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After Hours Urgent Care Now Available! | |
If your clients have pets that are are currently being managed by Critical Care, Dermatology, Internal Medicine or Oncology they can be seen by the speciality clinic after hours for emergencies!
Please call
713.693.1155 |
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Meet our New Cardiologist!
We are very excited to to welcome a veterinary cardiologist to our expanding list of specialties we are able to offer at GCVS!
Dr. Hariu received her veterinary degree in 2007 from Louisiana State University. She went on to complete a 1 year rotating internship at Coral Springs Animal Hospital in Floridia. Her cardiology residency was completed at Texas A&M and was board certified by the American College of Veterinary Internal Medicine (cardiology) in 2011.
Dr. Hariu enjoys playing and listening to music and in her spare time enjoys her family which consists of three loveable dogs- Benson, Parker and Carla. | | |
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Find GCVS in PetTalk Magazine! |  | |
Make sure to check out our monthly article in PetTalk Magazine! |
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Dermatology
& Allergy
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Internal Medicine &Critical Care
Oncology
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GCVTelemed is here! |  |
GCVTelemed serves as a DIRECT extension of your practice by providing access to board certified veterinary specialists and case consultations.
Our goal is to provide the most efficient and accurate radiology and medical consults available based on science, technology and caring.
Our name has changed from Direct Vet Rays to Gulf Coast Veterinary Telemedicine (GCVTelemed) to better match our expanded functionality. Please make note of our new web address at
http://www.gcvtelemed.com
or click on our logo above!
If you have submitted any films, hard copy or digital, to be read with us in the past year--you already have an account! Contact us today at 713-693-1168 to obtain your log in details. |
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Join us for Medicine Rounds! |  | |
We currently have Medicine Rounds monthly at two locations in Houston!
On every 3rd Thursday of the month join us at GCVS (1111 W. Loop South) starting at 6:30p. Dr. Hariu(Cardiology) and Dr. Vulgamott(Internal Medicine) will be presenting cases this month. Please feel free to bring any interesting cases or x-rays that you would like to share with the group! A light dinner and snacks are provided.
Dr. Jones hosts Medicine Rounds at the Texas Land and Cattle Steakhouse at Hwy 249 every first Tuesday of the month starting at 6:30pm. Please feel free to bring any cases or interesting x-rays that you would like to share with the group. Dinner will not be provided by a sponsor this month, a menu is available if you would like to purchase dinner. |
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Early flea allergy dermatitis in a Westie puppy. |
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Chronic flea allergy dermatitis with lichenification and hyperpigmentation in a Westie |
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Flea control in the Houston area has always been difficult, but recent changes in climate, flea biomass, and increases in urban wildlife and feral cats have led to the notion that fleas are becoming resistant to products such as fipronil and imidicloprid. Recent research by prominent flea biologists, using both laboratory and wild-type strains of fleas have shown that this is simply not the case. While it is possible to get resistance, product failure is not a common cause of flea control failure. |
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Combating Mythology to Control Fleas
Valerie A. Fadok, DVM, PhD
Diplomate, ACVD |
We have definitely seen climate changes in Houston! It seems harder and harder to predict what will happen each year. In general, we see a prominent flea surge in spring and fall. But this last year, in spite of the heat and dryness, we had significant flea infestations throughout the summer. Flea biomass, or the total population of fleas, appears to be increasing because of increased numbers of urban wildlife and perhaps more importantly, feral cats. These animals tend to be nocturnal and will pass through our yards at night merrily dropping eggs and seeding our yards with never-ending flea populations. Therefore even dogs on rigorous flea control will have exposure to fleas on a daily basis if they go outside at all. Furthermore, fleas will often jump on us and ride into the house to access those indoor cats. For these reasons, it is highly recommended that all pets, dogs and cats, be treated for fleas every 30 days throughout the year.
So why does it appear that flea control is not working?
