Tech Talk – Potty Training Pitfalls

Potty Training Pitfalls

My friends recently got an adorable new puppy who is just the sweetest little girl who caught onto potty training very quickly. She is now about 3 months old; and, as soon as she comes inside from going potty, she’ll go pee on the carpet by their bedroom. Not a lot but it was really starting to annoy them. I received a text recently asking what they should do as they were just about at their wits end and had gone through more carpet cleaner than they’d like to admit. I smiled reading her text as I knew exactly what they were going through all too well, having been there 3 times with my dogs when they were just wee little ones that liked to wee in places they knew they shouldn’t. 

Why, oh, why does she still pee inside?

It sounds as though your pup may not fully have control of her bladder. She is a puppy still, and though she has the basics down, she may not be completely emptying her bladder when outside. So when she goes back inside, she realizes this and just finishes up. Here are some tips to help get you through those piddle situations!

Tip 1: Stay outside a bit longer and see if your pup pees again. If she does, that’s a sign that she doesn’t empty enough the first time. Some pups may do this even 3-4 times given the opportunity. If your puppy pees quickly and then runs off to play in the yard, keep her on leash.

Tip 2: Take her to the same potty area each time. This will help to teach her that when she is taken to this specific spot, pottying is what needs to be done. No playing or other shenanigans in this area.

Tip 3: Don’t be a distraction. If she is outside peeing and you are too fast in praising/rewarding with a treat, you may be interrupting the urine flow. Don’t praise and/or give her a treat until she is completely done peeing and is moving away from the potty spot. And don’t walk away while she is peeing! Stay stationary as she may stop mid stream to try to follow you. 

 Tip 4: If she is treat motivated, and knows which hand/pocket/bag/etc they are in, she may not finish up doing her business completely because she wants that treat. And, at this point, reward her only when you are headed inside and you are sure that she has completely emptied her bladder.

Basically, your pup peeing inside after you’ve recently been outside is COMPLETELY NORMAL and just means her body is still learning, growing, and may need a bit more time outside (with some modifications). 

On occasion, some pups may develop a bladder infection causing them to piddle inside more. If you believe this may be the case, please consult your regular veterinarian.

Happy potty training!


Cardiology Assistant

Tech Talk – Why Ultrasound?

Why Ultrasound?

One of the most common things I hear from clients calling to schedule with Dr. Elliott, the internal medicine specialist here at Sunstone, is that their primary care vet is recommending an ultrasound as the next step for their pet. Indeed, the ultrasound is one of our most valuable tools for diagnosing the pets we see, but many people are surprised to hear that it is an option and may not know why it can be so useful.

There are several different options for imaging when a pet gets sick. The most common is the X-Ray, which most veterinary practices have located right in their clinic for easy use. Less common are ultrasound, CT and MRI. CT and MRI are considered more advanced imaging and are usually only found in a few specialty practices. Ultrasound machines are more common than CT and MRI, but not every veterinarian is trained to use the machine or feels comfortable interpreting the images, so they may refer their patient to a specialist like Dr. Elliott.

The key to deciding which form of imaging a pet needs lies in where the doctor is trying to look. X-Rays work by sending a beam of radiation through the body at undeveloped film for a very brief moment to create a single image. These pictures are very useful for evaluating bones, lungs and giving a general view of soft tissue structures within the body. Ultrasound, on the other hand, uses sound waves to create images. Very similarly to the echolocation used by bats, the ultrasound machine can interpret how the sound waves bounce back, forming a picture. Air and dense structures like bones bounce back the sound waves, while soft tissue structures like the liver and kidneys let some bounce back and some pass through. Because bones and air don’t let waves through at all, ultrasound is not a good tool for looking at/behind bones or within air-filled areas, like the lungs. However, it is excellent for looking within the abdomen.

One of the biggest differences between these types of imaging equipment is that ultrasound produces a live video stream of images as the doctor moves the probe around. This lets the doctor see organs from many different angles, which gives them a lot of detailed information. Sometimes there are visible changes, and being able to see those changes gives us a diagnosis. However, in many cases these changes could happen for a variety of reasons and the only way to tell the cause is to look at the tissue on a cellular level. For these times, Dr. Elliott can use the ultrasound as a guide to take a small sample of the organ in question, which is then looked at with a microscope.

