My Aching Bones!
Could your cat be in pain? How can you tell? We chat with Dr. Tracey Deiss, a feline veterinarian whose favorite areas are pain control and anxiety in cats. She gives us some useful resources to help you find out if your own cat suffers and then shares about a new treatment that has proven safe and effective. We even talk about things you can do as your kitten grows and ages to help avoid and detect pain. Listen now, whether your cat is 6 months or 6 years!
Listen to Episode #133 Now:
BIO:
Dr. Tracey Deiss attended Texas A&M, earning a BS in Biochemistry and Genetics with a Chemistry minor. She received her DVM from Texas A&M University in 1998. During veterinary school, she worked at MD Anderson Cancer Center, Department of Lab Animal Medicine and Surgery. Dr. Deiss completed an internship in small animal medicine and surgery prior to practicing emergency medicine for 15 years in Grapevine, Texas. She returned to her hometown of Rosenberg, Texas, and joined a large small animal practice where her special interests included ultrasonography, soft tissue surgery and pain management. Dr. Deiss joined Zoetis as the professional services veterinarian for the Houston and surrounding areas in 2018 and is the current medical lead for Core Therapeutics.
She shares her life with a couple of adult kiddos and a menagerie of pets including a 3-legged Saluki named Jancsi, a Doberman named Sapphira, a Schnauzer named Ms. Ives, and a naughty Borzoi named Jezzie. There is seldom a dull moment in the Deiss Family Circus.
Transcript:
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Announcer: This is Pet Life Radio.
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Announcer: Let's talk pets.
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Dr. Kathryn Primm: Hey there, cat lovers.
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Dr. Kathryn Primm: Welcome to Nine Lives with Dr.
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Dr. Kathryn Primm: Kat.
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Dr. Kathryn Primm: I'm your host, Dr.
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Dr. Kathryn Primm: Kathryn Primm, and I am a small, small veterinarian and crazy cat lover.
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Dr. Kathryn Primm: So today, I have Dr.
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Dr. Kathryn Primm: Tracey Deiss with me, and she's a veterinarian, obviously, and she and I are going to discuss something that is often missed by our cat-owning listeners, their cat's pain.
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Dr. Kathryn Primm: So we're gonna talk about pain in cats, how to recognize it, and what you should do about it.
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Dr. Kathryn Primm: And we'll be right back.
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Dr. Kathryn Primm: Hey there, cat lovers, it's Dr.
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Dr. Kathryn Primm: Kat from Nine Lives with Dr.
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Dr. Kathryn Primm: Kat.
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Dr. Kathryn Primm: You know the expression, cats have nine lives.
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Dr. Kathryn Primm: Well, what if you can give them one more?
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Dr. Kathryn Primm: The Give Them Ten movement is on a mission to help give cats an extra life.
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Dr. Kathryn Primm: How?
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Dr. Kathryn Primm: With spay and neuter.
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Dr. Kathryn Primm: Spaying or neutering your cat helps them live a longer, healthier life, and it helps control free-roaming cat populations too.
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Dr. Kathryn Primm: Learn more about the benefits of spay and neuter, and meet Scooter, the neutered cat, at givethemten.org.
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Dr. Kathryn Primm: That's give them T-E-N dot org.
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Announcer: Let's Talk Pets on petliferadio.com.
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Dr. Kathryn Primm: Welcome back to Nine Lives with Dr.
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Dr. Kathryn Primm: Kat on PetLife Radio.
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Dr. Kathryn Primm: So I have Dr.
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Dr. Kathryn Primm: Tracey Deiss with me today.
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Dr. Kathryn Primm: Hello.
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Dr. Tracey Deiss: Hello, Dr.
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Dr. Tracey Deiss: Kat, how are you?
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Dr. Kathryn Primm: I am excellent, perfect, if you will.
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Dr. Kathryn Primm: And I am very excited to talk with you today because we're focusing on a topic that a lot of cat owners really are not aware of, specifically arthritis, pain in cats.
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Dr. Kathryn Primm: So can you start by telling us a little bit about what arthritis is?
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Dr. Tracey Deiss: Absolutely.
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Dr. Tracey Deiss: So osteoarthritis or arthritis, or another acronym we hear sometimes is DJD, probably familiar with those terms in the human world.
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Dr. Tracey Deiss: But what it is, is it's a degenerative condition where the cartilage, which is, you know, the structures that overlie our bones and help lubricate joints, that structure starts breaking down and degenerating.
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Dr. Tracey Deiss: We have inflammation in the joint space.
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Dr. Tracey Deiss: And that degeneration, one, it's lifelong and it's progressive, but it also can create a lot of discomfort.
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Dr. Tracey Deiss: It can affect our feline friends' quality of life and just overall cause significant changes to their mobility.
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Dr. Kathryn Primm: So I hear a lot in my exam room and with my clients that they are worried about whether or not their pet is in pain.
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Dr. Kathryn Primm: So that is why I thought this was a really important episode to have and discussion to have.
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Dr. Kathryn Primm: So can you speak on the statistics maybe?
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Dr. Kathryn Primm: Like, how many cats do you think actually suffer from pain?
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Dr. Kathryn Primm: And why would we not know it?
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Dr. Tracey Deiss: Yeah, great, great question, Dr.
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Dr. Tracey Deiss: Kat.
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Dr. Tracey Deiss: And I think, I think you, I think our audience, I think they're going to be so surprised at these stats.
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Dr. Tracey Deiss: I know I was as a practicing vet and as a medically covering feline pain.
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Dr. Tracey Deiss: 40% of cats have osteoarthritis, suffer from the pain of osteoarthritis.
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Dr. Tracey Deiss: And let's impact the ages, because I know for me, my brain just historically see what I did there.
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Dr. Tracey Deiss: It tends to go to things like osteoarthritis and degeneration being an old, an old cat disease.
