What Is Happening to Local Vet Clinics?

Dotty, a white golden retriever, wears a blue belly band with small turtles on it. She's yawning
Dotty’s spay surgery was expertly performed by my local vet.

The first (and only, so far) time I changed vet clinics because I was tired of being pressured to pay for tests and services that I knew my dog didn’t need was almost 15 years ago. The clinic, where a friend had taken her dogs for several years, was pushing and pushing and pushing. The final outrage was when they suddenly decided that my dog needed a heartworm test every 6 months.

They had been insisting on annual tests before issuing a new prescription for the preventive. I thought this was overkill, since we never missed a dose, and I was confident that my dog did not have heartworm. But every clinic demanded that, so I played along and paid up.

When they refused to give me the prescription for more than 6 months without a repeat test (and vet visit), I took my business elsewhere.

Since then, I have been fortunate to have found locally owned, outstanding vet clinics.

This is getting harder and harder, as more practices are being purchased by private equity companies. This often happens when the owner of a small clinic retires.

As has happened with human health care, private equity purchasers of clinics and hospitals tend to focus aggressively on increasing profit—with the results including higher prices, improved efficiency (which may mean cutting some services), and closing unprofitable clinics and hospitals. In veterinary medicine, it also seems to mean high-pressure tactics to convince pet owners to purchase more services, even if their pets don’t need them.

In addition to higher prices, many pet owners are finding that they have fewer options for routine and emergency care — similar to the scarcity of rural and community hospitals in many parts of the U.S.

Huge growth in pet ownership during the COVID pandemic caught the interest of some private equity firms, a Stateline article said, leading them to purchase small clinics for many times their market value, making it more attractive for a retiring owner to sell to them rather than to a local vet. The new corporate owners might leave the clinic name unchanged, meaning many clients are unaware of the ownership change. This has happened in Missoula, where I live.

Within a few months to a couple of years, though, the changes in business practices are often obvious — and not in a positive way. I know many pet owners who patronized a local clinic for years, remaining loyal through the original owner’s retirement. Ultimately, though, the clinic “went corporate,” and at first a trickle, then a stream of friends were asking for vet referrals.

The privately owned clinic where I take my girls is thriving; they’ve added two vets in the past couple of  years and are always busy. Even so, my vet always has time to talk with me and has never tried to talk me into a test or treatment that Cali, Orly, and now Dotty didn’t need.

If your clinic doesn’t deliver that kind of service, check into the ownership … and if needed, search for one that is owned locally, by an actual vet.

All Grown Up?

Graphic showing adorable golden retriever puppy at 0-3 months, a velociraptor from 3-36 months, then a perfectly behaved adult golden at 36+ monthsThe human family of one of Orly’s siblings has been sharing the above graphic periodically, showing the stages of golden retriever puppy development, since we all got our pups.

When the litter turned 3 on Oct. 22, the group chat featured many celebratory posts about how we’d “made it!” … and a couple noting that not all of Orly’s brothers have exited the velociraptor phase yet. During this phase, it is impossible to provide enough exercise and stimulation to actually tire the dog out unless a team of at least 3, maybe 5 or more, people is on the job around the clock. Velociraptor goldens might also counter surf, eat stuff they shouldn’t outdoors, destroy hundreds of dollars worth of toys, and frequently disguise themselves as mud puddles.

Golden Orly cuddles her new bison stuffed toy, a beige stuffed animalI am fortunate: Orly has been mostly a mellow, well-behaved girl since soon after she turned 2, but, even at the mature age of 3, she still shows some puppy traits. She’s silly and loves to make me laugh by doing “bagel dog,” where she chases her tail, catches it, then falls over and rolls around like a bagel. She cannot help instantly melding with any and every mud puddle she encounters and often tries to lead me INto the river on our walks… She loves her toys but is also pretty gentle with them.

We celebrated Orly’s birthday in the usual manner — with a scoop of vanilla ice cream at the Big Dipper. She also got a new favorite toy from one of her aunties, and she has been carrying that toy around for days.

 

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Doesn’t Share Well with Others

Orly is a bed hog. It’s amazing how much of a queen-sized bed a smallish 52-pound dog can fill (all of it—every inch). But it’s not just human beds that she hogs:

Golden retriever Orly sprawls across two dog beds

Orly is usually a great sister to Dotty. They share toys nicely, don’t fight over food or treats, and even get along in the back seat of the car during long drives.

