Vaccine Crazy

(Contributed by Dr. Jessica Levy)

As I go along in practice, I am becoming more and more anti-vaccine. It amazes me how often I see animals that have been diagnosed with some dread condition - cancer, lupus, Cushing's disease, diabetes, chronic renal failure - who are then vaccinated, because they are "due." As if all is well. As if the immunity provoked by vaccines magically wears off by the assigned "expiration date." As if, when sick with a chronic or immune mediated condition (allergies, urinary tract infections, hypothyroidism, epilepsy), the immune system is not already busy/messed up/dysfunctional, and therefore may not respond at all or may respond unpredictably to the vaccines.

Then there are the "shot clinics" where unsuspecting pet owners can get their pets vaccinated for cheap. Why? Because there's no physical exam, people! That's right; your pet is getting vaccines without anybody looking at it first to make sure it is healthy enough to tolerate vaccination! What a bargain!

This is the whole point of the twice-yearly exams that we do at our hospital - to evaluate the health of your pet, to determine if any adjustments in care are necessary, and to truly act preventatively, rather than giving a bunch of vaccines and then lying to pet owners and telling them "these will keep your pet healthy!" No, they won't. Because that's not what vaccines are for. Vaccines are meant to provoke the immune system into developing immunity - sometimes very limited immunity - to very specific disease organisms. Some vaccines are better at this task than others, and that's a whole different topic.

Why do most veterinarians persist in this regrettable practice? Because of a lack of perceived harm. In other words, vaccines might prevent disease and don't cause any damage, so why not? Plus it gets the pet in the door every year for that all important physical exam. My approach is that my clients are not stupid. They easily understand the value of the physical exam and the potential harm of vaccination, and are quite capable of making the right choice.

Whose Decision Is It, Anyway?

(Contributed by Dr. Jessica Levy)

Okay, so veterinarians have been over-vaccinating animals for years. A lot of health problems and serious diseases are caused by vaccines. Many animals suffer severe reactions or even die after vaccination. It's all true.

In spite of this, I think that blasting veterinarians as the sole source of over-vaccination is overrated. How many times have I been forced against my better judgment to vaccinate an animal because the boarding kennel, the groomer, or the trainer required that the pet have "all his shots" before setting paw in their establishment? In order to take your dog to PetCo for a $5 nail trim, you have to prove that all the vaccines are up to date.

Any pet catalog will sell you any animal vaccine you want, and you can vaccinate your own pet as often as you please. In some states, the vaccines are available for purchase at farm stores or feed mills. State and municipal laws require boostering of rabies vaccines at predetermined intervals, regardless of what science tells us about post-vaccination duration of immunity.

Veterinarians play a decreasingly important role in deciding what gets done to animals and why. Yes, we're the ones conducting the research, but the information is not being disseminated to the wider public. In the past, we put so much time and effort into brainwashing people into believing that their pets would die without their annual shots, that now we've created an uncontrollable monster.

Some veterinarians may feel that if they don't follow the manufacturer's recommendation for that annual booster that they will expose themselves to legal attack. There have also been articles in the veterinary literature claiming that if I use a vaccine labeled for booster in a year, but I tell my client that it's good for three years, that I am putting my license at risk.

Hello, fellow veterinarians. We are professionals. We are highly educated. We have brains, and we can think. Can we regain control of this situation and put a stop to this nonsense? I fear that as a profession we are losing our credibility. The American Veterinary Medical Association has not shown the strong leadership I had hoped when I joined that organization. Veterinarians end up being blown around by the latest trends instead of taking a stand and upholding ourselves as the medical professionals we are.

Do day care employees determine the vaccination schedule of the children in their care? I think not.

It Doesn't Hurt

(Contributed by Dr. Jessica Levy)

I love it when people say that they know their pet is not in pain. The dog who is three-legged lame, the cat hiding in the closet, the horse who refuses a jump, whose owners all announce, "He doesn't seem to be in pain. Yeah, he's limping, hasn't eaten in three days, and his eye is squinted shut and crusty, but he seems to feel fine!"

Look at the person next to you in line at the bank, on the next treadmill over at the gym, in the checkout line at the grocery store. What do you think? Are they just starting to get a migraine, having really bad period cramps, or holding in a fart? Guess what - YOU CAN'T TELL!

Why the heck would we think we know what our pets are feeling? Are we a nation of animal communicators? (And don't even get me started on that topic!) Are we all psychic? Have we all dropped so much acid that now we can see auras? Not likely!

