Yesterday was my birthday. In a misguided attempt to celebrate this auspicious day with me, my first patient of the day took a whopping chomp out of my left hand.
As is my usual style, I made no exclamations or accusations and simply whipped out a muzzle, sparing just enough time to write “Watch!” on the file in bold letters and utter a few words of exculpatory explanations.
Now, this would have been a relatively typical display of appropriate hostility for an animal (in this case, one with painful ears) save for his breed. This was a happy-faced chocolate Lab, not unlike every other Lab I see except in his expert ability to connect teeth to flesh and his uncharacteristic willingness to do so (uncharacteristic for his breed, that is).
Labrador retrievers in our area are almost uniformly even tempered. Sure, some are bouncier than others, but this is the first serious chocolate biter I’ve come across. (24 hours later I’m still nursing a puncture wound at my nail bed and a deep purple bruise in the palm of my hand.)
And yet, there are never any guarantees, as anyone who works with animals knows. Brian Killcommons, a well-known dog trainer and friend of the family once spoke to this point with his sage words: “Dogs are always fine (meaning non-aggressive)…until they’re not.”
Nonetheless, “breedism” is a big deal in vet medicine. Many a mistake has been made in my field by assuming even-temperedness on the basis of breed alone.
Those of you with pit bulls and Rottweilers have doubtless experienced the converse version of this bias, in which muzzles are uniformly applied and heavy-handed holdings are the norm, but few owners of so-called “easy” breeds will relate to this. Their pets are always expected to be saintly examples of their breed.
Luckily, I learned early that this mistake can be costly. The most aggressive pet I’ve yet met was presented to me as an after-hours emergency in my first year out of vet school. But that time there was no mistaking the dog’s intentions:
This Golden retriever wanted me dead. He suffered from “rage,” a descriptive syndrome that seems to have a genetic origin. Though he clearly needed medical attention for a bleeding wound, I was unable to even stand in the same room with him for all his lungings and snarlings.
To make matters worse, the owner was useless. I refused to treat the dog, of course. Living in Philadelphia at the time, I was able to send him to the University of Pennsylvania (with a couple of Acepromazines in his belly) where better resources for handling such examples of his behavioral malady were immediately available (and where I referred him to the behavior service once his laceration was repaired).
Too bad I wasn’t in a similar frame of mind when facing down this chocolate Lab. Memory seems to have a time limit, doesn’t it?
It’s easy for us to flaunt our breed prejudices in veterinary medicine for lack of any political correctness when it comes to preferring one over another. But it’s also stupid to assume anything when it comes to any pet based on his looks alone. Yesterday I received a much-deserved lesson on that fine point. Hopefully this time my memory will serve me a little longer than it did last time.
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Happy Birthday! What a lousy present to get!
Just as you, I can't afford use of my hands, or legs, for that matter. Being a mail carrier, I just don't take chances, no matter what the breed and sometimes it offends patrons.
I think from this post, and previous ones, I am going to insist on restraining my own dogs again. I know how to comfortably handle each one, without incident, and will carry my own muzzle, if anyone is apprehensive.
Having my own share of dog bites, I know how it puts you out of 'commission'
Barbara A. Albright/New Hampshire September 27th, 2008 11:20:00 AM
FWIW--most places will not allow you to restrain your own dog for a variety of reasons, some of them, sadly, legal. If you are bitten by your pet in my office, even if you INSISTED on hold the pet, I am liable for the bite.
Now...I do have one or two clients with VERY TOUGH dogs who are very good at restraining their dogs. However, most owner that I have dealt with are more of a hindernace than a help at restraint, and they put themselves in danger (if I had a nickel for everyone who put hands or face nose to nose and baby talked as I moved to do something invasive--I always stop and ask the owner to not do that because I don't want their pet to assume they have just put their hands in whatever personal area I'm about to explore) This is why I have someone with me who is not only trained to handle your pet in a safe and comfortable manner, they also have been trained to know how *I* work and can "handle" my requests too.
This doesn't mean you should not ask--its certainly possible you and your vet have a rapport that your vet may be comfortable with you restraining. But do please understand this from our side of the exam table too. Not everything we do is intended to crowbar you from your pet without reason. I know I cannot gather the information I want to as effectively with MOST owners holding as I can with one of my techs...and I do not have time to train you during your appointment!
