Collecting a Urine Sample, When & Why “pee into the cup” doesn’t work

Urinary tract infections are quite common in dogs and cats. An important aspect of managing urinary tract infections (UTIs) is getting a proper diagnosis. Diagnosing a UTI involves a few different things:

Clinical signs: Does your pet have signs that indicate something abnormal is going on in the bladder? This can include frequent urination, abnormal urination, straining to urinate or similar problems.

Cytological: When a urine sample is examined under the microscope, are there changes consistent with an active infection, like the presence of large numbers of white blood cells and red blood cells?
Culture: Can bacteria be grown from the urine sample?

Culture is very important to help determine if a UTI is really present. It’s also very important for determining the best treatment, especially since antibiotic resistant bacteria are becoming more common. A baseline culture is also useful if the infection comes back, as it provides information about whether the first bug was not actually eliminated or whether re-infection other bacteria has occurred. Differentiating these two situations is important for determining subsequent treatment as well as the need for additional testing to see if there are any underlying reasons for recurrent infections.

Culture is also something that can be done improperly. If a person has or may have a UTI, that person will usually be asked to collect your own “mid-stream” urine sample by collecting urine into a sterile cup part-way through urination, so that any superficial bacterial contaminants get flush out before the sample is collected. That’s not so easy to do in dogs and cats. Collecting midstream free-flow samples into a sterile container without the sample being contaminated by the pets hind end or haircoat, or by the person doing the collecting, is very difficult. A contaminated sample can result in misleading conclusions and potentially inappropriate treatment. Getting a proper sample is critical.

Cystocentesis Procedure:

Cat getting an ultrasound guided cystocentesis

Typically it is a very quick, simple and low risk procedure that involves taking a sample directly out of the bladder using a needle and syringe (video below).  Nevertheless, it is important that this procedure is done in a safe and clean manner by an experienced veterinarian as the risks can be high – as you might guess having a long needle among vital and sensitive organs! Thus, a calm, quiet, & low stress environment is important.  The pet is placed on it’s back (no anesthesia required, and usually even sedation is unnecessary), the skin is cleaned, and a thin needle is passed through the lower part of the belly, where the bladder lies directly under the skin, similar to an amniocentesis during pregnancy, and urine is drawn out with a syringe. In difficult cases where the bladder is very small, abnormal or is anatomically abnormal imaging is helpful and an ultrasound can be used during the procedure.

While cystocentesis may seem like a big deal for collection of a fluid that the pet passes freely on a regular basis, it provides much better information and is largely considered the standard for urine collection in dogs and cats. Unless there is a medical reason not to do it, cystocentesis should be used for collection of urine samples for culture.

We hope this information is useful, of course, if you have any questions at all let any of our friendly staff members or myself know.

Dr. Childs

 

 

 

Good demo of a cystocentesis, it is a very similar procedure in dogs and cats.

Holiday Hours

Holiday Hours

 

December 28:  11-6pm

December 29:  9-6pm

December 30: 9-6pm

December 31: 11-2pm

January 1: Sunday’s we’re closed!

January 2: closed 

January 3: 9-6 back to the normal 

 

*Dr’s appointment hours may vary, please call to see Dr. Childs 

 

Happy Holidays Every-furry-body!!

A friendly elf once had a cat did not appreciate this cute Santa coat, so he came to his vet, and in the waiting room found the most adorable model. Emma is much warmer now! We love our neighborhood, patients, clients, and dressing up!! ❤️ 🎄 🎅

Dressing up is fun!! Happy Holidays all!! ☺

Remembrance Day Hours

Lest we forget
Lest we forget

Dear clients,

We will be closed this Friday for Remembrance Day, and Dr Childs will be away this Saturday the 12th of November.

We would be happy to help you with any basic procedures and sales (including food), but if you’d like to see the doctor let us know and we can make something work for you the following week.

Enjoy your long weekend!!

Your team at the West End Veterinary Clinic

Halloween costumes!!

Land sharks. They'll get you ;)
Land sharks. They’ll get you 😉

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Send us photos of your critters in their cutest costumes to win a prize!! A free wellness exam from Dr. Childs! Contest open until November 10th. Email them to admin@vetsvancouver.com

 

Cute or scary we love them all! ☺

 

 

 

Hello from Dr. Helene Childs!

Dear all clients and friends,

I am the new veterinarian and owner of your West End Veterinary Clinic, and I wanted introduce myself.

We may have already met as I have been assisting Dr. Gilbert and seeing patients here for the past year. I just wanted to let you know I am dedicated to your pet’s wellbeing and want to provide your furry loved ones with the best care I possibly can. I look forward to being apart of your pet’s good health for many years to come.

Warmest Regards,

Dr. Helene Childs

 

From Dr. Brad Gilbert:
“Dr. Gilbert has long believed that the practice needed a permanent heart and soul.  It is ideal for the pets and their people that this has occurred.  We wish Dr Childs and her team all the best and know all clients past and present will be treated well.”

