Friday, 21 July 2017

TV vet Scott Miller: from hero to zero in one tweet


I sent a little hero-tweet to TV vet Scott Miller earlier this week - thanking him for mentioning BOAS and breed standards in an item on ITV's This Morning and asking him a question.


As many of you will know, brachycephalic health is a huge focus for me at the moment. Just over a year ago, I called for vets to stand up and "grow a pair" on this issue (see post here). It got widespread publicity and led to over 40,000 veterinary professionals signing a petition demanding action.

The Kennel Club bowed to the pressure and set up a Brachycephalic Working Group (more about that another time); and they continue to fund the Cambridge BOAS group which has found that, among their mainly show-bred study group,  only 15 per cent of Bulldogs can breathe like a normal dog and around 50% of brachycephalics have clinically significant airway disease.

Brachycephalics have become a hot issue at vet and animal welfare conferences - and increasingly in the mainstream press, too.  Research interest has led to paper after paper elucidating just how fucked these dogs are.  

It isn't just the breathing.


And yet Bulldogs, French Bulldogs and Pugs are more popular today than ever before.  Ten years ago, one in 50 dogs registered with the Kennel Club was an extreme brachy. Today, it is one in six, with an absolutely terrifying rise in the popularity of French Bulldogs, set to become the UK's most popular dog this year.


Eighteen months ago, I started CRUFFA - The Campaign for the Responsible Use of Flat-Faced Animals. The aim? To reduce demand by persuading advertisers, companies, organisations and individuals to stop featuring extreme brachycephalics in their media; to stop promoting these dogs as cute or desirable. Where unavoidable, we ask that only the most moderate dogs are used in an effort to counter the normalisation of very flat faces, podgy bodies, saggy eyes, panting and excessive wrinkling. To give you an idea,  CRUFFA would like to see more of the Bulldog on the left, used recently in an ad campaign, and less of the Bulldog on the right, which won Best of Breed at Crufts this year.



CRUFFA also monitors social media, praising where moderate dogs are used - and trying to educate where dogs that are clearly suffering are presented as cute. This happens way too often - and not least because dogs that are in respiratory distress often too like they are smiling. 



I also made this video which is posted to try and counter the view that snoring/sleeping sitting is a sign of airway obstruction. It troubles me greatly that there are dogs out there that are chronically sleep-deprived because of the lack of awareness that this is a serious problem.  Unlike us, dogs can't open their mouths to breathe when they are asleep. If they have nasal obstruction, they have to wake up to grab some oxygen.


I don't have a huge amount of time to dedicate to developing CRUFFA because I am neck-deep finishing a BBC Two series on Parkinson's Disease (my day job).  But I am proud that the idea of tackling brachy demand by appealing to advertisers/companies/media has met with such a positive response, with support from the British Veterinary Association, Dogs Trust, RSPCA, PDSA and many others.  

The BVA is even working on a guide for advertisers which will highlight the issues around using extreme brachycephalics (and other phenotypically disadvantaged breeds such as Shar-Pei).  The Vet Record will no longer accept advertising that features brachcyepahlics. Even UK pet supermarket giant Pets At Home has committed to taking care over their brachy-use.  Earlier this year, I was invited to present a CRUFFA poster at the 3rd International Dog Genetics Workshop in Paris. 

So.... I was hopeful that Dr Miller might respond positively to my suggestion that he could help by not posing for pictures with brachycephalics, even allowing for the fact that his practice in posh Richmond, Surrey, will have a lot of paying brachy customers on its books.

But no. First, he liked a response to my tweet from a Bulldog owner.


I replied to Janet (presumably no relation), saying the concern was that a glam image with a Bulldog would promote the breed.

To which Dr Miller replied:


Breed cleansing?

Breed cleansing?

Of course, we all do our bit in our own way. And I am grateful that Dr Miller highlighted the issue on TV earlier this week. Every little helps.

But to conflate concern about brachycepahlic suffering with the holocaust?

