╨╧рб▒с>■  $&■   #                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐═ jbjbjкjк ╚╚═      ]ввввввв╥╥╥╥╥ ▐ ╥ъЎЎЎЎЎЎЎЎ╨╥╥╥╥╥╥,¤ЇёЄ■вЎЎЎЎЎ■jввЎЎЎjjjЎFвЎвЎ╨╢─ввввЎ╨jfj╨вв╨ъ ╛╢╢╥╥<.╨Group 11 Ц Client Communication for the rural mixed animal practice client We suspect Titan has a grade I and II patellar luxation resulting from a combination of a congenitally abnormal stifle joint and trauma. Basically this means that Titan is going to be periodically lame on her right hind leg because her knee cap moves out of position. This causes pain. To keep her comfortable, you may give her one 81mg buffered aspirin every 8 to 12 hours when she is lame. This should not be continued for more than 3 days in a row. There are better NSAIDs available for veterinary patients that can be used for longer periods if you are interested. Once she has recovered from this episode of lameness, Titan will benefit from limited exercise such as leash walking and swimming on a regular basis to maintain the supportive musculature of her right hind leg. At least one week of cage rest is probably indicated for her when she goes home so that she can rest the leg and to keep her from playing with your other dog. She should be cage rested after periods of heavy exercise or similar episodes of lameness in the future. In addition, Titan is overweight and she will benefit from a reduced calorie diet or a reduction in quantity of her current diet. The more she weighs, the more stress will be put on her knee and she will be more likely to become lame. Start her on her reduced diet and we would like to see her in two weeks to recheck her leg and to evaluate her weight loss progression. This is an inherited disease in many cases, so we suggest that you call the breeder and let them know that Titan has this problem. This is a progressive disease, so it may worsen in the future. There are drugs Titan can take to help protect her cartilage including glucosamine and chondroitin sulfate. Surgery results in a better prognosis for this disease, so if you are interested we can give you information about the surgery, and refer you to a clinic that performs the surgery. ═ KLМНlmф х ═ ¤¤¤¤ўўўўў ╞ KLМНlmф х ═ ░╨/ ░р=!░"░#Ра$Ра%░ [4@ё 4NormalCJOJPJQJmH <A@Є б<Default Paragraph Font═       ══ ═ ═ {Г&,djЁ√ ╧i┬9A&7╧   Math EmporiumKMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of Document2 Math EmporiumGMacintosh HD:Desktop Folder:Student's Folder:Group 11 client comm-2.txt @Аkk0Й╓k]9ї m═А@GРTimes New Roman5РАSymbol3Р Arial3РTimes"qИ╨h5ФRОФR?!е└┤┤А>0╨  JGroup 11  Client Communication for the rural mixed animal practice client Math Emporium Math Emporium■  рЕЯЄ∙OhлС+'│┘0иИРфЁ$ <H d p |ИРШа'KGroup 11 ╨ Client Communication for the rural mixed animal practice clienturouMath EmporiumenathNormalpMath Emporiumen1thMicrosoft Word 8.0o@:═@╞√(їЩ└@ь─yЪ└■  ╒═╒Ь.УЧ+,∙о0@ hpИРШа и░╕└ ╚ 'Virginia TechCм KGroup 11 ╨ Client Communication for the rural mixed animal practice client Title ■    ■   ■    !"■   ¤   %■   ■   ■                                                                                                                                                                                                                                                                                                                                                                   Root Entry         └FkВФ╓Щ└'А1Table             WordDocument        SummaryInformation(    DocumentSummaryInformation8            CompObj    XObjectPool            kВФ╓Щ└kВФ╓Щ└            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8