Patches, center, with her three puppies. (Photo courtesy of Flowerwood Dachshunds)

Dachshund breeder Dale Flowers has weathered many a journey with her dogs, shepherding them through pregnancies, even letting them sleep in her bed at night just weeks before their due date. But the medical odyssey she recently went through with Patches, named for her unique dappled marking, was unlike any other.

Thanks to recent treatment at UF’s Pet Emergency Treatment Services in Ocala and follow-up at the Small Animal Hospital in Gainesville, a very-pregnant Patches survived a near-fatal bout with pancreatitis. And not only did she survive; she gave birth within days of her discharge to three puppies, two of which survived and are healthy.

“Patches and the pups are doing fine,” Flowers said, adding that the puppies will turn 7.5 weeks old on May 2. She had reservations on both for adoption.

“I am very pleased with Patches’ progress and thank UF again for saving her and her babies,” Flowers said.

But the happy ending to Patches’ saga could have easily gone the other way. UF veterinarians came very close to spaying Patches due to the severity of her illness, which would have meant sacrificing the babies to save her life, with uncertain impact on Patches. Veterinarians wrestled with the best way to proceed, involving specialists from three different services, said Dr. Leo Londono, a resident in emergency and critical care.

Londono first saw Patches when she was admitted at the PETS after-hours emergency clinic and continued to work with the dog after her transfer to Gainesville for specialty treatment.

“We don’t see a lot of cases involving pregnant females that get sick, and we’re not always sure of the best way to proceed,” Londono said. “If the dog is painful, you can’t give too many pain medications, as this could affect the puppies. We weren’t sure if going to surgery was the right decision either, as anesthesia could have made her pancreatitis worse.”

Ultimately, veterinarians’ decision to administer aggressive therapy and give Patches more time to respond to it, resulted in Patches’ and her puppies’ survival. In addition, the relationship between the two UF veterinary clinics involved in her care allowed for a seamless transfer to Gainesville and the full house of experts available at the main Small Animal Hospital.

“This case really illustrates well how smoothly the two clinics work together,” said Dr. Carsten Bandt, chief of the hospital’s Emergency and Critical Care Service.”We were able to drive Patches to Gainesville and provide continuous care for her, as we do for the most critically ill patients who initially come to us through PETS.”

Patches ordeal started on Jan. 30, when Flowers found her prized 5-year-old dog on the ground and obviously in pain. Patches was hyperventilating and would not eat, Flowers said. When her condition didn’t improve after a few days of treatment, Flowers’ local veterinarian, Dr. Ashley Boyd, referred the dog to UF.

“Dr. Boyd said she might die if she were not admitted,” said Flowers, who has had Patches since she was an 8-week-old puppy. She described Patches as being very affectionate — a cuddler who loves to sleep in the crook of her arm and snuggle. She said Patches’ most recent litter was her fourth, and that her puppies had always been sought after in the past.

Veterinary specialists from UF’s emergency and critical care, small animal surgery and theriogenology services were involved in Patches case, illustrating UF’s multidisciplinary approach to problem solving and case management, Londono said.

“We learned a lot from Patches case,” he said. “The owner was very concerned about Patches, so if we had to sacrifice the puppies to save her life, we would have, but at the same time we didn’t want to rush into a decision when we didn’t have to. But sitting and watching and waiting wasn’t going to be enough either, so we decided to be more aggressive in our therapy and in the end that was the right thing to do.”

Flowers said the ordeal was an emotional roller coaster and one she hoped to never have to go through again.

“UF’s care of Patches was very good,” she said. “Everyone from the front desk to teams in the ICU knew Patches and had nice things to say about her. I received daily reports, sometimes twice daily, from Dr. Londono and I greatly appreciated that.”

Erik Bendl, known as World Guy, with his dog and traveling companion, Nice, following Nice’s discharge from UF’s Small Animal Hospital on March 21.

By Sarah Carey

For Erik Bendl, known as “World Guy” for his countrywide treks pushing a canvas globe to promote diabetes awareness, the world’s weight got a little lighter after his dog, Nice, underwent knee surgery at the University of Florida Small Animal Hospital on March 19. Nice, a 6-year-old blackmouth cur mix, is being discharged today.