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Dr. Tracey Deiss: But would you believe that 61% of cats as young as six can suffer from osteoarthritis?
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Dr. Tracey Deiss: And about Nine0% of cats over 12 have radiographic changes of osteoarthritis.
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Dr. Tracey Deiss: But it can be seen in cats even as young as two.
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Dr. Tracey Deiss: So osteoarthritis, it's an equal opportunity offender.
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Dr. Tracey Deiss: So it's so important that knowing the stats, knowing that it can affect youngs and olds, it's so important that we know what to look for.
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Dr. Tracey Deiss: So hopefully we can get in and do some early intervention.
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Dr. Kathryn Primm: Well, I know I don't think of myself as old, but I know when I was really young, I already suffered from some knee pain, and it kind of came from my days in my youth where I rode horses and I had accidents.
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Dr. Kathryn Primm: And so I think that maybe our younger cats, maybe they were found as strays and we don't know what they were doing, and maybe they sustained some injury that we just don't know about.
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Dr. Kathryn Primm: Would you agree with that?
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Dr. Tracey Deiss: I would, 200%.
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Dr. Tracey Deiss: Can I do 200%?
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Dr. Tracey Deiss: Can it be over 100?
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Dr. Tracey Deiss: I would completely agree.
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Dr. Tracey Deiss: And like you, so you experience osteoarthritis as a result of your equestrian days.
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Dr. Tracey Deiss: I started sports at a young age, probably when I was five or six.
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Dr. Tracey Deiss: And so I too experienced osteoarthritis and the pain at an earlier age than most.
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Dr. Tracey Deiss: When I think about the cats that I have and I think about my patients, think about when they're young and they do crazy acrobatics.
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Dr. Tracey Deiss: They jump from the top of the fridge down.
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Dr. Tracey Deiss: And I just think they're agile in that moment.
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Dr. Tracey Deiss: And just wonder, even if there's not a history of trauma that we can pinpoint, what about just general wear and tear from their incredible acrobatics throughout their lives?
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Dr. Tracey Deiss: Those are some pretty high velocity jumps.
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Dr. Kathryn Primm: I agree.
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Dr. Kathryn Primm: I feel like when I was in vet school, and probably you experienced the same thing we talked about, osteoarthritis in racehorses or sporting dogs or things, and cats are three times the athlete or racehorses, in my opinion.
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Dr. Kathryn Primm: I may not be objective.
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Dr. Tracey Deiss: I would agree with that.
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Dr. Tracey Deiss: And this is another thing I love about this opportunity, is getting to focus on the cat.
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Dr. Tracey Deiss: We know cats are not small dogs.
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Dr. Tracey Deiss: They're very unique, special creatures.
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Dr. Tracey Deiss: I like to say they're like fingerprints or snowflakes where no two are the same.
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Dr. Tracey Deiss: And so we did that.
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Dr. Tracey Deiss: That is the evolution of what we know about osteoarthritis.
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Dr. Tracey Deiss: We studied it in the horse.
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Dr. Tracey Deiss: We've studied it in the dog.
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Dr. Tracey Deiss: And now we are really fuzzing to study it in the cat so that we can, again, screen, intervene it, and do something about it.
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Dr. Kathryn Primm: Okay, so your puns are great because it fits right in and it's really meow-vulous because, and clearly you have listened to my show because you fit right in.
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Dr. Kathryn Primm: So you said 40% of all cats.
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Dr. Kathryn Primm: I think that's really significant.
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Dr. Kathryn Primm: If we lined up 10 cats in a room, that means four of them would be suffering.
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Dr. Kathryn Primm: So do you think that that would be maybe obvious?
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Dr. Kathryn Primm: Do you think the average onlooker would know that four of them were suffering?
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Dr. Tracey Deiss: I don't.
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Dr. Tracey Deiss: I don't.
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Dr. Tracey Deiss: This is what is so tricky about cats.
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Dr. Tracey Deiss: They're secret keepers, right?
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Dr. Tracey Deiss: They hide a lot of stuff from us, and they have to because they're one of those species that what they hunt, but they're also hunted.
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Dr. Tracey Deiss: So they have to keep signs of injury, signs of illness.
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Dr. Tracey Deiss: They have to keep it to themselves.
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Dr. Tracey Deiss: But part of that is it makes diagnosing conditions very difficult.
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Dr. Tracey Deiss: A lot of times, by the time they show us they're not feeling well, we can be behind the eight ball.
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Dr. Tracey Deiss: So I think unlike dogs, when we look at conditions, painful conditions like osteoarthritis, our canine patients, Dr.
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Dr. Tracey Deiss: Kat, they tell us that they're not feeling well.
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Dr. Tracey Deiss: Maybe it's with a limp, maybe it's with hesitation to get up.
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Dr. Tracey Deiss: Cats don't always do that.
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Dr. Tracey Deiss: In addition, it's hard for us to do orthopedic exams, on cats, sometimes in our offices.
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Dr. Tracey Deiss: So what we have to do is we have to say, okay, cats are great secret keepers.
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Dr. Tracey Deiss: They tell us they hurt, they really do.
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Dr. Tracey Deiss: We have to learn how to speak their language so that we can understand what they are trying to tell us.
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Dr. Tracey Deiss: And so diagnosing osteoarthritis and screening for osteoarthritis in cats might look a little bit different in dogs because we're going to really look at some key behaviors and partner with the cat caregiver on giving us information that makes us suspect and start looking for O8 diagnosis.
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Dr. Tracey Deiss: I just said a lot.
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Dr. Tracey Deiss: I know.
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Dr. Tracey Deiss: So let me pause.
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Dr. Tracey Deiss: Let me pause.
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Dr. Tracey Deiss: And we'll unpack it from there.
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Dr. Kathryn Primm: Okay, you can pause.
