Skip to content

Healing Success for Great Pyrenees Autoimmune Skin Disease

October 20, 2017

Traditional Chinese Veterinary Medicine Gives Results When Steroids and Antibiotics Cannot

Crusted, bald, bloody swathes of sticky hot hairlessness crust this shaggy 100 pound Great Pyrenees' around his nose, eyes and mouth and some "private parts."

Max was sick for years. Specialists suspected pemphigus autoimmune skin disease.

What is wrong with Max?

Skin is healing. No more bleeding and crusts. Scars are inevitable!

Max had years of scabbing and bleeding at all the mucocutaneous (pronounced mew-ko-cue-tane-ee-us) junctions of his body. These are areas where haired skin meets the sensitive smooth lining skin at the nose, eyes, lips, anus, prepuce, and paw pads. They all hurt and cracked and bled. He spent much of his days asleep or rubbing his face along the walls to sooth himself. His people had taken him to nine (9) veterinarians in the few short years before he met Doc Truli, including board-certified dermatologists for dogs. Skin tests and cultures ruled out infections and common problems and skin surgical biopsies came back with inconclusive results. (This can happen, especially with long-term skin disease.) Specialists suspected Max suffered from autoimmune skin disease, such as pemphigus foliaceus (pronounced pem-fi-gus foal-ee-aa-shus) but could not prove it conclusively on any tests.

Traditional Chinese Veterinary Medicine Pattern Diagnosis (TCVM)

New Balance of Comfort- no scabs or bleeding!

Smooth soft new skin covers thepreviously gooey hot edges of skin by the nose, eyes, and lips of this Great Pyrenees gentle giant.

Part-way healed. See the pink healthy skin?

Excess Heat

We approached Max’s conditional from the perspective of Traditional Chinese Veterinary Medicine (TCVM). First, he clearly had too much “heat” in his body. Blood, red, hot, dry, panting, wanting to sleep in the air-conditioned house. According to TCVM, we needed to cool his energy.

Deficient Cooling

He was also deficient in his own internal ability to cool his body. As you can guess, normally, a body will balance the heat and cool. You can add or take off some clothing layers. Turn on the heat, or a fan. Drink iced-tea and eat watermelon, or drink hot chocolate and eat roasted lamb. We energetically balance our bodies all the time. In Max’s case, none of it helped. He just could not cool down and stop spontaneously bleeding. Why? He was deficient in his own internal cooling and moisturizing ability- called the yin energy in TCVM. Max needed his yin energy to balance the hot yang burning-up feeling he had. He just did not have enough internal cooling to manage to pull it off!

The yin What?

In TCVM, everything can be described in balanced terms of yin and yang. Yang is energetic, hot, fast, upward, strong, loud, summertime, teenage years, mid-day. Yin is quiet, dark, cool, solid (substantial), inward, night-time, old age, Winter.

How did we help Max decrease the heat and increase his internal cooling?

Max lays on his sofa during his acupuncture treatment

Max chills during his house call acupuncture

New skin and fur growth at all of the previously bleeding sore areas of skin.

Max’s nose, eyelids and muzzle are 100% healed

First, we simply stopped giving him foods that increase heat in the body.  Lamb, venison, shrimp, and chicken.

We added foods, Chinese herbal medicine, and acupuncture treatments to clear heat, boost cooling and moisturizing, treat pain, support the organ functions for detoxification and supporting normal balance and healing processes in the body. He became mostly vegetarian (like his humans), with specific foods and herbal formulas chosen to counter his particular imbalance.

Dear Reader: Each patient has a different Pattern expression of the underlying imbalance. We say “Many diseases, one Pattern. Many Patterns, one disease.” Your pet may have Pemphigous, but there are several underlying Patterns possible. Or your pet could have Yin and Qi Deficiency Pattern and have Pemphigous or Separation Anxiety or Arthritis, or…  For further details about treatment, foods, and herbs to use, please consult with a veterinarian trained in Traditional Chinese Veterinary Medicine. The Chi Institute Resources provides a referral web service where you can examine a map of your area of the world to find trained veterinarians in your area.

