De-stressing your cat's veterinary visit

The thought of your cat's annual exam shouldn't make you both want to hide under a towel!

At Exclusively Cats Veterinary Hospital, we know how stressful it can be for your cat to come visit us. We also know, that what stresses your cat also stresses YOU! You want to take the best care of your cat that you can, but you sometimes wonder if all the crying during the car ride, or the hissing in the exam room is worth it. We get that. We don’t like to see your cat stressed out, and we don’t want you to be stressed during your visit, either. 

However, regular exams with your veterinarian are so important, especially as your cat ages. There are common diseases in older cats that can sometimes be difficult to pick up on at home due to their subtle signs. That’s where your veterinarian comes in! A complete, whisker to tail physical examination will help reveal some of those elusive signs, and your conversation with the veterinary team will help pick up on other signs, such as increased vomiting, increased or decreased energy, night-time howling, bigger urine clumps, and increased thirst in your cat; these are all signs of common diseases in older cats such as diabetes mellitus, hyperthyroidism, and chronic kidney disease. 

Even if your cat is indoors, he or she still needs to visit the veterinarian. Indoor cats can still get fleas, are still at risk for heartworm disease, and still may be exposed to rabies if a bat enters your home. If you have a kitten, he or she may need to visit every few weeks for the first few months, in order to get booster vaccines. Between 2-8 years of age, a visit every year is typically sufficient, if your cat is indoor only. However, as your cat approaches 8-9 years of age, ideally those visits should be twice a year. We recommend checking patients’ blood pressure at least twice yearly, as some patients with hypertension can display signs of retinal damage after only a few weeks of chronic high blood pressure. After all, the sooner we pick up on medical problems, the sooner we can treat it and the better the prognosis!

With most of our feline patients, our Feline Friendly Handling Guidelines allow us to perform exams and treatments with limited stress. A calm and quiet environment, skilled and gentle handling, knowledge of feline behavior and body language, Feliway diffusers in the exam room that give off calming pheromones, warm towels, and making slow, steady movements all help provide an environment most likely to make a cat feel safe. But some cats are so stressed by any part of the whole experience that they go into defensive mode for self-protection.

Here are some great tips to help decrease the stress you and your cat experience when you visit:

  

Conquer the Carrier Crisis

Many dogs enjoy getting in the car and going for a ride because they never know if they are going to the pet store, grandma’s house, the dog park, or McDonald’s for a hamburger! On the other hand, most cats only see the carrier when it’s time to see the vet, which makes it a doubly scary thing.

You're never too young to learn about the carrier!

If you start acclimating your cat to the carrier when they are young, you may be able to make your cat like the carrier right away, but even older cats can learn to fear the carrier less if you let them get used to the idea. The best carriers are those that can have the top removed by unclasping it or unzipping, so the cat can be examined in the carrier if they want (more on that, later!). If you start weeks prior to your annual visit by introducing the bottom half of your carrier in a room that your cat likes to spend time in, your cat will start to see it as less of a threat. 

Offer your cat a bowl of delicious food or special treats in the carrier to encourage him to inspect the carrier at his leisure. Replace the food and treats daily. Once your cat is going into the carrier willingly, you can try putting the carrier back together, and let him get used to entering the full carrier. Then, encourage him to enter a carrier, close the door and carry him on a lap of the house. Gradually work your way up to taking short rides in the car, always starting by encouraging, not shoving, your cat into the carrier. Always give abundant encouragement with treats, calm words and snuggles afterwards (and during the process).  

Another thing that you can do to help make the carrier less stressful is to spray Feliway onto a blanket you place inside to make your cat comfortable about 15 minutes prior to encouraging your cat into the carrier for travel. You can also cover the carrier with another blanket to help block scary sights and smells as you travel to the hospital. Cats are very fond of the philosophy “what I can’t see doesn’t exist!”

Grab the Gabapentin

Gabapentin generally calms but does not fully sedate cats

Another tool that you can use to help your anxious cat de-stress is a medication called gabapentin. This medication is used in human medicine for neuropathic pain, and is also an anti-seizure medication. It is also an excellent, gentle, and safe sedative for cats. A nice bonus is that gabapentin is a flavorless powder inside a capsule, which can be opened and mixed into some canned food 1-2 hours prior to the appointment and most cats will just eat it right up along with the food. For most cats, 100mg prior to the appointment is all they need, while others only need 50mg. Some cats benefit from a dose the night before the appointment in addition to the dose prior to the appointment. Side effects are mild, including excess salivation and sedation, and these will wear off in 6-8 hours after the dose of medication. For some people, gabapentin is also a nice solution for those cats that will not allow nail trims or grooming at home!

We want to emphasize that gabapentin is not just for cats that show their teeth and claws at the hospital – cats that are anxious or vocal in the car, those that urinate or defecate in their carrier, or scratch their face and tear their nails on the carrier doors, trying to escape, even cats that lead you on a merry chase around the house when they sense it is time to go to the vet – any cat could benefit from this anti-anxiety medication. They may still not be happy about coming, and are probably never going to feel like our office is their favorite place, but the whole ordeal will be less traumatic – both for them and for you!