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Dr. Kathryn Primm: So am I understanding what you are pointing out and trying to highlight for my listeners is that their cat may be acting completely normal unless they really start to drill down to some behaviors or maybe no unusual behaviors at all.
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Dr. Kathryn Primm: Is that what you're saying?
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Dr. Tracey Deiss: That's what I am saying.
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Dr. Tracey Deiss: I think the most common thing that we will hear from our cat caregivers is this.
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Dr. Tracey Deiss: Everything's going well, she's just slowing down.
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Dr. Tracey Deiss: And slowing down, for me, it's like either my dog is hearing a chip bag open, or my cat's hearing a Churu unpacked, the ears need to perk up because cats really shouldn't be just slowing down.
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Dr. Tracey Deiss: Historically, when they're slowing down, there's a reason, and then we get to get to that reason.
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Dr. Kathryn Primm: And so, it's not just getting old, because I've heard that a lot.
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Dr. Kathryn Primm: She's just getting old, but it's not.
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Dr. Kathryn Primm: So, I'm glad that you pointed that out.
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Dr. Tracey Deiss: Yeah, for sure.
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Dr. Tracey Deiss: I bet.
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Dr. Tracey Deiss: I bet.
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Dr. Tracey Deiss: And I don't know, something tells me you and I maybe have been in practice for around the same amount of time, but it was just drilled into us.
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Dr. Tracey Deiss: Age is not a disease.
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Dr. Tracey Deiss: Age is not a disease.
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Dr. Tracey Deiss: The slowing down, age is not a disease.
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Dr. Tracey Deiss: There is a disease causing the slowing down.
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Dr. Tracey Deiss: And osteoarthritis is a disease.
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Dr. Tracey Deiss: It's a failure in a major organ system.
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Dr. Tracey Deiss: That organ system is the joint.
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Dr. Kathryn Primm: And it matters because it's a quality of life issue.
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Dr. Kathryn Primm: And like I said, I hear a lot in my exam room, especially in some end of life consultations and stuff, Doc, is she in pain?
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Dr. Kathryn Primm: And I have to say, yeah.
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Dr. Kathryn Primm: And that makes a difference.
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Dr. Kathryn Primm: So I think that we need to talk about more ways for my listeners to really start looking at their cat and asking that question.
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Dr. Kathryn Primm: Can you maybe tell us some checklist or criteria or something that my listeners could use?
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Dr. Tracey Deiss: Absolutely.
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Dr. Tracey Deiss: So folks at Zoetis who have an investment in cats, been so happy that they do, they have worked with some cat enthusiasts and specialists in the area and have put together a checklist.
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Dr. Tracey Deiss: We call it the Cat-O-A Checklist.
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Dr. Tracey Deiss: And what this checklist looks at are six behaviors that we know, if these six behaviors are off in our cats, there is a high correlation, a high probability that they have osteoarthritis pain.
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Dr. Tracey Deiss: So we'll run through the six.
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Dr. Tracey Deiss: But for anyone listening, you can go to Cat-O-A Checklist.
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Dr. Tracey Deiss: That's going to be C-A-T, not like K-A-T like Dr.
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Dr. Tracey Deiss: Kat.
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Dr. Tracey Deiss: Cat-O-A Checklist.
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Dr. Tracey Deiss: But the behaviors are this.
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Dr. Tracey Deiss: Is there difficulty jumping up or jumping down?
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Dr. Tracey Deiss: And you know, Dr.
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Dr. Tracey Deiss: Kat, when we're talking to our cat caregivers, we want to say, like, okay, if we say, is there a problem jumping up or down?
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Dr. Tracey Deiss: They might want to say yes or no.
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Dr. Tracey Deiss: But what we want to get at is, how are they doing those behaviors?
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Dr. Tracey Deiss: Are they landing that jump?
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Dr. Tracey Deiss: Is there a hesitation?
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Dr. Tracey Deiss: Are they noticing claw marks where their cat is actually pulling themselves up onto a surface?
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Dr. Tracey Deiss: So jumping up, jumping down.
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Dr. Tracey Deiss: How we climb stairs.
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Dr. Tracey Deiss: Think about a cat or a kitten that just barrels up the stairs, up and down the stairs.
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Dr. Tracey Deiss: They don't think twice about it.
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Dr. Tracey Deiss: And then think about our maybe middle-age or senior cats.
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Dr. Tracey Deiss: Maybe there's hesitation.
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Dr. Tracey Deiss: Maybe they have the little bunny hop.
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Dr. Tracey Deiss: Maybe they have to stop halfway and take a little rest.
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Dr. Tracey Deiss: And then the final, the final group that we look at is, how do they chase moving objects and how are they running?
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Dr. Tracey Deiss: What I love about the Kat O8 Checklist is it doesn't just talk about the behaviors.
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Dr. Tracey Deiss: They are little animations that show you what good looks like and what not so good looks like.
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Dr. Tracey Deiss: So our cat caregivers can literally push the animation and watch their cat and then make a decision whether that behavior is normal or abnormal in their cat.
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Dr. Kathryn Primm: I love it.
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Dr. Kathryn Primm: I've learned over the years that it depends on how I ask the question.
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Dr. Kathryn Primm: So, you know, is she doing okay?
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Dr. Kathryn Primm: If you just say, is she doing okay?
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Dr. Kathryn Primm: They're going to say yes.
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Dr. Kathryn Primm: But then you can say, well, does she still do the things she used to like to do?
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Dr. Kathryn Primm: Maybe sitting in the window.
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Dr. Kathryn Primm: Well, you know, she kind of stopped sitting in the window and started sleeping in the closet.
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Dr. Kathryn Primm: I mean, you know, it's just it's all about the questions that you ask where you find out more about that.
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Dr. Kathryn Primm: So this checklist sounds like a really, really good thing.
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Dr. Kathryn Primm: You said you could find it where?
