Sunday, July 14, 2019

Cola’s Casa: Surrounded by Puppy Love ~ Tara, Veterinary Nurse

A lot of people already know that pet sitting is a big part of my life. I came across this hobby of mine about two years ago. I was looking to make a little extra spending money but was not in the position to get a second job on top of working full time as a veterinary nurse. I tried everything from having yard sales that would bring in money but not be long lasting, to thinking of things I could make and sell (which did not work because I am not crafty in the slightest). 

One day, out of the blue, my sister sent me a link to an app made for pet sitters and helping them find clients. Once I investigated the logistics of the app, I was very interested in pursuing this option. Two years later, I have a strong list of clients, some of whom I have gotten to know and have become great friends with. 

I have welcomed a number of dogs (and even a couple of cats) into my home to stay with me while their owners go out of town, and I have also stayed at some client’s homes when I can as well. I named my little business “Cola’s Casa” after my dog, Cola, who is as much a host to these new visitors as I am. Along with learning each pet’s schedules and habits, Cola and I have learned much more from having this business.

I have learned how to manage my time better because of the pets that must go out or have medications at different times of the day. I have learned the proper way to introduce two dogs together in a different home environment. I’ve learned that no matter how a dog acts in its home environment, it will most likely act completely different in other environments, whether it is more nervous, excited, or even a little aggressive. It has also taught me about Cola and his little quirks with other dogs. 

I have said a number of times that I don’t know what I would do without pet sitting. This is true financially, but also true because it keeps me on my toes; I have met so many great pets and their people. I cannot imagine coming home and not having a house full of sweet pups (and the occasional kitty friend). 





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Saturday, June 15, 2019

Summer: Is Your Dog Overheating? ~Julie, Practice Manager


The hot days of Summer will soon be approaching, and we need to be aware of the signs and symptoms of overheating in our pets. By understanding how our dogs keep cool, we can ensure that they do not overheat, and we can enjoy those dog days of Summer to the fullest. 

When dogs get hot, they do not sweat the way that we do. Sweating to us is a cooling mechanism; however, dogs cool themselves by panting and breathing. When dogs pant, the air passing over the saliva in their mouths helps them cool down. The lining of the dog's lungs also serves as an evaporative surface, kind of like our skin when we sweat. Blood vessels in their face, ears, and feet can expand, also helping to dispel heat from the body. The normal temperature in a dog is between 100.2 and 102.8 Fahrenheit. When a dog's cooling mechanism is overwhelmed, the body may not be able to cool itself adequately, thereby causing overheating. 

Signs & Symptoms: What to Do?

Your pet may be overheating if there is excessive panting and breathing, collapsing or convulsing, bright red or blue gums, vomiting, or diarrhea.

1.)   Immediately bring your pet in out of the heat.

2.)   Alert your veterinarian.

3.)   Run a COOL shower on your pet, especially to the back of the head and neck.

4.)   If getting your pet in the shower or inside is not practical, use a garden hose to cool the dog or place them in a pool of cool water. 

5.)   Use a small bag of frozen vegetables applied to the head to help lower the body temperature.

6.)   Massage the legs (this helps with circulation and reduces the risk of shock).

7.)   Offer cool water and add a pinch of salt to the water bowl, as this will help replace the minerals lost through excessive panting.


When It’s Just Too Hot!

                     Air Temp 770             Asphalt Temp 1250
                     Air Temp 860             Asphalt Temp 1350
                     Air Temp 870             Asphalt Temp 1430


How do you know when it’s too hot to take your pet for a walk? The 5-10 second hand rule can be used. If you cannot hold your hand or foot on a walking surface for a complete 5-10 seconds, then it is too hot for your pet. Something to keep in mind when venturing out with your pet during the hotter part of the day is that ground temperature is hotter than air temperature. Being a better radiator than air, the ground is able to cool more quickly. Shortly after sunset, the earth’s surface is slightly cooler than the air directly above. 

Which surfaces are the hottest? Some synthetic materials, asphalt, brick, concrete, and sand are five of the hottest surfaces that retain more heat than others. Sand is often forgotten because we associate sand with beaches. If you have ever walked on the beach barefoot on a hot, cloudless day, you know how scorching the beach sand can be. 

