Dog can pass leptospirosis to family

Dear Dr. Roach: Our family dog was diagnosed with leptospirosis. The vet says she will pull through, but do I need to be concerned about my family?

E.V.

Answer: Unfortunately, yes, the disease can be passed from your dog to your family, so you need to be vigilant in watching all family members for sudden onset of symptoms.

Leptospirosis is a bacterial infection that can cause serious illness. The most common initial signs are fever, muscle aches, shaking, chills and headache. These symptoms typically start suddenly. Redness of the conjunctiva is a typical finding, but there are other less-specific signs, including abdominal pain, cough, joint pain and rash.

Carefully cleaning all hard surfaces (mix 1 part bleach to 10 parts water for an effective solution or use a professional antibacterial cleaning solution) and washing bedding where the dog has been would be wise. Once the dog has gotten the OK from your vet to come home, wash your hands after handling the dog, and use gloves if you are handling its waste.

Dear Dr. Roach:

Iam72 years old and have developed severe tendonitis in my right shoulder. After having seen a doctor, receiving two shots and undergoing six weeks of therapy, I find there is still significant pain. The doctor says the last remaining option is surgery, which I am not in favor of. Other than some prostate and heart issues, I believe I am in reasonably good shape. Any suggestions on moving forward?

E.C.

Answer: The best treatment of tendon problems is usually what you have done: physical therapy and sometimes joint injections.

I agree with you that surgery is not a great option. If you are still improving, even if slowly, continue the exercise for at least another few weeks.

Ask your therapist about home activity.

If the surgeon says you aren’t going to get better without surgery, and you aren’t getting better with more therapy, I recommend getting the surgery done if your regular doctor says your heart issues make surgery safe for you. Having both arms working well improves quality of life a lot.