But beds are a different story. If Orly is not on the human’s bed, she wants the dog beds to herself. All of them. All at once.

Golden retriever Orl, stretched across two dog beds, looks at white golden retriever Dotty, who sits next to one bed looking sad

Dotty will be moving on soon, starting a new job and life with her new human partner. I hope that wherever she lands, there will be multiple dog beds and other places to curl up — just for Dotty.

Family Reunion

Tasi, Orly, Kaycee, and Brooklyn Orly recently got together with several of her siblings, niblings, half-siblings, and miscellaneous other relatives. Sometimes, it’s better not to be too clear on the exact relationships.

There are many family resemblances, starting with Mom Charm’s restrained whimper when gated off from the area she wanted to be in — Orly deploys similar vocalizations when she finds herself on the wrong side of a door, a frequent occurrence. The siblings sure look alike, though Orly was the lightest blond / least red of the group. They are all small for goldens, and several of them share Orly’s little “zipper” — a small patch of rough fur between the eyes that gives Orly a worried look.

Two young puppies — nieces? — were in the mix as well. Hildy was the best pup-playmate, entertaining (& exhausting) the youngsters while the sibs all went from person to person soaking up pats and cuddles.

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What Is ‘Puppy Breath’?

Golden retriever Orly sits while her teeth are brushed with a pink toothbrush.I took Dotty to see a friend recently. The friend hadn’t seen Dotty in quite a while and after commenting on her pony-like stature, she exclaimed, “I can smell her puppy breath!”

Dotty is 16+months old. How is it that she has “puppy breath,” a sweetish scent usually associated with puppies up to about 6-8 months of age? Is puppy breath simply the absence of typically stinky “dog breath”?

It really might be that simple: Dogs’ puppy teeth aren’t around for long enough to get dirty and cause bad breath. Their adult teeth are usually in by the time they are 5-6 months old. Without brushing, those permanent teeth immediately begin to develop a coating of plaque and tartar, and… dog breath occurs.

If this is the cause, then, the secret to extending “puppy breath” throughout your dog’s lifetime is (you know what I am going to say …) brushing your dog’s teeth.

10-week-old dotty, a white golden retriever pup with dark eyes and a very black nose, smiles as she gets her teeth brushed with a pink toothbrush.Dotty and Orly (and Cali and Jana before them) have excellent oral hygiene. That is, they brush their teeth daily. Well, most days. When I leave them with a sitter, I think the daily brushing goes on hiatus.

Cali never had a professional teeth cleaning in her life, and she had beautiful white teeth and good breath. Orly and Dotty are still young, and so far, both have gorgeous teeth.

Their doggy toothpaste claims to taste like chicken (really!). I haven’t verified that claim personally, but the girls like it. I’ve tried other brands over the years, but return to Petrodex because it’s easy to find in a large-ish tube that lasts several months. I also use small, soft kids’ toothbrushes because a lot of the ones sold as dog toothbrushes are stiff and awkwardly large.

Looking through the comments on a recent Whole Dog Journal blog post about brushing dogs’ teeth, I discovered another ally in the battle against dog breath: Kelp powder. The commenter recommended a specific (pricey) brand, but I started looking at other powdered supplements for dogs’ oral health, fell deep into a rabbit hole, and emerged with the conclusion that powdered seaweed sprinkled on the dogs’ food could help keep their teeth clean and breath fresh, as well as providing other potential benefits.

I’m giving them each a small sprinkle once a day of “Raw Paws organic kelp” — about half the amount that the package recommends. They seem to like it (not that golden retrievers are fussy eaters).

This completely unscientific experiment has brought what I consider to be excellent results: After a few months at a training kennel without her toothbrush (or her devoted tooth-brusher), Dotty returned home with some icky brown tartar on her back teeth. Brushing and kelping has completely eliminated that buildup and put her squarely on the path of permanent* puppy breath  (*for as long as she lives with me…).

 

Oh Deer!

Spotted twin fawns stand in front of maple trees on a green lawn

Our neighborhood doe had twins this summer, and we’ve seen the fawns — with or without Mom — several times. The girls showed little interest. In fact, both Dotty and Orly have been remarkably uninterested in deer in the neighborhood, whether young or adult, alone or in small groups.

(Well, except for that one time when a handsome young buck ran past us out in Crazy Canyon and Orly took off after him … for a moment, before sheepishly returning. Dotty ignored him and enjoyed watching Orly get reprimanded.)