Walking your pets on these surfaces when the temperatures are extreme can also lead to pad burns. If the pads are extremely burned, blisters can occur. Signs of a burned pad also include licking, chewing, a red or pink hue on the pad, or even limping and not wanting to move. Cool down the feet with cold water or apply a cold pack or compress, and take your pet to the veterinarian if the pads are burned. Treatment may include antibiotics to combat possible infection, and the pads may need bandaging until they heal. 

Armed with the knowledge of how to recognize overheating and how to respond to it (or avoid it in the first place), you can have a safe and fun-filled Summer with your four-legged friend.   

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Sunday, May 12, 2019

Looking for Treats? ~ Amber, Receptionist

A huge question that we get from new dog owners is regarding what chews and treats are safe to give. Whether you are using treats to train your puppy or using them to keep them occupied for a while, (puppy teething is always so fun) you want to make sure that you are giving them something healthy.

Many treats are high in calories and are not supplying your new puppy with any added nutrients. When we got our puppy last winter, I was constantly trying new treats and chews to keep him occupied and happy through his teething. I was always driving to different pet stores in search of healthy treats that were also good for him.

Since he is a larger breed, he destroyed many toys in minutes, and there was always that worry of him eating something he shouldn’t. After doing a lot of digging around on the internet for what other people were buying, I stumbled across a brand called Real Dog box. 

They are a small company based out of San Diego that makes air dried treats and chews for dogs. They locally source all of their treats, so you are always getting the freshest meats for your dog. The best part is that they will mail the treats and chews right to your home! You can sign up for four different size packages that will arrive every four weeks. 

One of the boxes is designed for those in search of treats to help with training and promoting good behavior, as well keeping your dog busy and giving you some free time. For my dog, who is now a fifty-pound lab mix, I get the treat and chew box. 





With this box, you get three bags of chews and three bags of fresh treats. This box includes six to seven pounds of fresh meat and seafood that is air dried. This means you are getting 100% single ingredient treats. 


This is super awesome for dogs that have allergies, which usually makes finding treats more difficult. If you do have a dog that has a chicken or fish allergy, you can customize your box’s plan to reflect your dog’s dietary restrictions. Along with the treats, they include cards that explain what each treat is made out of and all of the benefits that it entails.



A big reason why I love this company so much and recommend it to a lot of our clients is their customer service. With many subscription boxes on the market, it is hard to find one that truly customizes for you. If I ever need to add extra treats or get a box shipped sooner, they are always willing to accommodate.  You can even text their help desk and talk to one of their employees right away. If you ever receive a treat that you are not 100% happy with, they are always willing to ship you a new treat in your next box at no cost.

An added bonus with this company is how much information they put out to the public. If you look them up on Instagram, their page is loaded with awesome options and ideas to try with your dog. They have built such an awesome community of people who have their dog on raw food, a mix of kibble and raw, or people who just like to create awesome homemade treats. As someone who feeds her dog dry kibble usually (working full time makes it hard to make fresh food), I find their blogs and videos super helpful on how to add great supplementary nutrition to my dog’s diet.

One of the most amazing things that their Instagram showcases is how great their chews are for removing plaque from your dog’s teeth. Many owners let their dogs have bones and antlers for a daily chew. These can cause a lot of wear and damage on your dog’s teeth, and they can also splinter and be swallowed, resulting in dangerous intestinal blockages. Our office sees numerous amounts of broken and chipped teeth that are caused by these hard chews. The chews that you get from Real Dog are soft enough to not hurt your dog’s teeth, but they will last long enough to keep them busy and help maintain dental health in the process.

If you are someone who is a first-time dog owner, or if you are someone just looking to add healthy beneficial treats in your dog’s diet, I highly recommend Real Dog Box. If you decide you want to try out their treats, they will give you half off your first box, and they will even throw in a free bag of treats if you use me as a referral. Just message them at help@real.dog and let them know that Amber Gaudreau sent you! 😊


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Wednesday, April 17, 2019

Canine Atopic Dermatitis ~ David Kleisch, DVM, MBA

Spring time. Warmer weather, longer days, and gorgeous blooms. Living in North Carolina, we typically group all of these wonderful things with the all too common “allergies”. Everyone knows someone who exhibits allergies, and they are driven by a little substance called the allergen.