Frankly, Dr Scott Miller, you're an arse.

Monday, 10 July 2017

Bulldog revival video: irresponsible Jodie Marsh puts other dogs' lives in danger




Yesterday, UK media personality Jodie Marsh - a glamour model and bodybuilder - posted this video of herself on Facebook reviving her lifeless Bulldog, Louie. It's already been seen by millions.




Jodie revealed in the comments that this dog collapses every two months or so and each time she has brought the dog back from the dead by doing what you see above. Moreover, she tells everyone to watch because one day it may save their own dog's life.

Her fans think she's a hero.

I think she's irresponsible and a danger to dogs.

Despite this being a regular occurrence, Ms Marsh shows no sign of having availed herself of the many dog first aid courses available that show owners how to do this properly  (see bottom of page)..

How do I know this?  Because she has the most basic tenet of it wrong: you don't do mouth-to-mouth resuscitation with dogs - you do mouth-to-nose.  This is partly because it is impossible to get an air-tight seal on a dog's mouth - but also because dogs don't breathe through their mouths: they breathe through their noses.



Even when they are panting, they still take in air through the nose - they just exhale through their mouths. (For more info  on how dogs breathe/cool themselves, see this excellent article from Carol Beuchat over at the Institute of Canine Biology)


Now dogs are not quite the obligate nose breathers horses are, but dogs only breathe through their mouths - and very inefficiently - if they are not able to get enough oxygen in through their noses. If you block off the nose on a normal dog, they will go into a meltdown panic.

Jodie is clearly managing to bring her dog round each time he collapses,  and she is doing the right thing in clearing the blockage from his throat, but she is putting her dog at further risk by doing the rest of it wrong. Wiggling a limp dog's body about a bit while blowing air into a dog's mouth is not CPR. The danger is that in copying what she does, rather than what they should do, a dog that would otherwise live will die.

Jodie isn't totally clear what causes the dog to collapse so often - she mentions that the dog choked on a treat this time, but  also refers to overheating and to 'tracheal collapse'. All are common-enough in Bulldogs and other brachycpehliac (flat-faced) breeds - as is keeling over from exertion or stress. However,  she says the root cause is that the dog has an elongated soft palate that blocks his airway. This, too, is very common in Bulldogs and is the reason why so many sound like a freight train.

The technical name for this sometimes-life-threatening laborious breathing is "stertor" and the sole reason Bulldogs and other brachycephalics suffer from it (and other airway compromise) is because humans think it's cute to breed a dog with no muzzle, essentially crushing all the flesh that would be appropriate for a longer muzzled dog into a much smaller space.

There is surgery to fix this that can transform these dogs' lives. But, worryingly, Jodie reveals on her Facebook page that she thinks the operation  "is a con" and claims it costs £4,000 (about four times the average real cost).  Instead she would prefer a life of respiratory compromise for her Bulldogs (some of which she admits have died at three years old).



Bulldog Louie is a 13-yr-old rescue and anaesthesia has risks for Bulldogs and older dogs, so one can  understand why Ms Marsh has not opted for surgery for this particular dog, although it would have been less of a risk two years ago when she first got him. What a kindness it would have been for this dog who has to be watched like a hawk every time he eats or when out for a walk in anything other than cool weather.

It is true that the surgery is not always 100% successful - but in the majority of cases it offers at least some respite (and often a great deal of relief) to these dogs. It is, at best, irresponsible to put others off what can be life-saving surgery. At worst, it could lead directly to another dog's death.

Jodie claims it's a con because the soft palate grows back - in fact not true. Scarring from the op can go on to cause problems later on, but modern techniques minimise this.