One other FWIW--painful ears REALLY hurt, and I do find that ear infections will make a nice dog want to uncharacteristically eat your fingers and require a muzzle
drsteggy September 27th, 2008 01:33:00 PM
When I was a Tech, I can still remember how shocked I was when I met the first (and admittedly only one during my career) pug that wanted to kill us. The hardest thing was trying to figure out how to keep the mouth closed without a nose to help keep a muzzle on and no neck to speak of either. :) [And I say this as some one who grew up with them and owns them.] That helped me to not take any breed at face value all the time.
JJ September 27th, 2008 02:07:00 PM
What a lousy birthday present!! I hope the rest of your B-day was much, much better!
This illustrates another argument for why Breed-specific legislation is such a bad and useless idea. By summarily declaring certain breeds (and any mix who looks similar) to be "dangerous", lawmakers can instill a false sense of security in some pet owners. They will figure that if their dog's breed isn't on the "dangerous" list, then it must be safe, right?
Barb September 27th, 2008 02:08:00 PM
My apologies, Dr. Steggy. I really should clarify my remarks. While anything goes in my state of NH regarding what happens to your pet, I suppose "human physical" damage is an entirely different matter.
That is why I will advocate to owners to bring their own purchased muzzle, if the attending vet is at all apprehensive.
And I agree completely that some pet-owners are as useless & clueless for restraint. I think I have demonstrated repeatedly "my" knowledge for safety and experience, for both myself, the vet, and the pet. I've been willing and generous enough times, for the benefit of newbie techs. Someone else needs to fill that void---especially when I and my pet inadvertently paid too big a "price" for it.
Barbara A. Albright/New Hampshire September 27th, 2008 02:11:00 PM
In regards to the owner restraining their own animal: I learned through my vet assistant course just what you said that it's a liability to the clinic and veterinarian if a bite were to happen. However in my experience (and perhaps it's just the clinics I go to or perhaps my vet trusting me) I've been asked multiple times to hold my dog, cat, ferret while they do whatever examination or procedure.
I'm wondering if it's a Canadian vs American mentality or if you've heard of clinics that do the same?
Katrina September 27th, 2008 05:32:00 PM
Dr K Happy Birthday!
NOw to the BSL comments- have you all noticed how no matter where you go, there are people who look just like a group of people back home? Makes me think BSL COULD be a good thing but IT NEEDS TO BE APPLIED TO PEOPLE and not their dogs. 90% of the time, the problem is the owner, not the dog.
I am amazed that I can be hundreds of miles away, but the people have the same characteristics as people all over the world. I'm not sure if it's inbreeding, or a certain predisposition due to where they came from a long time ago....
Agadoresmama September 27th, 2008 06:56:00 PM
I tried to comment earlier, but it looks like it got eaten. Ah well.
I apparently live in the Mean Lab Capital of the United States because we've got lots of 'em. Fearful ones who'll bite you as well as one who will march right up to the front desk, stand up on his hind legs, lean over the counter, stare, and growl deep in his throat (and the clueless owners to go with him!). I'd never ever trust a Lab I didn't know just because it's a Lab.
Interestingly, as a pit bull owner, I've not run into much bias against the breed in my dealings with assorted vets. I worked for one vet who was scared of them but most vets have said that they like to work with pits because most of them are very stoic and roll-with-the-punches. I feel much more breed bias in the training community compared to the veterinary community as far as "dog people" go.
katie September 27th, 2008 09:21:00 PM
ouch! my worst bite was from a golden too! i thought of her for months as the bruise healed and my nail grew back. our great old vet tech yelled at me (fortunately her bark is much worse than her bite ;)!" "sarah, you're too trusting!". all i was doing was giving that boarding golden a nice fluffy blanket for her kennel. one day perhaps could you blog about choosing a puppy with a good temperment?? i think my next dog will be a golden and i hear there is a lot more aggression these days. i am still sad to have lost my cocker-cavalier to IMHA, but i would never recover if i had to euthanize a golden (or any dog, really) due to aggression.
