Bothell Participates in Washington State University Preceptorship Program


Since 2004, Bothell Pet Hospital has been participating in a guided preceptorship program with Washington State University’s School of Veterinary Medicine, in which we host 4th year veterinary students for one month, so they can get a taste for how things operate in the “real world” outside of academia.

As one of only 5 participating clinics in the Seattle area, we are quite honored to be part of this program. We would like to thank our clients who have met our students for welcoming them and helping them to further their education.

What Does a Preceptorship with Bothell Pet Hospital Entail?

WSU veterinary students accompany our doctors into patient appointments, scrub in and assist with surgeries, come up with proposed treatment plans, and discuss these plans with the practicing veterinarian.

This year, our preceptee during the month of February was Kristy Burges, who grew up in Bellevue and attended Western Washington University for her undergraduate degree. Says Kristy, “I loved spending time learning from the doctors and staff here and enjoyed interacting with clients and their pets. This was a great experience for me, and I look forward to keeping in touch with the people here. I’ll always be grateful for the time I spent at BPH!”

Kristy is looking forward to graduating from veterinary school this May and starting her career as a veterinarian.

About the Guided Preceptorship Program

The Guided Preceptorship Program is a structured program, which serves to instruct professional veterinary students in private practice situations under the direct supervision of one or more practicing veterinarians. The Guided Preceptorship Program at WSU follows the guidelines established by the 1991 AVMA House of Delegates. WSU students are required to complete the four credit (4 week) guided preceptorship experience.

Each private practice participating in the Guided Preceptorship Program has met requirements established by the WSU CVM, and a practitioner in each preceptorship practice has been appointed as an adjunct faculty member of the CVM. Responsible for grading the student upon the completion of the 4 weeks, that person has responsibility for overseeing the 4-week experience and providing guidance and constructive criticism.

Practitioners in the program are keenly interested in participating in the education of DVM students and strive to make the experience as worthwhile as possible. Students should view this as an opportunity to test their veterinary skills in a private practice situation.

Through positive, active participation by students and practitioners, everyone benefits from the experience. However, poor performance or attitude can result in a failing grade. Since the Guided Preceptorship Program is a required course, failure will result in dismissal from the DVM program just as failure in any of the other required courses would.


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February is National Pet Dental Health Month


While we try to emphasize the importance of pet dental health throughout the year, February gives us an opportunity to highlight specific aspects of dental assessment, treatment and preventative care.

Good oral health is more than just a pretty smile. Poor dental hygiene can put your pet’s health at risk. Did you know that 85% of pets have periodontal disease by age 3? “Dog breath”—or a cat with a foul-smelling mouth—can be a sign of dental conditions. If left untreated, you may put your pet at risk for greater problems such as periodontitis or heart disease.

Brush dog teeth

Home dental care and routine cleanings can help prevent periodontal disease. Brushing is the single most effective thing you can do to help keep your pet’s teeth healthy. Ask us for tips on how to brush your pet’s teeth and other suggestions for preventative oral health care.

Additionally, a complete oral examination can detect hidden health problems. Even if your pet’s breath smells fine, there could still be dental conditions and oral pain that are hard to detect without a complete veterinary exam or dental radiographs.

Dog teeth cleaning woodinvilleAs an example, I will briefly share the story of my own dog, Hokulani, a 12-year-old Cavalier King Charles Spaniel (our daily office resident whom many of you have met on your visits here).

I adopted Hoku at 6 years of age. As a small breed dog that had not received previous oral health care, not surprisingly, she had irreversible periodontitis. Since then, Hoku has had multiple dental cleanings and teeth extractions over the years.

Professional Cleanings + X-rays

We know that most dental disease occurs beneath the gum line and that a thorough dental assessment and cleaning in our patients require anesthesia. Additionally, dental radiography is invaluable and reveals dental disease of tooth roots and the jaw that cannot be detected otherwise. A study showed that radiographs of teeth without obvious abnormalities yielded incidental or clinically important findings in roughly 3 out of 10 dogs and 4 out of 10 cats.

periodontal-disease-xrayIn late 2015, Bothell Pet Hospital purchased a dental radiography system that allows us to take detailed full mouth radiographs (x-rays) of our canine and feline patients, just as they do at your own dentist. While I had been vigilant about doing oral assessments and cleanings for Hoku, dental radiographs revealed tooth root abscesses and irreversible bone loss that I had missed—since I could not see it with the naked eye.