“This is a very distressing video that demonstrates just how serious BOAS (brachycephalic obstructive airway syndrome) is as a condition for those dogs living with it," says Gudrun Ravetz, President of the British Veterinary Association. Gudrun praises Jodie for highlighting the dangers of walking flat-faced dogs in hot weather and the choking hazards that eating can present for dogs with an abnormal soft palate, but adds:

“No dog should have to endure the distress of regularly collapsing, though sadly this is a reality for many flat-faced dogs. We would strongly advise anyone with a pet suffering these symptoms to talk to their vet urgently to agree the best way to ensure the health and welfare of their pet. This may include opting for surgery and will definitely include taking special measures in hot weather.

“BVA has been highlighting the significant health problems suffered by flat-faced dogs, such as bulldogs, and asking potential owners to choose healthier breeds or crossbreeds.”

Ms Ravetz also commented on the use of CPR on dogs.

“In emergencies an owner can give CPR until veterinary care is available. This mouth-to-nose resuscitation should only be used if the dog has stopped breathing and has no pulse. You can use your fingers to feel for a pulse at the top of the inside back leg. We would advise owners to take veterinary advice, or attend a veterinary-led course, to learn how to deliver CPR in the safest way.”


The BVA recommends owners to be cognisant with the first aid advice offered by veterinary charity PDSA, which recommends the ABC resuscitation method for dogs until you receive veterinary assistance:

Airway:
  • Pull the tongue forward.
  • Check there is nothing in the throat.

Breathing
  • Look and listen.
  • If the dog is not breathing, extend the dog's neck, close the mouth and blow down the dog's nose, using your hand as a 'funnel' so that you do not directly contact your dog's nose.

Circulation
  • Apply regular, intermittent gentle pressure to the chest if you are sure there is no heartbeat.
  • Check the heartbeat/pulse.

Jodie clearly loves her dogs - and has two perfectly sensible Rottweillers.  It always astonishes me that people who are obsessed with their own looks and take so much trouble to keep fit are drawn to Bulldogs.  Whatever the reason, she needs to think carefully about continuing to inflict air hunger on dogs she loves when a veterinary surgeon's knife can relieve the suffering.

Better still, she should stop supporting the breeding of Bulldogs in their current, compromised form.  Yep, even rescuing them plays a role in perpetuating their existence, especially if you're a celebrity.

For more info on  Bulldog breathing issues, check out the Cambridge BOAS Group's website here.

If you would like to learn how to save your dog's life in similar circumstances, please check out the excellent courses from Dog First Aid UK.

11/7/17 update:

Looks like Jodie has accepted an offer to do a proper first aid course... Great news.


12/7/17 update:

Very sadly, Louie was found dead in Jodie's garden today. RIP Louie... May you be re-incarnated as a dog with a muzzle.

Thursday, 16 March 2017

CRUFTS 2017: Boxer noses

© CRUFFA

In January, I wrote to  the UK Boxer Breed Council Health Committee enclosing some pictures of Boxers taken at UK shows in the past couple of years. I pointed out that I felt that stenotic nostrils (nares) in the breed was a growing problem and that I hoped it could be nipped in the bud.

As some will know, I am currently on a bit of a mission re Pug, Frenchie and Bulldog noses via the CRUFFA Facebook page. Pinched nostrils are a huge problem in these breeds, particularly in Frenchies (a blog to come on that). 

We produced some nice stickers to help get the message across - and I even offered to let the French Bulldog club have the artwork without CRUFFA's name on it. Sadly, I wasn't taken up on the offer (we're the enemy...) and I was forbidden from distributing the stickers at Crufts. As it happens, just mentioning on CRUFFA that I wanted to, created a big and rather silly fuss in the dog press, so we managed to get the message across that way.



Anyway, I was delighted to get this reply from the Boxer Breed Council Health Committee.

"While the Boxer Breed Council’s Health Committee does not believe that pinched nostrils are a significant issue in Boxers we will take the opportunity of reminding Breed Clubs that open nostrils in the broad, black nose required by the Breed Standard are desirable. We will be doing this by circulating your original email together with this response."

I wrote back and thanked them.

Unfortunately, though, stenotic nares are now a major problem in this breed, as the picture above and those below show - all taken at Crufts last Sunday. 