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Dr. Tracey Deiss: If you or the listeners, if they will type in katoachecklist.com, it will come up.
00:14:48.021 --> 00:14:48.Nine21
Dr. Kathryn Primm: That's great.
00:14:48.Nine21 --> 00:14:53.441
Dr. Kathryn Primm: So I want to take a quick break and come back and talk about what do you do about it?
00:14:53.441 --> 00:14:56.221
Dr. Kathryn Primm: I mean, we can't just know about it and not fix it.
00:14:56.221 --> 00:14:57.521
Dr. Kathryn Primm: So let's take a quick break.
00:14:57.521 --> 00:14:58.161
Dr. Kathryn Primm: We'll be right back.
00:15:28.541 --> 00:15:34.121
Announcer: To help indoor cats live their best lives with indoor enrichment tips for their parents.
00:15:34.121 --> 00:15:3Nine.661
Pam Johnson-Bennett: Anyone who knows me knows I am a very strong proponent for cats being indoors.
00:15:3Nine.661 --> 00:15:48.541
Pam Johnson-Bennett: But when we bring cats indoors, where I feel it's safest, we have an obligation to make sure they have a fulfilling life, that they get enrichment.
00:15:48.541 --> 00:15:52.121
Pam Johnson-Bennett: And part of that enrichment is encouraging health.
00:15:52.121 --> 00:15:54.801
Pam Johnson-Bennett: And a big part of that health is cat grass.
00:15:54.801 --> 00:15:57.621
Pam Johnson-Bennett: Kat grass helps with the prevention of hairballs.
00:15:57.881 --> 00:16:00.841
Pam Johnson-Bennett: It can help keep your cat away from house plants.
00:16:00.841 --> 00:16:03.081
Pam Johnson-Bennett: It's also fun for your cat.
00:16:03.081 --> 00:16:06.441
Pam Johnson-Bennett: It's a natural behavior that your cat wants to chew.
00:16:06.441 --> 00:16:0Nine.321
Pam Johnson-Bennett: And you know that you're providing it in a safe way.
00:16:0Nine.321 --> 00:16:15.Nine21
Announcer: For more information on the benefits of cat grass and catnip for your cat's indoor enrichment, visit petgreens.com.
00:16:36.1Nine1 --> 00:16:38.411
Dr. Kathryn Primm: Welcome back to Nine Lives with Dr.
00:16:38.411 --> 00:16:40.2Nine1
Dr. Kathryn Primm: Kat on PetLife Radio.
00:16:40.784 --> 00:16:50.684
Dr. Kathryn Primm: So we're talking about a feline osteoarthritis, cat OA, and the impacts that it can have on your cat's quality of life.
00:16:50.684 --> 00:16:58.744
Dr. Kathryn Primm: And so I know that you know that there have been limitations to the ways to treat arthritis pain in cats.
00:16:58.744 --> 00:17:03.864
Dr. Kathryn Primm: So, you know, if my knee hurts, I can go take an Advil or whatever, but it's not that simple for cats, is it?
00:17:04.484 --> 00:17:05.704
Dr. Tracey Deiss: It's not that simple.
00:17:05.704 --> 00:17:10.004
Dr. Tracey Deiss: It is, but it isn't, because the principles are very similar.
00:17:10.004 --> 00:17:14.304
Dr. Tracey Deiss: It's just maybe the therapeutics might be a little different.
00:17:14.304 --> 00:17:25.524
Dr. Kathryn Primm: So can we talk just very briefly about medications, human medications, and their lack of usefulness in the feline species?
00:17:25.524 --> 00:17:36.144
Dr. Tracey Deiss: Yeah, and I think we even have to say it's not that it's just lack of usefulness, it's that it can actually be horrible or dangerous to them.
00:17:36.144 --> 00:17:38.004
Dr. Tracey Deiss: So to your point, Dr.
00:17:38.004 --> 00:17:41.424
Dr. Tracey Deiss: Kat, you and I, we're having a bad away day.
00:17:41.424 --> 00:17:47.484
Dr. Tracey Deiss: We have a cornucopia of anti-inflammatories that we can choose from.
00:17:47.484 --> 00:17:53.884
Dr. Tracey Deiss: Because cats are unique in the way they process medications, not that easy for them.
00:17:53.884 --> 00:18:05.544
Dr. Tracey Deiss: And so in the United States, we don't really have an anti-inflammatory that is approved safe for chronic use for that inflammation.
00:18:05.544 --> 00:18:0Nine.724
Dr. Tracey Deiss: And so for a while, we had to get pretty creative, didn't we?
00:18:0Nine.724 --> 00:18:13.324
Dr. Tracey Deiss: Like we had to try everything but the kitchen sink.
00:18:13.324 --> 00:18:26.424
Dr. Tracey Deiss: The exciting thing now is that we do have a solution, FDA approved medication for the management of osteoarthritis pain in cats.
00:18:27.064 --> 00:18:30.524
Dr. Tracey Deiss: And I'm like, it's a great year to be a cat.
00:18:30.524 --> 00:18:38.244
Dr. Tracey Deiss: And I also want to say, finally, finally, we have something to help them with their osteoarthritis pain.
00:18:38.244 --> 00:18:56.724
Dr. Kathryn Primm: Okay, I do want to take a quick moment to reach out to the listeners that may be at home looking at their cornucopia of medications that they might use to treat their own arthritis pain and recognize if you do not already know this, those things are really not healthy for cats.
00:18:56.724 --> 00:1Nine:02.164
Dr. Kathryn Primm: They are toxic in some cases, specifically Tylenol is very, very toxic to cats.
00:1Nine:02.164 --> 00:1Nine:05.204
Dr. Kathryn Primm: So I just want to throw that in there because that is really important.
00:1Nine:05.204 --> 00:1Nine:08.Nine04
Dr. Kathryn Primm: I don't want to disrupt your train of thought, but I just wanted to throw that in there.