Advertisements

Traditional Chinese Veterinary Medicine Heals Impossible Ear Infection

March 10, 2016
Medium-sized muscular, stubborn, affectionate Australian Cattle Dog resting in bed

Australian Cattle Dog Forbids Ear Touching, Needs Ear Healed

“Cutie” needed his head examined. Literally. The 6-year-old male neutered Australian Cattle Dog had an ear infection that would not quit. What can be done for an “end-stage” ear?

House call holistic veterinarian Doc Truli received a call on a Friday night. The distraught dog parent on the phone was reticent to discuss the case. “I don’t even know why I’m calling you. It takes 3 nurses just to hold him down so the vet can give him a sedative every time he has to go in for anything. I don’t want you to waste your time coming out to my house,” said “Cutie’s” mom in confused desperation.

We scheduled the appointment without knowing if I (yours Truli) could even touch the dog! Read more…

What is a “VMD?”

July 18, 2015
tags: ,

University of Pennsylvania School of Veterinary Medicine

This Maine Coon cat I am holding in my arms weighs 24 pounds (12 kg)

Doc Truli with Maine Coon Patient

A veterinarian graduated from the University of Pennsylvania School of Medicine (“Penn Vet”) receives a Veterinariae Medicinae Doctoris degree, or VMD. It is Latin for a veterinary medical doctor.

The University of Pennsylvania School of Veterinary Medicine has been discovering, defining and inventing the very definition of what it means to be a veterinarian in the United States since 1884. The foundation and perspective provided by an education from a top veterinary college benefits your pet in incalculable ways.

Why Is a “VMD” Potentially Better?

Many “firsts” in the world happened at Penn. The specialties of veterinary ophthalmology, oncology and equine orthopedic surgery were invented at the University of Pennsylvania School of Veterinary Medicine. Penn Vet’s Ryan Hospital is one of the United States’ busiest veterinary teaching hospitals, with close to 33,000 small animal patient visits each year, 13,000 of which are emergency cases. 

Vaccine Associated Fibrosarcoma

Imagine the rare and unusual diseases and conditions the students at Penn Vet see every day. Instead of 5 students discussing 2 or 3 critical care cases, we discussed 20 a week or more. Our teachers were the best in the world. Dr. Mattie Hendrick taught Doc Truli pathology. Why is this special? Did you hear about how sometimes certain vaccines can cause a cat to grow a cancer tumor at the vaccine injection site? Guess who discovered it? Yes, Doc Truli’s teacher, Dr. Hendrick. So when a client says to Doc Truli, “THEY discovered vaccine tumors,” Doc says, “my professor Dr. Hendrick is the “they” you heard about.” Day after day, for many hours, we worked side by side in the laboratory.

Feline Blood Types

Did you know that cats have blood types? You know, humans have A, B, O, AB and rhesus negative or positive? Well, cats have their own system and the wrong blood type in a transfusion could kill your cat in minutes. Why do we know this? Because of Dr. Urs Giger. Dr. Giger taught Doc Truli hematology at Penn Vet. Dr. Giger also happens to adore cats. He loves cats so much, he obtained funding to run his hematology lab specifically to research cats. Thank goodness Dr. Giger is fanatical about cats or the world may never have found out about cat blood types: A, B, and AB.

Barbaro’s Surgeon Taught Doc Truli

The clinicians and researchers at Penn Vet share teaching responsibilities. For example, Barbaro’s surgeon, Dr. Dean Richardson, taught Doc Truli horse surgery.

“I was so nervous to assist Dr. Richardson. He is known as a great teacher, but he is famous! I remember, we were removing a fibroid growth from a white pet horse’s front leg. The skin needed to stretch to close the incision. Dr. Richardson asked me for one centimeter stents. (A stent is a little tube we run the suture through, like cushioning, so the suture does not directly cut into the skin on a tight wound closure.) So I took the scalpel blade handle, which had a centimeter ruler on it, and I measured one centimeter stents.”

“What are you doing?” said Dr. Richardson, the world-famous surgeon.

“Making one centimeter stents,” said Doc Truli, still a student and first time in horse operating room.

“I didn’t mean exactly one centimeter,” said Dr. Richardson.

“Well, with me assisting you, you get what you asked for!” said Doc Truli.

“Students,” said Dr. Richardson.