Sarah September 27th, 2008 09:38:00 PM
When I was eight, I came face to face with an aggressive stray Golden Retriever en route to the bus stop. Terrified, I ran back to the house- where my mother, upon hearing that the offender was a Golden, looked at me as if I were insane and marched me right back outside, insistent that I'd clearly misread the dog's behavior. We made it about halfway down the street before said Golden sent us both running for home. Upon calling animal control, she received pretty much the same response she'd given me.
Conversely, I've encountered three strays in recent years- a Pit Bull, a Boxer, and a Chow mix- and all three were absolute angels.
You never know.
Twinkie Maven September 27th, 2008 10:21:00 PM
I am curious as to why you say he suffered from rage syndroym and not normal aggression? (of which there are many types and triggers)
Everything I have read about rage has it typically presenting unexpectedly and sudden onset, usually when the dog is sleeping or quiet, and not normally in a setting where you might see classic aggression. (though not unheard of since it is typically unexpected and can be without the classic warning signs)
Or are you just using that as a descriptive term?
Happy Belated Birthday. I hope the rest of it went smoother.
Marie September 28th, 2008 07:44:00 AM
Think owners have to take some responsibility when they own a dog.. Ughhh ... I walked into the vet yesterday, and Socks was shaking in a panic.. He ended up with bilateral ear infections, and his allergies were acting up.. On the way out.. while paying, another dog came up to him.. I saw Socks top lip go up, and grabbed him.. The other dog snapped at him, and the lady was having a fit that her dog's tongue was bleeding.. She was thinking Socks bit her dogs tongue.. Imagine Socks getting into the other dogs mouth to bite it's tongue.. Ughhh
I have no patience for people that don't think past their elbow..
Think you might have it harder being faster than a biting dog.. vs. babies tossing their cookies..
barri September 28th, 2008 08:05:00 AM
I agree with Marie. A dog that won't let the vet near him to treat him is not displaying "rage syndrome." He may exhibit seizure-like rage episodes <i>in addition</i> to be being a nasty-ass biter, but that's not his problem at the moment. It's a frequently-denied reality that organic rage episodes often go hand-in-hand with a very bad basic temperament -- making it tricky to tease out the reality, especially when the trainer or vet never gets to see the dog in an "episode."
I've worked with both goldens and Labradors who displayed <i>extreme</i> aggression, and one Lab that was both moderately "regular" aggressive and, I believe, had an organic "rage" type disorder. (And I did refer him to Penn when his owner moved east -- they drugged him, and it further reduced the regular aggression -- already 90% resolved with training -- made the dog fat and listless, and did nothing for the episodic weird stuff.)
Hands-down the most dangerous dog I ever put hands on was a golden. If he had "rage syndrome," he was status epilepticus with it. Animal was a perfect storm of horrible genetics and enabling owner, who incidentally had young children. First time I ever flat-out told an owner to put a dog down. She refused, because she believed the dog would not bite <i>her</i> kids -- he'd already nailed half the neighborhood kids, and they somehow kept their house. If I ever see this combination again, I will call Children and Youth Services and report them. The dog did not "bite" her kids, oh no -- he was saving up. A year later, with at least one more neighborhood kid bite under his belt, he <i>mauled</i> her son. Then they put him down.
I <i>never</i> expect a dog from a "friendly" breed to be friendly. By the time a breed has gotten popular enough to accrue its own stereotype, breeders who are chasing $$ and trophies will have produced a nice cohort of individuals who defy that stereotype with their teeth.
H Houlahan September 28th, 2008 11:55:00 AM
HH: I find this subject of "rage syndrome" an interesting one and wonder if any studies have produced the suspected organic causes. This has been commonly described in the Bull Terrier and Springer Spaniel breed.
I have run into more Golden owners that have dealt with onset of seizures/diagnosed as idiopathic epilepsy and several years later ended up with brain tumor/s diagnosed.
Also I can't help but wonder how many dogs are misdiagnosed for underlying bladder infections, IVDD (prior to obvious symptoms), generalized arthritis , chronic painful conditions, or the like.
I can't help but say this, having 2 individual dogs that displayed "rage-like" symptoms, that stopped once the underlying condition was resolved.