Allergens are typical harmless substances that are capable of triggering a response of the immune system, and that response can result in an allergic reaction. For you and me, that can be manifested as itching, sneezing, watering of the eyes, stuffy nose, and then the coughing/sneezing. For our canine companions, allergies are typically manifested as skin irritation and dermatitis, triggering an over-active immune system and called “Canine Atopic Dermatitis”.
Atopic dermatitis in dogs (AKA allergic dermatitis or canine atopy) is a hypersensitivity or over-reaction to any variety of commonplace and otherwise harmless substances in the environment. These allergens can range from environmental plant pollens, to house hold dust mites, storage mites, or mold spores. Most allergic dogs begin to show signs between one and three years of age, but the age is not specific to the patients.
Presenting Clinical Signs

Atopic dogs will scratch, chew, lick, or rub areas of the body such as their paws, face, and rear end. They can have recurrent skin or ear inflammation and typically have secondary skin infections. This itchy behavior, or pruritus, can cause hair loss and reddening and thickening of the skin. The cardinal location of skin thickening and redness in canines is around the eyes, under the arms, between the legs and around the tail base. Dr. Olivery at North Carolina State University, Department of Dermatology describes these areas as the target zones, meaning while they are the hallmark areas they are not the only areas. If you notice your dog itching/scratching in general, it is recommended to have them evaluated for the underlining cause, and potentially for atopic dermatitis.

Image result for atopic dermatitis canine
Dr. Olivery at NCSU Dermatology shows classical presentation for canine atopic dermatitis. a Diagram showing the distribution of skin lesions (red) in dogs with classical phenotypes. b-e Skin lesions in a crossbred dog with AD of classical phenotype. From a distance, lesions can hardly be seen (b), but erythema, hyperpigmentation and self-induced alopecia are visible on the axillae, groin (c), periocular and perilabial areas (d), and flexures of the elbows (e; right [R] and left [L]). (2) 1

Diagnosis

Unlike other diseases where tests can be performed, atopic dermatitis is a clinical diagnosis. Doctors typically form diagnoses based on history, clinical symptoms present, and the seasonality of the symptoms. Many clients ask if we can complete allergy testing. Yes, we can complete an allergy test, but this is not a test for atopic dermatitis. This test is for identification of the allergen that is causing the increase and over-activity of the immune system. This is beneficial because we can remove this allergen, however, this does not treat the disease.

Treatment
If a dog is diagnosed with atopic dermatitis, there are broad treatment options and targeted therapy options. Additionally, specific treatment for any secondary infection is a cornerstone of the treatment plan.  
  • Avoiding allergens: This is the HARDEST to do, and it is usually impossible to remove all allergens from a pet's environment, because even a small amount can trigger a dog’s allergies. However, bathing can help remove allergens from the skin. A hypoallergenic cream rinse or spray can re-moisturize the skin after bathing.
  • Medications: A variety of anti-allergy drugs are available. These drugs include antihistamines, steroids (cortisone), cyclosporine, and newer drugs such as oclacitinib (Apoquel). However, these medications all have side effects, and they have come out with biologics that treat canine symptoms without any side effects. These medications are “immunotherapy” medications, and Cytopoint is the best Immunotherapy known.  
  • Allergen specific immunotherapy: Immunotherapy involves giving a series of diluted allergens based on what your dog is allergic to. Allergen-specific immunotherapy makes dogs less sensitive to their allergens, and 60-80% of patients improve on immunotherapy. However, improvement on immunotherapy takes time, and it is important to try the immunotherapy for several months so it can take effect. When helpful, immunotherapy is usually continued life-long but can be given less frequently over time.