Furthermore, although she did not show obvious signs of pain, she definitely seemed more comfortable and ate better after her procedure. Addressing Hoku’s oral health and dental conditions is an ongoing commitment and part of ensuring she has the healthiest, happiest life.

dog-smile-2Here at Bothell Pet Hospital we are proud that we perform full-mouth radiography with every dental procedure as part of a comprehensive oral assessment and treatment plan. It has allowed us to continue our mission of providing our client’s cats and dogs with the best medical, surgical and dental care. We are committed to your pet’s health and wellness, and we know that you are as well!

Additional Information and Tips:

National Pet Dental Month Event

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Transporting a Cat with Minimal Stress

By Dr. Naomi Keiper of Bothell Pet Hospital

If you’re a cat owner, you know how stressful it can be to get your feline to the veterinarian – for both of you! Trying to get a cat into a carrier can result in scratches, bites and even blood being drawn. It’s enough to make the bravest of cat owners want to skip veterinary visits altogether!

cat-football-player-comicEven though cats outnumber dogs as family pets, we veterinarians we see a greater number of dogs in the clinic for health care than cats. According to the American Veterinary Medical Association, in 2011, 44.9 percent of cat owners didn’t take their cat to a vet during the year, while just 18.7 percent of dog owners didn’t go to a vet with their canine.

We know that cat owners feel just as strongly as dog owners about maintaining their pet’s health, but stress and transportation issues can greatly impact an owner’s ability to visit the veterinarian with their feline. Unfortunately this often results in many cats that may not be getting the veterinary care they need.

How to Transport Your Cat

The following tips will help you reduce the anxiety associated with getting your cat to the clinic, so that he or she can have the visits necessary for maintaining tip-top health—allowing your cat to live a longer, more comfortable life.

  • If possible, start with getting your cat used to the carrier and the car as a kitten. Keep up with this throughout the cat’s life.
  • Getting the right carrier is key; many carriers are just too small. In purchasing a carrier get one that is large enough for your cat to turn around in comfortably. The ideal carrier will have an easy release top portion which can be removed to allow your cat remain in the bottom half of the carrier. Physical exams can be performed with your cat in the bottom half of the carrier allowing him or her to feel more secure. An easy release top or top loading option will also help avoid the difficult and stressful experience of “extracting” a cat from its carrier.
  • Each cat in a family should have its own carrier. This may help avoid cats “feeding off” each other’s stress.
  • Leave your cat carrier out and available at all times. Make the carrier a fun place: feed treats in the carrier, try cat nip, dismantle it and leave the bottom half available with a familiar blanket inside it to provide a bed, some cats will even respond to crate training!
  • Try Feliway® spray in the carrier and in your car. This is a synthetic pheromone that helps reduce feline stress.
  • Spread a towel over the carrier before transport to shield your cat from the world outside. You can even cut a slit in the middle portion of the towel so that your carrier’s handle will fit through and the towel can drape completely over the carrier with ease.
  • After your cat has become more comfortable with the carrier, getting them used to trips in the car can be the next step. Make short car rides around the block with your cat in their carrier so that car rides do not always result in a veterinary visit. Make sure to secure your cat’s carrier with a seatbelt to reduce the motion associated with riding in the car.
  • For cats with more severe anxiety we can prescribe medications that can be given at home before even attempting to put your cat in the carrier for his or her visit that may alleviate anxiety all together. Just ask!

Last but not least… as much as we would love you see you and your feline for veterinary care right here at Bothell Pet Hospital, we realize there are some cats that may do best with a veterinary home visit. This service can provide your cat with great health care without the stress of being removed from their home. Give us a call and we’ll be happy to provide recommendations.

We look forward to seeing you and your cat(s) at our clinic sometime soon!


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Cushing’s Disease – A First Hand Veterinary Perspective

Is my dog just getting old (or could there be something else going on)???


Have you noticed that your middle aged or older dog is starting to slow down? Is he lethargic, maybe panting more, getting up at night to urinate? Drinking more water, have thinning fur, and a pot belly? He’s just getting old, right? After all, his appetite is great and he’s not losing weight…

Does this sound like it could be describing your dog? While it sure sounds like typical signs of aging, these vague symptoms could indicate that your dog has Cushing’s Disease.

What is Canine Cushing’s Disease?

Technically it’s called Hyperadrenocorticism, but ever since it was described in humans by Dr. Cushing back in 1932, it is now commonly called Cushing’s Disease. This disease causes the body to overproduce cortisol, which has secondary effects on the rest of the body. It is seen in middle aged to older dogs, and has such a gradual onset that the symptoms are often mistaken for typical aging. It is very rare in cats.

There are two main forms of Cushing’s Disease: adrenal and pituitary.

Pituitary Cushing’s Disease in Dogs

The first and most common, is the result of a benign tumor located on the pituitary gland in the brain. The pituitary gland, often called the ‘master gland,’ produces hormones that signal other organs in the body to produce their hormones.