- First and foremost, the product is not being used every 30 days throughout the year. Many people in Houston seem to think that fleas are not present in the winter here. While it is likely true that the numbers of adult fleas may be reduced, there are certainly many cocoons present that contain pre-adult fleas just waiting for optimal conditions. If owners stop their flea control in the winter, then fleas will be carried into the house and populations established. Then when flea control is reinstituted it can take 8-12 weeks to reduce the indoor population once again. It is important to emphasize every 30 days rather than once monthly. Once monthly to some people means giving it during the first week of January and perhaps the last week of February: technically once a month but not what we really need!
- Flea control is not being used on all the dogs and cats in the household. Cats are often ignored, particularly those that are outdoor cats fed as a kindness.
- Flea control products are not being applied directly to the skin correctly and at the correct dose. It is worth our time and/or our technician's to demonstrate the proper administration of the product you choose to use.
- One tube of flea control is being split among multiple pets. This is happening more frequently as people try to save money.
- Our pets are being exposed to other dogs or cats that they meet at the dog park or day care who are not treated for fleas.
- Our pets are being exposed to urban wildlife. In particular possums can carry immense numbers of fleas. Dr. Michael Dryden, affectionately known as Dr. Flea, once counted 1000 fleas on one possum!
- Unreasonable expectations. No flea control product we use, whether oral or topical, will repel fleas. It can take anywhere from 30 minutes to 24 hrs for a flea to die. Some products may disable the flea from feeding effectively before they die, which is why flea control can help pets that are allergic to flea saliva. Because 100% efficacy is hard to achieve for any medication, we recommend using a product that will kill adults and inhibit the development of larvae.
It is important that clients understand the fleas they see on their dogs are only the tip of the iceberg. If they have not used flea control or have restarted flea control after stopping for a few months then they need to understand it will take 8-12 weeks before they stop seeing live fleas. Switching products is often recommended; however, if the switch is made at 4-6 weeks, the second product is going to look more effective because of timing, not true improved function.
For most pets, it is possible to achieve excellent flea control in Houston if flea products are used properly. I encourage all of us to help people understand the flea life cycle. There is an excellent and entertaining video called "The Dirt on Fleas" made by Dr. Michael Drydren (see http://www.comfortis4dogs.com/about-fleas/ (IF TOO LONG CUT OUT WHAT FOLLOWS THIS) It is also recommended to attend his lectures on the research he has done in Tampa, in which flea control challenged houses participated. In each of these houses, special situations were found that contributed to flea control failure, and none of these were product-related. Rather there were porches under which dogs and wildlife had access, sheds and other outdoor environments in which fleas were breeding, or access to the substructure of the house by wildlife bearing fleas.
The flea allergic pet presents a different problem. In fact we are less likely to see fleas on these animals due to self grooming. How many fleas an allergic dog can tolerate is likely to be an individual thing. In general though, we find that these animals will need their flea control products applied or given every 2 weeks, especially during the flea surges. This is true for the topicals as well as for spinosad (Comfortis)
The choice of product will be determined by the needs of the individual pet and owner. Some owners will need a product that meets the need to control both fleas and ticks. This may take more than one product. For example, one might wish to combine a product such as imidacloprid + permethrin (Advantix), fipronil (Frontline), or dinotefuran + permethrin + pyriproxyfen (Vectra 3D) with an amitraz collar (Preventic). Merial's new product, Certifect, which combines fipronil with amitraz is showing good promise and we will have to see how it performs in the field. In general, though, it is a great idea to use products that combine flea adulticide activity with the ability to inhibit the life cycle. The combination of Sentinel and Comfortis is a great one! Trifexis offers the combination of using an adulticide oral flea control product with heartworm prevention, which is appealing to many people. |
| Meet Scooch- Our Patient of the Month | |

Scooch is a very handsome 14 year old Labrador Retriever. He is one of our most favorite patients at Gulf Coast Veterinary Specialists; in fact, he has been seen by almost all of the services here at one time or another!