Had been.

Not long ago, we were on our morning walk in our neighborhood. I spotted the family group, this time with a young buck, a block away. I was trying to decide what direction they were headed so we could give them plenty of space. Suddenly, something spooked the twins.

Instantly two fawns were racing down the block — heading right toward us. They are fast!!

The girls froze, suddenly fascinated by deer!

I quickly UNfroze and urged them across the street. By the time the three of us stumbled across the street, the fawns were racing across the spot we’d just been standing, with Mom and Dad? Big brother? in hot pursuit.

To their credit, Orly and Dotty just watched, interested but not predatory, not even pulling on their leashes. Such good girls! They got lots of praise and treats for that!

Too Much Fun?

Goldens Dotty and Orly sit on a colorful outdoor rug. Dotty is covered in black mud.Missoula experienced a long “heat dome” with what seemed like months of 95+ temperatures. Added to our long summer days — in July, it’s light out until nearly 10 pm — it was brutal. (We have no air conditioning.)

As a recent post shared, we tried lots of ways to keep cool. It’s possible that Dotty might have gone a bit overboard.

On one of their hikes, the girls encountered a mud puddle. Cool, wet — what’s not to love?

While Orly’s legs and belly were pretty muddy, which is to be expected when one wades into a muddy puddle, Dotty flung her entire front half into the mud. My normally white dog was black. But cool, very cool.

And, judging from her expression, pretty pleased with herself.

Cleaner goldens sit on the an outdoor rug with grumpy expressions on their facesOrly’s more worried expression, once back at home, might have been born of experience.

These dogs were not allowed into the house.

Nope; they were marched straight to the backyard for the indignity of a hosing-off.

What? No warm water??!!

In their post-hosing-off photo, Dotty’s glum expression matches Orly’s. The price of fun …

Somehow, I doubt that she regards it as too high — or will even remember it. And, to be fair, they got to enjoy some frozen yogurt-banana-peanut butter treats while drying off on the deck. (Even Mean Mom has a softer side …)

Next time Dotty sees a mud puddle, watch out!

Dotty, a usually white golden retriever, wears a huge smile --- and a generous coat of black mud

 

 

Dotty’s Career Prep Begins

Dotty, a white golden retriever, looks at a table with a timer, a plastic container of treats, and one small dog biscuit
Dotty has learned not to take the treat until she hears the sound

Dotty is getting ready for her future career: She’s going to be a hearing assistance dog. Hearing dogs assist people with hearing loss by alerting them to key sounds, such as a timer, a smoke alarm, a doorbell — even someone calling their name.

During her last weeks with us, Dotty is practicing the first steps in hearing-dog training. We set a timer. I place a cookie near the timer and guide Dotty away. Initially just a few feet, but we’ve expanded the distance a bit.

Dotty, a white golden retriever, eats a small biscuit that was on a table with her sound work timer and treat box
Returning to the table in response to the timer’s beeping, Dotty eats her reward

When the timer rings, Dotty goes to it and eats the cookie. That’s the easy part. Then, she is supposed to come and alert me. We introduce this with another cookie (are you beginning to see why Dotty loves practice sessions?). She nudges my leg and gets the cookie. I then ask her “What?” She is supposed to lead me to the sound and, you guessed it, get another cookie. (The cookies are very small.)

When Orly is home, she sometimes tries to steal the first cookie. If she refrains and heads back at the end of the alert, she gets a ‘good helper’ cookie.

As Dotty gets better at this, we can make things tougher. The first thing we’re doing is adding more time between when Dotty sees me set things up and the timer rings.

We’ll als0 add more distance, with me waiting in a different room or even hiding from her. Eventually, we’ll start working with a second sound. We’ll go back to the basics, with her watching me set it up and the sound alerting only a few seconds later.

As she progresses, her professional trainer will continue to make things more difficult — adding new sounds, increasing distance and time, and moving to unpredictable alerts, where Dotty would not see the setup happening. That’s all pretty far away for her.

In her more advanced trainer, she might also learn different responses to some sounds. For example, if she’s alerting to a smoke alarm, she might lead me to the door — not to the alarm.

We’re only at the early stage of her training, and Dotty is an enthusiastic learner who learns quickly.

Orly & Dotty’s Guide to Enjoying Summer

Missoula got its own heat dome recently, with temperatures in the upper 90s. Orly and Dotty came up with a few ways to beat the heat.