Fanconi-Like Toxicity from Chicken Jerky Treats

Doc Truli says, “My experience being taught by scientists who also treat referral patients from around the world is invaluable in my everyday practice. When I saw a 35 pound (17 kg) spitz dog with a rare kidney disorder resembling Fanconi syndrome, I called an internal medicine specialist immediately. I explained the history and the symptoms. I mentioned my patient ate “chicken jerky treats.”

The specialist said, “we’ve had 4 other cases in the past 5 days and we did not ask what they had eaten. I’m going to check that.” They all had chicken jerky treats from China. Cooper City Veterinary Specialists in South Florida published the discovery of another  kind of kidney failure chicken jerky treats from China were causing in our pets. Would I have known to collaborate with the specialist and collate the information effectively without my Penn Vet background? I’ll never know. It’s just what I do every day for every patient.

Do you want your pet to be treated by a person who read about the problem in a book, or by someone who was personally taught by the discoverer of the problem? Do you want a vet that follows what the specialists say and what the textbook protocol is only, or do you want a vet with the knowledge and experience to know if your pet has something rare, or something new? If I can have the best, I want the best.

The Only Veterinary School Developed in Association with a Medical School: So What?

Veterinary medicine in America used to be a trade. Trimming horse hooves, drenching cows, skills that farm managers typically delegate to farm hands today. Penn Vet never thought that way.  Founded in 1884, Penn Vet is the only veterinary school developed in association with a medical school.  The medical college at UPenn sits a few blocks down Spruce Street from the veterinary school. They co-evolved over the years until today, they are members of the One Health Initiative linking human, animal, and environmental health. “But that was 1884,” you say. Well, yes. Doc Truli explains how the unique relationship of Penn Vet at UPenn Med directly allowed her to help research dog brain cancer cures.

Safety and Transduction of a Herpes Virus in Dog Brain

“As a Penn Vet student, I was selected for a prestigious Merck Research Fellowship studying a herpes virus as a backbone – or vector – to deliver a unique brain cancer treatment into dog brain cancer,” says Doc Truli. The research took place at Penn Vet, Wistar Institute and the University of Pennsylvania Medical College. “The Wistar Institute had the DNA laboratory. The medical school had an awesome machine shop where we could make a metal-free stereotactic unit to hold and measure exactly where we were in the dogs’ brains (like a frame to hold the head) and the magnetic resonance imaging (MR) facility. Penn Vet had the dogs and the surgery suite and the – well, frankly – the funding from a research grant to make it all possible,” says Doc Truli.

“I could have a breakfast meeting at PennVet with the leading dog genetics and neurosurgery experts, then lunch at Wistar where they taught me how to use fluorescent labeling to mark the DNA and then walk to the medical college for a meeting about the technical difficulties making holders for different sized dog heads (they are not similar like human heads.)”

“I can tell you- I was struck by all the marble and brass in the medical college! We do not have fancy building materials like that at the veterinary college,” says Doc Truli.

The collaboration and geographic proximity of the medical and veterinary colleges and unique world-class institutes like the Wistar Institute and the Philadelphia Monell Chemical Senses Center make ideas and initiatives flow. “I collaborate with world-class specialists to benefit my patients to this day,” says Doc Truli.

Teaching, Research and Clinical Care Under One Roof

We held this short hair cobby cat on his side and felt in front of his pelvis for his bladder

Fantastic Exotic Shorthair cat submits to a cystocentesis procedure

The University of Pennsylvania School of Veterinary Medicine has been discovering, defining and inventing the very definition of what it means to be a veterinarian in the United States since 1884. The unique geographic convenience of top research institutions in West Philadelphia generate opportunities such as Doc Truli’s brain cancer research. The generous case-load of primary and referral patients from Philadelphia and the surrounding states provides patients to study and heal. The New Bolton Center large animal hospital has treated the most famous horses in the world, including Barbaro and Annihilator. The mission of the University of Pennsylvania School of Veterinary Medicine to bring Specialty practice to the profession started in the 1940’s and continues today. This school generates unparalleled scientists and clinicians.

Doc Truli is a VMD

So what is a VMD? Doc Truli is a VMD. Your pet will enjoy top world-class care and treatment with Doc Truli.

