There are some over-the-counter products like foggers or bombs or things like that that you can pick up at your local hardware store or Lowe's or Home Depot or places like that. You can also work with a professional pest control company to help get rid of those fleas. But it's vital that you target that environment as well as your pet, because we see about maybe 5% of the flea population on your pet and the remaining 95% of that flea population is in your home.

No, they're not painful for your pet, but what might be more painful are some of the secondary things we see from fleas and ticks like skin infections or the itchiness or things like that. But giving them a preventative product or even giving them a regular old bath isn't painful.

Fleas go through stages. Many times what you see is the adult flea on your pet, but what they'll do is once they take a blood meal, they'll get off of your pet and into the environment. So whether that be in your carpet, couch, bedspread, or your pillows, they'll then lay their eggs. And then those eggs will go through a period of time. And then when the temperature and humidity and the light and everything like that is right, those eggs will hatch and develop into a pupal or a larval stage, and then they'll grow into the adult flea. And so what we want to make sure is that we're targeting the whole life cycle to get rid of those fleas.

The best thing to do, right Coconut, is to get them on prevention. And so we want to keep them on prevention year-round down here because the weather gets warm in the winter, so we don't see anything die off per se. And so we can make some recommendations based on the needs of your pet. But my favorite products that we have here in the clinic are going to be Simparica Trio or regular Simparica or Bravecto.

We see a lot of tick-borne diseases in this area. The most common one that people think of is Lyme's Disease, and we see plenty of Lyme's Disease cases over here. We also see things like Ehrlichiosis and Anaplasmosis—those can definitely affect your pets in this area. And then in terms of fleas, not only can they carry things like tapeworm eggs, so if your pet were to eat a flea they could get tapeworms that way. But they can also cause things like anemia if there's enough of them on your pet, because all of these nasty buggers feed on blood.

Well, what you're really asking is about anesthetic safety, and while no pet is without risk with anesthesia, the risks of having problems and painful, hidden problems in the mouth are very high. In contrast, the risk of anesthesia is about 0.0 or 0.1%. It's extremely low. And we try to do everything we can to prevent problems by doing blood work to tailor the anesthetic drugs to them by doing special heart enzyme tests. We had a patient with a murmur that we caught with this special tiny stethoscope, and we were able to modify our anesthetic plan and have increased safety and a good recovery.

And so, we do things to make administering anesthesia as safe as possible. For example, it’s been shown that a cat that has either no anesthesia and physical restraint or a cat that has sedation but not anesthesia has a higher risk of problems and/or death with those items than the patient that has what's called "multimodal pain management anesthetic event." And so we make it easier for the pet and have a better outcome.

We want to make sure every pet has a fear-free and pain-free experience. So we try to utilize calming techniques in the office and minimize the fear, anxiety, and stress they may go through. And we do a pretty good job of that. We use many different techniques. And when we see painful problems, we don't want to wait until it gets bad. We want to address it. We know it's a painful problem. So we like to use pain management before, during, and after the procedure. And many times, we use nerve blocks. The numbness will go away, but the analgesia, the pain-relieving component, will last 24 to 96 hours without you having to do anything at home. And so when we need antibiotics, when we need pain meds, we're going to use them, and not every patient needs those.

It's been tried and done, but it's cleaning the stuff off the top—like what I can touch, but it's not working in the gingival sulcus. The gingival sulcus is the space between the gum and the tooth, and if you go in there when the cat is awake, you're going to damage the soft tissues of the mouth and cause a lot of bleeding and pain, and you'll miss problems. And so if you clean the teeth and make them look prettier while the cat is awake, you're still missing things and leaving the pet with an 80% chance of having a painful mouth still present, and potentially make things worse.