Get out the splash pad

2-year-old golden Orly paws an oversize tennis ball on a blue splash pad with streams of water spraying herThe splash pad is always a popular way to cool off. Several of Orly’s siblings have had the same idea and shared photos on our group chat.

Orly bounds right in; Dotty is a little more tentative. Once Orly splashes in after a toy, though, Dotty is eager to try it out.

White golden Dotty puts a tentative paw on the edge of her blue splash pad. An orange toy and a blue one are in the water.

 

 

 

 

 

 

 

Eat special frozen treatsWhite golden pup Dotty sniffs a pink cube of frozen watermelon

Get your mom to make frozen treats. Cubes of watermelon freeze nicely and are delicious. Other favorites are coconut water ice cubes (put a couple of berries in each one!) and a new addition to the menu: yogurt-peanut butter-banana mash.

Orly and Dotty love this mixture in frozen into a Kong or Toppl (and it takes them a good 10-15 minutes to lick out every cool, yummy drop). Or just freeze blobs on a cookie sheet. The girls are NOT fussy!

 

Take a walk in the woods

One of our favorite hiking spots, Crazy Canyon, is always shaded and at least a little cooler than our neighborhood.

Goldens Dotty and Orly pause for a photo near fallen logs and lots of green plants in the woods

Head for the river (along with all of Missoula)

Golden Orly swims in a river with a rock-strewn bottom; her teal leash trails in the clear waterWe got there early and went a bit off the beaten path for a cool swim / splash. Orly is a strong swimmer. Dotty is more of a splash around the shallows gal, with the added excitement of giving occasional soaking hugsWhite golden retriever Dotty cools off in a clear river with stones at the bottom to her favorite human.

Orly loves to swim after a stick, and Dotty … doesn’t, so they made up a game. The nearest human throws a stick; Orly swims out to grab it. As she returns, Dotty meets her partway and grabs the stick. The human must be ready with a new stick to throw … and the game continues.

… Or farther out of town

Packer Meadow, located at a higher elevation, is always a cool spot that offers opportunities to run and swim.

White golden Dotty leaps as she runs through a bright green meadowGolden Orly swims in a cool mountain stream

 

And of course … visit the Big Dipper

Summer would not be complete without several visits to the Big Dipper, the iconic Missoula ice-cream stand conveniently located a few blocks from our house. The free dog cones are definitely a lure. The dogs’ only complaint is that they are not open at 7 am when we pass by on our morning walks …

White golden retriever pup Dotty wears a yellow mustache from her first-ever taste of vanilla ice cream
Dotty’s first ice cream (summer 2023)

 

 

 

A Weekend with Bella

Bella, a fuzzy white dog, relaxes with her head on a multicolored sofa cushion

My new buddy Bella taught me about living with a small dog during a recent visit. I took care of Bella for 4 days while staying at her home and visiting friends.

Bella might weigh 10 pounds, and her perpetually disheveled curly mop of white-blonde fur accounts for a good percentage of that weight. She’s got the spirit of a much larger dog, though.

Fuzzy little dog Bella reclines on a grey sofa with her head on a multicolored pillowBella spends a lot of her time curled up in her dog bed, reclining on the sofa, or, apparently, snuggling the nearest human. She’s very relaxed, quiet, and agreeable to being petted, brushed, given belly rubs, or just hanging out together.

But she gets very excited when offered a walk, dancing a bit and sometimes even barking with excitement. And she’s up for adventure. She trekked with me through the neighborhood, ventured out to meet a friend for a walk by the Bay, and kept up with the much-bigger pup on a jaunt with friends to a local brewpub.

Small white dog Bella, seatbelted in, sits on a grey car seatOn walks, she’s curious and eager to meet people and dogs, and loves to stop for long, deep sniffs along the way. She’s gentle, never pulling and always mindful of where I am. I haven’t lived with a small dog in a very long time; walks without being pulled were a nice change.

Little Bella, a fuzzy white dog, stands on dry brown grass with water and puffy clouds in the distanceOne thing made me a little sad: Whenever a car that sounded like her mom’s or dad’s passed, she’d immediately stop and look eagerly … then show a moment of disappointme

nt before returning to her “sniffari.” But, when I’d return from a non-dog-friendly outing, she’d greet me at the door with an excited dance and a few yips — even after realizing that I was not Mom or Dad.

Fuzzy little Bella stands under a kitchen cart to eat her dinner