
<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Study Suggests Hearworm Incidence is Rising</title>
	<atom:link href="http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/feed/" rel="self" type="application/rss+xml" />
	<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/</link>
	<description></description>
	<lastBuildDate>Mon, 23 Nov 2009 07:25:38 -0800</lastBuildDate>
	<generator>http://wordpress.org/?v=2.8.4</generator>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" />
	<item>
		<title>By: Helen</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-5648</link>
		<dc:creator>Helen</dc:creator>
		<pubDate>Mon, 22 Jun 2009 21:55:10 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-5648</guid>
		<description>Hi Dr. B.  

    I rescued a cocker spaniel female who I&#039;m fostering currently.  She was strongly heartworm positive.  The rescue didn&#039;t want to pay for a chest x-ray but instead looked at the number of heartworms under the microscope for heartworm load to decide on course of treatment.  I wasn&#039;t happy about that because of her strong heartworm status. I don&#039;t like taking shortcuts. But they argued and claimed that it wasn&#039;t cost effective and that they treat all dogs this way.  I asked them how would you know if her lungs and heart had a heavy burden?  But they ignored that. In the end, the vet opted for the two immiticide treatments with doxycycline 2 weeks prior to the immiticide and for a month afterwards. We just discontinued it.   We will retest her in a couple of weeks.  She is still being confined except for potty breaks in an air conditioned room but is getting bored with it but I have to confine her.  How much longer should be confine her before she is cleared for adoption.  Some sources say 4-6 weeks and others state 8-12 weeks.  I will do whatever is the best for this dog.  She did have a marked appetite decrease but her gums stayed nice and pink, no jaundice noted.  No brick red gums either.  But she did cough within 3-7 days post injection(s) and the vet gave her some dexamethasone to help with that.  She hardly coughed at all after that except occasionally.  
They want me to post her on petfinder but I&#039;m not sure she is ready yet.</description>
		<content:encoded><![CDATA[<p>Hi Dr. B.  </p>
<p>    I rescued a cocker spaniel female who I&#8217;m fostering currently.  She was strongly heartworm positive.  The rescue didn&#8217;t want to pay for a chest x-ray but instead looked at the number of heartworms under the microscope for heartworm load to decide on course of treatment.  I wasn&#8217;t happy about that because of her strong heartworm status. I don&#8217;t like taking shortcuts. But they argued and claimed that it wasn&#8217;t cost effective and that they treat all dogs this way.  I asked them how would you know if her lungs and heart had a heavy burden?  But they ignored that. In the end, the vet opted for the two immiticide treatments with doxycycline 2 weeks prior to the immiticide and for a month afterwards. We just discontinued it.   We will retest her in a couple of weeks.  She is still being confined except for potty breaks in an air conditioned room but is getting bored with it but I have to confine her.  How much longer should be confine her before she is cleared for adoption.  Some sources say 4-6 weeks and others state 8-12 weeks.  I will do whatever is the best for this dog.  She did have a marked appetite decrease but her gums stayed nice and pink, no jaundice noted.  No brick red gums either.  But she did cough within 3-7 days post injection(s) and the vet gave her some dexamethasone to help with that.  She hardly coughed at all after that except occasionally.<br />
They want me to post her on petfinder but I&#8217;m not sure she is ready yet.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Pai</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4848</link>
		<dc:creator>Pai</dc:creator>
		<pubDate>Sun, 05 Apr 2009 02:17:13 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4848</guid>
		<description>Oh, sorry for the double-post then. You can delete one of them if you like.</description>
		<content:encoded><![CDATA[<p>Oh, sorry for the double-post then. You can delete one of them if you like.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Dr. Eric Barchas, DVM</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4847</link>
		<dc:creator>Dr. Eric Barchas, DVM</dc:creator>
		<pubDate>Sat, 04 Apr 2009 22:15:34 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4847</guid>
		<description>Pai,

Comments are not moderated.  However, the spam filter on the blog occasionally sorts real comments out as spam.  This usually happens if they have links to outside pages.

Anyhow, I was able to sort through the spam filter and post your comments.  I hope I found them all.

My blog software proudly proclaims that it has protected my site from over 28,000 spam comments.  I wonder how many of those were legitimate.