© CRUFFA

It is astonishing that I even have to say it, but clearly I do:

While the show-ring continues to obsess about minor cosmetic points, completely ignoring basic necessities for life, it deserves all the crap it gets from campaigners like me. 

© CRUFFA

Dogs are obligate nose breathers. They exhale hot air through their mouths when panting, but all the air they draw into their lungs is through their nose, so a fully functioning nose is important.

© CRUFFA

Dogs don't sweat like we do, so their nose and airways are critical - and particularly in an active breed like the Boxer that suffers from heart problems. (NB we know that heart problems can be a consequence of the continual fight for air in the extreme brachycephalics).

As Professor Gerhard Oechtering wrote in the Guardian a few years ago:

"...the noses of wolves and dogs are not just for smell; they are an indispensable tool to control body temperature. Dogs are not able to sweat like humans or horses. They need the large mucosal surface of the nasal turbinate and a specific gland producing "water" in hot weather or when internal heat is produced after physical exercise. Vaporising this water on the large intranasal turbinate surface is the cooling principle; the tongue plays only a minor role in canine thermoregulation. This is the reason why dogs are obligatory nose breathers. No nose – no thermoregulation – no health – no animal welfare."

© CRUFFA

Meanwhile, the KC's Breed Watch has absolutely nothing listed as a health concern for the Boxer. 

© CRUFFA

Perhaps now the KC will add stenotic nares?  And while they're at it, the ectropion, too.

© CRUFFA

Wednesday, 25 January 2017

Please don't breed if they cannot breathe

Fighting for air their whole lives

© Ralph Rückert

Take a good look into this French Bulldog's eyes. He has just woken up from an anaesthetic and the endotracheal that supported his breathing during the procedure is still in place. Dogs always fight it because it makes them gag. But not this dog - and many other brachycephalics.  The ET tube has opened his airways, enabling him to breathe properly - possibly for the first time in his life.

His story was posted on Facebook last week by a German vet,  Ralph Rückert.



I was so moved that I asked Dr Rückert if we could translate it and post it here.

Here's what he wrote:

It might sound implausible, but the French Bulldog in the photo just woke up from anaesthesia. The eyes focus on me and see me. Seconds later we removed the pulse oximeter from the tongue, and the dog rolled itself upright. 
Every (every!) other dog will immediately try to dislodge the endotracheal tube at this moment, which is why we usually take it out much sooner. But with Frenchies (and other flat nosed dogs) we leave the tube in position as long as possible, dreading respiratory collapse during the home stretch of their anaesthesia. 
This frequently leads to the moment - a moment that regularly sends cold chills down my spine - when you realise that these dogs, while fully conscious, are enjoying the ability to breathe without effort (through a tube) for the first time in their life. I know that I am anthropomorphising unashamedly but nonetheless: when you pull the tube eventually, the wheezing starts up again and you see - I swear to high heaven - a glaze of resignation and disappointment fall over their eyes that were previously bright with fascination. 
This is a moment where the lifelong - and too often ignored – suffering of many brachycephalic dogs becomes crystal clear to see. Sadly it is a moment only vets witness. The first time I noticed this phenomenon, I was inclined to dismiss it as my own sentimental fabrication. But as time passed, I heard stories of the same curious and touching moment from several colleagues with a lot of experience with flat nosed breeds. You absolutely have to ask yourself honestly what it means when a dog prefers the discomfort of an endotracheal tube to its natural airway.

Meanwhile, the Kennel Club has just revealed that the French Bulldog is now the third most popular breed in the UK with over 21,000 registered in 2016; up from just 526 ten years ago.

In fact, one in six Kennel Club registered dogs today is an extreme brachycephalic - either a Frenchie, Bulldog or Pug - up from one in 50 ten years ago. Thousands more are being bred outside of the Kennel Club, feeding the obscene demand for flat-faced "cute". 

It is, frankly, the biggest explosion in suffering the purebred dog world has seen in modern times.