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Do Upvalley pets stand a chance in an emergency?
St. Helena woman’s story raises difficult question
Monday, August 25, 2008
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The plight of a St. Helena woman who watched her family’s dog die as she anxiously — but vainly— sought emergency medical help has raised an important question: Are Upvalley pet owners fighting the odds when it comes to getting prompt animal care when it’s needed most?

Wolfe’s dog Sasha showed signs of disorientation and illness for hours while Wolfe sought professional help and tried to help her. The dog died after two difficult hours, according to a letter Wolfe wrote to the St. Helena Star.
Her experience raises the question of whether getting a pet to a veterinarian under critical circumstances is more difficult Upvalley than it is in the southern part of Napa County.

Another indicator is that the number of vets in the more populous Napa area vs. the Upvalley is off-balance. The SBC Yellow Pages list 24 veterinarians in the Napa area as compared to seven in St. Helena, Calistoga, Rutherford and Pope Valley combined.
“It can be improved, absolutely it can be improved,” Dr. David Gold, of St. Helena Veterinary Hospital, said of the state of emergency care in the Upvalley. “It does get frustrating with the emergency stuff. Sometimes I get calls (from pet owners) who want to come in at 2 in the morning when they can’t get help anywhere else. If I get an emergency message, I call back; I don’t believe I’ve ever not called back. I do as much as I can.”

“It’s not that I don’t care,” Gold added. “But I can only do so much,”  
Wolfe criticized Gold because his emergency number provided only a recording that told her that if he did not call her back in five or 10 minutes it is because the pager malfunctioned (which he said he has “no way of fixing”).

“… If you have not heard from us after calling three times it may be because we are already in emergency,” Gold’s recorded voice message continues.

Wolfe then tried to call other vets, but could not reach one in time to save Sasha, who was an older dog.

Many vets offer home or emergency services, but few are on call 24/7.

There are, in fact, two emergency pet hospitals accessible to Napa County residents that provide care at all hours of the night. The Animal Care Center-Sonoma County responds to emergencies 24 hours a day, has a staff of 19 veterinarians, including a cardiologist, neurologist and a team of specialists and offers K-9 conditioning hydrotherapy. The Solano-Napa Pet Emergency Clinic keeps an all-night vigil, opening 6 p.m. and closing at 8 a.m. Monday through Friday and around-the-clock on weekends and holidays.

But there are degrees of accessibility.

Silverado Veterinary Hospital’s voice message referred Wolfe to the Cordelia facility, as it does all owners of sick or injured animals who call during off hours because. Office manager Jan Lazzara noted Cordelia is only 20 minutes away from its location in Napa.

“One of the reasons we like to do that is if we have a dog that is in labor and has to have a C-section you have to have a lot of hands to handle puppies and equipment,” Lazzara said. “The emergency clinic is set up to do stuff like that and is fully staffed.”

 Which doesn’t mean a lot to Gold, who said he can’t refer to the Cordelia hospital because it is 45 minutes from the Upvalley and pet owners would complain. Although five miles closer, the Sonoma County hospital takes even longer to reach than Cordelia.

Lazzara was sympathetic to both Gold and Shelley Wolfe.

“I can understand Dr. Gold,” Lazzara said. “He’s not picking up because he’s only one person and sometimes you can’t talk to people right away.

“But I also understand (Wolfe’s) frustration,” she added. “Whether she could have made it to Cordelia where they might have been able to save her dog I don’t know the answer. Maybe she could have gone to Santa Rosa, which is a half hour away. Depending on how bad (the dog’s condition) was, it might not have made it anywhere.”

Wolfe, however, insists that if she could have gotten a veterinarian’s response during the more than two hours she held her dying dog in her arms, Sasha would still be alive.

There is no immediate solution in sight.