Scooch started seeing us in 2009 when we noticed some increased liver values on his bloodwork. The only significant finding was a coarse liver on abdominal ultrasound in addition to an early gall bladder condition. The gall bladder appeared to improve with time and medications, thus surgery was not needed to remove the gall bladder. His biggest issue was vomiting and diarrhea. We obtained a liver biopsy and also endoscopic biopsies of his GI tract. Because he was also panting a lot and drinking more water than normal, he was tested for hyperadrenocorticism (Cushing's disease). Cushing's disease is a condition in dogs where the adrenal glands produce too much steroid. As result, these pets often eat excessively, drinking excessively and pant excessively. His test for Cushing's returned positive and so he was started on trilostane therapy to control his steroid levels. Typically, Cushing's disease is caused by a small pituitary tumor. However, sometimes this tumor can become large and cause behavioral or vision problems. When this happens, it is called a macroadenoma. Because Scooch still has some residual behavioral issues which continued even after treatment with trilostane, we obtained an MRI to make certain that everything was normal and thankfully, it was.
Scooch did well and would see Dr. Karin Beale in dermatology for an occasional yeast infection on his feet or severe ear infections. Because he remained on trilostane she would routinely re-test him with an ACTH stimulation blood test to make sure he was on a good dose of medication. His testing began to show that he no longer needed trilostane and we were eventually able to stop the medication! Abdominal ultrasounds were done on Scooch pretty frequently during these recheck visits to keep an eye on his liver and gall bladder since he had a history of issues with them in the past.
In December 2010, Scooch began losing weight. He had a complete workup which showed a dynamic hiatal hernia and surgical repair was recommended. A hiatal hernia is a condition where a portion of the stomach is pushed up through the diaphragm muscle into the chest. It can lead to vomiting, gagging and some discomfort. In Jan 2011, Dr. Hottinger did his surgery. Not only did he have his hiatal hernia repaired, but he also had his gall bladder removed and intestinal biopsies were obtained to find out why he was losing weight. The intestinal biopsies showed inflammatory bowel disease and lymphangetasia (a condition in the small intestines that impairs protein and fat absorption). He was started on a course of steroid to help with these conditions.
Shortly after surgery, Scooch had his first bout of pneumonia. Thankfully, it resolved with antibiotic therapy and he seemed to bounce back. However, in July 2011, we began noticing that he seemed much weaker in the back legs and his GI signs (vomiting) returned. In November, he developed his pneumonia again and required hospitalization, but eventually recovered. We re-tested him for Cushing's, looking for something that would explain why he was so prone to developing pneumonia and his test was positive. He was started on trilostane and seemed to have some more energy which was great news.
Just when Scooch seemed to be on the right track and feeling OK - his breathing became really loud. A sedated oral examination showed that he had developed laryngeal paralysis. This is a condition that affects many older dogs, especially Labradors. It occurs when the nerve to the laryngeal fold does not work properly and as a result, the laryngeal folds flutter when breathing-creating a loud stridorous, roaring sound. Once again, Dr. Hottinger performed surgery and like a champ, he did great!
This January, we saw Scooch again for a recheck and at that time, his weakness seemed to really be bothering him. Dr. Beale in orthopedics evaluated him and felt excessive joint fluid. X-rays were obtained and once no bone abnormalities were seen, the joints fluid was sampled and revealed an immune mediated, inflammatory joint condition called polyarthritis. Typically this condition would be managed with steroids, but because of Scooch's Cushing's disease, we are having to hold off on treating him right now. Once we have his Cushing's disease under better control, he will consider some steroids, but for right now, doxycycline seems to be helping him get around pretty well.
Scooch is am amazing boy. He has never missed a beat here are Gulf Coast! Although he is very nervous when here, he ALWAYS enjoys his belly rubs by everyone who stops to give them! He has a lot of complicated medical issues and requires a lot of medications and veterinary care, but thanks to his family - Annette and Paulette, he takes it all in stride! Way to go Scooch! |
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Gulf Coast Veterinary Specialists strives to provide you with the most compassionate and advanced veterinary care possible. Thank you for trusting us with your clients and their pets!
Sincerely, Your Friends at Gulf Coast Veterinary Specialists
1111 W. Loop South, Suite 140 Houston, TX 77027 713-693-1144 fax- 713-693-1145 Cardiology ~ Critical Care ~ Dermatology & Allergy Diagnostic Imaging Internal Medicine ~ Nutrition Medical & Radiation Oncology |
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