Treating any Secondary Infections

Atopic dermatitis will likely have an associated opportunistic secondary infection. Secondary infections involve bacteria (usually Staphylococcal) and/or yeast (Malassezia) at the site of the itchiest areas on the body. These organisms live naturally in the skin, but when the skin is irritated, they gain access to inner tissue layers and proliferate. Sometimes they actually come to generate further allergic response in the skin. These infections tend to recur and are the usual cause of recurrence of itch symptoms in a patient who was previously controlled.
  • Broad Spectrum Therapy: When atopic dermatitis is first diagnosed, the goals of therapy are balancing the treatment of the infection, restoring the comfort of the animal, and decreasing the inflammation (if present). For major flare-ups, using a corticosteroid as a broad spectrum therapy is rrecommended. Corticosteroids (prednisone, prednisolone, triamcinolone, dexamethasone, etc.) are very useful as the first line of defense against itchy skin. While we use these for initial flare-ups, the broad spectrum therapy includes undesirable side effects when used long term. So, while we use these for acute flare-ups, these medications are not great management drugs for atopic dermatitis. Therefore, we consider this broad spectrum therapy of steroids useful for acute flare-ups, then once controlled, we move to focal and targeted therapy. 
  • Targeted Therapy: Targeted therapy ranges from immunotherapy (Allergy injections) to pharmaceutical therapy, including medications like Cyclosporine or Apoquel, or biologics similar to Cytopoint. These are decided on a combination of clinical signs and trial and error, along with the ease of medication administration for the owner and patient. As mentioned above, the best way to manage atopic dermatitis is to remove the allergen. Unfortunately, this is impossible. So, we can attempt to desensitize the patient to the allergens with allergen immunotherapy. 
  • Desensitization (Allergen Specific Immunotherapy): Allergy Shots are a great treatment of choice for atopic dermatitis. All the other medications are basically just itch relief; only desensitization actually changes the immune system. Most dogs experience some improvement but not all dogs experience great improvement. Allergy shots require approximately 8 to 12 months to begin working. 
       ~ An estimated 33% (1/3) of atopic dogs will not respond 
       (these are usually the animals allergic to multiple allergens).

       ~ 25% will require prednisone or similar steroid at least at 
       some times.

       ~ You will most likely have to give the allergy shots yourself.

       ~ Referral to a veterinary dermatologist might be necessary.


Oclacitinib (Apoquel)
Image result for apoquel
This is a new medication best used for itch relief and blocking itch symptoms. It is popular, as it works fast. It does not address the inflammation in the skin; it just stops the itch sensation. This means that infection still needs to be controlled. 

Canine Atopic Dermatitis Immunotherapeutic (Cytopoint®) Injections 
Image result for cytopoint
This is a new treatment that uses vaccine technology to eliminate one of the main mediators of itch sensation. The injections provide relief from itching for 1 month in 80 percent of dogs and show effectiveness usually within 24 hours of the injection. For many dogs, relief of itch stops the vicious cycle of itch/infection. Again, any infections still need treatment, but the sensation of itch is usually controlled. For more details, visit cytopoint4dogs.com.

Atopic dermatitis is commonly seen in canines in the allergy season, and it is important to get your canine evaluated if the hallmark clinical signs are seen and to keep them controlled year round with one of these therapies.
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Wednesday, March 13, 2019

Helping Wildlife ~ Dana Hogg, DVM


Spring is right around the corner, or so the groundhog says! As you start heading outside to enjoy the warmer temperatures, here are few things we can do to make sure our furred, feathered, and scaled friends enjoy it too!


Turtles

These warmer temperatures mean that we will see an increase in turtle activity too!
  • Please help turtles cross the road in the direction they are heading if you can safely do so.  Oftentimes, females will be moving in search of nesting sites to lay their eggs. 
  • If you see a snapping turtle crossing the road, take special care when handling them. They have long necks and powerful jaws. Using gloves, you should place a hand on their tail base while sliding the other hand under them onto the plastron, also known as their underside. Avoid the first half of their body.   
  • Although we know turtles are cute, please do not keep them as pets. It is extremely stressful for wild animals to be brought inside our homes. There are plenty of captive bred reptiles available if you are interested in adding a reptile to your family.
  • Turtles have established territories and should remain in the area in which they are found. 
  • Be cautious and on the lookout for turtles, rabbits, and other animals while cutting the grass.

Orphaned Animals

Spring brings on new generations of baby birds, rabbits, squirrels and other animals. While some might appear to be alone at times, there is a good chance that one or both of the parents are nearby searching for food and watching over them from a distance. Assess the situation prior to intervening.  If any of these situations apply, the animal should be taken to a wildlife rehabber.
  • If there is any evidence of wounds/trauma, maggots, or broken bones
  • If the parents are known to be deceased
  • If you have seen the baby animal in the mouth of a predator, such as a cat
  • If the animal is cold, lethargic, has decreased responsiveness, or is not fully feathered or furred

Baby Bird (left) vs Fledgling (right)
Fledglings are young birds that are fully feathered and learning to fly. It is not uncommon to find them on the ground. Despite being on the ground, they tend to stay near the nest. The parents will stay nearby and continue taking care of them. Fledglings do not typically need intervention.