“I think there are 10 animal hospitals in the valley,” Lazzara said. “It wouldn’t be financially feasible for any of them to open an emergency clinic.”
40 comment(s)

Baraki wrote on Aug 25, 2008 1:47 AM:

" Vet's aren't like hospitals -- I don't see a controversy in there not being "adequate emergency clinics" for dogs and cats. I've had to take a long drive to take a sick dog to a vet -- almost 90 minutes -- and still the dog ended up getting put down. It galls me when people like Wolfe criticize a quality caregiver because he was not accessible to them when they are needed at whatever odd hour that happens to be. Gotta remember bottom-line, being a vet is a job for Gold and others -- it's not a religious calling that requires a 24/7 commitment. "

Baraki wrote on Aug 25, 2008 7:04 AM:

" (since my first comment was not posted, here's a second less annoyed try) Is a lack of upvalley emergency veterinarian services really a crisis of some kind? "

Suze wrote on Aug 25, 2008 8:00 AM:

" I do feel sympathy for this pet owner, but surely it is the responsibility of any pet owner to know where to go in an emergency. The emergency clinic in Cordelia or Santa Rosa were her options in this case. Horse vets will come to you in an emergency, but small animal practice is different. Sadly, I think the owner is responsible for not getting her dog to one of the emergency clinics she was referred to. "

BD4 wrote on Aug 25, 2008 8:07 AM:

" I feel sorry she lost her dog, but with the 2 hous she was trying to get a hold of a vet she could have already been to Cordelia or Sonoma. "

ECHO wrote on Aug 25, 2008 8:34 AM:

" Anyone who has had a pet emergency knows how frustrating and devastating it is to try and find help after hours. I think it is about time that Napa County had our own pet emergency clinic.

Driving to the next county is not always an easy solution. Time and the logistics of transporting a pet that distance can be very difficult and cost the animal their life.

I remember a time before the Cordelia Clinic opened when Napa Vets were available for emergencies. This county certainly can support an emergency clinic. There are plenty of wealthy corporations and wineries with pet loving CFO's that I'm sure would be happy to donate to a local facility.

My deepest sympathy to Ms. Wolfe on the loss of her beloved pet. "

napadad wrote on Aug 25, 2008 8:45 AM:

" The Solano emergency clinic is a stop gap measure that has done no more than adding several hundred dollars to an already expensive and emotionally stressful situation on two occasions. Unless you believe your animal will die in the next hour it pays to go to the UC Davis vetrinary hospital. They can perform open heart surgery on a lizard if you need them to. They are open 24-7 and have oncologists, neurosurgeons, cardiologists and every other type of specialist you may require. "

sunny wrote on Aug 25, 2008 9:27 AM:

" I know what a heartbreaking experience this situation is. For anyone that doesn't know, the Cordelia e/r pet facility is an excellent one. Twice in the middle of the night I've had to make a drive there. You don't even have to call first. If it's ever necessary again I'd drive there in a heartbeat. I do think it's wise to have a plan where to go in an emergency. "

eas001 wrote on Aug 25, 2008 9:35 AM:

" Being a vet is not a lucrative job, being a 24-hour vet is even less lucrative. Many people only want to spend a certain amount on their pet. Many vet's simply cannot afford to be open 24 hours. Perhaps a charity fund can be started to help the local vets each have one night each that they are open 24 hours. Until then, get the number and map for a 24 hour emergency clinic that is best for you. "

napablogger wrote on Aug 25, 2008 10:34 AM:

" I went to the Cordelia clinic myself this week with two poisoned dogs. Cost $2800. It is phenomenally expensive.

But it is not that far away, at the end of Jamieson Canyon, first freeway exit going toward Fairfield, maybe 25 minutes from Yountville.