00:1Nine:08.Nine04 --> 00:1Nine:10.204
Dr. Tracey Deiss: I'm glad you did.
00:1Nine:10.204 --> 00:1Nine:11.244
Dr. Tracey Deiss: I'm glad you did.
00:1Nine:11.244 --> 00:1Nine:18.204
Dr. Tracey Deiss: And I think it's important to know and for us to remember, none of us would ever give anything to our cats, intentional.
00:1Nine:18.204 --> 00:1Nine:20.324
Dr. Tracey Deiss: But we want to, we notice they're struggling.
00:1Nine:20.444 --> 00:1Nine:25.584
Dr. Tracey Deiss: We want to help, and then sometimes in trying to help, we can actually cause them to harm.
00:1Nine:25.584 --> 00:1Nine:32.264
Dr. Tracey Deiss: So I think it's brilliant to have that PSA about, hey, before you give anything to a cat, reach out to Dr.
00:1Nine:32.264 --> 00:1Nine:37.124
Dr. Tracey Deiss: Kat, reach out to me, reach out to your vet to find out what is actually safe for them.
00:1Nine:37.124 --> 00:1Nine:45.404
Dr. Kathryn Primm: Yes, for years and years, I had nothing to treat arthritis, pain, and cats, that I just felt like I might be doing some harm.
00:1Nine:45.404 --> 00:1Nine:4Nine.Nine44
Dr. Kathryn Primm: And now there is a new option that I feel so much better about.
00:1Nine:50.064 --> 00:1Nine:55.364
Dr. Kathryn Primm: So let's talk a little bit about the advances along that area.
00:1Nine:55.364 --> 00:1Nine:56.744
Dr. Tracey Deiss: Absolutely.
00:1Nine:56.744 --> 00:1Nine:58.504
Dr. Tracey Deiss: So for a long time, we didn't.
00:1Nine:58.504 --> 00:20:07.684
Dr. Tracey Deiss: So for 20 years, the way we have managed osteoarthritis in our companion animals has been the same.
00:20:07.684 --> 00:20:20.424
Dr. Tracey Deiss: But in the last few years, with technology advances, we have some super cool treatment modalities that are, god, they're exciting, they're inspiring.
00:20:20.424 --> 00:20:26.764
Dr. Tracey Deiss: And it's a completely different pathway than what we're acclimated to.
00:20:26.764 --> 00:20:44.044
Dr. Tracey Deiss: So what I'm talking about is, let's bring the cat out of the bag, let the cat out of the bag, is silencio, which is prune vet mad injectable, which is a monoclonal antibody for the control of osteoarthritis pain in cats.
00:20:44.Nine84 --> 00:20:48.884
Dr. Kathryn Primm: So it doesn't affect their kidneys.
00:20:48.884 --> 00:20:57.544
Dr. Kathryn Primm: They do not need to possess the ability to break down medications like the ones we were just talking about, that they can't break down, right?
00:20:57.544 --> 00:20:58.224
Dr. Tracey Deiss: That's right.
00:20:58.224 --> 00:21:03.464
Dr. Tracey Deiss: So monoclonal antibodies, I like to think of them as like natural proteins.
00:21:03.464 --> 00:21:08.104
Dr. Tracey Deiss: I mean, our bodies, cat's bodies, they make antibodies naturally, right?
00:21:08.104 --> 00:21:32.324
Dr. Tracey Deiss: So this is very similar, but instead of monoclonal antibodies having to be processed by the liver or excreted, let out by the kidney system, these little monoclonal antibodies, they get broken down with natural body processes, just like our naturally occurring antibodies would be broken down.
00:21:32.324 --> 00:21:38.224
Dr. Tracey Deiss: And then the proteins of that antibody, they're recycled for future use.
00:21:38.224 --> 00:21:43.844
Dr. Tracey Deiss: So yeah, very different than the drug pathways that we think of.
00:21:43.844 --> 00:21:50.504
Dr. Tracey Deiss: And again, exciting is they are approved, safe and effective.
00:21:50.504 --> 00:21:51.584
Dr. Tracey Deiss: It's great news.
00:21:51.584 --> 00:21:53.324
Dr. Kathryn Primm: I have been giving it for a while.
00:21:53.324 --> 00:21:56.444
Dr. Kathryn Primm: I have a lot of cats that never miss their dose.
00:21:56.444 --> 00:21:57.864
Dr. Kathryn Primm: I mean, they call me back.
00:21:57.864 --> 00:21:5Nine.104
Dr. Kathryn Primm: They will not miss it.
00:21:5Nine.104 --> 00:22:02.544
Dr. Kathryn Primm: So for everybody listening, it's called Salencia.
00:22:02.544 --> 00:22:04.584
Dr. Kathryn Primm: It is a monoclonal antibody.
00:22:04.584 --> 00:22:10.124
Dr. Kathryn Primm: It is administered by your veterinarian only once a month, which is really great.
00:22:10.584 --> 00:22:12.564
Dr. Kathryn Primm: What else is, there's more exciting stuff.
00:22:12.564 --> 00:22:13.804
Dr. Kathryn Primm: Tell us more about it.
00:22:13.804 --> 00:22:18.544
Dr. Tracey Deiss: So I think, and you just hit the nail on the head.
00:22:18.544 --> 00:22:34.024
Dr. Tracey Deiss: What is second most exciting, other than we have something to treat pain in cats, away pain in cats, is that because it is administered by a professional in the vet's office, you know what it does?
00:22:34.024 --> 00:22:44.044
Dr. Tracey Deiss: It prevents us from having to struggle at home, administering oral medications to our cats.
00:22:44.044 --> 00:22:44.344
Dr. Tracey Deiss: Dr.
00:22:44.344 --> 00:22:51.184
Dr. Tracey Deiss: Kat, have you ever had to medicate one of your cats for a long-term chronic condition?