Barbara A. Albright/New Hampshire September 28th, 2008 12:29:00 PM
HH: Not to come down on the veterinary profession, but to add for the sake of others dealing with chronic UTI's---suggesting treatment with amoxicillin, clavamox, or Baytril was NEVER going to resolve this particular UTI and I sadly can say this has been the case with friend's pets with UTI's never resolving, yet cultures are NEVER suggested.
Barbara A. Albright/New Hampshire September 28th, 2008 12:44:00 PM
Barbara- That's no good about the unresolved UTIs. The clinics I've worked at all give one 'free' UTI. Meaning they'll go with the standard meds once. If that doesn't clear it, they require a culture and/or radiographs to check for stones (if that's a suspect) before they'll do anything further. Maybe it's a regional thing that vets in my area are more apt to do cultures than back east where you are?
lindabcs September 28th, 2008 03:28:00 PM
lindabcs: thank you for that observation. I can't speak for every clinic in my state, but the numerous comments/statements made directly to me and my own repeated experiences.
It is what I feel poor, lazy, or I might even suggest negligent vet care. A co-worker of mine has a 5 yr. old GSD, with repeated UTI's, has opted for the vulvaplastic (sp.?) surgery, with 2 more UTI's post-surgery. Well, simple facts are $50 in-house urinalysis (no c&s) and sent home with standard antibiotics---every single time!
sad, sad,
Barbara A. Albright/New Hampshire September 28th, 2008 04:30:00 PM
so far i've been really lucky with my dogs (always had GSDs) at the vets. Never had any biting or growling issue with tech or vet.
vet always ask me to 'hold my dog' and look at its face while being examined. I'm in Canada too. Never heard of legal issues with this. Interesting.
lolasmiles September 28th, 2008 09:19:00 PM
Happy Birthday, Dr Khuly.
Here's wishing you many more...big, sloppy Lab kisses.
Did I just play on breed bias? ;-)
eli September 29th, 2008 05:04:00 PM
Happy Birthday to you Dr. K!
My dog suffers from Breedism on a regular basis - she is a Chihuahua. DAILY, I get people coming up to me (strangers, mind you) that want to pet her and when I tell them she's a Chi the #1 response is "Really? I hate Chihuahuas, but she is soooo cute!" *sigh* I also get "ooooh, is she a yapper?" to which I reply "not at all". And then I get some story about a Chihuahua in their lives that yapped all the live long day.... It's bizarre. I think the higher pitch pierces peoples' ears and sticks in their memory. Because big dogs and little dogs bark all the same..... <b>some more than others </b>. And at the Vet, the techs love her (she turns into a lump, a very sad lump) and regularly say "she's the only Chihuahua we love"....which on one hand I appreciate, and on the other cringe.
So, I dunno.....I would think that day after day if you see certain patterns emerge from certain dogs, you start to form opinions about certain dogs (just like people do with each other). You have to fight applying that generalization to all dogs of the same breed I guess. My Mom's Golden is sweet, but only to those she knows/likes. All others beware! (Definitely NOT what my Mom thought she was getting in a Golden...)
Out of curiosity, do you ever see patterns in cat breeds? I'm curious....
Creature of Habit September 29th, 2008 05:49:00 PM
Oops, thought I posted this answer already and don't see it here--must be lost in the ether.
On the "rage" issue in this dog: The diagnosis was made later--at Penn. It's definitely a diagnosis I'm not comfortable making. In my medical records, the dog would be categorized as severely dominant aggressive. A board certified veterinary behaviorist is always the right choice when it comes to defining "rage."
Dr. Patty Khuly September 30th, 2008 08:25:00 AM
The Labrador retriever is the lead biter in Canada, according to the Canada Safety Council. Hospital records give that honour to the GSD followed by the Am Cocker and Golden retriever.
Is it because people make incorrect assumptions about certain breeds and behave more carelessly around them? Is it popularity which leads to careless breeding (the Lab and GSD are the two most popular purebreds) or the acquisition of the breed by inexperienced owners?
Or is it, as I suspect, just that dogs are dogs, aggressive behaviour is learned not inherited (barring disease or disorder) and that the breed or shape is actually irrelevant?
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