Napadad, does UC Davis charge that much? "

Jenn wrote on Aug 25, 2008 10:38 AM:

" I do feel for her loss of her beloved pet, but like others have said, she could have drove to another hospital. And Napa Small Animal on Linclon Ave is also open on weekends and at later hrs than normal, if this was the middle of the night, she should have taken her to Solano. When you own a pet, it is your responsibility to look to see where emergency services are offered and located at. "

MarkMiwords wrote on Aug 25, 2008 11:14 AM:

" The loss of a "pet" can be as painful as the loss of a beloved family member. I read Ms. Wolfe's letter in the St. Helena Star. Her grief permeated every word. I truly, truly feel for her. I hope Dr. Gold, the outstanding, good man that he is, will see this letter as a reaction to grief. I hope he will not allow any stinging words to hurt him. As far as the lack of services go, there are numerous benefits and drawbacks to living in a small town, rural area. St. Helena lacks a number of larger town services. It has always been that way and St. Helena residents are accustomed to leaving town to obtain them. "

jonqcitizen wrote on Aug 25, 2008 11:23 AM:

" Napablogger:

I have taken my animals to both UC Davis and the Solano Clinic. I think that UC Davis is probably slightly cheaper, but it's like emergency medicine for humans...expensive. My cat was recently in the ICU at Davis for 2 days and it cost about $2200. I have also had both of my dogs spayed at UC Davis and I thought the price was less than what my vet charged, but can't say for sure. "

John Richards wrote on Aug 25, 2008 11:33 AM:

" I'm sorry, but anyone who has $2200 to spend on a pet has their priorities in the wrong place. It would have been better to donate that money for the purpose of alleviating human suffering. "

Byoung wrote on Aug 25, 2008 11:49 AM:

" Baraki obviously you shouldnt be able to own a pet with a attitude like that. What makes a sick person so much more important that a sick animal...? Nothing, were all animals when it comes down to it, theres no reason a animal should suffer more than person should because you see it as a lesser being.... As for Dr. Gold maybe he should have picked a different profession if he didnt want to deal with calls at whatever odd hour, when you pick a profession like that you have a DUTY not a job. "

vocal-de-local wrote on Aug 25, 2008 12:24 PM:

" No Byoung, you're wrong. A vet doesn't have a "duty" to respond to an emergency any more than your physician who isn't on call on a particular night. Have you ever phoned your physician on off hours? The recording says " if this is an emergency, call 911. If you are lucky enough to get through to your physician, they will tell you to go to the emergency room. I can assure you, they do not meet you at their office in the middle of the night.

And speaking of Upvalley inconvenience, we don't have the best quality human emergency care in this area either. It's one of the inconveniences of living in a more rural area (St. Helena is hardly a big city with big trauma care hospitals). Trust me, there are people in the Upvalley area who have died because they were unable to get to a more skilled facility.

In emergency situations, whether with humans or animals, it pays to be resourceful. Get in the car and move. Know the locations of the best hospitals and know how long it takes to get there. If you end out in a hospital you feel cannot really take care of emergency medical needs, get out of there ASAP, even if it costs extra to use an ambulance (for humans). Don't wait around for someone to return a call. And then certainly don't go to the place of playing the "blame game" once things do not work out as expected.

I'm not sure why, but when it comes to medical care, people are generally so passive, waiting around for everything to be solved for them by the doctor gods. They're not gods, they need sleep, and that's why we have hospitals. "

MarkMiwords wrote on Aug 25, 2008 12:25 PM:

" Byoung: It doesn't mention it in this article, but Sasha the dog died of heat stroke. If the weather was hot enough to kill this dog, there may have been other medical emergencies happening simultaneously. Hot weather can be deadly and we don't know all the circumstances of that particular day. Dr Gold is a good, caring veterinarian. You shouldn't verbally attack him, especially since we have not been presented with all the facts. "

jonqcitizen wrote on Aug 25, 2008 12:36 PM:

" John Richards-

I'm just curious, what is your grand plan to 'alleviate human suffering' and please detail how my money will be the keystone of that program. "

napadad wrote on Aug 25, 2008 1:42 PM:

" Napablogger, we have several animals and over the last 10 years have lost both dogs and cats to heat, disease, predation and old age and it has been my experience that UC Davis is comparable to any vet for serious stuff. to JR If you choose to have a pet you have an obligation to care for it the best you can ... and (finances allowing so) cost should not enter into the equation. A dog or cat may live to be 15+ years old and after providing love and companionship for so long many people would not even ask the question of cost. If an animal has the ability to recover and live a happy life then how could anyone not help a friend? I would raise an animal for food though, and kill and eat it so I guess we all have our quirks. "

msinformd wrote on Aug 25, 2008 2:14 PM:

" The sad thing is that none of them treat fish! "

psychochik wrote on Aug 25, 2008 2:25 PM:

" I'm gonna go out on a limb and say that Mr Richards has never had a pet he was close to. Just because someone forks over $2200 for their pet doesnt instantly mean they have that kind of money. I've paid money for a sick pet or two and I was willing to forgo non-necessities so that the pet was taken care of. Some of us have priorites and some of us have animals that are like children so they are our priority.

Just because you havent loved a pet so much that you were willing to forgo things doesnt mean youre above us because you would spend that money to aleviate human suffering. Tell me, just how much have you spent toward the cause of human suffering ?? "

msinformd wrote on Aug 25, 2008 2:46 PM:

" No amount of money can bring back my fish. Does that mean her life was worthless? "

Shawana wrote on Aug 25, 2008 4:21 PM:

" Does anyone really care about fish? "

Baraki wrote on Aug 25, 2008 5:01 PM:

" Not to get into a dia-blog (dialog over blog, get it?) but my care for my own pets (2 dogs, 2 turtles, 2 birds) includes emergency plans -- including after hour vets (yeah, plural) to take them to.

Please don't take my annoyance at the Napan sense of entitlement to be a lack of personal feelings and care for my pets. :) They're little furry, scaly and feathery members of the family. "

judgeknot wrote on Aug 25, 2008 7:09 PM:

" It's so hard when animals suffer! "

Suze wrote on Aug 25, 2008 9:19 PM:

" I have taken horses, dogs and birds to UC Davis. Their fees are comparable to local veterinarians, sometimes less, but you do have to front half your estimated bill. However, they are brilliant and have all the latest technology and equipment. We are so lucky to have them on our doorstep. It is too easy to be a deer in the headlights when your beloved animal is really ill, but you have to act fast if you want to save them. "

John Richards wrote on Aug 25, 2008 10:14 PM:

" Animals should not have to suffer through drastic measures like surgery, just to placate the selfish desires of their owners. Seriously ill animals should be euthanized. Donate the money you would have spent on the animal to a charity like the American Cancer Society. Those who equate animals to humans need to re-adjust their warped value system. "

wined0wnnapa wrote on Aug 25, 2008 10:25 PM:

" what if dr ghould got a helicopter and instead of airlifting ms wolfes dog to the hospital we fly the vet to her? dr ghould is a pretty brash fellow (he saved my parrot a few years ago when it got into my bottlecap collection) so im sure itd be sight to see him like a smoke-jumper parachuting in at 3am to save some womans dog or fish or whatever. Being a vet is a 24/7 job and you know that when you take the hippocritical oath "

shawana wrote on Aug 26, 2008 11:21 AM:

" If being a vet is a 24/7 job, how come you never see them on the traffic islands with cardboard signs at 5 AM? "

judgeknot wrote on Aug 26, 2008 11:52 AM:

" John Richards- My dog and cat have lived long happy years after surgery. Surgery can equal health, not suffering. Not every animal needing surgery is old and suffering. "

rozilla wrote on Aug 27, 2008 6:52 AM:

" I think it's possible to have a heart for all living creatures, not just humans. Dogs, cats, and yes, even fish. Remember, God's eye is on the sparrow and he loves the guppy, too! "

Jayne Bob wrote on Aug 27, 2008 8:36 AM:

" It was nice to see some support for our local Vet who has saved many of my animals at all different hours of the day or night. He is caring and is available! I truly feel for any person who loses a pet but the ultimate responsibility of getting care rests on the owner. We don't know why Dr. Gold was unable to respond to her call or whether he even received it. He would always be my first choice for care but if I could not reach him, I would start looking for an alternative (regardless of the cost) "

msinformd wrote on Aug 27, 2008 11:06 AM:

" Thank you, Rozilla. "

Rozilla wrote on Aug 27, 2008 12:13 PM:

" Regarding my previous comment "I think it's possible to have a heart for all living creatures, not just humans. Dogs, cats, and yes, even fish." I forgot to say that there are such people. They are called veternarians. God bless them! "

judgeknot wrote on Aug 27, 2008 12:30 PM:

" At lunch tody I actually saw a guy with a cardboard sign on Jefferson reading "Need money for dog food". Did anyone else see him? You don't think... "

concerned citizen wrote on Aug 28, 2008 10:26 AM:

" John Richards, why must you bring up the "animals vs. humans" nonsense? How many times have we heard this ridiculous comparison/argument? It has nothing to do with the hope to have an animal emergency clinic here in the Napa Valley. And there is no law which states one must choose one or the other concerns: animal or human.

I repeat: THE TWO ARE NOT IN COMPETITION!

Can you get that? I'd much rather know a person who feels love and empathy for animals as they do for humans...it is the wiser and more evolved person who can encompass both in the circle of compassion.

I have always wondered about people who abhor or disdain other species besides the human being....

what gives?

I feel badly for Ms. Wolfe and that she lost her companion. The drive to Sonoma, Davis or Cordelia can be hazardous if one is alone and in an emotional panic over impending death of a loved one. It would be much better, all around, if the Veterinarians could get together, create an animal emergency clinic here and share the responsibility of shifts. That would be trememdously helpful in so many ways.

And profitable! "

concerned citizen wrote on Aug 28, 2008 10:37 AM:

" PS...No, J. Richards...donate money to the SPCA or Humane Society or Whiskers Tails and Ferals or any other caring animal organization and/or split the difference between an animal cause and a human cause. There.....does that satisfy you? "

Msinformd wrote on Aug 28, 2008 12:31 PM:

" It is well that to have compassion for cancer victims, but should we exclude the ones Richards would call "warped" for loving animals? "

rhodesianlover wrote on Aug 29, 2008 9:41 AM:

" I was saddened to hear of Sasha's passing and know that it is a huge loss.

I did want to weigh in a bit as to emergency care and UC Davis. Our dog has had cancer for almost two years now (he is doing very well now) and he has received extraordinary care at Silverado Veterinary Clinic. But for major check-ups and treatment we have been taking our dog to UC Davis during this time and have also received state of the art care at that teaching facility. Due to these conditions, I have had a map from our home in St. Helena to the Solano facilty on the front of our refrigerator, although blessedly we have not yet had to utilizie this facility. In addiition to the good and diligent care our dog has received from above, we have had the great good fortune to have signed him up for pet insurance with the Veterinary Pet Insurance company. This company has been outstanding in compassion and coverage.

firedance "

cellsitegod wrote on Aug 30, 2008 6:06 AM:

" Animals provide something humans, especially Mr Richards cannot provide....
Unconditional love. A pet is always there to give a it's owner love. They always want to please. They can sense your moods and react accordingly. Be it with affection when your sad or getting out of your way when your angry.
They don't ask for anything in return.
Just feed em. give them a warm bed and some attention.
There are not many humans out there that can give you that.
After all they give you without expecting anything.
Isn't it your responsibility to take care of your companion?
MR Richards:
I hope you have great medical coverage and never get very sick and in need of community help.
I'm sure the animal lovers here will donate their money to SPCA in your name. "

lovetoeat wrote on Aug 30, 2008 9:56 PM:

" I am sorry that Ms. Wolfe's dog died. Pets become important members of one's family and one tries to save them to the best of one's abilities/finances. Ms. Wolfe should have tried wet towels, CPR, (yes, it can be done on a dog or cat) and then headed right out the door to Cordelia or UC Davis emergency. Don't know what she did, but time was not on her side. "

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