“We think there’s a good chance Nice will make a full recovery over the next few months and be off to his long walks again,” said Caleb Hudson, D.V.M., a veterinary surgeon at UF who performed Nice’s 2 1/2-hour operation.

Bendl began walking with a mission — to promote diabetes awareness — after his mother, a former Kentucky alderman and state representative, died at 54 of complications from the disease. He has walked more than 6,000 miles in 41 states, in all kinds of weather, sharing his story and his motivational message — that diabetes doesn’t have to be a death sentence. In many cases, it can be prevented through weight loss and exercise and that people should “love themselves and take a walk.” For the past six years, Nice has walked with him, a part of his life and his mission.

Nice began limping in Florida during Bendl’s latest journey, which began in Pensacola and was to end in Tampa. After getting caught in a storm, he hunkered down in Spring Hill, where a local business owner offered shelter. Nice’s limping became worse. He saw a veterinarian in the area, who suspected a problem involving either Nice’s hip or knee joints. Bendl sought a second opinion from veterinary specialists at the University of Florida.

When Bendl arrived at UF on March 4, he wasn’t pushing the huge blue-and-green painted globe he’s usually seen with in photos. That was out in the parking lot in his weathered purple van, although he did offer to inflate the world for the staff’s amusement. With his wide smile, colorful stories and self-deprecating humor, Bendl did his best to remain positive while an orthopedic surgeon examined Nice

and performed tests. But by day’s end, Bendl’s heart was heavy.

“I didn’t expect that Nice’s problems would be this severe or this expensive to deal with,” he said.

Nice was diagnosed as having torn cranial cruciate ligaments in both knees, requiring surgery to correct the problems. Two tibial plateau leveling osteotomy surgeries performed simultaneously are more economical than operating on one leg at a time, surgeons said, but the cost still was estimated at approximately $5,000. UF was able to subsidize part of the cost through its Pet Samaritan Fund, but Bendl still had to come up with around $3,400 to cover the procedures and postoperative X-rays. The doctor recommended that the UF surgery team operate as soon as possible to have the best chance of a good outcome.

For a man with no credit and no regular income — Bendl supports himself and Nice through the support of friends, family members and strangers — the figure and the time frame were daunting.

Overwhelmed, Bendl headed back to Spring Hill to mull his options. The next morning, the 50-year-old Kentucky native was resolute — he’d do whatever he could to help his dog, relying on the resources at hand: his World Guy blog, his friends and his personal and public Facebook pages.

Bendl said he’s better at telling stories and encouraging people to stay healthy than he is at asking for help. But Nice’s story, as they say, had legs. Thanks to media stories and social media, within 10 days enough funds had been collected to cover Nice’s surgery and most of his postoperative tests. Bendl said he was humbled and grateful for every donation, no matter how small, but two couples in particular stood out in their generosity.

An elderly Spring Hill couple had been in the process of closing four booths they operated at the local flea market. Instead of storing their inventory, they decided to donate it all to Bendl after reading about Nice in the local paper. The proceeds gave Bendl $560 more to put toward Nice’s care.

Another couple, owners of a tattoo store in Arkansas, had met Erik and Nice on the road and read about their plight on Bendl’s World Guy blog. They gave $500, which put him over what was needed to schedule the surgery. But more than that, Bendl said, they told him that his encouragement to “get healthy” had prompted both of them to take better care of themselves. To him, that meant the most.

Bendl and Nice will be back at UF in a few weeks for follow-up X-rays to ensure the dog’s legs are healing properly. During the three-month recuperation period, the two will lay low and take things as they come, Bendl said.

One step at a time.

Come one, come all to the UF College of Veterinary Medicine’s traditional Open House! The event will be held from 10 a.m. to 4 p.m. at the college, 2015 SW 16th Ave., in Gainesville. The college and the Student Chapter of the American Veterinary Medical Association work together to put on this wonderful, fun and education event each year for the community. And it’s all free!

Our Open House is an opportunity to learn more about the veterinary profession and what our Small and Large Animal Hospitals have to offer, engage in learning opportunities, see cool stuff and even adopt an animal from a local shelter. Come learn more about us! What a great way to spend a Saturday!