Littering

Littering is bad--we all know that. Animals can ingest foreign material causing several health complications. While throwing biodegradable items such as apple cores or banana peels out of the car window might not seem equally as bad, it has just as many negative implications. Food attracts wildlife to the roadsides, making them much more susceptible to trauma from vehicles. They do not understand what cars are or how to be safe around them. Additionally, if food attracts a prey species, such as a squirrel, it might additionally attract a raptor or other predator on the hunt, putting both the hunter and the predator at risk for life-threatening injuries.    

Feeding Wildlife

If you enjoy feeding wildlife, please be aware of their unique nutritional needs. Instead of throwing out bread and corn to feed, it would be healthier to consider sharing leftover lettuce, spinach, peas and other vegetables. Bread and corn are low in protein and essential vitamins. Over time, consumption of these foods will add up and can contribute to diseases such as metabolic bone disease and growth abnormalities in young animals.

Glue Traps

Avoid glue traps, as they don’t always just catch the intended animal. They often catch song birds, reptiles, and other small mammals who are attracted to insects on the glue traps. These animals are unable to free themselves, which is very stressful and can lead to severe injuries such as limb fractures, skin issues, mangled feathers, and death. 

Lead Ammunition

We see a lot of cases of lead toxicity in raptors, including bald eagles that unknowingly consume lead fragments in carcasses they scavenge. Switching to non-lead ammunition is the best way to prevent this problem.

Fishing Tackle and Lines

Improper disposal of fishing tackle and lines can negatively affect an animal that gets tangled, punctured, or swallows this equipment. Turtles often present with hooks in their oral cavity, or even worse, in their stomach. 

Waterfowl and other animals get entangled in fishing line, causing constriction injuries which can lead to infection, loss of limbs, and even death. Please be on the lookout for improperly disposed tackle and lines; this will also benefit human and companion animal safety.

Please be kind to wildlife. We share this beautiful world with them. If you feel that an animal is injured, please contact local wildlife rehabbers. When transporting an animal, it is important to remember the concept of warm, dark, and quiet. Being injured and handled by humans is a huge stressor for these animals. Do not interact with them or talk to them. Transport them in a box with appropriate ventilation, and keep them warm. Thank you for your help in supporting local and migratory wildlife this year!

Comments? Questions? Reply to this post below! We would love to have your input on any and all of our posts. 

Friday, February 22, 2019

Shiloh's Core Values ~ Audra Alley, DVM, CVA, DABVP Canine & Feline Practice

Update 3/24/2019: I want to thank Trisha for having the courage to point out a mistake I made in my original entry. In the crazy whirlwind of daily life, I made a mistake, and I left one of our original core values, Empathy, in my blog along with what was supposed to be its replacement, Empowerment. In doing so, I omitted the final value, Integrity. Empathy is always part of what we do every day, but during our team discussion, it was decided that Empowerment more closely reflected what we try to embody on a daily basis. Honestly, I really wanted to avoid the embarrassment of sending out this correction, but these values are more important to me and to Shiloh than a little temporary discomfort for me. Thank you. ~ Dr. Alley
______________________________________________

A big part of the vision of Shiloh Animal Hospital is to create the workplace of choice for all veterinary professionals (veterinarians, kennel staff, assistants, customer service representatives, technicians, nurses, students, etc.). There is a lot that goes into building that vision. One part of the puzzle was creating Core Values. 
Not too long ago, all of our employees gathered together after work, enjoyed pizza, and brainstormed to come up with the Core Values of Shiloh Animal Hospital. It was really important to do this as a group, and it was amazing to listen to the discussions and the passion for what we do and how we do it every day. Now, every day at 1:07, we have a Core Values meeting where we have the opportunity to call each other out for displaying one of our values. What a great way to not only keep the values in the front of our mind, but also to give each other a pat on the back for living it every day!
I would like to share these values with all of you:
1.      Balance – This represents so many different areas.  This may be balance in our personal vs. work lives, balancing finances with high quality, balancing our time between teaching students and being efficientI could go on and on.


2.      Unity – This represents us truly functioning as a team, both with each other and with our clients.


3.     Strive to Exhibit Emotional Intelligence – Our job requires us to shift gears so many times during the day, from the cutest new puppy to shepherding one of our favorite patients across the rainbow bridge. This requires us to be able to read each other and our clients so that we can react appropriately to be helpful and supportive.


