Preventative Healthcare

Preventative Healthcare

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Cats Only Philosophy

Wellness / Preventative Healthcare is a major focus of Cats Only Veterinary Hospital. Our Preventative Healthcare approach is tailored to each individual cat with regards to their specific environment, lifestyle, nutrition, potential risks, and other considerations. Why such a focus on preventative medicine?

  • Cats age much faster than humans and significant health changes may occur in a relatively short amount of time. See the Feline Aging Chart Below.
  • Preventative Healthcare provides a means to alleviate or prevent potential suffering or pain associated with an underlying disease process.
  • Prevention is better than treatment. Since cats often do not tell us when they are feeling unwell, early detection of an underlying disease is key. Preventative Healthcare’s focus is to prevent conditions from occurring and prevent conditions from advancing.
  • Early detection of a disease process equates to early treatment and potentially a more favorable outcome or correction of a disease process. In many instances, treatment may become more costly and complicated when a disease process is allowed to progress to an advanced stage.

 

What is involved in our Preventative Healthcare?

With the philosophy above, we have adopted the following Preventative Healthcare protocols. If you have any questions or concerns about our current protocols, please do not hesitate to contact us. We will continually update and change our Preventative Healthcare protocols as the veterinary profession continues to advance.

Preventative Health Care starts at home! Your goal is to know what is normal at home for your specific cat. If you notice any physical or behavioral changes, no matter how small or insignificant they may seem, your cat needs to be evaluated. What should I observe at home? The big six categories include attitude, activity, eating, drinking, urinating and defecation patterns. You should have your cat evaluated if you notice any changes in these areas. For more information, please visit these Cat Wellness/Prevention websites:

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  • Comprehensive Wellness Physical Examinations We perform an annual examination for cats 7 years of age or less and a semi-annual (every 6 months) examination for cats 8 years of age and older.
  • Vaccinations – In accordance with the American Association of Feline Practitioners (AAFP) Vaccine Guidelines, we only vaccinate our patients against rabies, FVRCP and FeLV, and only when necessary. We use the safest vaccines available and only use non-adjuvanted vaccines.
  • Spay or Neuter – In addition to the pet overpopulation issues, having your cat spayed or neutered also prevents individual health issues. For male cats, neutering at a young age will help prevent marking, roaming and fighting behaviors. For female cats, spaying at a young age will help prevent mammary cancer, infection in the uterus, estrus or heat cycles, and marking behaviors.
  • FeLV / FIV testing – Our hospital strictly follows the American Association of Feline Practitioners (AAFP) Retroviral Testing Guidelines. Feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) are major causes of illness and death in cats. Both viruses affect the immune system and secondary illnesses may occur such as tumors, infections, immune-mediated diseases, and bone marrow disorders. Signs associated with a FeLV and/or FIV infection are numerous and encompass virtually every symptom. Early detection will help maintain a high quality of life and prevent spreading of these viruses. All kittens and cats should be tested at least twice in their lifetime 2-3 months apart. Why? The viruses can take a few weeks before commonly used screening tests can detect the virus in the blood. Therefore, the first negative test needs to be confirmed with a second negative test. Additionally, these viruses can remain hidden in the bone marrow where commonly used screening tests cannot detect the virus. These viruses may only be detected when your cat becomes unwell or with a bone marrow biopsy.
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  • Patient Trending – We recommend annual wellness screening on all of our patients so that we may follow key markers (i.e. kidneys, liver) as your cat ages. For our younger patients, we recommend mini-blood and urine wellness profiles. For our more mature patients, we recommend a more extensive blood and urine panels that include a complete chemistry panel and thyroid.
  • Dental Home Care – It has been estimated that approximately 70% of cats over the age of 2-3 have some degree of dental disease. Proper dental care is imperative to a happy and healthy life. In most cases, cats are very good at hiding significant disease in their mouths. Your cat’s mouth will be evaluated at each visit to our hospital and our doctors will give recommendations to maintain a healthy mouth. Some recommendations may include (1) brushing your cat’s teeth once daily, (2) a VOHC-approved dental diet, or (3) or a professional dental cleaning.
  • Heartworm Prevention – Feline heartworm disease is a serious, life-threatening disease. Fortunately, this is 100% preventable with year round protection. The heartworms are transmitted by mosquitoes and indoor cats are just as susceptible as indoor / outdoor cats. One North Carolina study found 1/3 of indoor only cats had a previous heartworm infection. It is estimated that 11% of cats have had a previous heartworm infection in the Philadelphia area. Clinical signs may include coughing, sudden asthma-like attack, difficulty breathing, vomiting, weight loss, lethargy, anorexia, or sudden death. There is currently no treatment for heartworm disease in cats, so prevention is key! Our preventatives are available in a monthly chew or a monthly liquid that is applied to the skin on the back of the neck.
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  • Fecal testing – Approximately 20% of fecal samples tested positive at Cats Only and most of our patients are indoor only cats.  Testing your cat’s stool at least every 12 months for internal parasites not only will help keep your cat healthy and disease free, it will also help protect your family against zoonotic parasites that your cat may be harboring. This is especially true if young children, elderly or immunocompromised individuals are living in your household. This is recommended for all cats, including indoor only cats.
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  • De-worming – We recommend having your cat dewormed at least annually for the common parasites that can affect you and your cat. This will help ensure your cat is not harboring any parasites that may not be detected on routine fecal testing. This may be performed more frequently for at-risk cats (i.e. cats that spend time outside).
  • Flea and tick preventatives – This once a month prevention is generally recommended for cats that spend any amount of time outdoors or share a household with dogs. It is also recommended for households that have young children, elderly or immunocompromised individuals. Our preventatives are available in a monthly liquid that is applied to the skin on the back of the neck.
  • Microchip Identification – This safe, permanent, individualized microchip only takes seconds to administer under the skin. If your cat is scanned, you will be contacted regarding the whereabouts of your missing cat.
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Feline Life Stages Chart