* Educational Demonstrations (Small Animal Endoscopy, 10 a.m.-2 p.m.; Underwater Canine Treadmill,  (11 a.m. 1 p.m. 3 p.m.)

* Dialysis, ventilator and CPR Demonstrations (ongoing)

* Radiographs and ultrasound (ongoing)

* V.E.T.S. Disaster Team: (Starts at 10 a.m., runs every 30 minutes)

* “Tips on Getting into Vet School” lectures (11:45 a.m. and 1:30 p.m.)

* Tours of the Small and Large Animal Hospitals and the Shelter Medicine Clerkship area (ongoing)

* Police and Sheriff’s Office K-9 Demonstrations (Bite, Bomb Sniffing and Odor Detection):  (11 a.m., 1 p.m. and 2:30 p.m. for various activities)

* Pet Adoptions from local rescue groups (ongoing)

* Educational games and Prizes

Large Animal Hospital

* Equine Treadmill Demonstrations ( 11 a.m., 11:30 a.m., 12 p.m., 12:30 p.m., 1 p.m., 2 p.m., 3 p.m.)

* Pregnant Mare Ultrasound (ongoing)

* Name a baby horse (ongoing – come by and drop the name you want of the next foal into a drawing. The name drawn at the end of the day will be given to the next foal born.)

* ECG monitoring of a horse (ongoing)

* Rumen Fluid Collection (ongoing

* Large Animal Surgery “game show” (ongoing)

* Food Animal Medicine Presentation (ongoing)

* Boon, the Breyer Horse (ongoing)

Kids can bring their torn or ripped stuffed animals and veterinary students in the Class of 2014 will repair them in our ever-popular Teddy Bear Clinic!

Food and drinks will be available for purchase. Proceeds from products sold will benefit veterinary student organizations.

In addition to our students and all from the college, the hospitals and the community who help make this event possible, we are very grateful to our sponsors for their support!
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Check out our photo gallery from last year’s Open House here.

Members of the Schmitt family with their dog, Cali, after Cali’s discharge from the UF Small Animal Hospital on July 20, 2012. Cali suffered from massive envenomation from an Eastern diamondback rattlesnake and spent two weeks in our ICU receiving emergency care to save her life. From left to right are Schmitt sons Daniel, Jacob, Michael and (petting Cali) Zach; Dr. Gareth Buckley, Dr. Alessio Vigani, Dr. Michael Schaer and two UF veterinary students, Allison Vansickle and Alison Sass. (Photo by Sarah Carey)

By Sarah Carey

Twenty-four vials of antivenin, 14 days in the UF Small Animal Hospital’s intensive care unit, countless hugs, kisses and Facebook shares later, Cali, a 3-year-old chocolate Labrador retriever mix, is home with her family in Tavares, living the life of Riley.

A YouTube video and Facebook page the family created to solicit donations to help pay Cali’s medical bills went viral, resulting in more than $19,000 being raised to cover her care, and in the process turning Cali into a celebrity among dog lovers from as far away as China and the United Kingdom.

“I expect you guys to treat her like Queen Elizabeth,” Dr. Michael Schaer, an emergency and critical care specialist, told Connie Schmitt’s sons Michael,15; twins Daniel and Jacob,13; and Zach,8, when they came with their mother to visit Cali on July 17, her last week in the hospital. It was one of several visits the family made to see Cali during her recovery from a bite likely inflicted by an Eastern diamondback rattlesnake.

Schaer explained to the Schmitts that once Cali left the hospital, it would take her awhile to regain her strength and to return to life as a normal dog. However, the Schmitts will tell you the gentle brown dog they rescued two years ago has never been a normal dog at all.

Cali entered the Schmitts’ lives when she showed up in their yard, looking sad and lethargic. A family friend and neighbor, a veterinarian, came over and treated Cali minimally, then subsequently at her clinic for infections in both eyes and ears, as well as for fleas and worms. The family posted a notice on Petfinder to see if anyone would claim Cali, who was thought to be about 1 year old. No one did.

“Her condition clearly indicated that she had been neglected for awhile, but she was housebroken and very obedient,” Schmitt said. “It took her about a month to heal to the point where she would even run with the boys outside.”

Two years passed, and Cali’s life evolved to one of chasing lizards, geckos and squirrels on the family’s one-acre lot. She had an unusually gentle personality, her family said, given the neglect she had experienced in her first year of life.