00:22:51.184 --> 00:22:54.644
Dr. Tracey Deiss: Because let's face it, osteoarthritis doesn't go in anywhere.
00:22:54.664 --> 00:22:5Nine.184
Dr. Tracey Deiss: Once it's there, they need to have lifelong therapy.
00:22:5Nine.184 --> 00:23:04.764
Dr. Tracey Deiss: Have you ever had to give one of your cats medications once to twice a day forever?
00:23:04.764 --> 00:23:06.124
Dr. Kathryn Primm: So you know that I have.
00:23:07.064 --> 00:23:13.484
Dr. Kathryn Primm: Because every veterinarian always adopts cats that need them.
00:23:13.484 --> 00:23:23.804
Dr. Kathryn Primm: You know, I mean, so I've had an inflammatory bowel disease, a couple of inflammatory bowel disease cats, I've had a couple of heart disease cats, allergic skin disease.
00:23:23.804 --> 00:23:24.284
Dr. Kathryn Primm: Yes.
00:23:24.284 --> 00:23:25.264
Dr. Kathryn Primm: The answer is yes.
00:23:26.304 --> 00:23:26.Nine44
Dr. Tracey Deiss: Yes.
00:23:27.244 --> 00:23:32.384
Dr. Tracey Deiss: And it is, it's frustrating, not just for us, but also for our cats, right?
00:23:32.384 --> 00:23:3Nine.544
Dr. Tracey Deiss: Because it's very disruptive to that relationship we have with them.
00:23:3Nine.544 --> 00:23:44.884
Dr. Tracey Deiss: My cat, and I always say, I'm really a great pill giver to my patients.
00:23:44.884 --> 00:23:48.Nine24
Dr. Tracey Deiss: But when I tried on my own, that's like all bets are off, like all bets are off.
00:23:48.Nine24 --> 00:23:52.364
Dr. Tracey Deiss: I just turn, it's like I don't have any veterinary experience at that point.
00:23:52.804 --> 00:24:06.504
Dr. Tracey Deiss: But what breaks my heart is they start associating me instead of with love and companionship, they associate me with the inflictor of the terrible, awful pill.
00:24:06.504 --> 00:24:17.644
Dr. Tracey Deiss: And so it's so disruptive and heartbreaking to the relationships we have with our cats when we have to medicate them daily or multiple times a day.
00:24:17.644 --> 00:24:33.344
Dr. Tracey Deiss: So I love that about Salencia because it ministered once a month at the veterinary office, and it takes that burden off of me and lets me just keep having a relationship with my cat.
00:24:33.344 --> 00:24:34.484
Dr. Tracey Deiss: That is cool.
00:24:34.484 --> 00:24:38.524
Dr. Tracey Deiss: The other thing I like about is we think about treatment of chronic disease.
00:24:38.524 --> 00:24:42.524
Dr. Tracey Deiss: Remember we said chronic disease needs lifelong treatment.
00:24:42.524 --> 00:24:50.584
Dr. Tracey Deiss: What happens when we miss doses, like say we miss doses of oral meds for OA pain?
00:24:50.584 --> 00:24:53.Nine44
Dr. Tracey Deiss: Well, that pain waxes and wanes, doesn't it?
00:24:53.Nine44 --> 00:24:58.864
Dr. Tracey Deiss: So it's almost like our cats are on a roller coaster of pain.
00:24:58.864 --> 00:25:07.384
Dr. Tracey Deiss: With a once a month injectable, they're receiving more chronic coverage of that pain.
00:25:07.384 --> 00:25:12.064
Dr. Tracey Deiss: So we don't have to guess if they're having a good day, bad day.
00:25:12.724 --> 00:25:15.764
Dr. Tracey Deiss: We can keep them off of that roller coaster.
00:25:15.764 --> 00:25:16.744
Dr. Kathryn Primm: I love that.
00:25:16.744 --> 00:25:21.Nine84
Dr. Kathryn Primm: So I have and people listening may be like, oh, but I don't like taking my cat to the vet.
00:25:21.Nine84 --> 00:25:28.664
Dr. Kathryn Primm: So I'm going to tell a quick story about Dash because I don't have Dash's mom's permission to tell the story.
00:25:28.664 --> 00:25:30.344
Dr. Kathryn Primm: But I really don't think she would mind.
00:25:30.344 --> 00:25:42.424
Dr. Kathryn Primm: Dash was a very, very, very fearful cat to the point that when I lectured on Fear Free, I had pictures of Dash because he was a worst-case scenario.
00:25:42.424 --> 00:25:45.664
Dr. Kathryn Primm: And we started doing, we did all the fear free things.
00:25:45.664 --> 00:25:48.524
Dr. Kathryn Primm: And now Dash is a silencia cat.
00:25:48.524 --> 00:25:52.144
Dr. Kathryn Primm: And he comes in once a month, happy to see us.
00:25:52.144 --> 00:25:56.604
Dr. Kathryn Primm: And my assistant gives him his silencia by herself.
00:25:56.604 --> 00:25:58.504
Dr. Kathryn Primm: So it can be done.
00:25:58.504 --> 00:26:00.124
Dr. Kathryn Primm: It doesn't have to be something to dread.
00:26:00.124 --> 00:26:01.444
Dr. Kathryn Primm: And it's totally worth it.
00:26:01.444 --> 00:26:03.144
Dr. Kathryn Primm: That's my pitch.
00:26:03.144 --> 00:26:03.Nine24
Dr. Tracey Deiss: That is your pitch.
00:26:04.204 --> 00:26:0Nine.364
Dr. Tracey Deiss: And you know what makes it when we talk about cats like Dash, it's a reminder.
00:26:0Nine.364 --> 00:26:14.Nine64
Dr. Tracey Deiss: It's a reminder how chronic pain can affect other systems.