--Dr. B.</description>
		<content:encoded><![CDATA[<p>Pai,</p>
<p>Comments are not moderated.  However, the spam filter on the blog occasionally sorts real comments out as spam.  This usually happens if they have links to outside pages.</p>
<p>Anyhow, I was able to sort through the spam filter and post your comments.  I hope I found them all.</p>
<p>My blog software proudly proclaims that it has protected my site from over 28,000 spam comments.  I wonder how many of those were legitimate.</p>
<p>&#8211;Dr. B.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Pai</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4844</link>
		<dc:creator>Pai</dc:creator>
		<pubDate>Sat, 04 Apr 2009 01:21:13 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4844</guid>
		<description>If comments are moderated, it&#039;d be good to have a message to that effect, so that newbies don&#039;t assume their comments are simply being lost.</description>
		<content:encoded><![CDATA[<p>If comments are moderated, it&#8217;d be good to have a message to that effect, so that newbies don&#8217;t assume their comments are simply being lost.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Pai</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4843</link>
		<dc:creator>Pai</dc:creator>
		<pubDate>Sat, 04 Apr 2009 01:10:28 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4843</guid>
		<description>What are your thoughts on &lt;a href=&quot;http://www.sciencedirect.com/science?_ob=ArticleURL&amp;_udi=B6T7F-4S3S2K8-2&amp;_user=10&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000050221&amp;_version=1&amp;_urlVersion=0&amp;_userid=10&amp;md5=fcdd6dc9fb6b22975a433de43b0a8c9b&quot; rel=&quot;nofollow&quot;&gt;Doxycycline dosing prior to Ivermectin treatments&lt;/a&gt; for adult HW infection? It appears that killing the Wolbachia parasites in the worms reduces the risk of shock and embolism in HW-positive dogs, as well as sterilizing the female worms.

The study that supports the basis for seasonal Heartworm prevention &lt;a href=&quot;http://www.journals.elsevierhealth.com/periodicals/ysvms/article/PIIS1096286798800108/abstract&quot;is here.&lt;/a&gt; For those of us who are not vets, it&#039;s conclusions are summed up &lt;a href=&quot;http://www.tibetanmastiff.net/Heartworm.html&quot; rel=&quot;nofollow&quot;&gt;here.&lt;/a&gt; 

Some parts of the U.S. are endemic and at year-round risk for HW, so seasonal prevention is not something to do without knowing the status of your own region is first.</description>
		<content:encoded><![CDATA[<p>What are your thoughts on <a href="http://www.sciencedirect.com/science?_ob=ArticleURL&amp;_udi=B6T7F-4S3S2K8-2&amp;_user=10&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000050221&amp;_version=1&amp;_urlVersion=0&amp;_userid=10&amp;md5=fcdd6dc9fb6b22975a433de43b0a8c9b" rel="nofollow">Doxycycline dosing prior to Ivermectin treatments</a> for adult HW infection? It appears that killing the Wolbachia parasites in the worms reduces the risk of shock and embolism in HW-positive dogs, as well as sterilizing the female worms.</p>
<p>The study that supports the basis for seasonal Heartworm prevention &lt;a href=&#8221;http://www.journals.elsevierhealth.com/periodicals/ysvms/article/PIIS1096286798800108/abstract&#8221;is here. For those of us who are not vets, it&#8217;s conclusions are summed up <a href="http://www.tibetanmastiff.net/Heartworm.html" rel="nofollow">here.</a> </p>
<p>Some parts of the U.S. are endemic and at year-round risk for HW, so seasonal prevention is not something to do without knowing the status of your own region is first.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Pai</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4842</link>
		<dc:creator>Pai</dc:creator>
		<pubDate>Sat, 04 Apr 2009 01:07:50 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4842</guid>
		<description>What are your thoughts on &lt;a href=&quot;http://www.sciencedirect.com/science?_ob=ArticleURL&amp;_udi=B6T7F-4S3S2K8-2&amp;_user=10&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000050221&amp;_version=1&amp;_urlVersion=0&amp;_userid=10&amp;md5=fcdd6dc9fb6b22975a433de43b0a8c9b&quot; rel=&quot;nofollow&quot;&gt;Doxycycline dosing prior to Ivermectin treatments&lt;/a&gt; for adult HW infection? It appears that killing the Wolbachia parasites in the worms reduces the risk of shock and embolism in HW-positive dogs, as well as sterilizing the female worms.