“We weren’t pet people, and although the kids had wanted a dog for a long time, Mike and I didn’t,” Schmitt said. “We used the fact that Mike is allergic to say no. But Cali changed all that. We fell in love with her, and even Mike was not reacting to her like he had to other dogs. She seemed so appreciative to us for taking her in and nursing her back to health and immediately took to us as we did to her.”

Schmitt’s son, Michael, once saw Cali tear off part of a dog treat and give it to another dog.

“One time I saw her take a biscuit over to a little baby in a stroller and drop it at her feet,” he said.

But on July 5 around 6 p.m., family members found Cali collapsed in their yard, foaming at the mouth and not moving. They then saw blood on Cali’s neck and immediately suspected snake bite. The Schmitts immediately took Cali to their local emergency veterinary clinic in Leesburg. Despite two vials of antivenin, however, Cali did not improve, so the next morning the family brought Cali to UF for continued treatment.

From July 6, when Cali arrived, to her discharge on July 20, she experienced a series of medical crises that included three episodes of re-envenomation; heart arrhythmias; an allergic reaction to the antivenin; and serum sickness, not to mention infection with high levels of E-coli bacteria. She also had three surgical procedures to remove dead tissue around her bite wound.

UF’s emergency and critical care team kept the family updated at every turn. In the first five days, whenever another two-vial treatment of antivenin was needed, the family would hope it was the last one. But then Cali would regress again.

“At that point, the stress of the surmounting bill was overwhelming, but we kept thinking that we had gone so far and we couldn’t let her die now,” Schmitt said. “So, with blind faith, we continued to agree to whatever she needed, knowing that we just couldn’t give up on her and that we would find a way to come up with the money to pay for her care.”

The family got busy thinking of ways to contribute to Cali’s bill. The family’s sons decided to donate everything they made in their summer jobs of mowing lawns and weeding to Cali’s care, and Schmitt picked up extra shifts at Disney World, where she works as a seasonal cast member.

Jacob Schmitt, 13, and his brother, Zach Schmitt, in background, pet Cali on the day of her discharge. (Photo by Maria Farias)

“By Monday (July 9), Dr. Schaer spoke to us and said Cali’s bill was quickly approaching $7,000 and that she continued to need antivenin,” Schmitt said. “He wanted to prepare us for the fact that at the end of the day, we might not have a live dog. We asked him if there would be a point where he would know that more antivenin was pointless, and it would be best to put her down. He said he wanted to try two more vials, and that we might have to have that conversation later that afternoon.”

At that point, the family was desperate and their YouTube video was born.

“The boys all got together and started pulling all the pictures they’ve taken of Cali since we got her,” Schmitt said. “We know that times are tough, and we thought that by asking people for $1 donations and asking for them to share our post, if we could spread the word far enough, we could raise enough funds to help offset the balance that we owed. We were nowhere near prepared for what happened as a result of the video.”

As the video and word of Cali’s plight spread, the family navigated through Cali’s medical rollercoaster with the support of what soon became hundreds of virtual friends and fans, some known to the family and many more, complete strangers. Their Chip-in online account for donations kept growing and growing, as more became aware of Cali’s situation and contributed to help her.

“I’ve seen a lot of snake bite victims, and some pretty bad cases, but this was the worst because of all the unexpected complications that were the result of the amount of venom Cali received and her reaction to it,” Schaer said. “Usually it takes a couple of vials of antivenin and a couple of days to turn an animal around, but in Cali’s case it was 24 vials of antivenin and two full weeks of constant care. That’s unheard of.”

UF veterinarians knew they had turned a corner in Cali’s care when, following a surgical procedure July 16 to remove additional dead tissue from the bite area, she showed no sign of re-envenomation. At that point, 22 vials of antivenin had been administered to Cali during her stay, and she had begun showing signs of an allergic reaction.

The Schmitt family with Cali. From left to right in front are Zach Schmitt, 8; Michael Schmitt, 15; and twins Jacob and Daniel Schmitt, 13. (Photo by Sarah Carey)

The medical team knew they could not give any more antivenin due to the risk of Cali going into shock. Had Cali shown further signs of re-envenomation, there would have been no way to reverse the effects of venom in her system. Cali almost certainly would have died.

