Page 7 - Hobe Sound Reflections - April '21
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Hobe Sound, Page 7

                                                    tip of the tail




       Heartworm Disease And Your                        of five larval stages, L1 (microfilariae) to L5 (adult      Dogs and cats differ greatly in diagnosis and treatment
       Pets                                              heartworms). The life cycle begins when a mosquito bites   for heartworms. In dogs, heartworm infection is diagnosed
                                                         a heartworm-infected dog and ingests microfilariae. Inside
                                                                                                           through a simple blood test performed by a veterinarian.
                                                         the mosquito, microfilariae develop to L2, then to L3. This   Once a diagnosis is made, additional testing may be
                                                         development usually takes a few weeks, and is dependent   indicated to determine the severity of disease and to
                                                         on ambient temperature. The ambient temperature must   determine if the dog can safely be treated for heartworms.
                                                         be at least 57 degrees Fahrenheit in order for L1 to L3   Treatment consists of multiple intramuscular injections of
                                                         development to occur. When an animal is bitten by an   an organic arsenical medication. During treatment, which
                                                         infected mosquito, L3 larvae are deposited into the   is usually one to two months, dogs must be completely
                                                         animal’s skin. During the next few months, heartworms   rested to help ensure they do not experience complications.
                                                         develop from L3 to L5. The adult heartworms then enter   Complications with treatment include pain at the injection
                                                         the animal’s circulatory system, migrating to the heart and   site, blood clot formation, and lung inflammation. After
                                                         surrounding blood vessels. Microfilariae are produced by   treatment is completed, another blood test will need to be
                                                         the adult heartworms approximately five to seven months   performed to confirm successful treatment. Cats can be
                                                         after entering the host animal.                   much more difficult to diagnose with heartworm disease.
                                                            Because heartworms live primarily in the blood vessels,   While blood tests can be used to verify a heartworm
                                                         they can cause severe damage to the circulatory system.   infection, additional testing, such as an echocardiogram, is
         Heartworm disease is a serious and potentially life   This damage can lead to blood clot formation, lung disease,   often needed to definitively diagnose heartworm disease.
      threatening disease. Heartworms, also known as Dirofilaria   and heart failure. In severe heartworm disease, kidney and   Additionally,  there  is  no  approved  medication  to  treat
      immitis, are parasites that are transmitted by mosquitoes,   liver failure may also occur.           heartworms in cats. Cats with heartworm disease may
      and may infect more than 30 species of animals, including      The symptoms of heartworm disease depend on the   spontaneously clear the heartworms within a few years;
      dogs and cats. Adult heartworms are found primarily in   number of adult heartworms present, the location of the   other cats may progress to develop heart and lung disease.
      the blood vessels around the heart and lungs and in the   worms, and the length of time an animal has been infected      Heartworm prevention is recommended to prevent
      heart. The number of adult heartworms in infected animals   with heartworms. When first infected with heartworms,   infections in dogs and cats. There are several prescription
      can vary from a single heartworm to more than a hundred   animals will likely have no signs of infection. With mild   products available for heartworm prevention that also can
      heartworms. Though widely distributed throughout the   disease, the most common symptom is cough. As heartworm   prevent certain intestinal parasites and in combination
      United States, the highest heartworm infection rates are   disease progresses, additional symptoms can be noted,   with  other  medications  prevent  or  kill  fleas. Ask  your
      found in states along the Atlantic and Gulf Coasts.  including exercise intolerance, weakness, and difficulty   veterinarian which one they recommend.
         The life cycle of the heartworm is complex and consists   breathing. In severe cases, death may occur.     Established in 1981, Palm City Animal Medical Center
                                                                                                           is dedicated to providing the best possible care for your
                                                                                                           pets. With focuses on compassionate care in surgery,
                                                                                                           physical therapy and rehabilitation, preventative medicine,
                                                                                                           extensive diagnostics, and emergency service, Palm City
                                                                                                           Animal Medical Center combines exceptional medical
                                                                                                           care with a caring philosophy for pets and their owners.
                                                                                                           For more information, call (772) 283-0920, visit www.
                                                                                                           palmcityanimalmedicalcenter.com or find us on Facebook
                                                                                                           at www.facebook.com/PalmCityAnimalClinic.

                                                                                                                    mediCal





                                                                                                                   matters




                                                                                                            Is Telehealth Here To Stay?

                                                                                                               The question confronting most patients these days:
                                                                                                            are telehealth visits the future of medicine? Interviews
                                                                                                            with a number of patients show their main concern about
                                                                                                            telehealth visits is they feel they’re not getting a proper
                                                                                                            examination, it’s simply a conversation between the
                                                                                                            physician and patient. The physician asks the patient
                                                                                                            how he or she is feeling and has no idea what their vital
                                                                                                            signs are (oxygen level, blood pressure, glucose reading,
                                                                                                            heart rate, etc.).
                                                                                                               American Telemedicine has the ability to provide
                                                                                                            physicians with all of the patient’s data in real time.
                                                                                                            The Link+ by LiveCare is the key to providing this
                                                                                                            information. The patient does not have to know how to
                                                                                                            operate a computer, cell phone, or tablet. Vital signs are
                                                                                                            taken and the data immediately sent to your physician.
                                                                                                            The Link+ is HIPAA and FDA approved so Medicare and
                                                                                                            Medicare Advantage patients can be billed for telehealth
                                                                                                            visits.
                                                                                                               The Link+ is like having a wellness center in your
                                                                                                            own home. Physicians can use the Link+ for remote
                                                                                                            patient monitoring as well as telehealth visits. All
                                                                                                            patients, but especially those who live alone or with
                                                                                                            underlying conditions, should have a Link+ unit to
                                                                                                            monitor their vital signs. It also has an emergency
                                                                                                            response button and can be worn outside the home. The
                                                                                                            Link+ is now being offered to any individual for a small
                                                                                                            monthly fee.
                                                                                                               Telehealth is here to stay because physicians enjoy
                                                                                                            the benefits it offers so it should be done the right way
                                                                                                            using the Link+.
                                                                                                               If  you  are  a  physician, healthcare  provider,  or
                                                                                                            individual who would like a free demonstration,
                                                                                                            please call (561) 278-2222. American Telemedicine’s
                                                                                                            management and staff would like to wish everyone
                                                                                                            a healthy  and prosperous new  year. Stay safe and
                                                                                                            wear your mask. Louis Biasi is the CEO of American
                                                                                                            Telemedicine.
                                                                                                               Reprinted from South Florida Hospital News.
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