 

How Acupuncture Saved at least US$2,000

July 11, 2015

Acupuncture Gets Murphy Home 2 Days Earlier than Specialists’ Prediction

The Call for a “House Call” Comes In

Murphy takes a 6 inch rawhide chew and stuffs most of it in his mouth all at once!

Thanks for the treat!

“Is this Doc Truli?”

The phone signal was weak, but we could understand each other.

“Yes,” I said.

“My 9 week-old poodle puppy is in the intensive care unit and they are doing everything they can for him. I was wondering if acupuncture would help him,” asked the apricot teacup poodle’s mom. “Can you meet us at the intensive care hospital in 15 minutes?”

“I’ll meet you there,” I said. I hung up, started up the purrs-like-a-kitten (it doesn’t) 1999 faded burgundy Ford Explorer dog truck and headed for the overnight specialty hospital at 9:30 pm on a Saturday night. I am a holistic house call veterinarian. Read more…

One Veterinarian to Cure “The Holding Pattern”

November 11, 2014

What Is the Holding Pattern?

“The holding pattern is what I call it when a veterinarian just repeats what was done at the last visit, without giving you any options for discovering predisposing factors or perpetuating circumstances that cause your pet to have the same problem over and over again,” says Doc Truli, “It wastes money and shows shoddy medical practice.”

Imagine this: your pet has itchy skin. Maybe a few sores, maybe a bacterial or yeast infection. You went to your veterinarian and your pet received a steroid injection and antibiotics. Probably you also took home some medicated shampoo. If your veterinarian practices integrative medicine, you likely also took home some omega 3 fatty acids and prescription skin support food. Maybe your veterinarian ran the appropriate diagnostic tests for skin problems: a skin scrape cytology, skin tape cytology, fungal culture, trichogram and maybe an endocrine and thyroid function blood panel and serum allergy tests.  The cost was tremendous and the results were pretty good. For a few months.

Now imagine you returned to the animal hospital for a recheck about 2-4 weeks after initiating treatment. You are given a refill of steroids and antibiotics and sent on your way maybe another US$100 lighter. What happened? You were put into the holding pattern. Read more…

Holistic House Calls Provide Pets with Comfort and Options

October 26, 2014

The house call started long before I ever met Maggie. (“I” am Doc Truli, ivy-league-trained licensed holistic veterinarian practicing in the United States.)

“I read your website and you just seem like the right vet for me and Maggie,” said Connie on the phone on a rainy Tuesday morning. “Maggie cannot take the stress of a car ride and she hasn’t been to  vet in about 10 years. I know I should have called sooner, but the last vet we saw made me feel guilty and belittled my point of view.

“There’s been this lump growing on her belly for about a year and now it is bleeding and it smells bad,” said Connie. “But she eats well and wags her tail and sunbathes and seems happy.”

First, I asked basic vet questions that any veterinarian would ask:

How old is Maggie? 14

What kind of dog is she? Yellow lab

Is she spayed? No

Okay, right here, many veterinarians would judge any client that has not spayed or neutered a pet dog or cat. You might get shorter questions and answers from these vets or maybe even a dismissal.

I knew lecturing about spaying a 14-year-old ill dog is stupid and hurtful to her family, who are actually reaching out for help for the first time in many years.

“Okay, I have a house call appointment available on Saturday afternoon, how would that be?.”

“That would be wonderful,” said Connie. “I have to warn you, I cook all of Maggie’s food for her, I do not believe in pharmaceutical medications and I do not believe in euthanasia. Is that going to be a problem?”

Read more…

One-year-old Maltese with Terrible Itchy Skin

September 7, 2014

This slideshow requires JavaScript.

Chica, a one year old female maltese

1-Year-Old Maltese

Why does 1 of my dogs have bad skin and her litter mate is perfect?

“I’m beside myself. Chica stays up all night itching and I’ve tried everything.” Rosada stood defiantly planted on the opposite side of the stainless steel exam table from Doc Truli. A 4-pound (1.8 kg) Maltese shook in her little fuzzy white paws on a pink towel on the slick silver table. “Her sister is twice her size and her skin is perfect. I know Chica was the runt of the litter, but why is her skin so bad?”

Read more…