But three hours postoperatively, Schaer was grinning ear to ear.

“Judging from the way she looks now, compared to how she appeared soon after the previous surgery, when the last re-envenomation occurred, I am almost ready to pronounce her out of the woods,” Schaer said at the time.

The next day, UF veterinarians told the Schmitts that Cali just continued to improve and that they were feeling much better about her overall prognosis. At that time, one final surgery remained to close the wound, but Cali came through the procedure with flying colors.

On July 20 her family came to Gainesville to take their beloved Cali home. Her family has continued to post updates about her progress on the Facebook page they set up for Cali, www.facebook.com/pleasehelpcali.

Schmitt says Cali has received many visitors and is being pampered at home every day. She is eating well, drinking a lot and getting lots of rest. Meanwhile, donations continue to pour into the Chip-in online account the family established when they first turned to social media for help.

Schmitt said any overage would be given back to UF to support help other animals. She said she and her family were “humbled and honored” to have been able to witness “the great things that happen at the UF Small Animal Hospital.”

“From the girls at the front desk to the technicians, the doctors and even the administrative staff, each and every person we have had contact with has been amazing, Schmitt said. “The love, caring and compassion in every person there is evident in the way they treat their patients and their families.”

Large Animal Clinical Sciences
Anesthesia & Pain Management
shih60@ufl.edu
PO Box 100136
2015 SW 16th Ave
Gainesville, FL 32608
352-294-4304
FAX 352-392-8289

Education

• Diplomate, American College of Veterinary Anesthesiologists, 2007
• Certificate in Veterinary Acupuncture, Chi Institute of Chinese Medicine and Traditional Chinese Veterinary Society, 2004
• DVM, University of Sao Paulo, Brazil, 1999

Research Interests

Dr. Shih’s clinical interests are hemodynamic shock and anesthesia in the critical care patient and neuropathic pain.

Recent publications

Publications listed here.

Anesthesiology & Pain Management
Large Animal Clinical Sciences
Pablochi@ufl.edu
PO Box 100136
2015 SW 16th Ave
Gainesville, FL 32608-0136
(352) 294-4340
Fax: (352) 392-8289

Education

• DVM, University of the Philippines, Quezon City, Philippines, 1978
• MS, Auburn University, Auburn, Alabama, 1982

Honors and Awards

• Support Services Clinician of the Year, 1990, 1991, 1992, 1993, 1994, 1995, 2003, 2007
• Superior Accomplishment Award, 1994
• Senior Teacher of the Year, 1996, 2004, 2005, 2006
• Junior Teacher of the Year, 1999, 2004
• Sophomore Teacher of the Year, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007
• Carl J. Norden Distinguished Teacher Award, 2000
• SCAVMA Teacher of the Year, Clinical Sciences, 2000, 2002, 2006
• CVM Teacher of the Year, 2001, 2006

Research Interests

Perform research on clinical anesthesia with emphasis on perioperative drugs.

Recent Publications

Publications listed here.

Large Animal Internal Medicine
Large Animal Clinical Sciences
zimmeld@ufl.edu
PO Box 100136
2015 SW 16th Ave
Gainesville, FL 32608-0136
352-294-4379
FAX: 352-392-8289

Education

• Diplomate, American Board of Veterinary Practitioners, 1999
• Diplomate, American College of Veterinary Internal Medicine, 1999
• DVM, University of Florida College of Veterinary Medicine, Gainesville, Fla., 1995
• BS, Animal Science, University of Florida College of Veterinary Medicine, Gainesville, Fla., 1990

Honors and Awards

• UF CVM Alumni Achievement Award, 2013
• UF Superior Accomplishment Award, Gainesville, Fla., 2010
• Outstanding Contribution Award, Florida Association of Equine Practitioners, 2006
• UF Superior Accomplishment Award, Gainesville, Fla., 2006
• Raleigh Burroughs Media Award, 2005
• Upjohn Clinical Proficiency Award in Large Animal, 1995
• Lloyd’s of London Bursary Award, 1995

Research Interests

Dr. Zimmel’s clinical interests include neonatology, exercise physiology, and endocrine disease.

Recent Publications

Additional publications here.