The &lt;a href=&quot;http://www.cababstractsplus.org/abstracts/Abstract.aspx?AcNo=20053206822&quot; rel=&quot;nofollow&quot;&gt;&#039;soft kill&#039; method with Ivermection alone is only recommended for light infections in low-activity dogs. Personally, it seems to me that Ivermectin+Doxycycline treatments would the best choice.

The study that proved the basis for seasonal Heartworm prevention &lt;a href=&quot;http://www.journals.elsevierhealth.com/periodicals/ysvms/article/PIIS1096286798800108/abstract&quot;is here.&lt;/a&gt; For those of us who are not vets, it&#039;s conclusions are summed up &lt;a href=&quot;http://www.tibetanmastiff.net/Heartworm.html&quot; rel=&quot;nofollow&quot;&gt;here.&lt;/a&gt; 

Some parts of the U.S. are endemic and at year-round risk for HW, so seasonal prevention is not something to do without knowing the status of your own region is first.</description>
		<content:encoded><![CDATA[<p>What are your thoughts on <a href="http://www.sciencedirect.com/science?_ob=ArticleURL&amp;_udi=B6T7F-4S3S2K8-2&amp;_user=10&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000050221&amp;_version=1&amp;_urlVersion=0&amp;_userid=10&amp;md5=fcdd6dc9fb6b22975a433de43b0a8c9b" rel="nofollow">Doxycycline dosing prior to Ivermectin treatments</a> for adult HW infection? It appears that killing the Wolbachia parasites in the worms reduces the risk of shock and embolism in HW-positive dogs, as well as sterilizing the female worms.</p>
<p>The <a href="http://www.cababstractsplus.org/abstracts/Abstract.aspx?AcNo=20053206822" rel="nofollow">&#8217;soft kill&#8217; method with Ivermection alone is only recommended for light infections in low-activity dogs. Personally, it seems to me that Ivermectin+Doxycycline treatments would the best choice.</p>
<p>The study that proved the basis for seasonal Heartworm prevention &lt;a href=&#8221;http://www.journals.elsevierhealth.com/periodicals/ysvms/article/PIIS1096286798800108/abstract&#8221;is here.</a> For those of us who are not vets, it&#8217;s conclusions are summed up <a href="http://www.tibetanmastiff.net/Heartworm.html" rel="nofollow">here.</a> </p>
<p>Some parts of the U.S. are endemic and at year-round risk for HW, so seasonal prevention is not something to do without knowing the status of your own region is first.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Dr. Eric Barchas, DVM</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4793</link>
		<dc:creator>Dr. Eric Barchas, DVM</dc:creator>
		<pubDate>Sun, 29 Mar 2009 16:52:59 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4793</guid>
		<description>Lori,

Click on the link to the American Heartworm Society in the post for an in-depth answer to your first question.  As I said in the post, the gulf coast, east coast, and northern California are experiencing notable increases in prevalence.

Why is heartworm prevalence increasing?  There are several theories, ranging from climate change to evolution of heartworm lifecycles.  Or, as I said in the post: &quot;It’s also possible that veterinarians are detecting more cases due to increased testing.&quot;  No theory has been proved conclusively.</description>
		<content:encoded><![CDATA[<p>Lori,</p>
<p>Click on the link to the American Heartworm Society in the post for an in-depth answer to your first question.  As I said in the post, the gulf coast, east coast, and northern California are experiencing notable increases in prevalence.</p>
<p>Why is heartworm prevalence increasing?  There are several theories, ranging from climate change to evolution of heartworm lifecycles.  Or, as I said in the post: &#8220;It’s also possible that veterinarians are detecting more cases due to increased testing.&#8221;  No theory has been proved conclusively.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Lori</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4791</link>
		<dc:creator>Lori</dc:creator>
		<pubDate>Sun, 29 Mar 2009 08:21:47 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4791</guid>
		<description>Even though I live in Vermont, my 3 dogs receive heartworm pills year-round for 3 reasons:
1) This way I never forget them &amp; start too late in the season, which requires prior testing
2) The pills also prevent other worms.
3) We often travel with the dogs to visit family in Florida for the holidays &amp; there are mosquitos there all year.