In my two and a half years with Dr. Elliott, I have probably helped with somewhere between 1-2000 ultrasounds, so I have seen firsthand how much information can be gathered with this tool. I have also seen when the answer was found with an X-Ray, or a blood test, or a stethoscope. These are all important tools, with their own strengths and weaknesses, for gathering information to piece together the puzzle of what is happening inside each pet.


Internal Medicine Assistant

Tech Talk – Emergency Pet Preparedness

Emergency Pet Preparedness

“Prior planning prevents poor performance.” This is a quote my father has told my siblings and I growing up, and still tells us to this day. It’s a quote that you can apply to many areas of your life and goes well with the topic I am about to discuss.

For the past few years, we’ve been hearing about this massive earthquake that can hit the PNW at any time and that there’s an impending disaster coming this way.

Question is, are you prepared for whatever is headed our way? Better yet, are you prepared for your animals? The best way to protect your household from the effects of a disaster is to have a disaster plan. And if you are a pet owner, that plan must include your pets. Being prepared can save their lives.

In the event of a disaster, if you must evacuate, the most important thing you can do to protect your pet is to evacuate them too. If it’s not safe for you to stay behind, then it’s not safe to leave pets behind either.

I’m going to go over a few things you can do to be more prepared for your animal in case of a disaster.

First, if you don’t already have one, you should start putting together a pet emergency preparedness kit. This could include the following: Medications and medical records (stored in a waterproof container), first aid kit (animal specific), sturdy leashes, harnesses, crates/carriers, current photos of your pet and even a picture of you and your pet together. A collar with an ID tag, enough food and water for several days, bowls, cat litter/pans, manual can opener, small poop bags, trash bags. Other sanitation necessitates like paper towels, household chlorine bleach (it can be used as a disinfectant if diluted correctly) and newspaper. Don’t forget bedding, towels, treats, and their favorite toys if easily transportable. It would also be a good idea to have information on feeding schedules, medical conditions, behavioral problems, and the name and number of your veterinarian in case you have to foster or board your pets. Keep all of this in a storage container so you can just grab and go when needed. There are some pet emergency checklists out there that you can use to guide you that I will include at the end of this article.

Second, know a safe place to take your pet. Never assume that you would be allowed to bring your pet to an emergency shelter. Contact hotels and motels outside your local area to check their policies on accepting pets and restrictions on number, size, and species. I would also ask if “no pet” policies can be waived in an emergency. Keep a list of “pet friendly” places, including phone numbers, with your disaster supplies. You can also ask friends/relatives outside the affected area whether they can shelter your animal. Make a list of boarding facilities and veterinary offices that might be able to shelter animals in disaster emergencies (include their 24-hour telephone number). Check with your local animal shelter. Some shelters may be able to provide foster care or shelter for pets in an emergency. Just keep in mind that shelters have limited resources and are likely to be stretched thin during a local emergency.

Another important tidbit to keep in mind; in case you’re away during a disaster or evacuation order, make arrangements well in advance for someone you trust to take your pets and meet you at a specified location. Make sure you show them where your pets are likely to be if they hide when they’re nervous or scared and show them where your disaster supplies are kept. Go over their feeding schedule, and medications if they’re on any.

Third, make sure your pet(s) have current ID. Double check that their tags are up to date and securely fastened to your pet’s collar. I would also consider microchipping your pets. You’ll increase the chance of being reunited with pets who may get lost by having them microchipped; make sure the microchip is registered and up to date, and that it’s in your name.

I would like to reiterate, if you evacuate your home, do not leave your pets behind!!! Pets most likely cannot survive on their own and if by some chance they do, you may not be able to find them when you return.

We don’t know when the “big one” is going to hit and it’s not pleasant to think about but we need to. So, remember the five p’s; Prior Planning Prevents Poor Performance. Take action now so you know how to best care for your furry friends when the unexpected occurs.

For help identifying pet-friendly lodging, check out these websites:

Here are two websites you can use as a guideline for making your checklists and being prepared:


Alicia, AA, AAS, LVT

Surgery Technician