| Dr. Epstein, permit
me to remind you of who you are: You graduated from the University
of Pennsylvania School of Veterinary Medicine in 1985. After graduation,
you began working at the Wilmington Animal Hospital in Delaware.
You now own the hospital, wow--that's quite a promotion! Ten years
ago, you became interested in complementary medicine, so the hospital
now offers, in addition to medicine and surgery: homeopathy, acupuncture,
chiropractic and nutrition for the health of your patients. You
are also the former President of the Academy of Veterinary Homeopathy!
Perhaps more importantly, you are the leader of our local study
group!
So that's who I am! I haven't been sure lately, what with planning
for the next AVH Conference, renovating the hospital--and my kitchen--not
to mention parenting and planning our next study group meeting--which
reminds me, where's the mineral case you promised me?
Gosh, look at the time!
What time, we just got started!
Shelley, since you're in such a hurry...
When did I say I was in a hurry?
...our first question comes from
Barb, who tells me that dogs with allergies are everywhere these
days! You can't help but wonder if the vaccination schedule has
something to do with this; it seems that pet owners are getting
their dogs vaccinated at every possible occassion! Imagine if children
had such a vaccination schedule--once or twice a year for the rest
of their lives-- it would be sheer madness! What sort of deleterious
effect does this have on animals?
Well, Elaine, you make a good point about the vaccination schedule
being excessive because even the official recommendations on vaccination
in dogs and cats are changing, thanks to an awful correlation that
was made about 15 years ago: killed rabies vaccine caused fibrosarcomas
(FSA) in cats. After the Pathology Department at the University
of Pennsylvania wrote a letter to the editor of JAVMA, further studies
were conducted at various labs, and these studies showed that other
killed vaccines, such as those for feline leukemia virus, could
also induce the formation of FSAs.
Good grief!
In addition, holistic veterinarians, especially homeopathic ones,
were fully aware of this syndrome of rabies vaccinosis, in which
a rabies vaccine given to a patient could induce symptoms reminiscent
of rabies virus. These symptoms could be passed from one generation
to the next. Meanwhile, while conventional veterinarians were observing
documented types of vaccine reactions in patients, like, for example,
anaphylactic reactions, holistic veterinarians were also observing
other problems
that occurred after routine vaccinations.
All of the above observations caused some major rethinking in the
vaccine world of veterinary medicine. The result is that the American
Association of Feline Practitioners came out with updated guidelines
for vaccination a few years ago, as did the major veterinary organizations
(AAHA, for example). All of these guidelines recognize that annual
boosters are not necessary, and giving all vaccines available to
all patients is not indicated. These groups tended to categorize
vaccines into "core" and "non-core" vaccines,
and in some instances went so far as to totally discourage certain
vaccines from being given.
My goodness, this is quite a shift
in policy!
In our practice, which uses holistic medicines like homeopathy,
acupuncture and chiropractic, we recognized problems with vaccines
years ago.
I don't doubt it!
For the past 10 or more years, we've been measuring immunity to
parvovirus and distemper virus (these tests are called "titers")
in lieu of giving annual boosters. Rabies vaccine is required by
law in our state, and can only be exempted for medical reasons.
These medical exemptions, however, do not preclude a 6-month quarantine
for unvaccinated animals exposed to bite wounds from potentially
rabid animals. (For more information on vaccination at Wilmington
Animal Hospital, visit:
http://www.wilmingtonanimalhospital.com/vaccination.html
)
I tell my clients: Vaccines can prevent diseases, but they never
make you healthy. From a homeopathic perspective, animals with the
susceptibility can develop problems from vaccines. This means that
not 100% of animals will develop vaccine problems (if this were
so, vaccines wouldn't remain so popular), nor will all animals develop
the same problems.
Problems we see in animals include: autoimmune diseases like Immune-Mediated
Thrombocytopenia Purpura (note that this, as with all autoimmune
diseases, has multiple causations), behavioral problems like fears
and aggressive behavior, and tumors, to name but a few consequences.
In general, the field of veterinary medicine is slowly changing
its vaccination policies. Some veterinarians are still giving multiple
vaccines to every dog and cat that comes in for check-ups, while
others have modified their policies to give the minimal number of
vaccines.
I'm gratified to hear that the veterinary
community seems to have acknowledged that there is some problem
with frequent vaccinating. Does a homeopathic vet, though, really
have to vaccinate at all, other than the required rabies vaccine?
Because I should think that we would have remedies for feline leukemia,
distemper, etc. and what, in your estimation, is the real cause
of these diseases anyway, for which prevention may be the better
approach?
It is always up to the client to make the final decision on vaccines.
However, it is the veterinarian who is educated in these infectious
diseases and their consequences on the pets, so it is our duty to
provide the information to allow the client to make an informed
decision. I'm sure the remedies exist to help animals who have acquire
distemper and parvo and other diseases, but the question is can
we guarantee with 99% certainty that we can cure the pet once it's
contracted the illness? That $1000 purebred who gets the disease
3 weeks later? It is up to the owner to understand what is involved
here and make that decision. By the way, 99% is the efficacy rate
of high quality parvo and distemper vaccines.
And remember, most animals will not suffer adverse effects from
vaccines. If one does, then that gives us window into the nature
of their chronic disease and enables us to treat them for that.