In Cushing’s Disease, the tumor produces excessive ACTH which causes the adrenal glands (which are located in the abdomen next to the kidneys) to produce excessive amounts of cortisol. Some cortisol is necessary for life, but excessive amounts are detrimental.

Adrenal Cushing’s Disease in Dogs

The second form of Cushing’s Disease involves a tumor directly on one of the adrenal glands that causes the gland to overproduce cortisol. In general, half of these tumors are benign, and half are malignant.

(A third form of the disease can be seen in dogs treated with excessive doses of steroids.)

The majority of canine Cushing’s cases (80 to 85%) are a result of tumors of the pituitary gland.

Identifying Cushing’s Disease

Diagnosing Cushing’s Disease starts by your veterinarian taking a thorough history and doing a physical exam on your dog. If his symptoms support Cushing’s Disease, your veterinarian will want to run blood and urine tests to rule in or out other diseases and look for changes in support of Cushing’s Disease. Finally a Cushing’s-specific test is done to help identify if your pet has the disease. Sometimes an abdominal ultrasound is needed as well.

Treating Cushing’s Disease

Because the majority of Cushing’s cases are pituitary-based, the majority of them are treated with oral medication. Newer medication now available makes treatment much safer and easier than those medications used in the past.

For adrenal-based Cushing’s disease, if the adrenal tumor can’t be surgically removed, oral medication is also used.

Oral treatment is long term and must be accompanied by regular veterinary monitoring.

So if it seems like your dog is prematurely old and exhibiting these symptoms, discuss with your veterinarian if testing should be done.

Luckily, Cushing’s Disease can be diagnosed and symptoms effectively controlled in the majority of dogs, restoring vitality and helping your dog to once again lead an active happy life.

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Dr. Kovar in St. Vincent and the Grenadines with World Vets

As many of you know, I have been volunteering with World Vets for the past several years. The organization operates in over 45 countries on 6 continents. Their mission is to “improve the health and well-being of animals by providing veterinary aid and training in developing countries and by providing disaster relief worldwide.”

islandIn October I travelled to St. Vincent and the Grenadines, a nation in the southern Caribbean that is made up of the large island of St. Vincent and a chain of smaller islands. The Grenadines are a popular destination for tourists, owing to their beautiful beaches and coral reefs. St. Vincent, however, is less visited- the beaches are mostly rocky and volcanic, and the terrain mountainous.

The Vincentian SPCA, a local animal welfare group, asked World Vets for assistance in managing the pet and stray overpopulation problem there. As can be imagined, there are limited resources on the island and uncontrolled reproduction is a serious concern. Our trip was a pilot program, meaning that this is the first time World Vets visited the area. We had no idea what to expect, but were optimistic that our campaign would be successful.

Our team was comprised of seven veterinarians, two veterinary technicians, and four assistants. We even had one vet from Italy and one from Venezuela. It is truly amazing how so many people, from different backgrounds, can come together and work so efficiently and adeptly.


The SPCA was out in full force as well—handling registrations/paperwork, cleaning instruments, keeping us well-hydrated and fed. For me, one of the wonderful aspects of these trips is working alongside the residentsI learn so much about the local culture. We provided three clinic days, in two different locations. The second place was 1 ½ hours from our guest house, in an area with no veterinary care available.

Over the course of these days, we performed almost 200 spays and neuters. With five doctors operating throughout each day, we were busy! Our “surgery suites” were fairly primitive (headlamps for lighting, plastic tables elevated on cinder blocks).


The procedures were often complicated by excessive bleeding, as tick-borne disease is common (which can cause a decrease in blood platelets). Once complete, the dog or cat was passed on to “recovery,” where it received pain medication, deworming, and flea/tick treatment. Then after the pet was able to walk, back into the arms of the waiting owner.
Insert Recovery

The SPCA volunteers also rounded up as many stray dogs that they manage. They would bring them in crates, and once the procedures were done, they would go back to their territory. Obviously, neutering the stray population is crucial to the overpopulation issue.

lesley-burroAside from surgeries, we also provided medical consultations. These could be anything, ranging from treatment of parasites and infections, to evaluating tumors and orthopedic injuries. All, including medications, is provided at no charge to the owners. I even got to do a house call to examine a limping baby donkey!

The locals were all so appreciative, and it was very clear how much they love their pets.

I do confess that the trip was not all hard work. I had the opportunity to visit the beautiful St. Vincent Botanical Gardens, scuba dive, and snorkel. And yes, relax and listen to island music, sipping a tropical drink. Life is good! 🙂


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The Fat Cat – Overweight Felines and What You Can Do


Current studies estimate that over 50% of cats in the US are overweight or obese. In fact, obesity is the most common nutritional disorder in our pet population.

