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Kim Campbell Thornton
Blood draws, chemo, happy vet visits, even training veterinary students: Fear Free makes things work. Here are this month’s success stories.

Chemo for Indy

Indy was a middle-aged mixed-breed dog who developed Stage 3a lymphoma requiring weekly treatment under a CHOP chemo protocol. Only one problem: he was an FAS 4-5 patient who did not like to be touched, let alone restrained. How were we going to treat weekly with IV catheter-administered chemotherapy? Spent a lot of time in the early days fine-tuning a PVP protocol that allowed us to work on touch gradient approach so we could eventually hold his paw and use a regular or butterfly catheter to administer therapy. We always had myself and one specific technician available to work on desensitization with gentle restraint and forelimb holding. Lots of treats. For longer IV treatments, we preemptively sedated Indy. By the end of his treatment cycles, he would walk into the chemo room, sit or lie on a padded mat, and let us treat without incidents. Amazing! It works!

Jeffrey D. Palmer, DVM, Elite Fear Free Certified Professional, Burr Ridge Veterinary Clinic, Darien, Illinois

 

PVP, Tuna Lead to Successful Cat Exam

A new feline patient with a high level of fear, anxiety, and stress went home with gabapentin as a pre-visit pharmaceutical. The exam we performed two days later was great. He was readily eating tuna and happy to be petted. He did well for a complete exam, including radiographs and blood draw. The Feliway-infused towel was also a great help.

Matthew Hudson, DVM, Elite Fear Free Certified Professional, VCA Blum Animal Hospital, Chicago, Illinois

Cat Can Do

We have seen so many success stories with numerous patients, but the best for me is my personal cat. He is an uncontrolled diabetic, and the first year I owned him he had a lot of blood draws and vet visits. He was a wonderful-tempered cat at home, but at the clinic, while he never bit or scratched, he hissed and struggled every time he came out of the cage and became a difficult patient to handle. He is very food-motivated and after we started Fear Free practices and he got squirt cheese and baby food every time he was handled, he now purrs and rubs on everyone when he comes for treatments and is so much happier and easier to handle. I am overall so much more aware of a patient’s anxiety level the moment they walk in the door now, and it gives us a chance to start finding ways to alleviate their stress before it escalates.

Cheri Crane, Elite Fear Free Certified Professional, Customer Service Representative, Healing Paws Veterinary Clinic, Springfield, Missouri

Culture Change

For most of my practice career, I have been involved in student training. Some students embraced the things I taught them about the importance of minimizing fear, anxiety, and stress in patients, while others felt I was “too soft,” “only cared about giving the animals treats,” or “was crazy or misguided in my efforts.” Fellow faculty members sometimes shared these sentiments and even accused me of not being able to “get the job done” when I would elect to postpone or re-plan a procedure for an animal. The revolution of awareness that Fear Free has helped to create in our profession has changed the way I am viewed by students and colleagues. No longer the “crazy Dr. Griffin,” I am the one they ask to teach them about low-stress handling and Fear Free techniques. The art and science of Fear Free have become valued: this is truly a gift for all of us, our patients, and their owners. I look forward to the day when Fear Free is taught in all veterinary colleges and is fully embraced as an indispensable standard of care in veterinary practice.

Brenda Griffin, DVM, DACVIM, Elite Fear Free Certified Professional, Adjunct Clinical Associate Professor of Shelter Medicine, Maddie’s Shelter Medicine Program, University of Florida College of Veterinary Medicine, Gainesville, Florida

Happy Puppy, Happy Vet Visit

I took a client’s puppy to our veterinary office for a happy visit after the previous appointment did not go well for them. We played on the floor, showed off some of their tricks, ate some really yummy food. I was able to ask for a nose target to get up on the scale all on his own! We were able to leave with a calm, happy puppy and his next vet visit went much better.

Jenn Hauta, Elite Fear Free Certified Professional, Fairy Dogmother Training & Pet Care, Nanaimo, British Columbia, Canada

 

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.
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Kim Campbell Thornton
It’s not unusual for dogs to be fearful of veterinary visits, but it doesn’t have to be that way. Many dogs have benefited from Fear Free techniques to help them get through what was once a frightening event and even learn to love it. Here are some of their stories.

Kindness Worth Traveling For

I’m a Fear Free trainer, but there are no veterinarians I trust in my town, so I travel an hour to TLC Pet Hospital in Albuquerque and have had the most amazing experiences, thanks to the patience, kindness, and knowledge of the staff there. My dogs are fearful, and one is especially vet-phobic after traumatic experiences elsewhere. Some of his past vet visits have been so anxiety-inducing for him that I also end up in tears. But with gabapentin on board and the Fear Free approach from Dr. Long and Sam the veterinary assistant, my dog was wagging, approaching them, licking their faces, asking for pets, and acting like the brave and social dog he is at home. All of us in the room were floored by the change! At the next checkup he took food from them, did some chin-rest stationing with them, targeted their hands, and showed off his tricks. My own fear, anxiety, and stress levels have been drastically reduced thanks to their dedication to Fear Free vet visits. I’ll continue to do the two-hour round trip because I love having a veterinarian who listens to me and treats me like an adult, and because my dogs’ mental and emotional health is taken as seriously as their physical health at TLC. I am so thankful for their care and commitment to Fear Free vet visits and their overall friendly clinic.