I wish the article had addressed 2 things:
1) In what areas are vets seeing an increase in heartworms --they have always been prevalent in the South?
2) Is there a hypothesis as to why this is occurring -- such as it thought to be a function of global warming or rather a function of owners not knowing the importance of preventive treatment?</description>
		<content:encoded><![CDATA[<p>Even though I live in Vermont, my 3 dogs receive heartworm pills year-round for 3 reasons:<br />
1) This way I never forget them &amp; start too late in the season, which requires prior testing<br />
2) The pills also prevent other worms.<br />
3) We often travel with the dogs to visit family in Florida for the holidays &amp; there are mosquitos there all year.</p>
<p>I wish the article had addressed 2 things:<br />
1) In what areas are vets seeing an increase in heartworms &#8211;they have always been prevalent in the South?<br />
2) Is there a hypothesis as to why this is occurring &#8212; such as it thought to be a function of global warming or rather a function of owners not knowing the importance of preventive treatment?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Sue</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4785</link>
		<dc:creator>Sue</dc:creator>
		<pubDate>Sat, 28 Mar 2009 23:31:27 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4785</guid>
		<description>In our area a lot of people only treat for heartworm 6 months out of the year.  Then stop through the cold winter months...as I did.
Each year before my vet would issue more heartworm medicine I had to have the dogs each retested.  

One day my vet sat me down and showed me the cost of the yearly testing and the cost I would incurr if I just kept the dogs on year round heartworm medicine.   It was like $20 difference!  DUH! 
My dogs are now on heartworm medicine year round.

Not only is it not hard on the budget ...it is much easier on the heart than and pocket book than treating a pet for heartworm is!

SLaW to Ya All!</description>
		<content:encoded><![CDATA[<p>In our area a lot of people only treat for heartworm 6 months out of the year.  Then stop through the cold winter months&#8230;as I did.<br />
Each year before my vet would issue more heartworm medicine I had to have the dogs each retested.  </p>
<p>One day my vet sat me down and showed me the cost of the yearly testing and the cost I would incurr if I just kept the dogs on year round heartworm medicine.   It was like $20 difference!  DUH!<br />
My dogs are now on heartworm medicine year round.</p>
<p>Not only is it not hard on the budget &#8230;it is much easier on the heart than and pocket book than treating a pet for heartworm is!</p>
<p>SLaW to Ya All!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Dr. Eric Barchas, DVM</title>
		<link>http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/comment-page-1/#comment-4777</link>
		<dc:creator>Dr. Eric Barchas, DVM</dc:creator>
		<pubDate>Fri, 27 Mar 2009 14:06:56 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.dogster.com/vet_blog_information_advice/study-suggests-hearworm-incidence-is-rising/#comment-4777</guid>
		<description>Ivermectin is not the medicine used in the main stages of heartworm treatment.  It is used for heartworm prevention and to remove heartworm larvae from the bloodstream after the adult worms have been killed.

The medicine used to kill adult worms is melarsamine.

Giving ivermectin to a dog with a severe heartworm infestation can, in some cases, lead to shock and sudden death.

Waiting a year or two for adult worms to die naturally can lead to significant pathology. The worms can cause significant damage to the pulmonary blood vessels during this time.  Heart failure can result.

The thought that vets recommend heartworm treatment simply for the money is laughable.  If we cared about money, we would have gone to law school or business school.

Folks, be sure to check the accuracy of your sources before you implement home treatments for your dogs.  There is a lot of misinformation floating around out there.</description>
		<content:encoded><![CDATA[<p>Ivermectin is not the medicine used in the main stages of heartworm treatment.  It is used for heartworm prevention and to remove heartworm larvae from the bloodstream after the adult worms have been killed.</p>
<p>The medicine used to kill adult worms is melarsamine.</p>
<p>Giving ivermectin to a dog with a severe heartworm infestation can, in some cases, lead to shock and sudden death.</p>
<p>Waiting a year or two for adult worms to die naturally can lead to significant pathology. The worms can cause significant damage to the pulmonary blood vessels during this time.  Heart failure can result.</p>
<p>The thought that vets recommend heartworm treatment simply for the money is laughable.  If we cared about money, we would have gone to law school or business school.</p>
<p>Folks, be sure to check the accuracy of your sources before you implement home treatments for your dogs.  There is a lot of misinformation floating around out there.</p>
]]></content:encoded>
	</item>
</channel>
</rss>