00:26:14.Nine64 --> 00:26:15.204
Dr. Tracey Deiss: Right?
00:26:15.204 --> 00:26:21.124
Dr. Tracey Deiss: So here's Dash and he had truly fear, anxiety and stress with coming to the vet.
00:26:21.124 --> 00:26:32.864
Dr. Tracey Deiss: But think about how if you're a cat and you're in pain from a chronic degenerative condition like osteoarthritis, all other conditions are going to be ramped up, aren't they?
00:26:33.484 --> 00:26:37.264
Dr. Tracey Deiss: I know I'm very grouchy when I'm having flair days.
00:26:37.264 --> 00:26:38.664
Dr. Tracey Deiss: Very, very grouchy.
00:26:38.664 --> 00:26:40.264
Dr. Tracey Deiss: So it's interesting.
00:26:40.264 --> 00:26:4Nine.404
Dr. Tracey Deiss: Maybe by managing Dash's away pain, maybe he was able also to settle a little bit with his fear and anxiety.
00:26:4Nine.404 --> 00:26:4Nine.Nine44
Dr. Kathryn Primm: I think so.
00:26:4Nine.Nine44 --> 00:26:51.864
Dr. Kathryn Primm: I mean, he's just a completely different cat.
00:26:51.864 --> 00:27:01.644
Dr. Kathryn Primm: So for my listeners that are looking over at their cat that used to jump up in the window and is now lying on the floor, for example, what would you say would be the first step?
00:27:02.104 --> 00:27:12.424
Dr. Tracey Deiss: The first, the absolute first step would be to go to catawaychecklist.com and I would do those behaviors.
00:27:12.424 --> 00:27:14.104
Dr. Tracey Deiss: Don't try to cram them into one day.
00:27:14.104 --> 00:27:15.404
Dr. Tracey Deiss: Do like a few.
00:27:15.404 --> 00:27:16.504
Dr. Tracey Deiss: Take a few days.
00:27:16.504 --> 00:27:22.024
Dr. Tracey Deiss: See how they are going up the stairs, down the stairs if you have stairs.
00:27:22.024 --> 00:27:24.204
Dr. Tracey Deiss: See how they're landing those jumps.
00:27:24.204 --> 00:27:2Nine.304
Dr. Tracey Deiss: Maybe you recall, I haven't even seen them jump in some time period.
00:27:2Nine.304 --> 00:27:35.864
Dr. Tracey Deiss: So that would be the first thing is just take pause to notice those activities.
00:27:35.864 --> 00:27:4Nine.524
Dr. Tracey Deiss: And the very second thing I would do as soon as I notice those, and I know I'm going to do this in the future with my Kat, I sure would make a phone call and get an appointment to be seen by a veterinarian.
00:27:4Nine.524 --> 00:27:5Nine.244
Dr. Kathryn Primm: Yes, I agree, because at your veterinarian, there might be something else we need to check, or we might recommend x-rays, or I mean, you know, there may be more to it.
00:27:5Nine.644 --> 00:28:01.424
Dr. Kathryn Primm: But certainly, that's your first step.
00:28:01.424 --> 00:28:02.584
Dr. Tracey Deiss: I agree.
00:28:02.644 --> 00:28:10.264
Dr. Kathryn Primm: Okay, so it's very reassuring to know that there are ways to kind of help manage this pain.
00:28:10.264 --> 00:28:23.304
Dr. Kathryn Primm: But are there any things that you might suggest, maybe to my listeners that have kittens or younger cats, are there any things that you might suggest starting now on them to help maybe ward this off?
00:28:23.304 --> 00:28:35.004
Dr. Tracey Deiss: You know, what I think is important from the get go, and this is going to be kind of encompassing, maybe parts of it are unique to osteoarthritis pain, maybe not.
00:28:35.004 --> 00:28:47.244
Dr. Tracey Deiss: The first thing I'd like to say is, for all of our little Weetot, our little Mittens, or newly adopted cats, I say let's get them started on the right paw.
00:28:47.244 --> 00:28:4Nine.624
Dr. Tracey Deiss: Let's do that carrier training.
00:28:4Nine.624 --> 00:28:57.084
Dr. Tracey Deiss: Let's get them used to going through team checkups yearly.
00:28:57.084 --> 00:28:58.324
Dr. Tracey Deiss: Again, Dr.
00:28:58.324 --> 00:2Nine:00.104
Dr. Tracey Deiss: Kat, we see this all the time.
00:2Nine:00.104 --> 00:2Nine:16.Nine44
Dr. Tracey Deiss: They're secret keepers, and I can't stress enough how important it is that we have a touch point with our cat patients and their people yearly so we can track the progress.
00:2Nine:16.Nine44 --> 00:2Nine:1Nine.164
Dr. Tracey Deiss: Are there any changes?
00:2Nine:1Nine.164 --> 00:2Nine:23.144
Dr. Tracey Deiss: We can work together to identify things early on.
00:2Nine:23.644 --> 00:2Nine:26.884
Dr. Tracey Deiss: Second thing is, just do all the things that we should do for cats.
00:2Nine:26.884 --> 00:2Nine:2Nine.104
Dr. Tracey Deiss: Give them vertical spaces.
00:2Nine:2Nine.104 --> 00:2Nine:36.704
Dr. Tracey Deiss: If they cohabitate with other species, make sure they have their space, that they can get away and bleed.
00:2Nine:36.704 --> 00:2Nine:41.764
Dr. Tracey Deiss: When it comes to litter pans, make sure we do our due diligence.
00:2Nine:41.764 --> 00:2Nine:48.464
Dr. Tracey Deiss: Have the right number of pans, have the correct types of pans for our cat's needs.
00:2Nine:48.464 --> 00:2Nine:58.644
Dr. Tracey Deiss: As our pets are getting older, and they maybe have OA pain, crawling into high-walled litter pans can be problematic.
