Page 10 - Hobe Sound Reflections - September '22
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Page 10, Hobe Sound

                                                    tip oF the tail

      Leptospirosis                                         The clinical signs of leptospirosis are variable and   fluid therapy. Potential long-term complications include

                                                         nonspecific. Common symptoms include fever, vomiting,   chronic kidney failure and chronic hepatitis.
                                                         diarrhea, abdominal pain, anorexia, depression, weakness,      Infected animals can shed the bacteria in their urine for
                                                         and muscle pain. These symptoms usually occur within one   weeks or months, which is a serious concern for humans
                                                         to two weeks of exposure, but can be as short as two days   and other animals that may be exposed to the urine. Strict
                                                         or as long as four weeks. Occasionally, infected animals do   protocols should be utilized to prevent the spread of this
                                                         not exhibit any symptoms. In severe cases, kidney failure   disease, including wearing protective clothing and using
                                                         and/or liver failure can occur. Without proper treatment,   proper disinfecting techniques. These protocols should be
                                                         leptospirosis can be fatal.                       practiced at the animal hospital where the infected animal
                                                            Blood testing is usually needed to definitely diagnose   is being treated, as well as at the home where the infected
                                                         leptospirosis. The most commonly used blood test will   animal lives.
                                                         detect antibodies against  Leptospira. While a positive      Fortunately, for dogs, vaccines are available for the
                                                         diagnosis can occur with one test, oftentimes a second   prevention of leptospirosis. The best vaccine contains four
                                                         antibody level will need to be checked two to four weeks   Leptospira serovars. Vaccines do not provide 100 percent
                                                         later to confirm a four-fold  increase in antibody level.   protection against leptospirosis known serovars, and the
          Leptospirosis is an infectious disease that can affect   Vaccination may interfere with blood testing, as vaccines   vaccines do not completely cross-protect against all serovars.
       humans  and  animals,  including  dogs  and,  rarely,  cats.   stimulate the body to produce antibodies, which can result   Vaccination does reduce urine shedding of the bacteria, which
       Leptospirosis is caused by the bacteria, Leptospira, which   in a false-positive test result. Occasionally, a diagnosis   is important to controlling the spread of the disease. This and
       is classified into subtypes called serovars. Currently, over   of leptospirosis can be established through microscopic   preventing the disease is why it is important to have your
       200 serovars of Leptospira have been named.       examination of the urine. Unfortunately, this type of urine   canine vaccinated yearly against leptospirosis.
          Leptospirosis is most commonly spread through the urine   test is not readily available to most animal hospitals, and      Established in 1981, Palm City Animal Medical Center
       of infected animals. Contaminated urine can enter water and   the bacteria are only intermittently shed in the urine; so   is dedicated to providing the best possible care for your
       soil, where it survives for weeks to months. Leptospirosis   diagnosis in this manner can be difficult.  pets. With focuses on compassionate care in surgery,
       can be contracted from drinking contaminated water, through      Treatment for leptospirosis relies on the use of antibiotics,   physical therapy and rehabilitation, preventative medicine,
       contact of skin or mucous membranes with contaminated   which are usually administered for two weeks. Because of   extensive diagnostics, and emergency service, Palm City
       water or soil, or through direct exposure to infected urine.   the risk of kidney failure, intravenous fluids are critical   Animal Medical Center combines exceptional medical
       Many animals are responsible for spreading leptospirosis,   to ensure adequate blood flow to the potentially damaged   care with a caring philosophy for pets and their owners.
       including wildlife, such as rodents, raccoons, and opossums,   kidneys. Prognosis varies and depends on the severity of   For more information, call (772) 283-0920, visit www.
       as well as farm animals, including cattle, pigs, horses, sheep,   organ damage. Survival rates are reported to be 80 to 90 or find us on Facebook
       and goats.                                        percent for animals treated with appropriate antibiotics and   at
          ClevelaNd CliNiC MartiN health News