Erica Beckwith, CTC, CBCC-KA, Fear Free Certified Professional, A Matter of Manners Dog Training, Santa Fe, New Mexico

Blood Draw Pugcess

Tater Tot is a Pug who needed a dental cleaning. Since he would be undergoing anesthesia, we required blood work beforehand. Tater Tot was generally friendly, soliciting attention and being food motivated, but when we attempted to occlude his lateral saphenous vein, he stopped eating and attempted to bite the technician holding him. He became distressed and tried to back up, so the technician placed him on the floor, where he again tried to bite her. The owner agreed to bring him in later on some anxiety medication.

Tater Tot came in a second time on gabapentin as well as clonidine. He appeared less excited and fidgety, but still sought attention. We offered him baby food on a disc toy and did his blood draw on the floor instead of the table. He ate throughout as we attempted to collect blood from his lateral saphenous veins. After poking both legs without success, we held him in position for jugular venipuncture, performed some brief desensitization and counterconditioning for that positioning, and successfully drew blood from his jugular vein. He went straight back to the baby food after the blood draw.

Maria Marano, The Ohio State University Veterinary Medical Center, Community Practice, Columbus

Toby Turns Around

I work closely with the veterinary hospitals in my town. The team at Appalachian New River Veterinary Associates (ANRVA) referred Toby to me. Toby was terrified at the veterinary hospital and could not take food, even as a young puppy. I established a rapport with Toby away from the veterinary hospital. I did this using special food and something else Toby loved – play! Toby learned foundation behaviors that gave some predictability to our sessions and helped him feel safe.
The team at ANRVA invited me to work with Toby in the exam rooms during their lunch break. Since Toby already had negative associations at the veterinary hospital, we started those sessions with just Toby’s owners and me. Toby and his owners entered the exam room the first time and surprise – I was there with some extra-special food for Toby (hamburger) and his favorite toy. Toby readily ate the memorable food and played with a toy. He even performed some simple behaviors. We repeated this a couple of times, and by the third time, Toby was excited to get to the exam room. Then we incorporated Dr. Suan Koh into our play and training sessions and, later, Dr. Cathy Kreis. Some of the support staff also got in on the fun.
Toby was successful for many reasons. He had committed owners who took the time to help Toby feel better about his veterinary care. The team at ANRVA is as committed to Toby’s behavioral health as they are to his physical health. They encourage and welcome clients to come in for happy visits with their pets. And, finally, both the owners and veterinary team are committed to positive reinforcement training.

Marge Rogers, CBCC-KA, CPDT-KA, Certified Fear Free Professional, Rewarded Behavior Continues, West Jefferson, North Carolina

A Win for Maxwell

Maxwell is a 7-year-old retriever/hound mix who was rescued from a hoarding situation with more than 100 dogs. Maxwell was the most fearful of them. We don’t know a lot about Maxwell’s day-to-day life while on the hoarder’s property, but volunteers reported that he was kept in a small shed without much social interaction.
Not surprisingly, he was fearful of people and of being touched or handled. The veterinary facility that provided Maxwell’s initial care was unable to examine him or perform any medical or handling procedures unless Maxwell was placed under anesthesia or heavy sedation. Maxwell would shake uncontrollably and withdraw if any person approached him. Unfortunately, during his initial care, some handling interactions were forced on Maxwell to which he responded by “gator-rolling,” snapping, and inflicting a severe bite to one of the vet techs.
After moving to a foster home, Maxwell was taken to see the wonderful Dr. Lynn Honeckman, owner of Veterinary Behavior Solutions and a Level 3 Fear-Free Certified Professional. She diagnosed Maxwell with severe global fear of people and new environments and started him on a course of daily behavior medication in an effort to reduce his anxiety.
Maxwell did not do well in his initial foster homes, so in December 2018 he moved into a new foster home, where he has remained and is doing very well. During his initial visit as well as his behavior rechecks, Dr. Honeckman recommended introducing Maxwell to cooperative care behaviors and made specific recommendations of pre-visit pharmaceuticals to help alleviate Maxwell’s fear during veterinary visits.
Since December 2018, Maxwell has been a client at Loch Haven Veterinary Hospital (one of the lead veterinarians, Dr. Jim Martin, is Fear Free certified and the entire hospital including all technicians follow the Fear Free approach). Since then, every veterinary visit has consecutively been more positive and more stress-free for Maxwell. Prior to his visits, Maxwell receives a combination of gapabentin and Sileo. His appointments are scheduled during times when the hospital is less busy, and the staff ensures we get put into a treatment room right away, where Maxwell is given ample time to acclimate before any staff enter the room. Physical handling is kept to a minimum and all procedures follow the Fear Free approach. One of Maxwell’s many cooperative care behaviors was to comfortably wear a basket muzzle. Although he has shown zero signs of aggression since switching to Loch Haven Veterinary Hospital, Maxwell now happily wears the muzzle for any physical handling in the exam room, which allows everyone to feel comfortable and at ease. Now – almost a year later – Maxwell no longer (or only rarely) shakes when entering the veterinary hospital. He willingly accepts treats while waiting in the exam room and is eager to perform his chin rest behavior while waiting to be seen. As his foster mom, I am overjoyed by Maxwell’s progress, none of which would have been possible without his dedicated veterinarians. Their care, patience, and understanding in using a Fear Free approach has made a world of difference for Maxwell and we could not be more grateful to them.
In his foster home, Maxwell has blossomed into a happy and playful dog who is particularly fond of his canine housemates. New environments will likely always pose challenges for Maxwell, but at home he has found his happy place.

Daniela Ackerman, Orlando, Florida

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This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.