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Chart taken from Journal of Feline Medicine and Surgery (2010) 12, 43-54

Age is not a disease; however, we are very familiar with the diseases that affect our patients in their later years. Cats are considered to be seniors once they reach 8 years of age. At 8 years of age, we pursue a Semi-Annual Comprehensive Examination and Senior Screening in an attempt to gain a baseline for each specific patient. This will also aid our doctors in detecting and treating disease early. The goal is prevention and early detection. The most common diseases in our older patients include dental disease, kidney disease, thyroid disease, diabetes mellitus, and inflammatory bowel disease (IBD). Our Senior Screens include:

Another potential challenge of senior healthcare is the balance between multiple, concurrent disease processes and potential medication interactions for patients on more than one medication. It is imperative to have doctors that are experienced with handling and balancing multiple diseases at once. It is not uncommon for cats to live to 18 and 20 years of age. Our senior patients are living longer thanks to improved healthcare. Our goal is to provide quality healthcare so that your cat can have a quality long life.

Kitten Care

When you first adopt a kitten, the most important thing to do is bring your kitten to the veterinarian as soon as you can. At the initial visit, the veterinarian will go over any available medical history and make recommendations. It is very important that all kittens are tested for feline leukemia (FeLV) & feline immunodeficiency (FIV) viruses. It is also important to re-test each kitten 2-3 months from the initial test to ensure that they are free from the viruses. We recommend brining a fecal/stool sample to screen for GI parasites, a common disease in kittens.

 

If your kitten is healthy enough after their comprehensive physical examination, vaccines will be discussed. All kittens will receive their rabies vaccine, as required by law, after 10 weeks of age. The AAFP (American Association of Feline Practitioners) recommends administering the FVRCP (sometimes referred to as distemper) vaccine every 3-4 weeks with the last vaccine administered after 4 months of age. The number of vaccines administered (as long as each kitten has had 2 vaccines 3-4 weeks apart) is not as important as when the last vaccine is administered. Studies have shown that if the last vaccine is not administered after 16 weeks of age, maternal antibodies can interfere with the vaccine and your kitten may not be as protected as they could be. By administering the last FVRCP vaccine after 16 weeks of age, we avoid interference of maternal antibodies and help ensure your kitten is protected adequately.

 

A recent addition to the AAFP protocol is that the feline leukemia (FeLV) vaccine is recommended for all kittens, even if they are considered indoor only. This a series of 2 vaccines administered 3-4 weeks apart. This FeLV vaccine is boostered a year after the initial series and then discontinued if the cat is indoor only and has no chance of escaping outside. The FeLV vaccine is recommended for cats that spend anytime outside for additional protection.

