ImproMed E-Newsletter February 2016 | Page 14

14 Pretzel Stick Dental Exams 15 Dr. Sally J. Foote, DVM, CABC, IAABC you must move, bring as much of the past as you can with you. • Do what feels good. Only go out when you feel ready. Don’t let others dictate when the time is right for you. • Put off things that can wait. If you are feeling overwhelmed, be patient and focus only on the things that you feel you can handle. • Set long term goals. Approach these goals slowly and be prepared to be flex ible as you move along. • Keep your sense of humor. When you think you just might be going crazy, take a step back and try to find humor in some of the silly things you do. Your pet would be delighted to see you laugh and enjoy life again! 2. Reorganization. This time frame usually lasts from the 9th month to the 13th month. It is often described as “the fog lifting.” This is when you know it’s time to remake your life, reinvest in yourself, and move to a more normal level of functioning. You may feel a sense of relief or renewed energy levels. It should be easier for you to make decisions, and your daily sleeping and eating patterns should become more stable. You may even feel like laughing more or perhaps even thinking of adopting another companion animal. Ways to help yourself during this time: • Enjoy yourself without guilt. When you feel up to going out and having fun, do it! You’ve suffered enough and deserve some time to do what feels good. • Do what you want, not what others expect you to do. If you want a quiet dinner at home alone, then have it. If you feel like placing your pet’s picture on the table, then do so. If you want others around you, invite them over. • Go on a trip. A lot of people find that taking a trip somewhere for rest and relaxation can be quite energizing. • Always be kind to yourself. You are a survivor. You had the strength to get through the year. Hopefully you did not do it completely alone and sought help when it was needed. Continue to seek out support for as long as it is helpful to you and remember that life must truly go on. Let go of your guilt….it’s time to feel better. H ave you ever had a patient you wanted to "flip the lip" for a dental exam, but the patient was anxious about mouth handling? These situations are challenging, and pose a risk to handlers and veterinarians. I try to think of ways to get an exam done while reducing stress and aggression. In a lecture, Dr. Sophia Yin demonstrated using pretzel sticks to give rewards to dogs who grabbed at food. If they bit the pretzel stick, it was no problem - they could swallow and digest it easily. Fingers and hands were safe and the dogs liked the baby food or cheese whiz on the pretzel stick. It was a great way to keep a dog focused on the pretzel during low stress exams. I added pretzel sticks to my treat shelf selection and kept them in mind for mouth exams. I had my opportunity to try a pretzel stick dental exam. Last week I had a new patient who was pretty easy to examine, but was clearly nervous around the head. I am very aware of how big the teeth were on this beautiful German Shephard, and how fast a Shepard tends to react when they are stressed. I immediately thought of the pretzel stick as a means of "flipping the lip”. This dog was happy but would keep pulling her head away from me as I felt under her neck and approached the mouth. Time to try the pretzel trick. I dipped the end of the pretzel in peanut butter, and now the dog was focused on that. With my tech holding lightly around the shoulder I allowed the dog to lick the pretzel with the peanut butter, then slid the end to “flip the lip". The dog did not resist or pull away. She kept licking at the peanut butter as I would slide the lip up then allow her to lick the end of the stick then go to the front and other side always allowing a quick lick at the stick. She even opened her mouth trying to get more of the stick so I could see the roof of her mouth easily. The whole exam took just a few seconds. I did a complete exam easily. Breaking off the slobbery end for her to eat when we were finished was a reward for tolerating a mouth exam. I did not have to put my hands on the head - which helped ease any anxiety in this dog and she got a lot of rewards. For this dog, a mouth exam was fun. That is what I