Unfortunately, the problem often goes unrecognized by their caretakers. So is your cat overweight?

  • Can you feel his ribs easily?
  • Does he have a waistline when you look from above?
  • When you look from the side, does he have an abdominal tuck (as opposed to sagging)?
  • Does he have a loose scruff, with a clear distinction between the head and shoulders?


These are the features your veterinarian considers when evaluating your pet’s body condition. If the answer to one or more of these questions is no, then unfortunately your pet needs to lose weight.

Weight Problems Can Cause Other Health Problems

There are multiple health issues to consider when you are caring for an overweight cat. As body fat increases, so does the risk for diabetes, hepatic lipidosis (fatty liver disease), lower urinary tract disease, cardiovascular disease, certain cancers and arthritis. The immune system can become compromised, and there can be anesthetic and surgical complications. Statistically, there is an overall shortened life expectancy.


Why is Feline Obesity Increasing in Prevalence?

Decreased physical activity is a major factor, especially with more cats living entirely indoors. Neutering plays a role, as there is consequently less roaming and increased food intake. Most often, though, the overweight cat is a result of overfeeding and/or high caloric diets and treats.

cat-empty-bowlHow to Help Your Cat Lose Weight

Okay, now that you sadly admit that your cat has a weight issue, what can you do about it? Most important: reduce the calories you feed.

The average 10 pound cat has a daily requirement of 180 to 220 calories to maintain its weight. For safe and effective weight loss, reduce the calories by 25%.

Dry cat foods have an average of 400 calories per cup (this information will be listed on the label of your product). Be sure to precisely measure out portions – “taking a rough guess” tends to lead to overfeeding.

It is really important that you feed appropriate amounts when doing a weight loss regimen – too many calories won’t yield any results, whereas too few can lead to serious health consequences.


One of the newer approaches to weight loss in cats is to feed a “Catkins Diet” – a high protein, low carbohydrate food. Since dry foods sold in pet stores tend to have high levels of carbohydrates (leading to overproduction of insulin, increased hunger, and weight gain), the “Catkins” solution is to feed a high quality canned food. For cats that are accustomed to dry food, changing to canned may be challenging. Do the transition gradually, and be patient.

cat-feather-toyTreats are unfortunately are a major contributor to weight gain, and should never constitute more than 10% of the daily total caloric intake. Considering that 1 slice of lunch meat has 30 calories, 2 ounces of tuna has 80 calories, and 1 ounce of cheese has 120 calories… it adds up!

Another aspect to a successful weight loss plan is exercise. Most indoor cats are not particularly active, so we need to be creative. Luckily they are natural hunters, so use toys and objects that they may chase, i.e. feather toys, flashlights, ping pong balls. Move the food dish to different locations so they need to find their next meal.

fat-catSlow But Sure is Best

Keep in mind that weight loss in your cat should be a gradual process. Most will reach their target weight in six to eight months, with healthy loss at about one pound per month.

For additional information, check out these great resources. They will help you determine an appropriate diet, how much to feed your cat, and how to transition from dry to wet food. We are here to help you as well!

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Tips for Hiking with Your Dog

Fall is a great time for hiking in our beautiful Northwest wilderness, and many dogs enjoy hiking and backpacking along with their owners. Below are the ASPCA’s expert tips to ensure your dog’s safety as you explore the great outdoors:

Pack a Leash

With so many nooks and crannies to explore on the trail, it’s best to opt for a non-extending leash to avoid potential tangles with branches and brambles.

fangfang-and-hunter-hikingBring IDs, Please!

Always make sure that your current contact information, including your cell phone number, is attached to your dog’s collar or harness.
Photo of Fang Fang & Hunter at Lake Twenty Two by Ting L.

Check Your Records

You never know what you might encounter on a hike through the woods. Before you set out on your journey, make sure your pet’s vaccinations are up to date.

Give Pests the Boot

Tick prevention is essential when tromping through the great outdoors. Ask your vet about appropriate parasite prevention.

Leave No Trace

Scoop up after your dog when she goes to the bathroom as you would on a stroll through your neighborhood.

Stay Hydrated

Don’t forget to bring enough water for yourself and your dog. It’s best to avoid letting your dog drink from nature’s water fountains, as puddles, lakes and streams can be home to nasty parasites and toxins that could be harmful to your furry friends.

For more tips about keeping your pet safe in the wilderness, feel free to download the ASPCA’s printable Hiking Safety Tips Guide [PDF] to carry with you on the trail.

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