4.       Empowerment – We want to empower staff to do what is right, empower our clients with education to make good choices for their pets, and empower our team to constantly learn, grow, and try new skills.


5.       Integrity – Integrity is the cornerstone of what we do at Shiloh. Integrity is doing the right thing even when no one is watching. Without a solid foundation of integrity, we can't build trust and confidence with each other or with our clients.

Creating a workplace of choice is a work in progress to improve, cultivate, and intervene when needed, always keeping that vision in sight. Moving to a new, larger facility splits us up in some ways, but it also encourages us to work even harder as team to provide the best possible care to all of our furry companions and their owners.

Comments? Questions? Reply to this post below! We would love to have your input on any and all of our posts. 


Friday, November 30, 2018

My World Vets Trip ~ Trisha, Office Manager & Technician


I had the amazing opportunity to travel to Peru in September 2018 with a program called World Vets.  The mission is to improve the health and well-being of animals by providing veterinary aid, training, and disaster relief worldwide. With as much as I love to travel, it was something I've had my eyes on for quite some time and finally had the resources to make it happen.

It was a one-week program where we arrived in Cuzco, Peru, after three flights and about twelve hours of travel. The first day was mostly spent acclimating, since it is over 11,000 feet up (quite different than the 300ish feet of the Raleigh-Durham area), as well as waiting for all the team members from various parts of North America to arrive. We had two vet students, two from Canada, two from New York, two from Illinois, one from Oklahoma, one from Nebraska, two from California, one from Florida, and four from North Carolina, plus the extra hands helping from Peru. 


The next day, we had a "group" day, which involved visiting a wildlife sanctuary and rescue for mostly wild animals who could not be re-released. We also visited a open-air market, and I tried Alpaca as an exotic dish! 

The following day was a free day to spend how we desired, but I used it to hike with the group to Lake Humantay (going up to 13,700+ feet). 




It was intense but so very beautiful, and it was a great bonding experience with the group as we encouraged each other to keep breathing. I did make it to Machu Picchu at the end of my stay, which was such an amazing accomplishment as well.



The program included three days as the clinical portion of the trip. Our intent was to help with sterilization of cats and dogs in the Cuzco and suburb areas. This was done in a field setting, which is very different than the pristine hospital setting we practice in here. The first day, we set up in a covered basketball court, and the other two days were under a pop-up tent and unused multi-purpose room. 

The dogs and cats received pre-medication to help make them less anxious, and then we'd handle them to get them shaved and scrubbed for the procedure and to place an IV catheter. Then they'd move over to the surgery table for their spay or neuter; once finished, they would go to the recovery tent for their medications until they were awake enough to go home. It was a bit of a challenge to communicate with the people given the fact that we all spoke English and the predominant language is Spanish, but a few people helped along the way, so I think we mostly got the important information across.

It was the first time I've ever combined work and pleasure. I participate in a lot of community service here in NC, but this was something totally different. By the end of the three days, we fixed 290+ cats and dogs. It was the hardest I've ever worked in this field, and that includes the "crazy" days we have here at the hospital. I literally was sitting in the dirt to place catheters, and we did our absolute best to provide good medicine while other dogs were roaming around leash free under our feet. It was also  very interesting to see the variety of crazy vessels in which pets arrived: lots of backpacks, a few laundry baskets and pillow cases, and even wire baskets.

Something I was not expecting was that almost all the animals were brought in by their owners. I expected the street animals to be feral and untame, but even the animals you saw roaming the sidewalks and pathways almost always have owners. We dealt with the same amount of feisty animals as we would expect here, but it was more due to personality rather than due to being wild. It's more like the "country dog" mindset that you might think of here (where instead of laying in the AC/heat and getting Christmas presents, these animals were fed by a family but left to roam the streets during the day). The mindset of the people was that the animals wouldn't want to be cooped up all day. I see where they're coming from, although my Ruby probably loves her couch an awful lot.

I am so glad that I had the opportunity to take part in this amazing experience. The opportunity to travel is always of interest to me, but the combination of providing community service, utilizing my veterinary skill set, and working rather than just enjoying was such a highlight. I would definitely recommend you consider joining on a future trip, as they take both experienced individuals and also animal-lovers who have a passion to do good.  Visit the World Vets Website for more information.


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