00:2Nine:58.644 --> 00:30:00.544
Dr. Tracey Deiss: Maybe we need to lower those pans.
00:30:00.544 --> 00:30:03.244
Dr. Tracey Deiss: Maybe they need to be more spacious.
00:30:03.244 --> 00:30:0Nine.884
Dr. Tracey Deiss: Maybe we need to give them ramps to get to some of the high perch areas they like.
00:30:0Nine.884 --> 00:30:20.144
Dr. Tracey Deiss: So all those things, all those things, and starting with kittens, and just, you know, adjusting as they go through all their different life stages.
00:30:20.144 --> 00:30:23.184
Dr. Kathryn Primm: OK, so I want my listeners to say, Dr.
00:30:23.184 --> 00:30:40.084
Dr. Kathryn Primm: Kat told me to do this, but I want all of those people with young cats and young kittens to make cat videos, make videos of them playing, make videos of them jumping and climbing so that when they do start to get a little older, you might say, you know, that's different.
00:30:40.084 --> 00:30:42.404
Dr. Kathryn Primm: So yeah, I want you to make videos.
00:30:42.404 --> 00:30:43.024
Dr. Tracey Deiss: Let's do that.
00:30:43.204 --> 00:30:44.304
Dr. Tracey Deiss: I forgot to say something.
00:30:44.304 --> 00:30:46.724
Dr. Tracey Deiss: So your ask is going to be to make the videos.
00:30:46.724 --> 00:30:47.Nine84
Dr. Tracey Deiss: That's your ask.
00:30:48.044 --> 00:30:50.064
Dr. Tracey Deiss: I totally forgot to say this.
00:30:50.064 --> 00:30:51.624
Dr. Tracey Deiss: And you know what I'm about to say.
00:30:51.624 --> 00:31:02.764
Dr. Tracey Deiss: Let's keep their weight healthy if we can, because we know that increased weight can not only cause problems with osteoarthritis in the future, but other diseases as well.
00:31:02.764 --> 00:31:05.144
Dr. Tracey Deiss: So let's try our best.
00:31:05.144 --> 00:31:06.524
Dr. Tracey Deiss: And we know they beg for it.
00:31:06.524 --> 00:31:08.Nine04
Dr. Tracey Deiss: We know they ask for it.
00:31:08.Nine04 --> 00:31:14.764
Dr. Tracey Deiss: But let's raise our right paws and do our best at taking a pledge to keep their weights healthy.
00:31:14.764 --> 00:31:18.024
Dr. Kathryn Primm: Yep, and keep them moving, like you talked about with the vertical spaces.
00:31:18.024 --> 00:31:20.824
Dr. Kathryn Primm: So that's definitely something that we can do.
00:31:20.824 --> 00:31:23.824
Dr. Kathryn Primm: Well, I really appreciate your time.
00:31:23.824 --> 00:31:30.804
Dr. Kathryn Primm: Before I let you go, though, I want to reiterate for my listeners, how can they learn more about salencia?
00:31:30.804 --> 00:31:34.084
Dr. Kathryn Primm: What about the cat checklist and all of those things?
00:31:34.084 --> 00:31:36.244
Dr. Kathryn Primm: Where, again, can you tell us?
00:31:36.264 --> 00:31:36.Nine24
Dr. Tracey Deiss: You bet.
00:31:36.Nine24 --> 00:31:40.244
Dr. Tracey Deiss: I'm going to give you two places to go if that's okay.
00:31:41.084 --> 00:31:45.704
Dr. Tracey Deiss: So, our listeners can go to salencia.com.
00:31:47.124 --> 00:31:52.004
Dr. Tracey Deiss: I'm going to spell it out, because if I were just listening, I might not know how to spell it.
00:31:52.204 --> 00:31:56.484
Dr. Tracey Deiss: solensia.com.
00:31:57.504 --> 00:32:04.524
Dr. Tracey Deiss: And everything you want to know about osteoarthritis, pain in your cat, salencia, the checklist is there.
00:32:04.524 --> 00:32:18.844
Dr. Tracey Deiss: But if you're eager to jump into that cat checklist, you can go to Kat, C-A-T-O-A-O-A checklist.com and have those great animations.
00:32:18.844 --> 00:32:21.224
Dr. Kathryn Primm: Well, that's, yeah, that's perfect.
00:32:21.224 --> 00:32:22.484
Dr. Kathryn Primm: And me, Alvula.
00:32:22.484 --> 00:32:23.844
Dr. Kathryn Primm: So, you know what?
00:32:23.844 --> 00:32:26.364
Dr. Kathryn Primm: Thank you for sharing your expertise with us today.
00:32:26.364 --> 00:32:30.504
Dr. Kathryn Primm: It sounds like you and I both experienced similar things along the way.
00:32:30.504 --> 00:32:35.024
Dr. Kathryn Primm: And like I tell so many of my guests, we share the same mission.
00:32:35.024 --> 00:32:36.564
Dr. Tracey Deiss: We sure do.
00:32:37.864 --> 00:32:41.304
Dr. Tracey Deiss: Live long and prosper to Kat everywhere.
00:32:41.304 --> 00:32:42.584
Dr. Kathryn Primm: Absolutely.
00:32:43.044 --> 00:32:4Nine.724
Dr. Kathryn Primm: So, of course, thank you to our amazing producer, our meowsing producer, Mark Winter.
00:32:4Nine.724 --> 00:32:54.564
Dr. Kathryn Primm: And thanks to my listeners for tuning in to another episode of Nine Lives with Dr.
00:32:54.564 --> 00:32:55.204
Dr. Kathryn Primm: Kat.
00:32:55.204 --> 00:32:58.724
Dr. Kathryn Primm: Go out and have a perfect day.
00:32:58.724 --> 00:33:02.084
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00:33:02.084 --> 00:33:04.764
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