we recommended, as we generally do, that it's a good idea to check with your veterinarian before altering your pet's diet, and that if you do, it's best to monitor him or her for at least the first few times to make sure they're tolerating the change.  Most dogs would not have any problems with some carrots.  Hoover just happened to be sensitive to it, or his hyperactivity prior to eating chunks of carrots upset his stomach. Regardless, she had the right instinct in calling us and bringing him in (even though it was "just one vomit"), thereby preventing a possibly serious situation from occurring.

When she finally picked up the pit (now named "Harry"), his new owner was surprised to see him so clean. Dr. Tran and Jon had taken the time to give Harry a much needed sponge bath. The swelling on the right side of his face, and the redness in his eye, were both already nearly gone. Now much cleaner, well-fed, and having that bone taken out (and gotten lots of hugs, love and affection throughout) Harry's experience was a reminder to all: NEVER give your pet bones --- unless you are willing to accept the consequences which may include intestinal perforation, obstruction, fractured teeth, gastroenteritis, and, as in Harry's case, a bone wedged around your tooth.

Harry

Sadly, two-and-a-half weeks after we found her abandoned in an empty tissue box in the parking lot, the orphan puppy died this past Saturday morning. Her's, Harry's, and Hoover's experiences reminds us of the frailty of life, and of the responsibility and commitment that comes with accepting a companion into our lives.

Another Saturday at The Family Vet

Saturday February 18th had already been shaping up to be a busy day, as we had a solidly booked schedule. Additionally Dr. Tran already had her hands full - for the past two weeks she has been living in 4 hour shifts, nursing a tiny puppy only a few days old. If you've ever cared for day-old orphan puppies you're familiar with the procedure: stop whatever you're doing every 4 hours and make sure the puppies are sufficiently fed, stimulated for defecation and urination and finally get cleaned up and re-situated in clean, warm and comfortable bedding. So, when you're asleep in the middle of the night and the four hours are up, you get up; when you go to a restaurant for a Saturday night dinner and the four hours are up, you stop your meal, and take the puppy out so she can have hers first. It's an exhausting, demanding responsibility.

Compounding this, late morning we received a call from a client: her puppy (a cute 3-month old Mini-Schnauzer mix named "Hoover") had vomited and was now lethargic, just laying around and not moving. Wisely, the owner followed our instructions and brought the Hoover in for us to observe him.

Just a few minutes after that, (and still in the middle of our full schedule) another client came in with a pit bull puppy she had just found roaming the streets. The puppy was in terrible shape: he had a gash in his ear, and was soiled in urine and feces. Most concerning of all he had some discharge and redness from his right eye and the right side of his face was swollen. Despite the mess he was in and the obvious lack of care he had received the puppy was happy and in good spirits, wagging his tail and eagerly seeking out my hand for a few strokes of affection. It was a reassuring yet heart breaking scene all at once. In addition, the puppy had already caught a lucky break, as the client had decided to keep him. Because we were already so over-capacity and because she had decided to adopt him,  I offered, and the client agreed, to let us keep the "Pit" overnight, so that we could address his health issues the next day.

When Hoover came in I immediately commended the client for bringing him in. Although he had only vomited once, he was clearly in bad shape: he was alert but very lethargic. Small breed puppies that are weakened can be slow to eat and become even dangerously weaker still, potentially developing a condition called hypoglycemia that can lead to seizures.  The client offered her hypothesis of what could've gone wrong: this morning she had given him 2 small pieces of carrot for the first time. Dr. Tran treated Hoover for hypoglycemia and gastroenteritis, and throughout the afternoon he made slow but steady improvement.


Pit
By now, late in the day and long after our closing hours, (and right after the orphan puppy's third feeding), we had a chance to speak with Pit's new "owner." Although we hadn't noticed it while he was here, she casually mentioned to us that he was scratching at his right eye; she thought that's what had caused his eye to be red. Dr. Tran decided to examine him after-hours instead of waiting for the next day. She wanted to make sure the apparent eye discomfort was not due to something in his eye.  If we didn't find a foreign body, (in simpler terms, "something stuck in his eye"), we would, at least, place an e-collar on him to keep him from doing further damage to his eye.  What she found shocked her and the weary staff.... (to be continued....)

"Thank You for Calling The Family Vet"


"Thank you for calling The Family Vet."

Elias repeats that appreciation countless times during a workday.  It is also what you hear at the start of our voicemail greeting.  For me, it is "Thank you for holding" when I come onto the phone.  So many thank yous uttered through the day may seem by rote and people tend to not hear it after a while.  Odd isn't it, that this is one of the times when repeating an idea often enough may not make people think it's true?  On the contrary, the sentiment's sincerity declines the more it is repeated until it is only regarded as a polite greeting.

Why am I mulling over our phone greeting this Thanksgiving morning?  I was reflecting on my blessings and saw how many of them are related to The Family Vet.  That made me wonder if our clients know how much we appreciate them.  Our clients and patients are part of our family.  As with any family, there's a danger of taking things for granted and (wrongly) assuming that, of course, they know how much they're appreciated.

Thanksgiving Day reminds me to slow down and take the opportunity to make sure the people who matters --- you --- know how much you are appreciated and that you top my list of "I am thankful for..."

I am thankful for...
  • Clients who trust and believe in what we do at The Family Vet.  I know that our different approach to patient care requires active participation from our clients at times, and may not be a good fit for everyone.
  • A wonderful supportive team that put up with my idiosyncrasies and is just as dedicated as I am to providing quality care to our clients and patients.  They are not just employees, but also co-workers, friends, and part of my extended family and support network.
  • A family who supports and loves me even when they sometimes look at me and wonder if there was a baby switcheroo after my birth.  They have long learned and accepted that "office hours" are not the same as my work hours and "closed for the holiday" does not mean I do not go to work.
  • My own pets for somehow understanding that my spending more time with other people's pets does not mean I love them any less.
  • And I am most thankful for patients who continue to surprise me with their trust and cooperation.  It never ceases to amaze me how most cats and dogs will allow us to hold them still for procedures -- from collecting blood to cleaning their ears.  Their innate trust in people humbles me.  Their resilience and remarkable healing ability are miraculous at times.  And I hope to never forget how fortunate I am to be surrounded by them and work with them every day. 
To all our clients and friends, near and far,

 Happy Thanksgiving!

 

May this be a great start to your holiday season.