 


What this means to you, our beloved clients and your furry family members?

Apart from having a consistent vet who will be there daily to help you with anything you might need, everything else will remain constant. Leni, Heather, and the other regular staff members will continue to greet you with their smiling faces. We will still know exactly who you are and what you need before you get two steps in the door.


All patient data will remain in the hospital and Dr. Childs will be busy bringing herself up to speed with our clientele; she will also be in touch with Dr. Yao and Dr. Radnic for ongoing or complicated cases.

The name West End Veterinary Clinic will remain, but the Care Pet Wellness logo will be phased out over the next year.

We will be EXPANDING OUR HOURS so visit our website at (www.vetsvancouver.com) for the new days and hours we will be open to serve you.

Your previously booked appointments, existing lab results and ongoing treatment will remain exactly as planned, unless you call or write us to make changes.

This is an exciting opportunity for us all!

Dr. Childs has a passion for treating each patient uniquely depending on their  individual needs. She is an early adopter of the latest leading-edge technology, progressive conventional medicine and alternative therapies. Her background in evidence-based medicine,  combined with an open mind and her ability to listen and appreciate the nuances in each case,  enable a tailor-made approach to each patient.

Dr.  Childs has a wealth of experience in dermatology (skin issues), cardiology (heart conditions), imaging (X-rays etc), dentistry, pharmacology, and much more!

In short,  your pet will receive a unique medical plan based on their individual needs–no cookie cutters used here!

 

About Dr. Helene Childs

A BC local, Helene went to Quesnel high school in Northern BC where her family runs a small ski resort (trollresort.com). She grew up on skis and, true to her Norwegian roots, competed in ski jumping, cross country skiing, and downhill racing; now she prefers to hike, cycle, and kayak. Her pets at home include Simi, a lovely black kitty, and Pan a three legged rescue mutt.

Dr. Childs is very close to her family, most of whom reside in the Okanagan. This includes her uncle, Dr. David Kopp, who owns a veterinary practice in Penticton, and who has always been her inspiration.

If you’re lucky you’ll see her sister,  Emily, and her dog Lola at the reception desk.

 

Dr. Childs’ History

After graduating Helene completed an honors degree in Health Sciences at the Faculty of Medicine in Calgary. Her research in cardiovascular MRI with top cardiologists and physiologists fueled her love of internal medicine and advanced imaging.

Through a scholarship she was offered a 4 month opportunity to partake in a project in Africa with HIV and TB virologists. Interestingly, her work with local veterinarians in Ethiopia further solidified her passion for veterinary medicine.

After Calgary, she spent four years in Saskatoon at the Western College of Veterinary Medicine, the only Canadian school for BC veterinarians. She continued to pursue her interests in internal medicine and advanced imaging research throughout vet school, but we’ll spare you the details. If you search her on PubMed you’ll find plenty of  research articles she’s authored and coauthored.

Among other adventures, Helene has also been part of Veterinarians Without Borders and spent time volunteering at rescues in Thailand and a canine rehabilitation facility in Rome, Italy. She’s also worked at various clinics throughout BC and the lower mainland and is excited to call West End her home clinic.


New Things

As part of pouring her heart and soul into the clinic Dr. Childs will be investing in new technology and equipment to provide patients with the best possible care.

She would love to hear your thoughts and suggestions about new directions for the Clinic. This is your chance to help mold your family veterinarian and achieve the medical care you’ve always wanted, or never even knew existed!

Helene is looking forward to growing with the practice and becoming an integral part of the community.

As we’re starting out we would especially love feedback on Google, Yelp, Facebook, and we read and take to heart all of your comments. We would absolutely love to answer your questions and hear your thoughts. The tea is always on if you just wanted to say hello.

Do keep your ears and eyes open for fun contests and free giveaways we will be starting this year. There’s also an open house being planned so let us know your ideas!

Sincerely,

Your friends at West End Veterinary Clinic

(Dr. Childs and staff)




















Happy Pride!!

It’s amazing being right in the heart of the West End especially at this exciting time of year. The energy is palpable! We wish everyone the best weekend. Be safe and be proud!!! Xo

 

Happy Pride!!! Tiffany is so proud of her fixed up foot :) she'll be out at the parade so give her love and don't step on her foot! ☺
 Happy Pride!!! Tiffany is so proud of her fixed up foot 🙂 she’ll be out at the parade so give her love and don’t step on her foot! ☺

Podcast topics

Dog listen to music with a music player

Would you like to hear about a topic on pet health? I’m creating a podcast where I, Dr Childs, will interview experts in Veterinary Medicine in order to help people better understand their pets health.

I’d love to hear what topics you find most interesting, confusing, hard ad to find good info on etc.

Just email in and I’ll keep this post updated with the list (incase your idea is shared with someone else 🙂

All ideas are welcome! ☺ don’t be shy!!

 

Dr Childs