      Relief For Severe Acid                             with an injection of a solution from underneath or with      EUS (Endoscopic Ultrasound) is an imaging test
      Reflux, Gallstones And Other                       suctioning from above, and then removing it with a wire   that combines ultrasound technology with endoscopy.
                                                                                                           During the exam, a special endoscope with ultrasound
                                                         loop tool called a snare.
      Digestive Disorders                                   ESD (Endoscopic Submucosal Dissection) is a newer   technology at the tip is passed through the throat into
                                                         technique that is used to remove a larger lesion in one   the abdomen, where the endosonographic images help
      Advanced Care For Better Digestive Health          piece. It uses the same injection method to elevate the   visualize the bile ducts, pancreas, gallbladder and liver.
                                                         lesion, but instead uses a cautery knife to meticulously   “EUS is particularly useful for the diagnosis and staging
         Digestive health relies on a complex system of organs   remove the lesion.                        of pancreatic cancer,” notes Dr. Ngo.
      to turn the food we eat into the nutrients and energy our   Gallstones And More                         ERCP  (Endoscopic Retr ograde
                                                             You are invited to attend the Unveiling Ceremony
      bodies need to survive. Some of the most common digestive      The biliary system includes the liver, gallbladder, and   Cholangiopancreatography) is another imaging test
      complaints, such as acid reflux and gallstones, occur in the   pancreas and a network of tubular structures called ducts   that uses an endoscope and X-rays to view an injectable
      upper digestive tract and the accessory organs that support   that connect them to the small intestine. Biliary diseases,   dye as it travels through the pancreatic and bile ducts.
      digestion, including the liver, gallbladder and pancreas.   such as gallstones, affect some 20 million women and   ERCP helps diagnose and treat gallstones, inflamed
      Today advanced endoscopic techniques are used to care   men nationally.                              gallbladders, bile duct blockages, pancreatitis, pancreatic
      for patients with digestive disorders without open surgery.     “Advanced  imaging  technology  has  expanded  the   cancer and other conditions.
         “During upper endoscopy, we pass a flexible tube with   visual field, which allows us to see far greater details of      To learn more about advanced care available for the
      a camera on the end down through a patient’s throat to   the upper digestive tract and the intricate anatomy of the   upper digestive tract at Cleveland Clinic Martin Health,
      examine and treat conditions                       biliary system,” says Dr. Ngo. “That’s important because   visit, or call (844)
      of the esophagus, stomach                          if we can’t see it, we can’t treat it.”           630-4968 to schedule a consultation.
      and the biliary system,”
      explains  board  certified
      gastroenterologist Tolga
      Erim, D.O., regional director
      of endoscopy for Cleveland                                                 Our Treasure for Martin County
      Clinic Florida, which
      includes Cleveland Clinic                                                                Country Road
      Martin Health, Cleveland
      Clinic Indian River
      Hospital, and Cleveland                       M/M Tolve chose renowned artist, Ms. Carol Kepp, to paint their featured
      Clinic Weston Hospital.
      Chronic Reflux And Barrett’s Esophagus        artwork for their home. Only a handful of people saw the portrait ahead of its
         Chronic  acid  reflux  is  one  of  the  most  common
                                                    unveiling, including the framer.  INSERT Hearty congratulations to Ms. Kepp.  It
      conditions that can be diagnosed and treated endoscopically.
                                                    must be a proud moment.
      It occurs when the lower esophageal sphincter opens
      spontaneously, allowing food and stomach acid to back
      up into the esophagus.
         “Gastroesophageal                                                                                                                August 19, 2022  4:00 – 7:00 pm
      reflux disease (GERD), the
      severe form of acid reflux,
      can damage the esophagus
      and increase the risk of                      Bridge Road Fine Arts
      esophageal cancer, if left
      untreated,” says Benjamin                     8887 SE Bridge Road
      Ngo, M.D., a board certified                  Hobe Sound, FL 33455
      gastroenterologist with
      Cleveland Clinic Martin                       (772) 618-2333
      Health. An estimated 20
      percent of people in the
      United States are believed to suffer from GERD.
         Cleveland Clinic Martin Health offers a number of
      advanced  treatments  for  acid  reflux-related  disorders,
      including Barrett’s esophagus, which appears as lesions                     Refreshments will be served.
      on the surface of the esophagus.
         EMR (Endoscopic Mucosal Resection) is one of the         *To read the complete BIO on Ms Kepp visit our website
      most successful techniques for removing surface lesions
      on the esophagus. It involves raising the lesion, either          


                                                    Among her many accomplishments, Ms Kepp’s Cannon and Flag painting was
                                                    selected from all Florida applicants to represent Florida in the U.S. Capitol

                                                    Building during the 1976 Bicentennial Celebration of our nation’s
                                                    independence. We will have the honor of displaying that patriotic painting
                                                    also at our celebration.
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