Bottom line, we have no idea what any person or animal is feeling. All we can base our assumptions on is what is thought to be normal for that animal or that species. When dogs are not in pain, they use all their limbs equally. When cats feel good, they are friendly and active. When horses feel limber and flexible, they take the jump with ease and confidence. And even these assumptions will get us fooled sometimes.

Talking the Talk

(Contributed by Dr. Jessica Levy)

These drug ads on TV just crack me up. The latest insane ad I’ve noticed is for some Rheumatoid Arthritis drug, where a woman exclaims: “I knew Rheumatoid Arthritis could be painful, but I didn’t know it could affect my joints!” What are you, a moron? What did you think “arthritis” meant? When you were diagnosed, did your doctor fail to explain what RA means? Did you fail to ask? It’s a pretty significant disease. I would think any doctor would mention the joint thing. But, you never know. And some people don’t ask.

I spend probably more time than I should bemoaning the state of health education in modern schools. People are either undereducated about health, or self-educated. Granted, how you teach a room full of teenagers anything, I’ll never know. I paid a lot of attention in high school and worked really hard, but only because I knew I wanted to go to vet school. In any case, it didn’t really work for me, and in spite of all my efforts I was a B or C student at best. Some stuff I was good at, like history and languages and reading, and some stuff like math and sciences just failed to make an impression on me.

Of course, the school system was a little wacky, too (aren’t they all). In 11^th or 12^th grade all the teachers went on strike for 3 months. What a deal! It was awesome! And the school year still wrapped up right on time. Oh, yeah, at first there was some whining about “how are we going to fit all this important information into the short time we have left”, but apparently they figured it out.

That’s almost as good as my nephew’s school burning down 2 weeks before summer break. My sister said it was every kid’s dream come true. Apparently a forest fire got a little too close. Luckily it was a weekend, so no one was in class, and in Israel all the buildings are made of stone, so the school wasn’t razed to the ground or anything, but the windows blew out and the walls were blackened. And school was closed for the year.

I’m sure we had some sort of health education in high school, but I can’t remember any of it. We had biology class, and I remember dissecting frozen fish. A gym teacher once told us we knew nothing about our bodies, but then wasn’t inclined to explain it herself.

After vet school, it took me a couple of years to realize that I no longer spoke English. Instead I spoke “medicalese”, and I had to relearn a lost language in order to communicate with my clients. Medicalese was easy for me, because my dad was a doctor and Mom was an English major, and people who visited us used to comment on how my parents spoke “like something out of a book”. Even today, my dad speaks the most grammatically correct Hebrew you’d ever want to hear. No slang in our house!

I try to make medicine as simple and easy to understand as possible. But it’s like trying to speak Spanish to someone whose vocabulary consists of “Una mas cervesa, por favor!” What I need is a cartoon textbook of physiology, a graphic novel of basic health and healing. Anybody out there got one?

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Living a Healthy Life

(Contributed by Dr. Jessica Levy)

The other day I was talking to my oldest sister. The topic was people we knew who were getting older and sicker. She discussed the health status of her in-laws, who are in their 80’s and suffer from diabetes, heart disease, and asthma; I brought up my husband’s only surviving grandparent, also in her 80’s, who has diverticulitis and is in an assisted living facility because she is too weak to walk.

My sister, who is 11 years older than I, was concerned that this is the way of the world, as you get older you get sicker, and it somehow seems unavoidable. I reminded her that our father is going to be 81 this year, and is in robust health, thanks to good genetic material and his wife, who monitors his diet a little closer than is comfortable. (Sometimes my siblings and I have to sneak Dad away to his favorite steakhouse, where he is not officially “allowed” to eat by the powers that be.)

On the other hand, he’s always interested in something new, spends summers in Israel and winters in Florida, and periodically sends me emails along the lines of: “We’re on our way to Vienna (or Frankfurt or Aruba), here’s our hotel contact information, etc.”

My lesson from this is that taking care of your own health really does pay off. Good old diet and exercise, as well as maintaining an active and interested mind, will keep us alive and healthy. We are lucky to have Dad as an example of how to do it right. Plus, we hope we got the good genes, too.

So there we were being all self-righteous, when we remembered that Mom’s been dead for 15 years. She died of myelofibrosis, which is one of those rare weird things that people die of. Not hereditary, as far as I know, and she lived several years with a disease that has a dire prognosis. She also quit smoking, watched her weight, read like a maniac, knitted like crazy, traveled the world, and never cooked the same thing twice.

Better clean up my act, before it’s too late.