 Deliver Delicious Delicacies

You may want to bring your cat with a good appetite! Not only will that help if your cat gets car sick (motion sickness), but it’ll allow us to shower your cat with his or her favorite treats during the veterinary visit (as long as it’s not medically contraindicated - occasionally some tests do require fasting). Personally, we find that Friskies Party Mix, canned tuna and Fancy Feast are a hit in the veterinary clinic. We have recently had some success with INABA Churu grain-free lickable cat treats, as well, which is a meat flavored puree in a tube (kind of like kitty GoGurt). Just in case, we welcome you to bring your favorite snacks too!

If you have questions or concerns about the level of stress your cat experiences before, during or after his or her visit, don't hesitate to call our office at 248-666-5287 and ask us how you can help make things easier for both you and your cat so that they can get the crucial health care they need.

Beware of Cat!: Avoiding the human hospital after visiting the veterinary hospital

When you visit the veterinarian with your cat, and your cat is being a bit feisty and wiggly, a technician may be called into the room to hold your cat for you. You may wonder why that is - it's your cat, your loving companion, after all! You should be the one holding her, right?

Unfortunately, even the sweetest of cats may become unpredictable when frightened, and at that point, she may not care WHO is holding her. She just wants to get away to a safe, dark spot, and hide.

One of the reasons that we bring a technician in to hold a cat is that they have many years of experience holding unruly cats while remaining calm and gentle, but firm. They also have a lot of experience in avoiding getting bitten while still maintaining control of the situation, preventing others from getting bitten as well.

Why do we care so much about bites?

Well, besides the fact that they hurt - A LOT - cat bites have a high likelihood of becoming infected. According to a new study, about 1 in every three people who sought medical care for a cat bite more than 24 hours after the bite ended up being hospitalized for 3 or longer. As many as 72% of the hospitalized patients required surgical intervention for their bite wounds. Several of the patients needed multiple surgeries, and several had complications such as abscesses or lingering joint mobility issues. We don't want your visit with us to end up with a doctor visit for yourself!

At Exclusively Cats Veterinary Hospital, it is our goal to ensure that the safety of both our patients and our clients are of highest priority. For this reason, we hope that you understand when we ask you to sit back in your chair and relax while someone else holds your cat for the veterinarian. It's also one of the reasons why we might ask to take your cat "in the back".

 More information about cat bite related medical problems can be found here.

Feline Medicine without Borders!

Jeremy Campbell BVSc MACVSc (Feline Med) MRCVS (and friend)

One of the interesting things about having an ABVP veterinarian at Exclusively Cats Veterinary Hospital is that we get to meet and work with a large variety of other veterinarians who love working with cats as they come to visit and study for externships, internships, or just because they want to know more about all-cat practices. 

This past month, we were thrilled to have Dr. Jeremy Campbell rotating through our hospital on a tour of US feline veterinary hospitals. He is very enthusiastic, friendly and very obviously and genuinely cares about cats. We invited him to share a little more about himself, and why he was here.

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Hi, my name is Jeremy Campbell, and I am a New Zealand qualified veterinarian who is spending time at Exclusively Cats to get experience with how things are done in Feline-only practices in this part of the world. I have been fortunate enough to meet some of you and your lovely cats in my two and half weeks here which has been fantastic. Interestingly, my professional career started off at the complete opposite end of the scale both in size and location. I began life in New Zealand working only with horses in a specialty hospital. Over the years as my skills and interests have developed I realised that there was really only one species that presented me with the personal challenges and rewards as a Veterinarian, and that is of course, the cat. 

Why do I like working with cats?

"Cats don't have owners: they have staff." "Dogs look up to us, pigs treat us as equals and cats look down on us." Basically, I love their independence, their ability to train us and the fact that they can convert the most determined/adamant dog-lover (usually men) into a lifelong cat lover with a swish of their tail and a carefully calculated show of affection..... They are such subtle creatures in their manifestations of illness and pain it is a challenge to understand that, then solve their problems. The rewards of making a sick or painful cat better is the thing that motivates me and drives me to enhance my knowledge.

I currently work in a very busy 3.5- 4-vet practice in South London; the practice is 70% cats so I am in my element. However, unlike your lucky cats, ours still have to deal with the day-to-day stress and the constant racket provided by the lesser species! We do have one evening a week which the cats can call their own and this is bliss. Bliss for the cats and bliss for me.

Guppy

Before settling back in the UK two and a half years ago, I spent three years working for the Society for Prevention of Cruelty to Animals (SPCA) in Hong Kong which was a very interesting time with some pretty crazy diseases and manifestations of disease. The SPCA is one of the busiest practices I have worked in with about 21 Veterinarians in total and runs very much like a human hospital being the size of a city block! It was here that I picked up my current cat Guppy. She was dumped on the doorstep of the hospital aged only 3 weeks with a nasty shoulder abscess. I intended to foster her for a short period until she was well enough to be rehomed but (not surprisingly) 4 years later she is still with us.  I have yet to rehome her………although her 3am shouts for attention sometimes tempt me!!

I am spending time in three different feline practices in the US before heading back to London in November (managing to hold the winter at bay for as long as possible…..the other two practices are in Texas!!). I am intending to use this experience as a jumping-off point to doing a speciality qualification in Feline Practice in a couple of years.

Already time is flying as my first placement here at Exclusively Cats is drawing to an end. I have learnt a lot and really enjoyed the warm hospitality and friendliness of everyone here in Waterford and Milford.

Jeremy Sept 2013