 

Spay/neuter is typically discussed after the vaccine protocol is finished and typically occurs after 6 months of age. Pre-anesthetic blood work is recommended to help ensure that anesthesia is safe. Pre-anesthetic panels typically evaluate the kidneys, liver and a complete blood count.

Unwell Visits

Sometimes the unexpected happens and your cat may suddenly become unwell. We recommend you call us as soon as you suspect your cat is not feeling well, no matter how minor it may seem. Please make an appointment if you notice any of the following signs in your cat:

  • Lethargy / hiding / decreased activity
  • Not eating / drinking
  • Not urinating / defecating
  • Change in your cat’s normal routine
  • Weight loss
  • Drinking more / Urinating more
  • Change in appetite / eating behavior
  • Sneezing / eye discharge / nose discharge / congestion
  • Not using the litter box
  • Difficulty breathing / coughing
  • Vomiting / frequent hairballs
  • Diarrhea
  • Lump / mass
  • Trauma
  • More vocal / cries out
  • Seizure / twitching
  • Losing fur

The first step will be to take a thorough history and perform a comprehensive physical examination. Based on the examination findings, a Medical Plan will be created outlining the recommended diagnostic tests and treatments with their associated costs. Once we have discussed the recommendations to your satisfaction, we will proceed with the outlined plan.

 

Our hospital is equipped with a number of diagnostic tools to quickly and accurately determine the cause of your cat’s illness. Our in-house laboratory can screen internal organ function. Digital radiology (x-ray) is utilized to take images of your cat and these images will be reviewed with you in the examination room. Our hospitalization room is equipped to administer intravenous (IV) fluids and administer necessary medication(s) from antibiotics to pain medications. Our surgery suite is available for surgical emergencies if they should arise.

 

In some instances we may refer to another hospital for advanced diagnostics tests or advanced care. We work closely with local 24/7 veterinary hospital to ensure your cat is receiving the best care.

SERVICES
Examination

Our comprehensive physical examinations serve a number of purposes. Together with a detailed history, our doctors will formulate a Medical Plan specifically for your cat based on their findings.

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Vaccination

Our hospital only uses non-adjuvanted vaccines. An adjuvant is added to a vaccine to stimulate the immune system to react to the vaccine and thus increase the effectiveness of the vaccine (i.e. to make antibodies to protect your cat in the future).

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Prevention Services

Preventative Healthcare is a major focus of Cats Only Veterinary Hospital. Our Preventative Healthcare approach is tailored to each individual cat with regards to their specific environment, lifestyle, nutrition, potential risks, and other considerations. Our Wellness Plans allow you to make low monthly payments over the course of a year.

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Laser Surgery

Most of our surgical procedures utilize the benefits of laser surgery. All of our routine surgeries (neuter, spay, declaw) utilize this technology and the results are truly remarkable.

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Class IV Laser Therapy

Cats Only Veterinary Hospital is proud to offer state-of-the-art Class IV Laser Therapy for a drug-free, surgery-free, pain-free treatment for your cat. Laser Therapy has been used for over 40 years in human medicine and has recently entered into the veterinary field.

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Dental Healthcare & Surgery

Approximately 70% of cats over the age of 2 to 3 have some degree of periodontal disease (tartar, plaque, gingivitis, tooth resorption). Each comprehensive physical examination will include an evaluation of your cat’s mouth.

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Hospitalization & Imaging

In some instances, we may recommend hospitalization for your cat. Our hospital is equipped with a number of monitoring equipment and services. The following is a short list of services and equipment that may be required:

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Laboratory

Our feline friends cannot (or do not) tell us when they are unwell. We often use blood and urine tests along with a detailed history and comprehensive physical examination to help us determine if there is a problem internally.

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Boarding

Leaving for a vacation? Visiting family for the holidays? Need to travel for a business trip? Worried about your feline family members while you are away? Don’t be. Our cat friendly, quiet, cozy boarding facility is the Purrrrrfect choice for your feline family members while you are away.

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Pharmacy

For your convenience, our hospital stocks commonly used medications. With each new medication dispensed, you will receive a medication information sheet that

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