In talking about prevention, I think
of the food we serve them, and our way of "breeding"--breeding
for recessive traits that may be bad for the health of the animal,
such as narrow hips and pushed-in faces. Also, in terms of breeding,
the way we breed--in puppy mills, for example, I wonder to what
extent these environments are responsible for disease in later life?
I hear the healthiest animals are the mixed-breeds. Would you care
to comment?
Hybrid vigor is really true!
Breeding for adorable traits like "pushed in" faces in
the
brachycephalic breeds of course is breeding for lethal mutations.
Speaking as a former dog owner, I
have to ask, why all the worms? Do wild dogs such as wolves and
coyotes have the same worm problems that domestic dogs do?
I don't see too many wormy dogs. Dogs that have been kept in puppy
mill/pet shop situations (and racing greyhounds) have higher exposure,
and these are often empirically given numerous wormers and drugs
for coccidia and giardia and still have worms. This is all inbreeding,
poor housing, and stress-related. Once in their new comfy homes,
these dogs tend to de-worm very well and stay wormed- unless, of
course, they pick up more worms and parasites at the dog parks...
I have no idea about wild animals, but I assume they've reached
a homeostasis with their parasites, as long as their environments
remain wide-open and not subject to suburban impingements...
Most of the conventional wormers are very safe and effective. It
is important to address their environment, as discussed above. Whenever
possible, I also treat these dogs homeopathically to strengthen
their systems and make them more resistant to some parasites. Probiotics
and raw diets are great for strengthening their immune systems.
How problematic is it that the average
domestic dog is just given "dog food" and people food,
including snack foods--same
question for cats?
Dogs: Definitely problematic. Many problems can be prevented or
decreased by feeding raw diets. These include skin allergies, obesity
and dental problems. Arthritis can be prevented or pains ameliorated
on these diets. I could go on for hours on this topic alone.
I know, I've seen your web site;
you have a whole section dedicated to raw food diets (http://wilmingtonanimalhospital.com/rawdiets.html);
hopefully, our pet owners will go there and read it.
For cats, the situation is even more dire. Cats are really not
designed to eat processed cooked foods. A recent study showed that
cooking chicken and beef, processing it to go into canned foods,
made it allergenic to cats- ie, they produced antibodies to the
proteins whereas they did not produce any antibodies when the food
was fed in the raw state.
I had no idea it was that serious!
You're saying they actually produce antibodies to cook food, as
if the food was a foreign substance! Amazing!
Cat foods are too high in carbs (mice are 1-5% carbs, pet foods
20-60% carbs, with dry being at least 40% for most high quality
brands); cat's don't use carbs as an energy source, and they gain
weight, become obese, stop grooming, and get type II diabetes. Canned
fish variety foods and poptop cans have been associated with hyperthyroidism
in cats. I have observed a marked decrease in hairballs in my cats
(which are fed 100% raw)- like one hairball/year/3 cats! Commercial
diets also contribute to periodontal disease, and are not the best
way to boost the immune system.
Is there a book or books people can
read who want to feed their pets right?
There are many. Check our website for the one we sell- it is simple,
for dogs. Billinghurst has Give Your Dog a Bone and other books
that are great.
Shelley, I've asked the animal lovers
among our readers to write in and ask you a question and, amazingly,
a letter has just poured in! Let me just open it here...Ah! A Mr.
Richard Fedder from Fort Linn, New Jersey writes:
"Dear Shelley,
I heard one vet say he generally only used polychrests with animals
because it was too difficult to get all the nuances for the smaller
remedies. Another vet said 6C was the best potency for animals.
What do you think?" Well, Mr. Fedder, I know just how you feel,
because I can remember struggling with these same questions myself,
but it's like my great grandmother, Lewaliky Lewinsky, always used
to say: "It's always something! Either you're giving a polychrest
or you're not giving a polychrest...!"
Elaine, you're rambling! Mr. Fedder, one has to be very careful
when hearing absolutes. It's like the True/False questions on the
tests we used to take. "Always" and "Never"
were clear indicators that the answer was False.
But regarding only using polychrests, I use MANY different remedies,
polychrests as well as smaller, lesser-known remedies- whatever
appears to be the simillimum in the case. Studying with different
teachers and going back to the masters and rereading them offers
great insight into remedy pictures. Being around the species we
treat offers great insight into those species.
As far as potencies, I use many potencies, and use both the centessimal
and LM scales. The lower potencies usually correspond to more physical
symptoms being the uppermost in the case; the higher potencies correspond
more to cases with strong mental/emotional symptoms and higher vital
forces. These are generalizations, broad guidelines. I use LMs when
palliating terminal cases or when aiming for cure in cases in which
the pet is on allopathic medications that can't be stopped abruptly.
(I use them in many other circumstances as well.) Are there any
other questions?
No.
Well, I'll be leaving then.
Watch out for the...moat. Gee, that
was too bad! Do we still stock the moat with alligators? Luckily,
she's a vet.
_____________________________________________________
Shelley Epstein, VMD
Wilmington Animal Hospital
828 Philadelphia Pike
Wilmington, DE 19809
(302) 762-2694
http://www.wilmingtonanimalhospital.com/
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